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 |
|---|---|---|---|---|
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $640.38 – $1,439.62 | 8 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,953.28 | $3,488.00 | $260.17 – $743.91 | 8 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $103.54 – $362.75 | 5 |
| Biopsy skin incisional single lesion CPT 11106 | not published | not published | $569.76 – $1,139.52 | 16 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,762.88 | $3,148.00 | $194.96 – $2,266.56 | 8 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $558.33 – $1,264.58 | 8 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $120.36 – $1,381.00 | 24 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $181.60 – $1,381.00 | 8 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $127.72 – $948.00 | 21 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $865.51 – $3,248.44 | 8 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $779.70 – $1,743.38 | 8 |
| Biospy of bladder CPT 53899 | $173.04 | $309.00 | $108.68 – $452.75 | 21 |
| Biotinidase - quest CPT 82261 | not published | not published | $13.75 – $41.73 | 25 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $68.25 – $291.27 | 20 |
| Bivalirudin HCPCS J0583 | $1.39 | $2.49 | $1.95 – $1.95 | 1 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | not published | not published | $52.70 – $452.75 | 21 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $183.65 – $813.85 | 18 |
| Bld prd mix CPT 86965 | $17.92 | $32.00 | $9.19 – $319.01 | 26 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $89.78 – $813.85 | 18 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $47.42 | $84.69 | $29.21 – $29.21 | 2 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $609.82 – $1,440.59 | 5 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $742.30 – $1,103.58 | 5 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $742.30 – $1,352.27 | 5 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $729.64 – $1,659.41 | 5 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $100.03 | $178.63 | $50.50 – $178.63 | 5 |
| Blink reflex test CPT 95933 | not published | not published | $29.42 – $110.58 | 21 |
| Blm gene CPT 81209 | $50.96 | $91.00 | $15.96 – $83.11 | 25 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $5,264.00 | $9,400.00 | $58.00 – $60.00 | 3 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $2,048.48 | $3,658.00 | $60.00 – $135.00 | 3 |
| Bln dil 900ml preperitnl HCPCS C1727 | $497.84 | $889.00 | $322.50 – $606.00 | 3 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $2,688.00 | $4,800.00 | $176.00 – $176.00 | 1 |
| Bln press regulation 71-80cm HCPCS C1815 | $4,576.88 | $8,173.00 | $3,621.00 – $3,680.20 | 3 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $1,080.80 | $1,930.00 | $545.88 – $1,680.00 | 3 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,523.76 | $2,721.00 | $241.06 – $1,959.12 | 23 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,523.76 | $2,721.00 | $225.78 – $1,959.12 | 23 |
| Block paracervical nrv CPT 64435 | not published | not published | $82.98 – $1,289.19 | 21 |
| Block plantar digital nerve CPT 64455 | not published | not published | $20.55 – $549.52 | 20 |
| Block tap inj(s) w/wo img bi CPT 64488 | $248.64 | $444.00 | $287.71 – $393.84 | 6 |
| Block tap inj(s) w/wo img uni CPT 64486 | $165.76 | $296.00 | $191.81 – $343.12 | 6 |
| Blood Clotting (PT/INR) Test CPT 85610 | $18.48 | $33.00 | $3.20 – $11.93 | 25 |
| Blood Clotting (PTT) Test CPT 85730 | $24.08 | $43.00 | $4.90 – $17.46 | 25 |
| Blood Count (CBC) Test CPT 85025 | $28.56 | $51.00 | $6.33 – $18.10 | 25 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $16.80 | $30.00 | $5.27 – $12.29 | 25 |
| Blood count spun microhematocrit CPT 85013 | $18.48 | $33.00 | $3.23 – $13.30 | 25 |
| Blood Culture Test CPT 87040 | $51.52 | $92.00 | $7.93 – $19.61 | 25 |
| Blood draw capillary 36416 CPT 36416 | $12.32 | $22.00 | $1.41 – $4.54 | 8 |
| Blood gases o2 saturation direct measurement CPT 82805 | $141.12 | $252.00 | $25.00 – $149.66 | 25 |
| Blood gases ph venous CPT 82800 | $33.04 | $59.00 | $4.04 – $20.90 | 25 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $33.04 | $59.00 | $12.96 – $30.25 | 25 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | not published | not published | $2.79 – $8.04 | 25 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $12.32 | $22.00 | $2.89 – $8.32 | 25 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $7.28 | $13.00 | $3.51 – $20.98 | 25 |
