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 |
|---|---|---|---|---|
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $355.11 – $1,381.00 | 8 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $519.88 – $869.92 | 5 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $117.37 – $1,745.34 | 24 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $392.06 – $745.65 | 4 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $299.71 – $3,104.31 | 5 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 16 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $39.76 | $71.00 | $4.39 – $10.24 | 25 |
| Smear gram stain CPT 87205 | $24.08 | $43.00 | $3.48 – $8.11 | 25 |
| Smear nasal eosinophil CPT 89190 | $14.00 | $25.00 | $3.87 – $11.00 | 25 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $30.80 | $55.00 | $4.88 – $47.48 | 25 |
| Smear wet mount CPT 87210 | $24.08 | $43.00 | $3.84 – $11.06 | 25 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $286.28 – $572.57 | 16 |
| Smpd1 gene common variants CPT 81330 | $60.48 | $108.00 | $15.96 – $143.66 | 25 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $33.71 – $97.03 | 24 |
| Sodium 24 hour urine CPT 84300 | $19.04 | $34.00 | $3.96 – $9.61 | 25 |
| Sodium serum/plasma/whole blood CPT 84295 | $33.60 | $60.00 | $4.57 – $9.14 | 23 |
| Somatosensory testing CPT 95927 | not published | not published | $115.90 – $579.69 | 21 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $852.03 – $1,704.05 | 16 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $234.71 – $249.87 | 4 |
| Special physics consult CPT 77370 | $622.16 | $1,111.00 | $87.66 – $247.17 | 25 |
| Special radiation dosimetry CPT 77331 | $621.60 | $1,110.00 | $17.21 – $247.17 | 26 |
| Special radiation treatment CPT 77470 | $2,206.96 | $3,941.00 | $46.04 – $1,076.86 | 26 |
| Special teletx port plan CPT 77321 | $1,181.60 | $2,110.00 | $46.29 – $681.47 | 26 |
| Specific gravity body fluid CPT 84315 | $16.80 | $30.00 | $2.16 – $6.23 | 25 |
| Specimen fat stain CPT 89125 | $25.20 | $45.00 | $3.88 – $11.17 | 25 |
| Speech audiometry complete CPT 92556 | $70.56 | $126.00 | $16.05 – $110.58 | 18 |
| Speech evaluation complex CPT 70371 | not published | not published | $48.71 – $449.98 | 26 |
| Speech recep thresh CPT 92555 | $47.60 | $85.00 | $16.05 – $110.58 | 18 |
| Sperm antibody test CPT 89325 | not published | not published | $8.70 – $23.07 | 25 |
| Sperm identification CPT 89257 | not published | not published | $18.22 – $568.75 | 25 |
| Sperm isolation complex CPT 89261 | not published | not published | $13.46 – $131.25 | 25 |
| Sperm isolation simple CPT 89260 | not published | not published | $13.46 – $137.75 | 25 |
| Sperm washing 58323 CPT 58323 | not published | not published | $6.73 – $374.49 | 21 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $934.53 – $2,499.06 | 8 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $930.46 – $1,764.23 | 8 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $231.41 – $26,515.13 | 4 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $292.31 – $363.41 | 4 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $644.59 – $1,289.19 | 16 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $115.90 – $579.69 | 20 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $85.12 | $152.00 | $53.51 – $579.69 | 21 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $68.25 – $291.27 | 20 |
| Spleen imaging CPT 78185 | $272.16 | $486.00 | $78.69 – $748.03 | 26 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,501.15 – $3,323.80 | 4 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $5,169.92 | $9,232.00 | $1,088.79 – $6,647.04 | 8 |
| Split blood or products CPT 86985 | $42.00 | $75.00 | $9.19 – $319.01 | 26 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $308.73 – $617.46 | 16 |
| Sputum specimen collection CPT 89220 | not published | not published | $16.18 – $319.01 | 25 |
| Srs linear based CPT 77372 | $7,294.00 | $13,025.00 | $746.87 – $8,440.20 | 10 |
| Srs multisource CPT 77371 | not published | not published | $1,248.32 – $7,566.45 | 9 |
| Staggered spondaic word test CPT 92572 | not published | not published | $4.85 – $291.27 | 18 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,985.79 – $2,798.68 | 4 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $136.08 | $243.00 | $98.03 – $196.06 | 19 |
