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 |
|---|---|---|---|---|
| Set radiation therapy field CPT 77280 | $603.68 | $1,078.00 | $87.66 – $445.63 | 26 |
| Set radiation therapy field CPT 77285 | $995.68 | $1,778.00 | $153.47 – $697.75 | 26 |
| Set radiation therapy field CPT 77290 | $1,248.80 | $2,230.00 | $153.47 – $806.87 | 26 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $38.36 – $558.32 | 20 |
| Sever cranial nerve CPT 64771 | not published | not published | $732.49 – $1,381.00 | 8 |
| Sex transformation f to m CPT 55980 | not published | not published | $1,180.08 – $1,869.27 | 4 |
| Sex transformation m to f CPT 55970 | not published | not published | $978.98 – $1,533.22 | 4 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $395.95 – $678.33 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $86.23 – $369.89 | 21 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $71.02 – $369.89 | 21 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $115.13 – $743.75 | 21 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $118.64 – $743.75 | 21 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $61.98 – $369.89 | 21 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $61.98 – $369.89 | 21 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $86.23 – $369.89 | 21 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $61.98 – $743.75 | 21 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $61.98 – $743.75 | 21 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $61.98 – $369.89 | 21 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $61.98 – $369.89 | 21 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $3,511.20 | $6,270.00 | $214.46 – $4,990.00 | 3 |
| Shigella antibody CPT 86771 | not published | not published | $16.16 – $46.51 | 25 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $672.57 – $1,743.38 | 5 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $2,613.83 – $3,554.16 | 4 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,551.24 – $3,651.21 | 5 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $1,124.26 – $2,215.91 | 8 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $1,030.11 – $1,743.38 | 8 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $1,220.96 – $2,215.91 | 8 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $1,019.91 – $2,462.13 | 8 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $1,107.13 – $2,215.91 | 8 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $1,670.67 – $3,774.62 | 5 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $1,260.08 – $2,917.70 | 8 |
| Shortening of hand tendon CPT 26479 | not published | not published | $648.52 – $1,136.90 | 8 |
| Shorten radius or ulna CPT 25390 | not published | not published | $1,426.73 – $3,248.44 | 8 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,185.17 – $2,031.25 | 8 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,548.35 – $3,529.42 | 5 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,418.64 | $4,319.00 | $238.97 – $1,626.13 | 26 |
| Shoulder MRI (with contrast) CPT 73222 | $2,328.48 | $4,158.00 | $238.97 – $1,470.75 | 26 |
| Shoulder MRI (without contrast) CPT 73221 | $2,158.80 | $3,855.00 | $143.88 – $802.73 | 26 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $743.91 – $1,475.33 | 4 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $3,669.91 – $3,669.91 | 3 |
| Shoulder X-ray CPT 73030 | $220.64 | $394.00 | $19.63 – $163.91 | 26 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,016.00 | $3,600.00 | $656.75 – $2,000.00 | 3 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $240.24 | $429.00 | $52.96 – $197.96 | 26 |
| Sialidase enzyme assay CPT 87905 | $14.00 | $25.00 | $5.04 – $23.22 | 25 |
| Sialography s&i CPT 70390 | not published | not published | $76.60 – $449.98 | 26 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $152.88 – $850.49 | 5 |
| Sickling rbc CPT 85660 | $11.20 | $20.00 | $4.49 – $10.47 | 25 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $172.09 – $1,697.23 | 24 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $252.88 – $1,697.23 | 24 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $231.85 – $813.00 | 8 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $188.60 – $1,697.23 | 21 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $395.95 – $678.33 | 4 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $210.98 – $813.00 | 8 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $1,900.74 – $3,321.66 | 4 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $395.95 – $678.33 | 4 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $241.25 – $813.00 | 8 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $276.26 – $1,697.23 | 21 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $312.53 – $873.95 | 5 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $226.17 – $1,697.23 | 24 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $22.77 – $110.58 | 23 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $395.95 – $678.33 | 5 |
| Simple cystometrogram 51725 CPT 51725 | $364.56 | $651.00 | $108.68 – $698.00 | 24 |
| Sinus CT scan (with and without contrast) CPT 70488 | $670.88 | $1,198.00 | $124.59 – $814.15 | 26 |
| Sinus CT scan (with contrast) CPT 70487 | $596.40 | $1,065.00 | $124.59 – $659.80 | 26 |
| Sinus CT scan (without contrast) CPT 70486 | $544.32 | $972.00 | $59.17 – $447.27 | 26 |
| Sinus/juglr venogram s&i CPT 75860 | $927.92 | $1,657.00 | $103.10 – $1,430.10 | 10 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $402.06 – $1,381.00 | 8 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $1,049.40 – $2,499.06 | 8 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $789.71 – $2,499.06 | 8 |
| Sirolimus, oral HCPCS J7520 | $11.54 | $20.62 | $7.97 – $14.74 | 4 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,124.32 – $2,380.00 | 8 |
| Skin Biopsy CPT 11102 | not published | not published | $184.95 – $369.89 | 16 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $777.43 – $1,738.00 | 8 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $300.32 – $1,738.00 | 7 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $858.98 – $1,738.00 | 8 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $893.30 – $1,767.67 | 8 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $217.76 – $1,738.00 | 7 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $5.26 – $45.58 | 23 |
| Sleep study attended CPT 95807 | not published | not published | $208.57 – $987.75 | 23 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $450.49 – $1,893.96 | 23 |
| Sleep study unattended CPT 95806 | not published | not published | $68.25 – $291.27 | 23 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $87.36 | $156.00 | $5.24 – $13.26 | 4 |
| Sling suprapubic suburetheral HCPCS C1771 | $7,022.96 | $12,541.00 | $885.00 – $1,321.00 | 3 |
| Slitting of prepuce CPT 54000 | not published | not published | $82.36 – $971.43 | 5 |
| Slitting of prepuce CPT 54001 | not published | not published | $179.90 – $1,381.00 | 8 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $36.82 – $36.82 | 3 |
| Slp eval non-spch gen comm dev CPT 92605 | $170.80 | $305.00 | $197.64 – $197.64 | 1 |
| Slp pure tone screening CPT 92551 | $25.20 | $45.00 | $26.08 – $26.08 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $42.64 – $110.58 | 22 |
| Slp ther svc non-spch gen CPT 92606 | $120.40 | $215.00 | $139.32 – $139.32 | 1 |
| Small bowel endoscopy CPT 44360 | not published | not published | $275.93 – $1,381.00 | 8 |
| Small bowel endoscopy CPT 44364 | not published | not published | $391.17 – $1,381.00 | 8 |
| Small bowel endoscopy CPT 44366 | not published | not published | $459.56 – $1,381.00 | 8 |
| Small bowel endoscopy CPT 44369 | not published | not published | $379.44 – $1,381.00 | 8 |
| Small bowel endoscopy CPT 44376 | not published | not published | $508.56 – $745.65 | 5 |
| Small bowel endoscopy CPT 44378 | not published | not published | $572.29 – $869.92 | 5 |
| Small bowel endoscopy CPT 44382 | not published | not published | $141.09 – $1,745.34 | 24 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,681.49 – $1,900.74 | 4 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $397.34 – $1,381.00 | 8 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $443.48 – $1,381.00 | 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.