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 |
|---|---|---|---|---|
| Rhythm ecg with report CPT 93040 | not published | not published | $14.82 – $25.17 | 6 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,497.39 – $2,499.06 | 5 |
| Right heart cath congenital CPT 93530 | not published | not published | $765.57 – $1,488.38 | 5 |
| Right ventric recording CPT 93603 | $3,965.36 | $7,081.00 | $46.58 – $444.49 | 5 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $694.96 | $1,241.00 | $679.01 – $1,241.00 | 4 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $6.50 | $11.61 | $3.63 – $11.39 | 5 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $505.92 | $903.43 | $108.74 – $108.74 | 3 |
| R & l heart cath congenital CPT 93531 | not published | not published | $1,340.84 – $3,896.11 | 5 |
| R & l heart cath congenital CPT 93532 | not published | not published | $1,340.84 – $3,934.16 | 5 |
| R & l heart cath congenital CPT 93533 | not published | not published | $1,340.84 – $3,433.45 | 5 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,553.08 – $3,201.47 | 4 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $77.00 – $1,309.78 | 21 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $3,932.06 – $3,932.06 | 3 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $609.11 – $1,159.16 | 8 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $592.13 – $1,381.00 | 8 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $270.89 – $939.21 | 8 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $141.66 – $252.82 | 5 |
| Rmvl icd by tv extr CPT 33244 | $2,465.12 | $4,402.00 | $1,238.09 – $3,169.44 | 7 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $45,192.56 | $80,701.00 | $11,535.20 – $58,104.72 | 7 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $45,192.56 | $80,701.00 | $16,037.62 – $58,104.72 | 7 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $45,192.56 | $80,701.00 | $11,535.20 – $58,104.72 | 7 |
| Rmvl icd pulse gen only CPT 33241 | $3,259.20 | $5,820.00 | $336.00 – $4,190.40 | 7 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $1,439.12 – $1,439.12 | 3 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,384.10 – $6,774.90 | 4 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,215.20 | $2,170.00 | $253.97 – $1,562.40 | 23 |
| Rmvl perm pm pulse gen CPT 33233 | $3,259.20 | $5,820.00 | $372.78 – $5,813.29 | 7 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $24,783.92 | $44,257.00 | $8,896.97 – $31,865.04 | 7 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $21,387.52 | $38,192.00 | $3,522.54 – $27,498.24 | 7 |
| Rmvl pq iabp CPT 33968 | $207.76 | $371.00 | $54.40 – $267.12 | 6 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $1,080.80 | $1,930.00 | $580.83 – $1,389.60 | 6 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $701.28 – $1,743.38 | 8 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $734.28 – $734.28 | 3 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $5,139.95 – $5,139.95 | 3 |
| Rmvl sq defib electrode CPT 33272 | $5,562.48 | $9,933.00 | $1,309.58 – $7,151.76 | 7 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $654.89 – $1,309.78 | 16 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $332.26 – $1,475.33 | 8 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $47.96 – $813.00 | 24 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $6,004.12 – $6,004.12 | 3 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $5,870.85 – $5,870.85 | 3 |
| Rmvl transplanted rnl algrft CPT 50370 | $1,449.84 | $2,589.00 | $1,362.56 – $3,457.07 | 6 |
| Rmvl tv pm lead dual CPT 33235 | $2,606.80 | $4,655.00 | $821.49 – $3,351.60 | 7 |
| Rmvl tv pm lead sgl CPT 33234 | $2,606.80 | $4,655.00 | $623.45 – $3,351.60 | 7 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $410.22 – $792.66 | 4 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $725.19 – $742.30 | 4 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | $3,271.52 | $5,842.00 | $3,096.39 – $6,961.88 | 6 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $3,857.91 – $8,220.97 | 4 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | $2,153.20 | $3,845.00 | $2,355.70 – $5,526.73 | 6 |
| Rotavirus antibody CPT 86759 | not published | not published | $8.03 – $34.64 | 25 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $1,188.19 – $8,155.21 | 5 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,220.24 | $2,179.00 | $337.08 – $1,568.88 | 7 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $519.68 | $928.00 | $174.97 – $748.03 | 26 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,296.40 | $2,315.00 | $357.53 – $1,666.80 | 7 |
| Rpl tun-cvad w subq port CPT 36582 | $2,520.00 | $4,500.00 | $1,182.10 – $3,240.00 | 7 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $1,063.72 – $4,412.28 | 5 |
| Rpl tun cvc wo subq port CPT 36581 | $2,572.64 | $4,594.00 | $736.73 – $3,307.68 | 7 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $57.40 – $57.40 | 3 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,553.97 – $4,629.64 | 4 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $1,712.21 – $2,885.11 | 5 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $1,737.64 – $2,885.11 | 5 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $2,671.52 – $4,008.05 | 4 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $2,066.23 – $4,235.80 | 4 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $2,000.04 – $4,699.27 | 4 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $2,474.94 – $4,979.73 | 4 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $2,971.75 – $3,987.17 | 4 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,477.42 – $5,175.66 | 4 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $1,051.54 – $2,499.06 | 5 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $1,300.41 – $2,915.56 | 5 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $2,257.05 – $3,184.56 | 4 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $1,689.54 – $2,718.11 | 4 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $1,741.69 – $2,442.61 | 4 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $1,078.60 – $2,079.74 | 5 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $1,188.84 – $2,080.80 | 5 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $3,340.70 – $5,311.90 | 4 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $3,499.37 – $4,052.81 | 4 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,180.08 – $2,133.60 | 5 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $985.44 – $1,809.70 | 5 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $859.80 – $1,782.64 | 5 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $745.09 – $1,939.25 | 5 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $972.82 – $2,079.74 | 5 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $671.48 – $2,380.00 | 8 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $1,346.66 – $2,104.66 | 5 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $4,984.71 – $4,984.71 | 3 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $34.96 – $34.96 | 3 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $13.77 – $110.58 | 20 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $861.43 – $2,079.74 | 5 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $4,840.43 – $6,813.68 | 4 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $4,132.43 – $5,962.35 | 4 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $3,971.58 – $5,643.10 | 4 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $4,091.53 – $5,214.44 | 4 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $3,090.96 – $5,484.96 | 4 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $4,912.68 – $7,273.17 | 4 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $4,686.75 – $7,145.86 | 4 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $4,686.75 – $7,113.05 | 4 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $3,384.27 – $6,496.43 | 4 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $4,695.97 – $6,699.31 | 4 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $970.33 – $2,079.74 | 5 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $703.80 – $3,248.44 | 8 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $131.49 – $417.24 | 17 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,531.61 – $2,137.32 | 5 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $1,388.67 – $5,913.61 | 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.