Henry Ford West Bloomfield Hospital
6777 W Maple Road, West Bloomfield, MI · Henry Ford Health · · NPI 1407867559
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 |
|---|---|---|---|---|
| Athletic trn eval mod cmplx CPT 97170 | not published | not published | $81.26 – $189.25 | 4 |
| Athletic trn re-eval plan cr CPT 97172 | not published | not published | $40.63 – $130.07 | 4 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $570.23 – $23,474.71 | 5 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $659.31 – $36,174.35 | 5 |
| Atn1 gene detc abnor alleles CPT 81177 | $189.06 | not published | $71.65 – $295.92 | 16 |
| Atomic absorption CPT 82190 | $21.94 | not published | $12.97 – $29.49 | 16 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $0.14 | $233.90 | $0.06 – $27.83 | 14 |
| Attach bladder/urethra comp 51841 CPT 51841 | $1,035.11 | $2,530.00 | $458.16 – $4,768.78 | 19 |
| Attach bladder/urethra simple 51840 CPT 51840 | $6,878.55 | $2,180.00 | $396.82 – $3,997.92 | 19 |
| Attach ocular implant CPT 65140 | $5,405.82 | $2,560.00 | $525.90 – $9,009.70 | 20 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $89.15 | $307.00 | $40.26 – $205.69 | 21 |
| Atxn10 gene detc abnor allel CPT 81183 | $189.06 | not published | $71.65 – $295.92 | 16 |
| Atxn1 gene detc abnor allele CPT 81178 | $189.06 | not published | $71.65 – $295.92 | 16 |
| Atxn2 gene detc abnor allele CPT 81179 | $189.06 | not published | $71.65 – $295.92 | 16 |
| Atxn3 gene detc abnor allele CPT 81180 | $189.06 | not published | $71.65 – $295.92 | 16 |
| Atxn7 gene detc abnor allele CPT 81181 | $189.06 | not published | $71.65 – $295.92 | 16 |
| Atxn8os gen detc abnor allel CPT 81182 | $189.06 | not published | $71.65 – $295.92 | 16 |
| Aud brainstem implt programg CPT 92640 | $176.93 | not published | $67.05 – $294.88 | 18 |
| Audiometry air + bone CPT 92553 | $176.93 | $130.00 | $32.38 – $294.88 | 22 |
| Audit/dast 15-30 min CPT 99408 | $98.00 | $163.00 | $17.68 – $89.65 | 15 |
| Audit/dast over 30 min CPT 99409 | not published | $325.00 | $35.36 – $178.75 | 15 |
| Auditor evoke potent limit CPT 92586 | not published | not published | $92.93 – $170.53 | 2 |
| Auditory function + 15 min CPT 92621 | $20.58 | $67.00 | $10.14 – $51.66 | 13 |
| Auditory function 60 min CPT 92620 | $176.93 | $261.00 | $43.43 – $294.88 | 20 |
| Aud rehab postling hear loss CPT 92633 | not published | not published | $89.45 – $187.33 | 4 |
| Aud rehab pre-ling hear loss CPT 92630 | not published | not published | $89.45 – $300.63 | 4 |
| Augmentation cheek bone CPT 21270 | $8,139.99 | $2,460.00 | $430.69 – $13,566.64 | 20 |
| Augmentation lower jaw bone CPT 21125 | $8,139.99 | $2,430.00 | $386.17 – $13,566.64 | 20 |
| Augmentation lower jaw bone CPT 21127 | $8,139.99 | $2,810.00 | $443.68 – $13,566.64 | 20 |
| Augmentation of facial bones CPT 21208 | $8,139.99 | $2,650.00 | $427.70 – $13,566.64 | 20 |
| Augment injectable kit 3.0cc HCPCS C1734 | not published | $12,855.00 | $630.00 – $1,810.20 | 11 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $284.31 | $828.00 | $120.56 – $1,075.00 | 22 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $9,977.57 | $2,384.00 | $289.25 – $16,629.28 | 22 |
| Autgrft implnt knee w/scope CPT 29866 | $9,977.57 | $3,490.00 | $624.52 – $16,629.28 | 19 |
| Autochondrocyte implant knee CPT 27412 | $9,977.57 | $5,400.00 | $953.18 – $16,629.28 | 20 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $1,160.10 | not published | $685.92 – $1,815.80 | 14 |
| Autologous blood op salvage CPT 86891 | $1,107.84 | not published | $33.72 – $2,616.87 | 20 |
| Autologous blood process CPT 86890 | $234.27 | $1,065.00 | $17.12 – $713.55 | 21 |
| Autolog prp diab wound ulcer HCPCS G0465 | $119.51 | not published | $82.98 – $2,076.42 | 11 |
| Autolog prp not diab ulcer HCPCS G0460 | $2,837.09 | not published | $332.34 – $4,728.48 | 16 |
| Automated diff wbc count CPT 85004 | $8.93 | not published | $3.38 – $10.55 | 17 |
| Autonomic nrv adrenrg inervj CPT 95922 | $182.95 | $402.00 | $29.18 – $309.94 | 22 |
| Autonomic nrv parasym inervj CPT 95921 | $176.93 | $325.00 | $28.12 – $294.88 | 22 |
