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 of ruptured tendon CPT 24342 | not published | not published | $1,260.08 – $3,133.06 | 8 |
| Repair of ruptured uterus CPT 58520 | not published | not published | $843.18 – $2,374.00 | 4 |
| Repair of shoulder CPT 23420 | not published | not published | $1,773.77 – $3,789.85 | 5 |
| Repair of skull & brain CPT 62145 | not published | not published | $2,868.36 – $4,124.41 | 4 |
| Repair of skull defect 62140 CPT 62140 | not published | not published | $2,257.04 – $3,005.54 | 4 |
| Repair of sperm duct CPT 55400 | not published | not published | $698.00 – $1,689.05 | 8 |
| Repair of spinal herniation CPT 63702 | not published | not published | $1,756.64 – $3,691.79 | 4 |
| Repair of spinal herniation CPT 63704 | not published | not published | $2,189.03 – $4,204.97 | 4 |
| Repair of spinal herniation CPT 63706 | not published | not published | $2,189.03 – $5,049.35 | 4 |
| Repair of thigh CPT 27470 | not published | not published | $1,924.64 – $3,366.57 | 4 |
| Repair of thigh muscle CPT 27385 | not published | not published | $1,049.51 – $3,174.00 | 8 |
| Repair of tibia CPT 27720 | not published | not published | $1,646.55 – $3,248.44 | 5 |
| Repair of tibia epiphysis CPT 27730 | not published | not published | $709.01 – $1,743.38 | 8 |
| Repair of toe dislocation CPT 28675 | not published | not published | $462.07 – $1,738.00 | 8 |
| Repair of ulnar motor nerve 64836 CPT 64836 | not published | not published | $1,164.80 – $2,327.42 | 8 |
| Repair of ureter CPT 50900 | not published | not published | $1,346.47 – $2,467.49 | 4 |
| Repair of urethra defect CPT 53275 | not published | not published | $367.48 – $1,381.00 | 8 |
| Repair of urethra defect CPT 53520 | not published | not published | $586.89 – $1,785.10 | 8 |
| Repair of urethra injury CPT 53505 | not published | not published | $780.26 – $2,133.60 | 8 |
| Repair of urethra injury CPT 53510 | not published | not published | $924.75 – $2,133.60 | 8 |
| Repair of urethra injury CPT 53515 | not published | not published | $1,186.00 – $2,489.20 | 8 |
| Repair of urethra injury 53502 CPT 53502 | not published | not published | $638.28 – $1,447.75 | 8 |
| Repair of urethral lesion CPT 57230 | not published | not published | $653.13 – $1,738.00 | 8 |
| Repair of web finger CPT 26560 | not published | not published | $765.47 – $1,381.00 | 8 |
| Repair of web finger CPT 26561 | not published | not published | $1,260.08 – $1,930.18 | 8 |
| Repair of web finger CPT 26562 | not published | not published | $1,260.08 – $2,380.00 | 8 |
| Repair of windpipe CPT 31750 | not published | not published | $1,402.74 – $2,915.56 | 5 |
| Repair of windpipe CPT 31755 | not published | not published | $1,186.00 – $3,123.82 | 8 |
| Repair of windpipe defect CPT 31825 | not published | not published | $684.22 – $1,489.24 | 8 |
| Repair of windpipe injury CPT 31800 | not published | not published | $716.70 – $2,088.56 | 7 |
| Repair of windpipe injury CPT 31805 | not published | not published | $1,192.04 – $2,353.11 | 4 |
| Repair oronasal fistula 30600 CPT 30600 | not published | not published | $633.75 – $2,499.06 | 8 |
| Repair palate CPT 42182 | not published | not published | $363.90 – $1,661.82 | 8 |
| Repair palate CPT 42235 | not published | not published | $858.29 – $2,499.06 | 5 |
| Repair palate pharynx/uvula CPT 42145 | not published | not published | $1,117.70 – $2,915.56 | 5 |
| Repair paravag defect lap CPT 57423 | not published | not published | $3,608.84 – $5,093.26 | 4 |
| Repair paravag defect vag 57285 CPT 57285 | not published | not published | $2,997.65 – $3,169.26 | 4 |
| Repair pda by ligation CPT 33820 | not published | not published | $1,921.56 – $2,807.62 | 4 |
| Repair pda div<18 years CPT 33822 | not published | not published | $1,925.34 – $3,096.04 | 4 |
| Repair pda div 18 yrs&older CPT 33824 | not published | not published | $2,256.61 – $3,415.30 | 4 |
| Repair penis CPT 54380 | not published | not published | $751.33 – $1,947.12 | 5 |
| Repair penis CPT 54385 | not published | not published | $947.07 – $1,902.28 | 5 |
| Repair penis and bladder CPT 54390 | not published | not published | $1,012.35 – $3,565.48 | 4 |
| Repair pm/icd lead dual CPT 33220 | $5,787.60 | $10,335.00 | $554.57 – $7,441.20 | 7 |
| Repair pm/icd lead sgl CPT 33218 | $5,787.60 | $10,335.00 | $536.12 – $7,441.20 | 7 |
| Repair prosth valve clot 33496 CPT 33496 | not published | not published | $3,471.66 – $4,830.55 | 4 |
| Repair pulm artery stenosis w/patch/graft 33917 CPT 33917 | not published | not published | $3,177.32 – $4,221.88 | 4 |
| Repair pulmonary atresia CPT 33920 | not published | not published | $4,577.93 – $5,527.72 | 4 |
| Repair pul venous stenosis CPT 33726 | not published | not published | $5,900.68 – $5,900.68 | 3 |
| Repair radius or ulna CPT 25400 | not published | not published | $1,155.21 – $4,341.15 | 8 |
| Repair radius & ulna CPT 25415 | not published | not published | $1,492.00 – $4,341.15 | 8 |
