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 |
|---|---|---|---|---|
| Av fusion direct any site CPT 36821 | not published | not published | $1,008.08 – $2,150.47 | 8 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $1,182.10 – $2,309.75 | 5 |
| Avul nail plate addl CPT 11732 | $108.08 | $193.00 | $46.85 – $138.96 | 6 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $227.36 | $406.00 | $61.98 – $369.89 | 23 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $852.22 – $2,916.33 | 8 |
| Azacitidine injection HCPCS J9025 | $2.98 | $5.32 | $1.60 – $4.12 | 3 |
| Azathioprine 50 mg tablet HCPCS J7500 | $3.59 | $6.41 | $1.06 – $6.41 | 4 |
| Azathioprine parenteral HCPCS J7501 | $178.64 | $319.00 | $114.30 – $254.25 | 2 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $110.78 | $197.82 | $89.44 – $89.44 | 1 |
| Baclofen eval charges CPT 97750 | $52.64 | $94.00 | $30.14 – $60.29 | 19 |
| Bacterial meningitis antigen CPT 86403 | $72.24 | $129.00 | $6.23 – $21.93 | 25 |
| Bacterial vaginosis pcr CPT 87801 | $113.12 | $202.00 | $49.72 – $133.38 | 25 |
| Bactericidal level serum CPT 87197 | $117.04 | $209.00 | $12.24 – $28.54 | 25 |
| #bac vag cand-c. albicans naa CPT 87481 | $16.17 | $28.88 | $28.60 – $66.67 | 25 |
| Balloon dilate urtrl strix CPT 50706 | $1,027.60 | $1,835.00 | $1,189.08 – $2,162.17 | 6 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $376.24 – $1,381.00 | 8 |
| Bartonella dna pcr-sendout CPT 87471 | $41.44 | $74.00 | $19.56 – $66.67 | 25 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $24.65 – $291.27 | 20 |
| Basiliximab HCPCS J0480 | $2,173.85 | $3,881.87 | $1,499.90 – $3,408.92 | 2 |
| Bausch health Ultrasound surg HCPCS V2788 | $1,170.40 | $2,090.00 | $420.86 – $947.19 | 4 |
| B cells total count CPT 86355 | $96.88 | $173.00 | $30.74 – $105.33 | 25 |
| Bckdhb gene CPT 81205 | not published | not published | $62.70 – $180.48 | 21 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4.95 | $8.84 | $2.00 – $8.84 | 5 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $18.90 | $33.76 | $12.97 – $33.07 | 5 |
| Benign lesion paring 2-4 CPT 11056 | $345.52 | $617.00 | $59.62 – $444.24 | 23 |
| Benign lesion paring 4+ CPT 11057 | $546.00 | $975.00 | $43.35 – $702.00 | 23 |
| #_benzodiazconfur CPT 80346 | not published | not published | $14.30 – $28.75 | 8 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $30.24 | $54.00 | $17.62 – $48.35 | 25 |
| Beta-2 microglobulin CPT 82232 | $28.00 | $50.00 | $8.02 – $30.74 | 25 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $781.24 | $1,395.08 | $36.61 – $93.07 | 7 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $69.97 – $139.94 | 16 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $28.77 – $57.53 | 16 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $13.75 – $70.42 | 25 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $105.81 – $430.15 | 4 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $122.95 – $1,657.35 | 24 |
| Bilateral n block inj occipital 64405 CPT 64405 | $605.36 | $1,081.00 | $64.67 – $778.32 | 23 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | not published | not published | $85.60 – $549.52 | 21 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $15.38 – $50.50 | 25 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $231.64 – $478.38 | 4 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $424.09 – $1,782.64 | 8 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $576.45 – $2,457.28 | 8 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $680.28 – $2,499.71 | 8 |
| Biliary endoscopy thru skin CPT 47555 | $3,060.96 | $5,466.00 | $581.60 – $3,935.52 | 8 |
| Biliary endoscopy thru skin CPT 47556 | $3,590.72 | $6,412.00 | $660.47 – $4,616.64 | 7 |
| Bilicheck CPT 88720 | not published | not published | $4.09 – $9.54 | 25 |
| Bilirubin direct CPT 82248 | $19.04 | $34.00 | $3.85 – $9.54 | 23 |
| Bilirubin total CPT 82247 | $19.04 | $34.00 | $3.85 – $9.54 | 23 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $2,466.32 – $4,553.07 | 4 |
| Biofeedback, pt CPT 90901 | not published | not published | $30.86 – $70.87 | 20 |
