Henry Ford Madison Heights Hospital
27351 Dequindre Rd, Madison Heights, MI · Henry Ford Health · · NPI 1215139233
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 |
|---|---|---|---|---|
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $124.92 – $390.42 | 2 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $5.88 – $7.06 | 7 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $450.49 – $1,293.40 | 6 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $47.96 – $72.05 | 2 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $6.68 – $9.79 | 8 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $12.94 – $15.38 | 7 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $4.58 – $5.64 | 7 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $19.58 – $23.07 | 7 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $9.61 – $19.66 | 7 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $130.79 – $221.68 | 6 |
| Ghs quinidine CPT 80194 | not published | not published | $18.71 – $23.44 | 7 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $77.41 – $147.42 | 5 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $47.96 – $146.20 | 2 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $47.96 – $180.42 | 2 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $765.47 – $1,738.00 | 5 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $1,017.03 – $2,380.00 | 5 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $7.96 – $20.69 | 7 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.04 – $6.61 | 7 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $16.36 – $19.23 | 7 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.84 – $6.02 | 7 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $16.44 – $31.90 | 7 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.64 – $11.35 | 7 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $8.02 – $11.07 | 7 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $61.98 – $1,381.00 | 5 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $61.98 – $1,381.00 | 5 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $61.98 – $1,381.00 | 5 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $61.98 – $1,381.00 | 5 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $61.98 – $254.38 | 2 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $61.98 – $211.66 | 2 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $61.98 – $311.72 | 2 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $118.64 – $1,381.00 | 5 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $61.98 – $1,381.00 | 5 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $68.25 – $183.01 | 6 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $115.90 – $147.95 | 5 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $208.57 – $278.58 | 4 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $25.60 – $25.60 | 1 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $117.70 – $121.17 | 2 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $47.96 – $72.13 | 2 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $77.73 – $77.73 | 1 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $16.05 – $30.64 | 2 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $29.42 – $60.36 | 2 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $138.09 – $138.09 | 1 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $16.24 – $17.52 | 4 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $91.09 – $206.98 | 4 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $225.48 – $813.00 | 5 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $191.97 – $813.00 | 5 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $362.75 – $439.39 | 2 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $9.17 – $11.71 | 7 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $124.92 – $361.77 | 2 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $90.65 – $621.32 | 2 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $33.18 – $46.59 | 7 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $18.12 – $23.61 | 7 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $978.98 – $1,652.02 | 2 |
| Ghs windowing of cast CPT 29730 | not published | not published | $62.72 – $65.19 | 2 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $18.13 – $21.33 | 7 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $57.56 – $332.67 | 8 |
| Gi inhouse confirmation CPT 87045 | not published | not published | $12.88 – $18.06 | 7 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $250.38 – $2,080.85 | 2 |
| Gi protein loss CPT 78282 | not published | not published | $51.87 – $564.00 | 8 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $529.20 | $945.00 | $392.06 – $1,307.51 | 5 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $392.06 – $784.31 | 4 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $392.06 – $1,052.93 | 4 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $100.80 – $198.63 | 3 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $57.26 – $104.13 | 3 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $18.95 – $36.08 | 3 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,187.30 – $2,380.00 | 5 |
| Glaucoma surgery CPT 66155 | not published | not published | $918.24 – $2,380.00 | 5 |
| Glaucoma surgery CPT 66160 | not published | not published | $918.24 – $1,381.00 | 5 |
| Glaucoma surgery CPT 66170 | not published | not published | $918.24 – $2,380.00 | 5 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $19.49 – $23.77 | 7 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $5.71 – $6.73 | 7 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $8.26 – $10.08 | 7 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.20 – $3.93 | 7 |
| Glucose blood quantitative CPT 82947 | not published | not published | $5.13 – $6.04 | 7 |
| Glucose body fluid CPT 82945 | not published | not published | $5.13 – $8.37 | 7 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $60.65 – $60.65 | 3 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | not published | not published | $17.56 – $23.50 | 7 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | not published | not published | $3.93 – $6.29 | 7 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | not published | not published | $25.35 – $29.82 | 7 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | not published | not published | $25.26 – $29.72 | 7 |
| Gonioscopy CPT 92020 | not published | not published | $30.09 – $47.96 | 5 |
| Goniotomy CPT 65820 | not published | not published | $913.91 – $1,778.29 | 2 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,260.08 – $1,738.00 | 5 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $36.96 | $66.00 | $51.78 – $51.78 | 2 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $14,674.24 | $26,204.00 | $3,000.00 – $3,000.00 | 2 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $19,883.36 | $35,506.00 | $484.15 – $484.15 | 2 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $2,092.88 – $2,092.88 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $20,497.12 | $36,602.00 | $267.00 – $267.00 | 2 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $17,094.56 | $30,526.00 | $115.50 – $115.50 | 2 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $90.65 – $206.33 | 2 |
| Growth hormone antibody CPT 86277 | not published | not published | $21.48 – $32.12 | 7 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $25.24 – $35.30 | 6 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $2,103.60 – $2,103.60 | 1 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $962.91 – $1,041.71 | 2 |
| G-tube reposition CPT 43761 | not published | not published | $168.65 – $392.06 | 2 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $72.35 – $792.38 | 8 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $495.48 – $495.48 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,058.40 | $1,890.00 | $16.50 – $16.50 | 2 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $684.32 | $1,222.00 | $6.00 – $6.00 | 2 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $32.63 – $46.04 | 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.