Henry Ford St John Hospital
22101 Moross Rd, Detroit, MI · Henry Ford Health · · NPI 1023088168
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Replace eye fluid CPT 67025 | not published | not published | $698.00 – $1,598.17 | 8 |
| Replace g/c tube perc CPT 49450 | not published | not published | $253.97 – $1,745.34 | 20 |
| Replace g-j tube perc CPT 49452 | $763.84 | $1,364.00 | $253.97 – $1,745.34 | 23 |
| Replace/irrigate catheter CPT 62194 | not published | not published | $698.00 – $967.20 | 8 |
| Replace/irrigate catheter CPT 62225 | not published | not published | $635.28 – $2,313.11 | 8 |
| Replacement of contact lens CPT 92326 | not published | not published | $29.42 – $110.58 | 20 |
| Replacement pulmonary valve 33475 CPT 33475 | not published | not published | $3,931.28 – $6,730.14 | 4 |
| Replacement tricuspid valve 33465 CPT 33465 | not published | not published | $3,750.98 – $7,964.39 | 4 |
| Replace picvad cath CPT 36585 | not published | not published | $1,182.10 – $1,662.94 | 5 |
| Replace/revise brain shunt CPT 62230 | not published | not published | $1,186.00 – $2,698.63 | 8 |
| Replace skull plate/flap CPT 62143 | not published | not published | $1,346.24 – $3,033.38 | 4 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | not published | not published | $930.20 – $2,916.43 | 8 |
| Replace tunneled cv cath CPT 36578 | not published | not published | $622.00 – $1,411.52 | 5 |
| Replantation digit complete CPT 20822 | not published | not published | $1,260.08 – $3,070.44 | 5 |
| Replantation thumb complete CPT 20827 | not published | not published | $2,405.16 – $5,267.15 | 4 |
| Reposition intraocular lens CPT 66825 | not published | not published | $918.24 – $1,598.17 | 5 |
| Reposition pm/icd lead CPT 33215 | $2,450.00 | $4,375.00 | $453.68 – $3,150.00 | 7 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $1,080.80 | $1,930.00 | $507.22 – $1,389.60 | 6 |
| Repos lv lead pm/icd CPT 33226 | $2,708.16 | $4,836.00 | $772.95 – $3,481.92 | 7 |
| Repos sq defib eltrd CPT 33273 | $5,562.48 | $9,933.00 | $1,309.58 – $7,151.76 | 7 |
| Rep perf anoper/vestib fistu CPT 46716 | not published | not published | $996.99 – $3,180.58 | 4 |
| Repr elbow lat ligmnt w/tiss CPT 24343 | not published | not published | $1,171.05 – $1,930.18 | 5 |
| Repr elbw med ligmnt w/tissu CPT 24345 | not published | not published | $1,159.48 – $3,248.44 | 5 |
| Repr of anal fistula w/glue CPT 46706 | not published | not published | $212.81 – $1,365.86 | 5 |
| Reprogram cochlear implt <7 CPT 92602 | not published | not published | $68.25 – $291.27 | 21 |
| Reprogram cochlear implt 7/> CPT 92604 | not published | not published | $68.25 – $291.27 | 21 |
| Reptilase test CPT 85635 | $16.84 | $30.07 | $6.34 – $18.71 | 25 |
| Reremove wrist tendon lesion CPT 25112 | not published | not published | $579.52 – $2,380.00 | 8 |
| Rerepair fem hernia blocked CPT 49557 | not published | not published | $1,183.65 – $2,079.74 | 5 |
| Rerepair ing hernia blocked CPT 49521 | not published | not published | $1,032.52 – $2,079.74 | 5 |
| Rerepair ing hernia reduce CPT 49520 | not published | not published | $1,024.34 – $2,079.74 | 5 |
| Resect apical lung tum/chest with rcnstj 32504 CPT 32504 | not published | not published | $5,979.26 – $5,979.26 | 3 |
| Resect apical lung tumor without rcnstj 32503 CPT 32503 | not published | not published | $5,204.50 – $5,204.50 | 3 |
| Resect back tum < 5 cm CPT 21935 | not published | not published | $743.91 – $1,738.00 | 8 |
| Resect back tum 5 cm/> CPT 21936 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | not published | not published | $547.06 – $1,136.90 | 5 |
| Resect/debrid pancreas 48105 CPT 48105 | not published | not published | $3,201.78 – $8,213.02 | 4 |
| Resect diaphragm simple 39560 CPT 39560 | not published | not published | $1,175.85 – $2,298.41 | 4 |
| Resect distal finger tumor CPT 26262 | not published | not published | $655.45 – $1,494.33 | 8 |
| Resect enlarged toe CPT 28341 | not published | not published | $765.47 – $2,380.00 | 8 |
