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 |
|---|---|---|---|---|
| X-ray shoulder 1 view (both sides) CPT 73020 | $137.20 | $245.00 | $15.39 – $34.64 | 8 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $238.00 | $425.00 | $25.08 – $62.47 | 8 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $32.05 – $185.00 | 8 |
| X-ray skull < 4 views CPT 70250 | $187.04 | $334.00 | $23.25 – $52.96 | 8 |
| X-ray skull > 4 views complete CPT 70260 | $255.36 | $456.00 | $28.41 – $73.93 | 8 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $52.96 – $125.15 | 8 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $238.00 | $425.00 | $52.96 – $151.86 | 8 |
| X-ray spine single view CPT 72020 | $63.28 | $113.00 | $15.08 – $32.55 | 8 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $132.16 | $236.00 | $24.48 – $52.00 | 8 |
| X-ray sternum > 2 views CPT 71120 | $114.80 | $205.00 | $20.23 – $48.51 | 8 |
| X-ray surgical specimen CPT 76098 | $283.36 | $506.00 | $9.93 – $185.00 | 9 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $160.16 | $286.00 | $52.96 – $118.93 | 8 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $106.96 | $191.00 | $31.98 – $65.19 | 8 |
| X-ray thoracic spine 2 views CPT 72070 | $129.92 | $232.00 | $21.15 – $54.62 | 8 |
| X-ray thoracic spine 3 views CPT 72072 | $185.92 | $332.00 | $24.78 – $61.84 | 8 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $81.20 | $145.00 | $23.13 – $51.42 | 8 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $21.66 – $43.80 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | not published | not published | $39.28 – $79.39 | 7 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $152.88 | $273.00 | $17.82 – $41.80 | 8 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $72.24 | $129.00 | $21.74 – $42.75 | 8 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $370.72 | $662.00 | $52.96 – $169.32 | 8 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $370.72 | $662.00 | $52.96 – $145.30 | 8 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $52.96 – $152.47 | 8 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $100.98 – $237.90 | 8 |
| X-ray wrist 2 views (both sides) CPT 73100 | $146.16 | $261.00 | $21.15 – $40.24 | 8 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $52.96 – $108.84 | 8 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $109.91 – $276.73 | 6 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $16.16 – $19.44 | 7 |
| Yersinia antibody CPT 86793 | not published | not published | $18.00 – $21.17 | 7 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | not published | 0 |
| Zika virus igm antibody CPT 86794 | not published | not published | not published | 0 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $232.52 – $292.20 | 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.