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 |
|---|---|---|---|---|
| Revision of foot and ankle CPT 28262 | not published | not published | $1,642.56 – $2,613.83 | 8 |
| Revision of foot bones CPT 28737 | not published | not published | $1,125.14 – $3,715.70 | 5 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $716.35 – $1,738.00 | 8 |
| Revision of foot tendon CPT 28238 | not published | not published | $870.70 – $3,248.44 | 8 |
| Revision of foot tendon CPT 28261 | not published | not published | $1,072.49 – $1,743.38 | 8 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $2,868.13 – $5,019.51 | 4 |
| Revision of hip tendon CPT 27097 | not published | not published | $772.09 – $1,743.38 | 8 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $1,182.70 – $2,891.17 | 4 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $667.31 – $1,659.41 | 8 |
| Revision of infusion pump CPT 36261 | not published | not published | $409.65 – $2,637.89 | 8 |
| Revision of iris CPT 66761 | not published | not published | $192.51 – $1,021.27 | 21 |
| Revision of iris CPT 66762 | not published | not published | $231.64 – $1,021.27 | 24 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $362.75 – $944.20 | 5 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $850.49 – $1,152.96 | 5 |
| Revision of knee joint CPT 27440 | not published | not published | $1,365.42 – $15,701.57 | 5 |
| Revision of knee joint CPT 27441 | not published | not published | $1,465.04 – $15,701.57 | 5 |
| Revision of knee joint CPT 27442 | not published | not published | $1,880.41 – $15,701.57 | 5 |
| Revision of knee joint CPT 27443 | not published | not published | $1,982.82 – $15,701.57 | 5 |
| Revision of knee joint CPT 27446 | not published | not published | $2,534.75 – $15,701.57 | 5 |
| Revision of larynx CPT 31400 | not published | not published | $1,574.92 – $2,915.56 | 5 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $359.23 – $1,738.00 | 8 |
| Revision of neck muscle CPT 21700 | not published | not published | $609.75 – $1,494.33 | 8 |
| Revision of neck muscle CPT 21720 | not published | not published | $618.99 – $1,738.00 | 8 |
| Revision of neck muscle CPT 21725 | not published | not published | $120.07 – $1,738.00 | 24 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $1,040.33 – $1,584.32 | 4 |
| Revision of nose CPT 30120 | not published | not published | $562.03 – $1,345.11 | 8 |
| Revision of nose CPT 30430 | not published | not published | $850.49 – $2,499.06 | 8 |
| Revision of nose CPT 30435 | not published | not published | $1,566.44 – $3,123.82 | 5 |
| Revision of nose CPT 30450 | not published | not published | $2,063.55 – $3,123.82 | 5 |
| Revision of nose CPT 30460 | not published | not published | $1,229.58 – $2,499.06 | 5 |
| Revision of nose CPT 30462 | not published | not published | $2,080.85 – $2,915.56 | 5 |
| Revision of penis CPT 54300 | not published | not published | $923.64 – $1,947.12 | 8 |
| Revision of penis CPT 54304 | not published | not published | $1,180.08 – $2,075.23 | 5 |
| Revision of penis CPT 54420 | not published | not published | $792.38 – $2,380.00 | 8 |
| Revision of penis CPT 54430 | not published | not published | $1,141.87 – $1,835.94 | 4 |
| Revision of penis CPT 54435 | not published | not published | $270.80 – $2,380.00 | 8 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,164.96 – $3,123.82 | 5 |
| Revision of radius CPT 25350 | not published | not published | $1,201.99 – $4,557.29 | 8 |
| Revision of radius CPT 25355 | not published | not published | $1,090.91 – $2,215.91 | 8 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $732.49 – $1,381.00 | 8 |
| Revision of scrotum CPT 55175 | not published | not published | $594.95 – $1,809.70 | 8 |
| Revision of scrotum CPT 55180 | not published | not published | $871.59 – $2,133.60 | 8 |
| Revision of spinal shunt CPT 63744 | not published | not published | $1,107.58 – $1,939.51 | 8 |
| Revision of testis CPT 54660 | not published | not published | $414.64 – $2,133.60 | 8 |
| Revision of thigh muscles CPT 27430 | not published | not published | $1,260.08 – $3,248.44 | 8 |
| Revision of toe CPT 28312 | not published | not published | $480.25 – $1,738.00 | 8 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,896.75 – $7,009.61 | 4 |
