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 |
|---|---|---|---|---|
| Rsv assay w/optic CPT 87807 | $28.00 | $50.00 | $9.77 – $28.00 | 25 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $119.95 – $239.89 | 16 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $34.71 – $69.43 | 16 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $34.71 – $69.43 | 16 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $34.71 – $69.43 | 16 |
| Rubella antibody igg CPT 86762 | $42.56 | $76.00 | $11.73 – $27.34 | 25 |
| Rubeola ag if CPT 87283 | not published | not published | $16.36 – $115.52 | 25 |
| Rubeola antibody igg CPT 86765 | $22.40 | $40.00 | $10.49 – $24.47 | 25 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $313.03 – $626.07 | 16 |
| Russell viper venom diluted CPT 85613 | $15.50 | $27.68 | $7.81 – $18.20 | 25 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $871.23 – $1,742.45 | 16 |
| Salivary gland function exam CPT 78232 | not published | not published | $78.27 – $748.03 | 26 |
| Salivary gland imaging CPT 78230 | not published | not published | $125.90 – $748.03 | 26 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $92.52 – $748.03 | 26 |
| Salmonella antibody CPT 86768 | $6.19 | $11.06 | $10.74 – $25.06 | 25 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $978.98 – $1,533.22 | 5 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $53.72 – $239.89 | 21 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $48.86 – $97.72 | 16 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $33.56 – $67.13 | 17 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $66.78 – $133.55 | 16 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $491.38 – $2,148.23 | 5 |
| Sbrt management CPT 77435 | $1,854.72 | $3,312.00 | $564.92 – $2,146.18 | 8 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $153.52 – $189.25 | 4 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $113.92 – $146.01 | 4 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $74.70 – $74.84 | 4 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $97.83 – $97.95 | 4 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $47.99 – $48.46 | 4 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $86.10 – $172.20 | 19 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $173.04 | $309.00 | $80.78 – $449.98 | 23 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $170.24 | $304.00 | $80.78 – $256.80 | 23 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | not published | not published | $80.78 – $449.98 | 23 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $80.78 – $197.96 | 23 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $454.16 | $811.00 | $80.78 – $231.27 | 23 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $343.28 | $613.00 | $80.78 – $197.96 | 23 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $949.76 | $1,696.00 | $80.78 – $449.98 | 23 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $297.92 | $532.00 | $80.78 – $207.16 | 23 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $402.64 | $719.00 | $80.78 – $197.96 | 23 |
| Scan proc cranial extra CPT 61782 | not published | not published | $504.24 – $504.24 | 3 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $692.21 – $692.21 | 3 |
| Scan proc spinal CPT 61783 | not published | not published | $679.28 – $679.28 | 3 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,195.76 | $3,921.00 | $396.35 – $2,823.12 | 7 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $610.44 – $1,494.33 | 5 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $27.44 | $49.00 | $4.11 – $26.04 | 9 |
| Screening Mammogram CPT 77067 | $207.76 | $371.00 | $77.62 – $240.41 | 26 |
| Screening prostate cancer PSA HCPCS G0103 | $47.60 | $85.00 | $14.99 – $30.83 | 9 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $3.66 – $3.69 | 4 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $18,707.36 | $33,406.00 | $13.00 – $375.00 | 3 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $66.24 – $132.49 | 25 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $1,034.88 | $1,848.00 | $982.97 – $2,342.17 | 6 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $5,291.44 | $9,449.00 | $296.71 – $6,803.28 | 6 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $81.76 | $146.00 | $63.71 – $146.00 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $8.96 | $16.00 | $2.20 – $5.87 | 25 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $2,039.80 – $4,133.36 | 4 |
| Select picture audiometry CPT 92583 | not published | not published | $16.05 – $110.58 | 21 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $22.79 – $45.58 | 16 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $38.64 | $69.00 | $14.91 – $44.71 | 4 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $54.32 | $97.00 | $11.16 – $62.86 | 4 |
| Semen analysis presence/motility CPT 89321 | $20.72 | $37.00 | $9.82 – $22.89 | 25 |
| Semen analysis w/count CPT 89310 | not published | not published | $7.02 – $16.36 | 25 |
| Sensorimotor examination CPT 92060 | not published | not published | $28.03 – $110.58 | 21 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $15.72 – $73.07 | 18 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $407.46 – $2,380.00 | 8 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $89.15 – $364.80 | 20 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $821.78 – $3,248.44 | 8 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $729.67 – $1,743.38 | 8 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $1,182.58 – $3,248.44 | 8 |
| Serial casting application 97139app CPT 97139 | $52.64 | $94.00 | $8.09 – $35.48 | 6 |
| Serial tonometry CPT 92100 | not published | not published | $66.65 – $105.60 | 4 |
| Serpina1 gene CPT 81332 | $50.96 | $91.00 | $35.57 – $82.93 | 25 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $10.49 – $28.75 | 8 |
| Set radiation therapy field CPT 77280 | $603.68 | $1,078.00 | $87.66 – $445.63 | 26 |
| Set radiation therapy field CPT 77285 | $995.68 | $1,778.00 | $153.47 – $697.75 | 26 |
| Set radiation therapy field CPT 77290 | $1,248.80 | $2,230.00 | $153.47 – $806.87 | 26 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $38.36 – $558.32 | 20 |
| Sever cranial nerve CPT 64771 | not published | not published | $732.49 – $1,381.00 | 8 |
| Sex chromatin identification CPT 88130 | not published | not published | $12.70 – $34.16 | 25 |
| Sex chromatin identification CPT 88140 | not published | not published | $6.51 – $15.18 | 25 |
| Sex transformation f to m CPT 55980 | not published | not published | $1,180.08 – $1,869.27 | 4 |
| Sex transformation m to f CPT 55970 | not published | not published | $978.98 – $1,533.22 | 4 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $183.59 – $367.17 | 16 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $395.95 – $678.33 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $86.23 – $369.89 | 21 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $71.02 – $369.89 | 21 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $115.13 – $743.75 | 21 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $118.64 – $743.75 | 21 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $61.98 – $369.89 | 21 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $61.98 – $369.89 | 21 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $86.23 – $369.89 | 21 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $61.98 – $743.75 | 21 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $61.98 – $743.75 | 21 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $61.98 – $369.89 | 21 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $61.98 – $369.89 | 21 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $3,511.20 | $6,270.00 | $214.46 – $4,990.00 | 3 |
| Shigella antibody CPT 86771 | not published | not published | $16.16 – $46.51 | 25 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $672.57 – $1,743.38 | 5 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $2,613.83 – $3,554.16 | 4 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,551.24 – $3,651.21 | 5 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $1,124.26 – $2,215.91 | 8 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $1,030.11 – $1,743.38 | 8 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $1,220.96 – $2,215.91 | 8 |
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.