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 |
|---|---|---|---|---|
| Repair detached retina CPT 67110 | not published | not published | $516.95 – $1,274.12 | 5 |
| Repair detached retina crtx CPT 67101 | not published | not published | $206.70 – $2,380.00 | 8 |
| Repair detached retina pc CPT 67105 | not published | not published | $177.93 – $1,150.69 | 21 |
| Repair double ventricle CPT 33611 | not published | not published | $3,234.27 – $5,661.99 | 4 |
| Repair double ventricle CPT 33612 | not published | not published | $3,546.14 – $5,813.16 | 4 |
| Repair dura CPT 61618 | not published | not published | $1,862.19 – $3,752.45 | 4 |
| Repair dura CPT 61619 | not published | not published | $2,113.67 – $4,146.29 | 4 |
| Repair eardrum structures CPT 69631 | not published | not published | $1,556.04 – $2,915.56 | 5 |
| Repair elbow deb/attch open CPT 24359 | not published | not published | $1,260.08 – $1,867.92 | 4 |
| Repair elbow perc CPT 24357 | not published | not published | $765.47 – $1,743.38 | 4 |
| Repair elbow w/deb open CPT 24358 | not published | not published | $1,260.08 – $1,743.38 | 4 |
| Repair epigastric hernia reduce 49570 CPT 49570 | not published | not published | $558.86 – $2,380.00 | 8 |
| Repair epigastric hern incar 49572 CPT 49572 | not published | not published | $664.42 – $2,079.74 | 5 |
| Repair esophagus and fistula CPT 43305 | not published | not published | $1,924.69 – $3,131.85 | 4 |
| Repair esophagus and fistula CPT 43312 | not published | not published | $2,666.24 – $4,645.55 | 4 |
| Repair esophagus opening CPT 43420 | not published | not published | $850.49 – $1,598.09 | 5 |
| Repair esophagus opening CPT 43425 | not published | not published | $1,738.16 – $4,204.97 | 4 |
| Repair esophagus wound 43410 CPT 43410 | not published | not published | $1,155.96 – $3,030.40 | 4 |
| Repair esophagus wound 43415 CPT 43415 | not published | not published | $1,793.15 – $7,417.38 | 4 |
| Repair extns tendon finger without grft ea CPT 26418 | not published | not published | $765.47 – $2,380.00 | 8 |
| Repair extra toe(s) CPT 28344 | not published | not published | $502.88 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67901 | not published | not published | $737.01 – $1,223.16 | 5 |
| Repair eyelid defect CPT 67902 | not published | not published | $1,223.16 – $1,599.39 | 5 |
| Repair eyelid defect CPT 67903 | not published | not published | $737.01 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67904 | not published | not published | $737.01 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67906 | not published | not published | $1,048.29 – $1,599.39 | 5 |
| Repair eyelid defect CPT 67908 | not published | not published | $737.01 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67914 | not published | not published | $577.97 – $1,738.00 | 8 |
| Repair eyelid defect CPT 67915 | not published | not published | $159.69 – $737.01 | 5 |
| Repair eyelid defect CPT 67916 | not published | not published | $633.75 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67917 | not published | not published | $737.01 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67921 | not published | not published | $429.52 – $1,738.00 | 8 |
| Repair eyelid defect CPT 67922 | not published | not published | $223.89 – $737.01 | 5 |
| Repair eyelid defect CPT 67923 | not published | not published | $637.20 – $2,380.00 | 8 |
| Repair eyelid defect CPT 67924 | not published | not published | $737.01 – $2,380.00 | 8 |
| Repair eyelid wound CPT 67930 | not published | not published | $237.73 – $737.01 | 5 |
| Repair eyelid wound CPT 67935 | not published | not published | $571.84 – $1,381.00 | 8 |
| Repair facial nerve CPT 69740 | not published | not published | $2,080.85 – $2,915.56 | 5 |
| Repair facial nerve CPT 69745 | not published | not published | $2,080.85 – $3,123.82 | 5 |
| Repair fibula nonunion CPT 27726 | not published | not published | $2,613.83 – $3,789.85 | 4 |
| Repair finger deformity CPT 26590 | not published | not published | $722.09 – $1,136.90 | 5 |
| Repair finger/hand tendon CPT 26350 | not published | not published | $698.00 – $1,930.18 | 8 |
| Repair finger/hand tendon CPT 26356 | not published | not published | $1,260.08 – $2,380.00 | 8 |
| Repair finger/hand tendon CPT 26357 | not published | not published | $1,260.08 – $2,380.00 | 8 |
| Repair finger/hand tendon CPT 26370 | not published | not published | $1,260.08 – $2,380.00 | 8 |
| Repair finger/hand tendon CPT 26373 | not published | not published | $1,260.08 – $1,930.18 | 8 |
| Repair finger/hand tendon CPT 26426 | not published | not published | $1,024.08 – $1,867.92 | 8 |
| Repair finger tendon CPT 26433 | not published | not published | $765.47 – $1,738.00 | 8 |
| Repair fistula w/colostomy CPT 45805 | not published | not published | $1,458.11 – $4,127.39 | 4 |
| Repair fistula w/colostomy CPT 45825 | not published | not published | $1,405.32 – $4,122.42 | 4 |
| Repair foot dislocation CPT 28555 | not published | not published | $751.91 – $3,789.85 | 8 |
