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 |
|---|---|---|---|---|
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $918.24 – $2,144.32 | 4 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $1,778.29 – $2,501.71 | 4 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $124.92 – $813.00 | 24 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $4,030.88 | $7,198.00 | $2,355.45 – $5,182.56 | 6 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $5,995.36 | $10,706.00 | $1,469.07 – $7,708.32 | 6 |
| Trnscath plc stnt ante carotid art CPT 37218 | $9,114.56 | $16,276.00 | $2,367.04 – $11,718.72 | 6 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $9,597.84 | $17,139.00 | $6,801.75 – $12,340.08 | 6 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $9,597.84 | $17,139.00 | $5,640.10 – $12,340.08 | 6 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $16,961.84 | $30,289.00 | $5,019.28 – $21,808.08 | 7 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $6,027.84 | $10,764.00 | $1,182.10 – $7,750.08 | 7 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $5,465.04 | $9,759.00 | $1,996.32 – $7,026.48 | 7 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $2,540.72 | $4,537.00 | $502.96 – $3,266.64 | 7 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $2,913.68 | $5,203.00 | $502.96 – $3,746.16 | 7 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $5,465.04 | $9,759.00 | $453.68 – $7,026.48 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $1,124.32 – $1,659.41 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $636.51 – $636.51 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $742.30 – $1,738.00 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $742.30 – $1,738.00 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $742.30 – $1,738.00 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $742.30 – $1,738.00 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $614.70 – $1,381.00 | 8 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $608.69 – $1,217.39 | 16 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,439.02 – $3,160.69 | 4 |
| Troponin quantitative CPT 84484 | $48.72 | $87.00 | $8.23 – $23.69 | 25 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $231.64 – $1,021.27 | 20 |
| Tte w or without contr, cont ecg HCPCS C8930 | $785.68 | $1,403.00 | $352.93 – $1,403.00 | 6 |
| Tte w or without fol w/con,stres HCPCS C8928 | $546.00 | $975.00 | $210.00 – $975.00 | 6 |
| Tte w or without fol w/cont, com HCPCS C8921 | $868.56 | $1,551.00 | $352.93 – $1,551.00 | 4 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $868.56 | $1,551.00 | $238.83 – $1,551.00 | 6 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $708.81 – $2,837.71 | 5 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $116.48 | $208.00 | $54.39 – $62.12 | 4 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $103.04 | $184.00 | $54.89 – $62.68 | 4 |
| Tubular dressing HCPCS A6457 | $65.52 | $117.00 | $1.12 – $1.33 | 4 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $260.66 – $813.85 | 20 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,661.16 – $4,312.69 | 5 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $2,006.01 – $2,962.78 | 4 |
| Tx atrial fib pulm vein isol CPT 93656 | $21,589.68 | $38,553.00 | $1,334.81 – $24,982.34 | 5 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $90.65 – $446.56 | 20 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $90.65 – $813.00 | 24 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $576.73 – $813.88 | 8 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $124.92 – $813.00 | 24 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $87.09 – $1,139.52 | 21 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $54.20 – $1,139.52 | 21 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $1,141.41 – $2,673.36 | 4 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $1,561.04 – $2,531.14 | 4 |
| Tx l/r atrial fib addl CPT 93657 | $4,221.84 | $7,539.00 | $500.51 – $4,885.27 | 4 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $797.70 – $1,743.38 | 5 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $590.90 – $2,380.00 | 8 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $568.04 – $1,743.38 | 8 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $587.21 – $2,380.00 | 8 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $804.91 – $1,778.20 | 5 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $717.94 – $2,380.00 | 8 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $469.61 – $1,255.13 | 4 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $112.53 – $446.56 | 21 |
| Tympanic membrane repair CPT 69610 | not published | not published | $217.17 – $850.49 | 5 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $655.58 – $2,199.20 | 8 |
| Tympanometry & reflex thresh CPT 92550 | $114.24 | $204.00 | $23.14 – $291.27 | 21 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $147.27 – $948.00 | 21 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $2,043.84 – $2,915.56 | 5 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,919.70 – $3,019.69 | 5 |
| Tyms gene com variants CPT 81346 | not published | not published | $166.07 – $332.14 | 16 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $16.16 – $107.50 | 4 |
| U2af1 gene common variants CPT 81357 | not published | not published | $183.59 – $367.17 | 16 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $2.65 – $7.95 | 25 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $79.38 – $444.60 | 22 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $122.64 | $219.00 | $56.93 – $197.96 | 23 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $5.63 – $197.96 | 26 |
| Ultrasound breast complete CPT 76641 | $638.40 | $1,140.00 | $48.43 – $738.72 | 27 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $580.72 | $1,037.00 | $46.77 – $671.98 | 27 |
| Ultrasound chest CPT 76604 | $80.64 | $144.00 | $48.43 – $197.96 | 26 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $17.82 – $197.96 | 26 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $36.30 – $197.96 | 26 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $29.46 – $29.46 | 3 |
| Ultrasound elastography parenchyma CPT 76981 | $129.92 | $232.00 | $68.15 – $197.96 | 19 |
| Ultrasound encephalogram CPT 76506 | $537.60 | $960.00 | $48.43 – $197.96 | 26 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $48.43 – $130.66 | 10 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $528.08 | $943.00 | $69.36 – $342.48 | 26 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | not published | not published | $60.62 – $197.96 | 23 |
| Ultrasound guidance for vascular access CPT 76937 | $41.44 | $74.00 | $18.41 – $57.14 | 9 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $284.48 | $508.00 | $27.70 – $186.69 | 10 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $54.18 – $208.69 | 9 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $58.77 – $116.61 | 8 |
| Ultrasound hips infant dynamic CPT 76885 | $164.08 | $293.00 | $48.43 – $163.91 | 26 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $68.71 – $163.91 | 26 |
| Ultrasound joint complete left CPT 76881 | $957.60 | $1,710.00 | $80.78 – $1,108.08 | 26 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $858.48 | $1,533.00 | $9.93 – $993.38 | 27 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $98.98 – $197.96 | 16 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $162.40 | $290.00 | $46.29 – $216.59 | 9 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $58.24 | $104.00 | $25.99 – $103.08 | 9 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $80.78 – $449.98 | 26 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $95.20 | $170.00 | $48.43 – $197.96 | 26 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $115.36 | $206.00 | $55.38 – $197.96 | 26 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $289.52 | $517.00 | $61.14 – $197.96 | 26 |
| Ultrasound prostate/transrectal CPT 76872 | $308.56 | $551.00 | $73.11 – $197.96 | 26 |
| Ultrasound retroperitoneal limited CPT 76775 | $200.48 | $358.00 | $35.21 – $197.96 | 26 |
| Ultrasound scrotum and contents CPT 76870 | $353.36 | $631.00 | $42.71 – $197.96 | 26 |
| Ultrasound spinal canal and contents CPT 76800 | $124.32 | $222.00 | $48.43 – $197.96 | 26 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $111.74 – $211.71 | 9 |
| Ultrasound transvaginal non obstetric CPT 76830 | $118.72 | $212.00 | $80.78 – $197.96 | 26 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $165.70 – $331.40 | 19 |
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.