| Staph a dna amp probe CPT 87640 | $42.00 | $75.00 | $28.60 – $66.67 | 25 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $91.28 – $182.55 | 19 |
| Stem cells total count CPT 86367 | not published | not published | $51.34 – $147.78 | 24 |
| Stenger test pure tone CPT 92565 | $26.32 | $47.00 | $16.05 – $110.58 | 18 |
| Stenger test speech CPT 92577 | not published | not published | $35.89 – $987.75 | 18 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $38,032.40 | $67,915.00 | $7,686.00 – $48,898.80 | 7 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $17,814.16 | $31,811.00 | $90.00 – $273.00 | 3 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $1,512.00 | $2,700.00 | $58.50 – $135.00 | 3 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $15,394.96 | $27,491.00 | $270.00 – $638.00 | 3 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $19,896.24 | $35,529.00 | $5,019.28 – $25,580.88 | 7 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $12,877.76 | $22,996.00 | $7,178.69 – $16,557.12 | 6 |
| Stent placemt retro carotid CPT 37217 | $12,185.04 | $21,759.00 | $3,194.51 – $15,666.48 | 6 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $21,960.96 | $39,216.00 | $7,686.00 – $28,235.52 | 7 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $2,621.06 – $4,109.50 | 4 |
| Sternal debridement CPT 21627 | not published | not published | $843.88 – $1,545.54 | 4 |
| St evaluate speech sound production CPT 92522 | $130.48 | $233.00 | $98.98 – $199.59 | 19 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $233.52 | $417.00 | $204.74 – $409.49 | 19 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $278.32 | $497.00 | $81.05 – $169.28 | 20 |
| St evaluation swallow function CPT 92610 | $137.76 | $246.00 | $76.10 – $164.27 | 20 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $698.00 – $967.20 | 8 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $53.76 – $319.01 | 22 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $21.25 – $319.01 | 19 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $53.76 – $319.01 | 19 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $53.76 – $319.01 | 21 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $833.95 – $1,402.32 | 4 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $44.43 – $293.74 | 18 |
| Strapping of chest CPT 29200 | not published | not published | $54.96 – $293.74 | 18 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $16.05 – $110.58 | 18 |
| Strapping of hand or finger CPT 29280 | not published | not published | $16.05 – $110.58 | 18 |
| Strapping of hip CPT 29520 | not published | not published | $29.42 – $239.95 | 18 |
| Strapping of knee CPT 29530 | not published | not published | $29.42 – $239.95 | 18 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $29.42 – $110.58 | 18 |
| Strep a ag ia CPT 87430 | not published | not published | $11.09 – $31.94 | 25 |
| Strep a dna dir probe CPT 87650 | not published | not published | $16.34 – $38.09 | 25 |
| Strep b assay w/optic CPT 87802 | not published | not published | $9.77 – $24.19 | 25 |
| Strep b dna amp probe CPT 87653 | not published | not published | $28.60 – $128.36 | 25 |
| Streptokinase antibody CPT 86590 | not published | not published | $7.68 – $24.05 | 25 |
| Stress test pulmonary CPT 94618 | not published | not published | $119.98 – $239.95 | 16 |
| Stress tte complete CPT 93351 | $1,277.92 | $2,282.00 | $171.76 – $1,020.70 | 23 |
| Str markers spec anal addl CPT 81266 | not published | not published | $129.68 – $711.07 | 21 |
| Str markers specimen anal CPT 81265 | not published | not published | $175.24 – $442.83 | 24 |
| St treatment speech individual CPT 92507 | $83.44 | $149.00 | $35.48 – $137.48 | 22 |
| St treatment swallow dysfunction/oral CPT 92526 | $113.68 | $203.00 | $35.48 – $151.14 | 20 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $187.83 – $1,289.19 | 21 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $457.86 – $658.27 | 4 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $45.97 – $369.89 | 21 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $59.81 – $1,139.52 | 21 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $140.96 – $182.82 | 4 |
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.