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 |
|---|---|---|---|---|
| Resect/excise cranial lesion CPT 61607 | not published | not published | $3,940.27 – $7,781.39 | 4 |
| Resect/excise cranial lesion CPT 61608 | not published | not published | $4,786.69 – $9,446.26 | 4 |
| Resect/excise lesion skull CPT 61615 | not published | not published | $3,470.36 – $7,124.98 | 4 |
| Resect/excise lesion skull CPT 61616 | not published | not published | $4,786.69 – $9,647.16 | 4 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $1,718.39 – $4,050.82 | 4 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $608.71 – $1,264.58 | 5 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect femur/knee tumor CPT 27365 | not published | not published | $1,764.01 – $5,922.56 | 4 |
| Resect fibula tumor CPT 27646 | not published | not published | $1,220.96 – $4,257.68 | 4 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $495.48 – $1,738.00 | 8 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $1,862.00 – $2,875.25 | 4 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $743.91 – $1,738.00 | 8 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect hip tum incl acetabul CPT 27076 | not published | not published | $2,126.90 – $7,254.28 | 4 |
| Resect hip tumor CPT 27075 | not published | not published | $2,655.89 – $5,992.19 | 4 |
| Resect hip tum w/innom bone CPT 27077 | not published | not published | $2,167.37 – $8,092.68 | 4 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $3,455.37 – $5,870.85 | 4 |
| Resect inferior turbinate CPT 30140 | not published | not published | $479.93 – $1,381.00 | 8 |
| Resection of elbow joint CPT 24155 | not published | not published | $1,128.49 – $2,014.15 | 8 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $829.08 – $2,380.00 | 8 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $743.91 – $1,738.00 | 8 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $1,697.26 – $2,511.25 | 4 |
| Resect mediastinal tumor 39220 CPT 39220 | $1,373.68 | $2,453.00 | $1,748.62 – $3,268.10 | 6 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $765.47 – $1,738.00 | 8 |
| Resect nasopharynx skull CPT 61586 | not published | not published | $2,544.99 – $6,879.33 | 4 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect ovarian malignancy CPT 58952 | not published | not published | $2,295.75 – $4,716.17 | 4 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $1,578.92 – $3,233.29 | 4 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $2,450.00 – $4,167.18 | 4 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $555.44 – $1,494.33 | 5 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $552.05 – $1,738.00 | 8 |
| Resect prox finger tumor CPT 26260 | not published | not published | $708.30 – $1,738.00 | 8 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $1,260.08 – $3,838.86 | 8 |
| Resect recurrent gyn mal CPT 58957 | not published | not published | $4,555.06 – $4,555.06 | 3 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $765.47 – $1,743.38 | 5 |
| Resect tarsal tumor CPT 28171 | not published | not published | $765.47 – $1,738.00 | 8 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $743.91 – $1,432.67 | 5 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $743.91 – $1,475.33 | 4 |
| Resect tibia tumor CPT 27645 | not published | not published | $1,459.39 – $5,092.11 | 4 |
| Respirator motion mgmt simul CPT 77293 | $604.24 | $1,079.00 | $356.95 – $699.19 | 9 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $9.77 – $27.42 | 25 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $33.60 | $60.00 | $10.84 – $31.22 | 25 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $173.92 – $414.31 | 24 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $895.44 | $1,599.00 | $115.90 – $579.69 | 21 |
| Resuscitation delivery/birthing room CPT 99465 | not published | not published | $165.54 – $1,218.18 | 21 |
| Reticulated platelet assay CPT 85055 | not published | not published | $18.44 – $67.91 | 24 |
| Reticulocyte automated CPT 85045 | $21.84 | $39.00 | $3.25 – $7.58 | 25 |
| Reticulocyte direct measurement automated CPT 85046 | not published | not published | $4.54 – $17.27 | 25 |