| Biopsy abdominal mass CPT 49180 | $1,626.80 | $2,905.00 | $193.01 – $2,091.60 | 8 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $583.23 – $1,381.00 | 8 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $687.04 – $1,738.00 | 8 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,241.52 | $2,217.00 | $193.36 – $1,596.24 | 8 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $84.86 – $1,620.95 | 21 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $124.85 – $737.01 | 5 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $470.69 – $1,491.03 | 8 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $72.51 – $432.29 | 21 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $129.18 – $556.49 | 21 |
| Biopsy eye muscle CPT 67346 | not published | not published | $1,320.44 – $1,599.39 | 4 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $469.61 – $1,494.33 | 8 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $441.72 – $994.79 | 8 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $660.38 – $1,381.00 | 8 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $463.83 – $1,494.33 | 8 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,133.60 | $3,810.00 | $123.73 – $2,468.88 | 4 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $542.07 – $2,380.00 | 8 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $175.32 – $813.00 | 8 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $924.26 – $1,867.92 | 8 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,690.08 | $3,018.00 | $107.06 – $2,172.96 | 8 |
| Biopsy needle liver percutaneous CPT 47000 | $1,573.60 | $2,810.00 | $197.95 – $2,023.20 | 8 |
| Biopsy needle lymph node superficial CPT 38505 | $1,168.16 | $2,086.00 | $72.79 – $1,501.92 | 9 |
| Biopsy of cornea CPT 65410 | not published | not published | $305.82 – $1,381.00 | 8 |
| Biopsy of epididymis CPT 54800 | not published | not published | $158.17 – $813.00 | 8 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $493.19 – $1,494.33 | 8 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $404.35 – $1,494.33 | 5 |
| Biopsy of heart lining CPT 93505 | $2,506.00 | $4,475.00 | $532.60 – $1,182.10 | 5 |
| Biopsy of hip joint CPT 27052 | not published | not published | $765.47 – $1,738.00 | 8 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $217.19 – $1,745.34 | 24 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $85.97 – $432.29 | 21 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $88.21 – $1,309.78 | 21 |
| Biopsy of nerve CPT 64795 | not published | not published | $292.59 – $1,381.00 | 8 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $879.81 – $1,738.00 | 8 |
| Biopsy of penis CPT 54105 | not published | not published | $308.36 – $1,264.58 | 8 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $144.21 – $813.00 | 8 |
| Biopsy of prostate CPT 55700 | not published | not published | $185.46 – $1,381.00 | 8 |
| Biopsy of prostate CPT 55705 | not published | not published | $448.82 – $1,381.00 | 8 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $2,060.80 | $3,680.00 | $351.95 – $2,649.60 | 8 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $541.58 – $1,738.00 | 8 |
| Biopsy of salivary gland 42400 CPT 42400 | $784.56 | $1,401.00 | $80.36 – $1,309.78 | 23 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $321.47 – $1,381.00 | 8 |
| Biopsy of tear gland CPT 68510 | not published | not published | $393.02 – $1,213.58 | 8 |
| Biopsy of tear sac CPT 68525 | not published | not published | $281.45 – $970.87 | 8 |
| Biopsy of testis CPT 54500 | not published | not published | $101.64 – $1,264.58 | 8 |
| Biopsy of testis CPT 54505 | not published | not published | $332.05 – $1,447.75 | 8 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $557.94 – $1,494.33 | 8 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $168.42 – $1,152.96 | 8 |
| Biopsy of urethra CPT 53200 | not published | not published | $187.80 – $1,447.75 | 8 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $563.55 – $1,494.33 | 8 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $53.76 – $1,576.10 | 21 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $53.76 – $1,134.79 | 21 |
| Biopsy/removal lymph nodes CPT 38525 | $539.84 | $964.00 | $536.11 – $1,593.87 | 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.