| Revision of ulna CPT 25360 | not published | not published | $961.59 – $3,248.44 | 8 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $1,442.66 – $3,248.44 | 8 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $1,260.08 – $3,248.44 | 5 |
| Revision of urethra CPT 53450 | not published | not published | $528.66 – $1,516.48 | 8 |
| Revision of urethra CPT 53460 | not published | not published | $507.61 – $1,281.01 | 8 |
| Revision of urethra CPT 57220 | not published | not published | $692.13 – $2,569.75 | 8 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $949.94 – $2,599.90 | 8 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,135.16 – $2,660.40 | 5 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $1,260.08 – $3,248.44 | 8 |
| Revision tips CPT 37183 | $13,175.68 | $23,528.00 | $688.11 – $16,940.16 | 7 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $3,715.70 – $5,626.24 | 4 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $5,060.59 – $5,060.59 | 3 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,996.32 – $2,885.11 | 4 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,996.32 – $2,885.11 | 4 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,577.87 – $2,915.56 | 5 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $2,080.85 – $2,915.56 | 5 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,785.10 – $4,962.13 | 5 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,791.67 – $2,915.56 | 5 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $698.00 – $1,782.48 | 8 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $413.01 – $1,782.48 | 5 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $686.86 – $2,079.56 | 8 |
| Revsc opn/prq tib/pero stent CPT 37234 | $14,423.92 | $25,757.00 | $10,942.07 – $18,545.04 | 6 |
| Rheumatoid factor qualitative CPT 86430 | $31.92 | $57.00 | $4.62 – $11.67 | 25 |
| Rheumatoid factor quantitative CPT 86431 | $68.32 | $122.00 | $4.62 – $11.80 | 25 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $850.49 – $2,380.00 | 8 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $19.17 | $34.23 | $10.20 – $32.68 | 2 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $103.76 – $172.24 | 4 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,497.39 – $2,499.06 | 5 |
| Right ventric recording CPT 93603 | $3,965.36 | $7,081.00 | $46.58 – $444.49 | 5 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $694.96 | $1,241.00 | $679.01 – $1,241.00 | 4 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $6.50 | $11.61 | $3.63 – $11.39 | 5 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $505.92 | $903.43 | $108.74 – $108.74 | 3 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,553.08 – $3,201.47 | 4 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $77.00 – $1,309.78 | 21 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $3,932.06 – $3,932.06 | 3 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $609.11 – $1,159.16 | 8 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $592.13 – $1,381.00 | 8 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $270.89 – $939.21 | 8 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $141.66 – $252.82 | 5 |
| Rmvl icd by tv extr CPT 33244 | $2,465.12 | $4,402.00 | $1,238.09 – $3,169.44 | 7 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $45,192.56 | $80,701.00 | $11,535.20 – $58,104.72 | 7 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $45,192.56 | $80,701.00 | $16,037.62 – $58,104.72 | 7 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $45,192.56 | $80,701.00 | $11,535.20 – $58,104.72 | 7 |
| Rmvl icd pulse gen only CPT 33241 | $3,259.20 | $5,820.00 | $336.00 – $4,190.40 | 7 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $1,439.12 – $1,439.12 | 3 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,384.10 – $6,774.90 | 4 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,215.20 | $2,170.00 | $253.97 – $1,562.40 | 23 |
| Rmvl perm pm pulse gen CPT 33233 | $3,259.20 | $5,820.00 | $372.78 – $5,813.29 | 7 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $24,783.92 | $44,257.00 | $8,896.97 – $31,865.04 | 7 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $21,387.52 | $38,192.00 | $3,522.54 – $27,498.24 | 7 |
| Rmvl pq iabp CPT 33968 | $207.76 | $371.00 | $54.40 – $267.12 | 6 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $1,080.80 | $1,930.00 | $580.83 – $1,389.60 | 6 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $701.28 – $1,743.38 | 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.