| Retr bone flap to fix skull CPT 62148 | not published | not published | $214.44 – $371.97 | 4 |
| Retrieval of oocyte CPT 58970 | not published | not published | $334.98 – $1,620.95 | 21 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $15.96 – $37.22 | 24 |
| Revascularization penis CPT 37788 | not published | not published | $890.63 – $3,631.11 | 4 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $803.74 – $1,782.64 | 8 |
| Revise additional leg tendon CPT 27692 | not published | not published | $244.37 – $1,738.00 | 7 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $918.24 – $1,598.17 | 8 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $732.49 – $1,381.00 | 8 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $1,856.71 – $3,737.53 | 4 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $1,016.26 – $2,768.32 | 5 |
| Revise circulation to head CPT 61708 | not published | not published | $3,756.76 – $6,754.01 | 4 |
| Revise circulation to head CPT 61705 | not published | not published | $4,915.57 – $7,641.15 | 4 |
| Revise circulation to head CPT 61710 | not published | not published | $2,626.85 – $6,223.91 | 4 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,640.98 – $3,851.91 | 4 |
| Revise eye CPT 65091 | not published | not published | $910.31 – $1,738.00 | 8 |
| Revise eyelashes CPT 67825 | not published | not published | $78.50 – $556.49 | 21 |
| Revise eyelashes CPT 67835 | not published | not published | $390.13 – $1,381.00 | 8 |
| Revise eyelid defect CPT 67909 | not published | not published | $737.01 – $2,380.00 | 8 |
| Revise eyelid defect CPT 67911 | not published | not published | $737.01 – $1,738.00 | 8 |
| Revise eyelid lining CPT 68330 | not published | not published | $621.31 – $2,380.00 | 8 |
| Revise eyelid lining CPT 68360 | not published | not published | $563.50 – $1,599.39 | 8 |
| Revise eyelid lining CPT 68362 | not published | not published | $737.01 – $1,381.00 | 8 |
| Revise eye muscle CPT 67311 | not published | not published | $737.01 – $1,738.00 | 8 |
| Revise eye muscle CPT 67314 | not published | not published | $737.01 – $2,380.00 | 8 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $1,014.44 – $2,380.00 | 7 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $737.01 – $2,380.00 | 8 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $760.13 – $2,380.00 | 7 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $853.33 – $954.64 | 4 |
| Revise eye socket implant CPT 67560 | not published | not published | $939.18 – $1,599.39 | 8 |
| Revise eye sockets CPT 21260 | not published | not published | $2,080.85 – $2,915.56 | 5 |
| Revise eye sockets CPT 21261 | not published | not published | $2,080.85 – $3,037.04 | 5 |
| Revise eye sockets CPT 21263 | not published | not published | $2,080.85 – $4,017.14 | 5 |
| Revise eye sockets CPT 21267 | not published | not published | $2,080.85 – $3,411.97 | 5 |
| Revise eye sockets CPT 21268 | not published | not published | $1,824.00 – $4,991.67 | 4 |
| Revise eye with implant CPT 65093 | not published | not published | $1,125.88 – $1,999.24 | 8 |
| Revise finger joint each CPT 26135 | not published | not published | $765.47 – $2,380.00 | 8 |
| Revise finger joint each CPT 26140 | not published | not published | $706.70 – $1,381.00 | 8 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $746.73 – $1,659.41 | 5 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $737.01 – $2,380.00 | 8 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $830.81 – $2,380.00 | 8 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $929.28 – $2,380.00 | 8 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $737.01 – $2,380.00 | 8 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $944.20 – $2,380.00 | 8 |
| Revise graft w/vein CPT 35879 | not published | not published | $1,321.96 – $2,885.11 | 5 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $1,468.51 – $2,885.11 | 5 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $997.00 – $3,248.44 | 8 |
| Revise head/neck of femur CPT 27179 | not published | not published | $1,458.11 – $3,838.86 | 5 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $930.24 – $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.