Henry Ford Warren Hospital
11800 Twelve Mile Rd, Warren, MI · Henry Ford Health · · NPI 1124099858
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 knee 1-2 views (both sides) CPT 73560 | $173.60 | $310.00 | $20.23 – $163.91 | 25 |
| X-ray knee 3 views (both sides) CPT 73562 | $184.24 | $329.00 | $25.38 – $163.91 | 25 |
| X-ray knee ap standing bilateral CPT 73565 | $139.44 | $249.00 | $23.87 – $163.91 | 25 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $171.92 | $307.00 | $22.35 – $163.91 | 25 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $29.63 – $197.96 | 25 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $268.80 | $480.00 | $32.05 – $197.96 | 25 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $211.68 | $378.00 | $45.08 – $197.96 | 25 |
| X-ray male genital tract CPT 74440 | not published | not published | $59.01 – $449.98 | 25 |
| X-ray mandible complete > 4 views CPT 70110 | $232.96 | $416.00 | $25.38 – $197.96 | 25 |
| X-ray mandible ltd <4 views CPT 70100 | $112.00 | $200.00 | $23.56 – $163.91 | 25 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $19.92 – $82.98 | 8 |
| X-ray nasal bones complete > 3 views CPT 70160 | $148.40 | $265.00 | $22.96 – $163.91 | 25 |
| X-ray neck soft tissue CPT 70360 | $126.56 | $226.00 | $17.51 – $163.91 | 25 |
| X-ray nose to rectum for foreign body child CPT 76010 | $42.00 | $75.00 | $16.90 – $163.91 | 25 |
| X-ray of mammary ducts CPT 77054 | $189.84 | $339.00 | $51.36 – $449.98 | 26 |
| X-ray optic foramina CPT 70190 | not published | not published | $23.56 – $163.91 | 25 |
| X-ray pelvis 1-2 views CPT 72170 | $98.56 | $176.00 | $16.29 – $197.96 | 25 |
| X-ray pelvis complete > 3 views CPT 72190 | $177.52 | $317.00 | $29.32 – $197.96 | 25 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $181.15 – $350.01 | 5 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $203.94 – $389.60 | 5 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $288.40 | $515.00 | $94.42 – $664.83 | 25 |
| X-ray ribs 2 views left CPT 71100 | $127.68 | $228.00 | $20.23 – $163.91 | 25 |
| X-ray ribs 3 views bilateral CPT 71110 | $201.60 | $360.00 | $25.38 – $197.96 | 25 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $142.80 | $255.00 | $24.48 – $197.96 | 25 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $159.60 | $285.00 | $34.48 – $197.96 | 25 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $114.80 | $205.00 | $23.56 – $197.96 | 25 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $124.88 | $223.00 | $19.02 – $163.91 | 25 |
| X-ray scapula complete (both sides) CPT 73010 | $171.92 | $307.00 | $20.54 – $197.96 | 25 |
| X-ray sella turcica CPT 70240 | not published | not published | $19.02 – $163.91 | 25 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $137.20 | $245.00 | $15.39 – $163.91 | 25 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $238.00 | $425.00 | $25.08 – $163.91 | 25 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $137.20 | $245.00 | $32.05 – $1,020.70 | 25 |
| X-ray skull < 4 views CPT 70250 | $187.04 | $334.00 | $23.25 – $197.96 | 25 |
| X-ray skull > 4 views complete CPT 70260 | $255.36 | $456.00 | $28.41 – $197.96 | 25 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $52.96 – $197.96 | 25 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $238.00 | $425.00 | $52.96 – $331.40 | 25 |
| X-ray spine single view CPT 72020 | $63.28 | $113.00 | $15.08 – $163.91 | 25 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $132.16 | $236.00 | $24.48 – $163.91 | 25 |
| X-ray sternum > 2 views CPT 71120 | $114.80 | $205.00 | $20.23 – $163.91 | 25 |
| X-ray surgical specimen CPT 76098 | $283.36 | $506.00 | $9.93 – $1,020.70 | 26 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $160.16 | $286.00 | $52.96 – $331.40 | 25 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $106.96 | $191.00 | $31.98 – $163.91 | 25 |
| X-ray thoracic spine 2 views CPT 72070 | $129.92 | $232.00 | $21.15 – $197.96 | 25 |
| X-ray thoracic spine 3 views CPT 72072 | $185.92 | $332.00 | $24.78 – $197.96 | 25 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $81.20 | $145.00 | $23.13 – $163.91 | 25 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $193.20 | $345.00 | $21.66 – $223.56 | 25 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $249.20 | $445.00 | $39.28 – $288.36 | 25 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $152.88 | $273.00 | $17.82 – $163.91 | 25 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $72.24 | $129.00 | $21.74 – $163.91 | 25 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $370.72 | $662.00 | $52.96 – $331.40 | 25 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $370.72 | $662.00 | $52.96 – $331.40 | 25 |
| 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 – $163.91 | 25 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $52.96 – $331.40 | 25 |
| 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 | $76.16 | $136.00 | $12.26 – $24.53 | 24 |
| Yersinia antibody CPT 86793 | not published | not published | $12.53 – $25.06 | 24 |
| Zika virus dna/rna amp probe CPT 87662 | $84.00 | $150.00 | $48.74 – $121.50 | 18 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.01 – $32.02 | 17 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $57.31 | $102.33 | $18.39 – $18.39 | 1 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $232.52 – $292.20 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $183.59 – $367.17 | 17 |
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.