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 |
|---|---|---|---|---|
| Suction lipectomy head&neck CPT 15876 | not published | not published | $1,001.44 – $1,124.32 | 2 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $768.68 – $1,124.32 | 2 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $1,059.92 – $1,124.32 | 2 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $768.68 – $1,124.32 | 2 |
| Sugars multiple quant CPT 84379 | not published | not published | $15.73 – $30.94 | 7 |
| Sugars single quant CPT 84378 | not published | not published | $15.73 – $32.45 | 7 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $14.00 – $28.75 | 6 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $9.36 – $16.24 | 5 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $84.31 – $84.31 | 3 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $73.82 – $73.82 | 3 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $147.94 – $873.95 | 2 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $1,194.75 – $1,194.75 | 1 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $1,090.49 – $1,090.49 | 1 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $643.22 – $1,785.10 | 5 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,228.95 – $1,228.95 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $1,212.96 – $1,260.08 | 2 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $1,260.08 – $1,336.55 | 2 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $1,260.08 – $1,569.91 | 2 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $802.66 – $1,260.08 | 2 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,180.08 – $1,287.17 | 2 |
| Surgical opening esophagus CPT 43351 | not published | not published | $958.19 – $958.19 | 1 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,011.42 – $1,011.42 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $392.06 – $917.52 | 2 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $925.29 – $925.29 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $362.75 – $1,381.00 | 5 |
| Surgical pathology level 1 gross examination only CPT 88300 | not published | not published | $13.96 – $28.55 | 8 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | not published | not published | $16.05 – $57.69 | 8 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | not published | not published | $25.12 – $89.19 | 8 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | not published | not published | $25.12 – $170.02 | 9 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | not published | not published | $110.15 – $547.56 | 9 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | not published | not published | $231.72 – $834.55 | 8 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,404.63 – $1,404.63 | 1 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,420.77 – $1,420.77 | 1 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,576.52 – $1,576.52 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $415.61 – $873.95 | 5 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $2.02 – $3.87 | 7 |
| Susceptibility enzyme detection per enzyme CPT 87185 | not published | not published | $3.30 – $5.22 | 7 |
| Susceptibility mic per plate CPT 87186 | not published | not published | $11.80 – $16.07 | 7 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $9.06 – $11.37 | 7 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,714.59 – $1,714.59 | 1 |
| Suspension of testis CPT 54620 | not published | not published | $387.70 – $1,738.00 | 5 |
| Suspension of uterus CPT 58410 | not published | not published | $866.83 – $866.83 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $761.23 – $761.23 | 1 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,425.79 – $1,425.79 | 1 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,519.79 – $1,519.79 | 1 |
| Svc venogram s&i CPT 75827 | not published | not published | $96.44 – $482.57 | 8 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $3.25 – $57.29 | 8 |
| Sympathectomy cervical CPT 64802 | not published | not published | $732.49 – $1,381.00 | 5 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $732.49 – $1,125.61 | 2 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,127.01 – $1,127.01 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $765.47 – $1,151.45 | 2 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,157.12 – $1,157.12 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $16.05 – $27.87 | 2 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $6.00 – $7.07 | 7 |
| System pacing micra av HCPCS C1786 | $13,720.00 | $24,500.00 | $1,675.04 – $1,675.04 | 2 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $4,480.00 | $8,000.00 | $375.00 – $375.00 | 2 |
| T3 (triiodothyronine) free CPT 84481 | not published | not published | $10.07 – $27.19 | 7 |
| T3 (triiodothyronine) total CPT 84480 | not published | not published | $19.34 – $22.76 | 7 |
| T4 (thyroxine) free CPT 84439 | not published | not published | $12.30 – $18.06 | 7 |
| T4 (thyroxine) total CPT 84436 | not published | not published | $9.38 – $11.57 | 7 |
| Tacrolimus therapeutic drug level CPT 80197 | not published | not published | $18.73 – $22.04 | 7 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $3,150.60 – $3,150.60 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,912.72 – $2,912.72 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,935.50 – $1,935.50 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $690.84 – $898.84 | 6 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $898.84 – $5,368.33 | 3 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $637.04 – $898.84 | 6 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $225.48 – $241.74 | 2 |
| Tavr perq femoral CPT 33361 | not published | not published | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $102.23 – $120.26 | 6 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $84.56 – $99.47 | 6 |
| Tc-99m exametazime diag HCPCS A9521 | $577.36 | $1,031.00 | $497.34 – $497.34 | 1 |
| Tc-99m medronate HCPCS A9503 | $54.32 | $97.00 | $37.31 – $37.31 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $192.08 | $343.00 | $111.11 – $111.11 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $192.08 | $343.00 | $111.11 – $111.11 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $118.64 – $505.72 | 2 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $48.43 – $264.82 | 7 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $48.43 – $241.13 | 6 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $80.78 – $210.22 | 6 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $551.12 – $551.12 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $64.10 – $76.91 | 7 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $16.12 – $21.69 | 7 |
| T cells total count CPT 86359 | not published | not published | $10.08 – $60.55 | 7 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $115.90 – $200.32 | 4 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $115.90 – $417.97 | 4 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $115.90 – $514.85 | 4 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $929.90 – $929.90 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $2,120.62 – $2,120.62 | 1 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $40.48 – $40.48 | 3 |
| Team conf without pat by phys CPT 99367 | not published | not published | $62.70 – $62.70 | 3 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $47.52 – $47.52 | 3 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $114.27 – $164.77 | 5 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $62.24 – $91.24 | 5 |
| Temperature gradient studies CPT 93740 | not published | not published | $2.16 – $68.25 | 5 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $1,458.55 – $5,542.94 | 2 |
| Tendon lengthening CPT 26476 | not published | not published | $451.31 – $813.00 | 5 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $667.54 – $1,260.08 | 2 |
| Tendon shortening CPT 26477 | not published | not published | $698.00 – $1,260.08 | 5 |
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.