| Repair foot dislocation CPT 28585 | not published | not published | $904.96 – $1,778.20 | 8 |
| Repair foot dislocation CPT 28615 | not published | not published | $903.01 – $3,248.44 | 8 |
| Repair forearm tendon/muscle CPT 25265 | not published | not published | $1,077.25 – $2,031.25 | 8 |
| Repair forearm tendon/muscle CPT 25272 | not published | not published | $1,097.29 – $1,930.18 | 8 |
| Repair forearm tendon/muscle CPT 25274 | not published | not published | $931.95 – $2,380.00 | 8 |
| Repair forearm tendon/muscle sec 25263 CPT 25263 | not published | not published | $937.01 – $1,930.18 | 8 |
| Repair forearm tendon sheath CPT 25275 | not published | not published | $626.61 – $1,867.92 | 5 |
| Repair/graft achilles tendon CPT 27652 | not published | not published | $1,316.77 – $3,789.85 | 8 |
| Repair/graft eye lesion CPT 66225 | not published | not published | $918.24 – $2,380.00 | 8 |
| Repair/graft femur head/neck CPT 27170 | not published | not published | $2,167.37 – $3,370.55 | 4 |
| Repair/graft finger tendon CPT 26420 | not published | not published | $657.44 – $2,380.00 | 8 |
| Repair/graft finger tendon CPT 26428 | not published | not published | $819.26 – $1,930.18 | 8 |
| Repair/graft finger tendon CPT 26434 | not published | not published | $699.88 – $1,867.92 | 8 |
| Repair/graft hand tendon CPT 26352 | not published | not published | $1,072.28 – $2,380.00 | 8 |
| Repair/graft hand tendon CPT 26358 | not published | not published | $1,137.13 – $2,380.00 | 8 |
| Repair/graft hand tendon CPT 26372 | not published | not published | $1,060.55 – $3,248.44 | 8 |
| Repair/graft hand tendon CPT 26392 | not published | not published | $1,473.62 – $3,248.44 | 8 |
| Repair/graft hand tendon CPT 26412 | not published | not published | $1,015.57 – $1,930.18 | 8 |
| Repair/graft kneecap tendon CPT 27381 | not published | not published | $1,223.40 – $3,248.44 | 8 |
| Repair/graft of bronchus CPT 31770 | not published | not published | $2,113.30 – $3,842.95 | 4 |
| Repair/graft of foot tendon CPT 28202 | not published | not published | $744.14 – $3,248.44 | 8 |
| Repair/graft of foot tendon CPT 28210 | not published | not published | $738.73 – $3,248.44 | 8 |
| Repair/graft of thigh CPT 27472 | not published | not published | $2,214.16 – $3,617.19 | 4 |
| Repair/graft of thigh muscle CPT 27386 | not published | not published | $1,286.44 – $3,248.44 | 8 |
| Repair/graft of tibia CPT 27722 | not published | not published | $1,774.34 – $3,838.86 | 5 |
| Repair/graft of tibia CPT 27724 | not published | not published | $2,037.81 – $3,623.15 | 4 |
| Repair/graft radius or ulna CPT 25405 | not published | not published | $1,795.21 – $4,195.90 | 8 |
| Repair/graft radius or ulna CPT 25425 | not published | not published | $1,260.08 – $4,125.41 | 8 |
| Repair/graft radius & ulna CPT 25420 | not published | not published | $1,841.18 – $4,505.13 | 8 |
| Repair/graft radius & ulna CPT 25426 | not published | not published | $1,260.08 – $2,445.12 | 8 |
| Repair/graft wrist bone CPT 25440 | not published | not published | $1,322.40 – $3,789.85 | 8 |
| Repair hand joint CPT 26540 | not published | not published | $1,059.29 – $2,380.00 | 8 |
| Repair hand joint with graft CPT 26541 | not published | not published | $1,260.08 – $1,930.18 | 5 |
| Repair hand joint with graft CPT 26542 | not published | not published | $1,041.35 – $2,380.00 | 8 |
| Repair heart septum defect 33681 CPT 33681 | not published | not published | $3,600.39 – $5,328.81 | 4 |
| Repair heart septum defects dir/patch 33647 CPT 33647 | not published | not published | $3,857.92 – $5,273.13 | 4 |
| Repair heart-vein defect 33732 CPT 33732 | not published | not published | $3,881.57 – $4,774.85 | 4 |
| Repair heart-vein defect(s) CPT 33730 | not published | not published | $3,850.70 – $5,814.15 | 4 |
| Repair heart vessel fistula CPT 33500 | not published | not published | $2,564.22 – $4,512.29 | 4 |
| Repair heart vessel fistula CPT 33501 | not published | not published | $1,718.59 – $3,213.40 | 4 |
| Repair heart wound w/bypass 33305 CPT 33305 | not published | not published | $3,828.60 – $11,841.15 | 4 |
| Repair humerus with graft CPT 24435 | not published | not published | $1,816.44 – $8,858.39 | 8 |
| Repair ing hernia sliding CPT 49525 | not published | not published | $861.43 – $2,380.00 | 8 |
| Repair iris & ciliary body CPT 66680 | not published | not published | $766.28 – $1,738.00 | 8 |
| Repair iris & ciliary body CPT 66682 | not published | not published | $740.51 – $1,398.39 | 8 |
| Repair lac palate<2 cm CPT 42180 | not published | not published | $164.60 – $948.00 | 24 |
| Repair laminectomy defect CPT 63295 | not published | not published | $976.66 – $2,358.10 | 4 |
| Repair leg fascia defect CPT 27656 | not published | not published | $502.56 – $1,494.33 | 8 |
| Repair lip full thkns =<one-half vert height CPT 40652 | not published | not published | $362.75 – $1,738.00 | 24 |
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.