| Repair rect/bladder fistula CPT 45800 | not published | not published | $967.77 – $3,467.01 | 4 |
| Repair rectourethral fistula CPT 45820 | not published | not published | $1,395.78 – $3,249.20 | 4 |
| Repair rectum; remove sigmoid 45550 CPT 45550 | not published | not published | $1,934.81 – $4,213.92 | 4 |
| Repair rectum & vagina CPT 57250 | not published | not published | $765.10 – $2,032.89 | 5 |
| Repair rectum-vagina fistula CPT 57300 | not published | not published | $962.69 – $1,738.00 | 8 |
| Repair rectum-vagina fistula abd appr 57305 CPT 57305 | not published | not published | $1,159.00 – $2,671.37 | 4 |
| Repair recur fem hernia reduce 49555 CPT 49555 | not published | not published | $955.11 – $2,079.74 | 5 |
| Repair recur ventrl hern incar 49566 CPT 49566 | not published | not published | $1,331.68 – $2,499.71 | 5 |
| Repair recur ventrl hern reduce 49565 CPT 49565 | not published | not published | $1,210.60 – $2,499.71 | 8 |
| Repair retinal detach cplx CPT 67113 | not published | not published | $1,778.29 – $2,961.43 | 4 |
| Repair & revise nerve add-on CPT 64874 | not published | not published | $473.41 – $1,738.00 | 7 |
| Repair/revise wrist joint CPT 25320 | not published | not published | $1,260.08 – $3,248.44 | 8 |
| Repair rotator cuff acute CPT 23410 | not published | not published | $1,524.43 – $3,789.85 | 5 |
| Repair rotator cuff chronic CPT 23412 | not published | not published | $1,416.60 – $3,598.70 | 5 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | not published | not published | $216.14 – $1,381.00 | 24 |
| Repair rpr lip full thickness vermilion only CPT 40650 | not published | not published | $362.75 – $1,738.00 | 24 |
| Repair ruptd popliteal art CPT 35152 | not published | not published | $2,187.15 – $4,051.82 | 4 |
| Repair salivary duct CPT 42500 | not published | not published | $606.85 – $1,738.00 | 8 |
| Repair salivary duct CPT 42505 | not published | not published | $879.81 – $2,499.06 | 8 |
| Repair sciatic nerve CPT 64858 | not published | not published | $1,186.00 – $2,698.63 | 8 |
| Repair septal defect CPT 33813 | not published | not published | $2,527.38 – $3,750.45 | 4 |
| Repair shoulder capsule CPT 23450 | not published | not published | $1,260.08 – $3,248.44 | 5 |
| Repair shoulder capsule CPT 23455 | not published | not published | $1,847.67 – $4,245.26 | 5 |
| Repair shoulder capsule CPT 23460 | not published | not published | $1,260.08 – $3,248.44 | 5 |
| Repair shoulder capsule CPT 23462 | not published | not published | $1,715.02 – $3,248.44 | 5 |
| Repair shoulder capsule CPT 23465 | not published | not published | $1,816.58 – $3,925.20 | 5 |
| Repair shoulder capsule CPT 23466 | not published | not published | $1,921.56 – $3,248.44 | 5 |
| Repair single ventricle CPT 33617 | not published | not published | $4,276.12 – $6,271.65 | 4 |
| Repair single ventricle CPT 33619 | not published | not published | $5,172.71 – $7,902.72 | 4 |
| Repair skull cavity lesion CPT 62120 | not published | not published | $2,347.96 – $4,764.91 | 4 |
| Repair spigelian hernia 49590 CPT 49590 | not published | not published | $857.22 – $2,079.74 | 8 |
| Repair spinal fluid leakage 63707 CPT 63707 | not published | not published | $1,257.70 – $2,662.43 | 4 |
| Repair stern/nuss without scope CPT 21742 | not published | not published | $1,260.08 – $1,792.65 | 4 |
| Repair sternum/nuss w/scope CPT 21743 | not published | not published | $1,260.08 – $2,200.90 | 5 |
| Repair stomach-bowel fistula 43880 CPT 43880 | not published | not published | $996.99 – $4,609.75 | 4 |
| Repair stomach opening CPT 43870 | not published | not published | $698.00 – $1,623.50 | 8 |
| Repair tear ducts CPT 68700 | not published | not published | $737.01 – $1,381.00 | 8 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | not published | not published | $563.12 – $1,738.00 | 8 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | not published | not published | $765.47 – $2,380.00 | 8 |
| Repair testis injury CPT 54670 | not published | not published | $400.57 – $1,738.00 | 8 |
| Repair throat esophagus 42953 CPT 42953 | not published | not published | $1,079.97 – $2,839.45 | 4 |
| Repair throat wound CPT 42900 | not published | not published | $362.75 – $813.00 | 8 |
| Repair toe dislocation CPT 28645 | not published | not published | $539.67 – $1,743.38 | 8 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | not published | not published | $164.60 – $1,381.00 | 24 |
| Repair/transpose mp nerve 64856 CPT 64856 | not published | not published | $1,186.00 – $2,698.63 | 8 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | not published | not published | $858.70 – $2,079.74 | 5 |
| Repair umbil hern reduc < 5 yr 49580 CPT 49580 | not published | not published | $587.54 – $1,939.25 | 5 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | not published | not published | $737.59 – $2,380.00 | 8 |
| Repair umbilical lesion CPT 49600 | not published | not published | $955.11 – $2,079.74 | 5 |
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.