| Resect enlarged toe tissue CPT 28340 | not published | not published | $643.79 – $2,380.00 | 8 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $1,718.39 – $4,050.82 | 4 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $608.71 – $1,264.58 | 5 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $495.48 – $1,738.00 | 8 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $1,862.00 – $2,875.25 | 4 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $743.91 – $1,738.00 | 8 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $3,455.37 – $5,870.85 | 4 |
| Resect inferior turbinate CPT 30140 | not published | not published | $479.93 – $1,381.00 | 8 |
| Resection of elbow joint CPT 24155 | not published | not published | $1,128.49 – $2,014.15 | 8 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $829.08 – $2,380.00 | 8 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $743.91 – $1,738.00 | 8 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $1,697.26 – $2,511.25 | 4 |
| Resect mediastinal tumor 39220 CPT 39220 | $1,373.68 | $2,453.00 | $1,748.62 – $3,268.10 | 6 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $765.47 – $1,738.00 | 8 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $1,578.92 – $3,233.29 | 4 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $2,450.00 – $4,167.18 | 4 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $555.44 – $1,494.33 | 5 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $552.05 – $1,738.00 | 8 |
| Resect prox finger tumor CPT 26260 | not published | not published | $708.30 – $1,738.00 | 8 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $1,260.08 – $3,838.86 | 8 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $765.47 – $1,743.38 | 5 |
| Resect tarsal tumor CPT 28171 | not published | not published | $765.47 – $1,738.00 | 8 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $743.91 – $1,432.67 | 5 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $743.91 – $1,475.33 | 4 |
| Respirator motion mgmt simul CPT 77293 | $604.24 | $1,079.00 | $356.95 – $699.19 | 9 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $9.77 – $27.42 | 25 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $33.60 | $60.00 | $10.84 – $31.22 | 25 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $173.92 – $414.31 | 24 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $895.44 | $1,599.00 | $115.90 – $579.69 | 21 |
| Resuscitation delivery/birthing room CPT 99465 | not published | not published | $165.54 – $1,218.18 | 21 |
| Reticulated platelet assay CPT 85055 | not published | not published | $18.44 – $67.91 | 24 |
| Reticulocyte automated CPT 85045 | $21.84 | $39.00 | $3.25 – $7.58 | 25 |
| Reticulocyte direct measurement automated CPT 85046 | not published | not published | $4.54 – $17.27 | 25 |
| Retrieval of oocyte CPT 58970 | not published | not published | $334.98 – $1,620.95 | 21 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $15.96 – $37.22 | 24 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $803.74 – $1,782.64 | 8 |
| Revise additional leg tendon CPT 27692 | not published | not published | $244.37 – $1,738.00 | 7 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $918.24 – $1,598.17 | 8 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $732.49 – $1,381.00 | 8 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $1,016.26 – $2,768.32 | 5 |
| Revise circulation to head CPT 61708 | not published | not published | $3,756.76 – $6,754.01 | 4 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,640.98 – $3,851.91 | 4 |
| Revise eye CPT 65091 | not published | not published | $910.31 – $1,738.00 | 8 |
| Revise eyelashes CPT 67825 | not published | not published | $78.50 – $556.49 | 21 |
| Revise eyelashes CPT 67835 | not published | not published | $390.13 – $1,381.00 | 8 |
| Revise eyelid defect CPT 67909 | not published | not published | $737.01 – $2,380.00 | 8 |
| Revise eyelid defect CPT 67911 | not published | not published | $737.01 – $1,738.00 | 8 |
| Revise eyelid lining CPT 68330 | not published | not published | $621.31 – $2,380.00 | 8 |
| Revise eyelid lining CPT 68360 | not published | not published | $563.50 – $1,599.39 | 8 |
| Revise eyelid lining CPT 68362 | not published | not published | $737.01 – $1,381.00 | 8 |
| Revise eye muscle CPT 67311 | not published | not published | $737.01 – $1,738.00 | 8 |
| Revise eye muscle CPT 67314 | not published | not published | $737.01 – $2,380.00 | 8 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $737.01 – $2,380.00 | 8 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.