| Blood smear interpretation CPT 85060 | not published | not published | $25.56 – $36.72 | 7 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $11.76 | $21.00 | $2.80 – $7.22 | 25 |
| Blood typing abo CPT 86900 | $16.80 | $30.00 | $2.44 – $239.95 | 26 |
| Blood typing ag donor ea ag CPT 86902 | $236.32 | $422.00 | $4.19 – $669.65 | 26 |
| Blood typing patient serum CPT 86904 | $30.80 | $55.00 | $7.13 – $110.58 | 26 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $24.64 | $44.00 | $3.12 – $669.65 | 26 |
| Blood typing rh (d) CPT 86901 | $16.80 | $30.00 | $2.44 – $73.07 | 26 |
| Blood typing rh phenotype complete reference CPT 86906 | $19.04 | $34.00 | $6.32 – $73.07 | 26 |
| Blood volume CPT 78122 | not published | not published | $74.64 – $1,002.04 | 26 |
| Bone biopsy open superficial CPT 20240 | $2,852.08 | $5,093.00 | $364.14 – $3,666.96 | 8 |
| Bone Density Scan (DEXA) CPT 77080 | $155.12 | $277.00 | $36.46 – $197.96 | 26 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $174.97 – $748.03 | 26 |
| Bone/joint imaging ltd area CPT 78300 | $312.48 | $558.00 | $135.55 – $748.03 | 26 |
| Bone marrow;aspiration only 38220 CPT 38220 | $677.60 | $1,210.00 | $132.32 – $871.20 | 7 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $677.60 | $1,210.00 | $123.72 – $871.20 | 7 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $532.35 – $1,704.34 | 5 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $1,585.92 – $2,496.26 | 4 |
| Bone marrow imaging body CPT 78104 | not published | not published | $93.00 – $748.03 | 26 |
| Bone marrow imaging ltd CPT 78102 | $308.56 | $551.00 | $115.15 – $748.03 | 26 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $169.78 – $748.03 | 26 |
| Bone marrow interpretation CPT 85097 | $58.80 | $105.00 | $50.56 – $1,520.72 | 26 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,043.00 – $2,784.27 | 8 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,043.00 – $3,789.85 | 8 |
| Bone survey-lead poisoning CPT 77074 | $87.92 | $157.00 | $43.57 – $197.96 | 26 |
| Bone tendon board add on HCPCS C9356 | $2,424.24 | $4,329.00 | $88.16 – $4,329.00 | 6 |
| Bone void filler nanoss 10cc HCPCS C9362 | $1,232.00 | $2,200.00 | $147.81 – $147.81 | 2 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $161.28 | $288.00 | $258.11 – $275.22 | 4 |
| Borrelia antibody CPT 86619 | not published | not published | $10.90 – $25.42 | 25 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $60.48 | $108.00 | $13.87 – $32.36 | 25 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $33.34 – $66.67 | 16 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $32.37 | $57.81 | $24.59 – $50.99 | 4 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $1.97 – $6.52 | 25 |
| Bowel imaging CPT 78290 | $410.48 | $733.00 | $172.09 – $748.03 | 26 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $743.91 – $1,264.58 | 5 |
| Brach/thor cath 1st CPT 36215 | $5,563.04 | $9,934.00 | $401.60 – $7,152.48 | 6 |
| Brach/thor cath 2nd CPT 36216 | $4,656.96 | $8,316.00 | $485.21 – $5,987.52 | 6 |
| Brach/thor cath 3rd CPT 36217 | $3,123.68 | $5,578.00 | $577.74 – $5,358.66 | 6 |
| Brach/thor cath addl CPT 36218 | $1,621.76 | $2,896.00 | $92.53 – $2,085.12 | 6 |
| Brachy source i-125 injection HCPCS C2638 | $277.20 | $495.00 | $6.38 – $20.04 | 3 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $233.52 | $417.00 | $16.43 – $19.27 | 3 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $1,943.76 | $3,471.00 | $105.00 – $3,471.00 | 4 |
| Brachytx isodose complex CPT 77318 | $1,411.76 | $2,521.00 | $153.47 – $1,633.61 | 24 |
| Brachytx isodose intermed CPT 77317 | $1,250.48 | $2,233.00 | $126.80 – $1,446.98 | 24 |
| Brachytx isodose plan simple CPT 77316 | $1,103.20 | $1,970.00 | $56.49 – $1,276.56 | 24 |
| Braf gene CPT 81210 | $83.44 | $149.00 | $115.77 – $1,105.32 | 25 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $2,510.07 – $4,029.93 | 4 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,944.14 – $3,508.78 | 4 |
| Brain flow imaging only CPT 78610 | not published | not published | $85.84 – $1,002.04 | 26 |
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.