| Autonomic nrv syst funj test CPT 95923 | $182.95 | $509.00 | $27.90 – $392.44 | 22 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $437.70 – $1,253.43 | 4 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $16.57 – $1,212.85 | 5 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $451.82 – $1,293.96 | 4 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $254.15 – $727.45 | 4 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $254.15 – $727.45 | 4 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $254.15 – $727.45 | 4 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $296.51 – $849.13 | 4 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $310.62 – $889.67 | 4 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $254.15 – $727.45 | 4 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $232.97 – $666.63 | 4 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $11.52 – $930.23 | 5 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $144.88 | $6,332.06 | $54.91 – $5,458.24 | 22 |
| Av fistula revision CPT 36833 | $7,651.38 | $2,790.00 | $469.67 – $12,752.30 | 20 |
| Av fuse uppr arm basilic CPT 36819 | $7,651.38 | $2,510.00 | $423.23 – $12,752.30 | 20 |
| Av fuse uppr arm cephalic CPT 36818 | $7,651.38 | $2,380.00 | $400.87 – $12,752.30 | 20 |
| Av fusion direct any site CPT 36821 | $4,341.66 | $2,280.00 | $383.19 – $7,514.76 | 20 |
| Av fusion/forearm vein 36820 CPT 36820 | $7,651.38 | $2,520.00 | $423.23 – $12,752.30 | 20 |
| Avul nail plate addl CPT 11732 | $21.61 | $57.00 | $6.60 – $49.13 | 22 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $275.88 | $261.00 | $31.10 – $459.79 | 22 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | $76.80 | $34,655.00 | $29.10 – $12,218.85 | 21 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | $734,425.29 | not published | $278,336.54 – $1,224,042.15 | 19 |
| Axillary crutch extension HCPCS L0978 | $319.13 | not published | $212.75 – $457.14 | 16 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $8,312.83 | $2,360.00 | $429.62 – $13,854.72 | 20 |
| Azacitidine injection HCPCS J9025 | $0.64 | $1,805.72 | $0.26 – $159.47 | 14 |
| Azathioprine 50 mg tablet HCPCS J7500 | $0.08 | $55.07 | $0.03 – $2.17 | 14 |
| Azathioprine parenteral HCPCS J7501 | $349.87 | not published | $132.60 – $583.12 | 19 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $2.82 | $27.29 | $1.15 – $13.36 | 14 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $21.50 – $59.10 | 4 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $3.08 | $205.85 | $1.26 – $69.48 | 14 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $250.42 | $3,399.24 | $94.91 – $666.05 | 22 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $82.13 | $362.49 | $31.17 – $103.91 | 14 |
| Baclofen eval charges CPT 97750 | $45.98 | $118.00 | $21.51 – $90.98 | 21 |
| Bacterial meningitis antigen CPT 86403 | $15.93 | $70.00 | $6.04 – $46.90 | 21 |
| Bacterial vaginosis pcr CPT 87801 | $96.88 | $588.07 | $20.00 – $114.43 | 21 |
| Bactericidal level serum CPT 87197 | $20.73 | not published | $12.25 – $27.52 | 16 |
| #bac vag cand-c. albicans naa CPT 87481 | $48.42 | $237.00 | $12.00 – $81.36 | 21 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $11.52 | not published | $5.67 – $16.51 | 16 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $44.73 | $118.00 | $16.95 – $79.06 | 22 |
| Balloon dilate urtrl strix CPT 50706 | $226.44 | $1,060.00 | $99.05 – $1,075.00 | 22 |
| Banding pulmonary artery CPT 33690 | $1,736.87 | $4,110.00 | $736.98 – $7,377.06 | 19 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | not published | not published | $1.12 – $273.47 | 3 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $241.18 | $1,029.00 | $36.85 – $689.43 | 22 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $241.18 | $726.00 | $30.46 – $486.42 | 22 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $241.18 | $478.00 | $17.68 – $401.97 | 22 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.23 – $0.75 | 12 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | $4.77 | not published | $2.51 – $6.84 | 16 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | $19.42 | not published | $7.69 – $27.80 | 16 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $12.20 | not published | $5.96 – $17.48 | 16 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | $9.67 | not published | $4.48 – $13.85 | 16 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | $17.22 | not published | $6.83 – $24.68 | 16 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $4,451.18 | $3,252.00 | $104.37 – $7,418.63 | 22 |
| Bartonella dna pcr-sendout CPT 87471 | $48.42 | not published | $18.35 – $57.20 | 17 |
| Bartonella dna quant CPT 87472 | $59.12 | not published | $22.41 – $69.83 | 16 |
| Basic vestibular evaluation CPT 92540 | $296.91 | $616.00 | $19.23 – $494.85 | 22 |
| Basiliximab HCPCS J0480 | $6,597.88 | $14,001.05 | $2,500.50 – $10,996.47 | 22 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | $1,195.05 | not published | $796.70 – $1,711.84 | 16 |
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.