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 |
|---|---|---|---|---|
| Revision of nose CPT 30430 | $8,139.99 | $3,020.00 | $677.98 – $13,566.64 | 20 |
| Revision of nose CPT 30435 | $8,139.99 | $3,775.00 | $823.03 – $13,566.64 | 20 |
| Revision of nose CPT 30450 | $8,139.99 | $5,052.00 | $1,046.26 – $13,566.64 | 20 |
| Revision of nose CPT 30460 | $8,139.99 | $2,660.00 | $489.47 – $13,566.64 | 20 |
| Revision of nose CPT 30462 | $8,139.99 | $5,120.00 | $932.09 – $13,566.64 | 20 |
| Revision of pelvis CPT 27158 | $9,977.57 | $4,550.00 | $808.34 – $8,544.94 | 19 |
| Revision of penis CPT 54300 | $4,846.99 | $2,100.00 | $375.31 – $8,078.31 | 20 |
| Revision of penis CPT 54304 | $4,846.99 | $2,440.00 | $431.11 – $8,078.31 | 20 |
| Revision of penis CPT 54420 | $4,846.99 | $2,290.00 | $405.77 – $8,078.31 | 20 |
| Revision of penis CPT 54430 | $837.32 | $2,090.00 | $370.83 – $3,898.65 | 19 |
| Revision of penis CPT 54435 | $4,846.99 | $1,350.00 | $244.74 – $8,078.31 | 20 |
| Revision of pharyngeal walls CPT 42892 | $8,139.99 | $6,110.00 | $1,046.68 – $13,566.64 | 20 |
| Revision of pharyngeal walls CPT 42894 | $2,974.18 | $7,740.00 | $1,321.67 – $14,631.60 | 19 |
| Revision of pulmonary artery CPT 33788 | $2,181.42 | $5,290.00 | $917.18 – $9,919.83 | 19 |
| Revision of pulmonary valve CPT 33474 | $3,098.40 | $7,530.00 | $1,299.51 – $13,408.76 | 19 |
| Revision of radius CPT 25350 | $9,977.57 | $2,210.00 | $399.80 – $16,629.28 | 20 |
| Revision of radius CPT 25355 | $4,499.12 | $2,490.00 | $458.16 – $7,498.53 | 20 |
| Revision of sciatic nerve CPT 64712 | $2,685.07 | $1,920.00 | $355.50 – $4,475.11 | 20 |
| Revision of scrotum CPT 55175 | $4,846.99 | $1,180.00 | $216.62 – $8,078.31 | 20 |
| Revision of scrotum CPT 55180 | $7,372.68 | $2,250.00 | $397.88 – $12,287.80 | 20 |
| Revision of spinal shunt CPT 63744 | $4,697.33 | $2,340.00 | $469.45 – $7,828.88 | 20 |
| Revision of testis CPT 54660 | $7,372.68 | $1,160.00 | $213.21 – $12,287.80 | 20 |
| Revision of thigh muscles CPT 27430 | $9,977.57 | $2,440.00 | $445.81 – $16,629.28 | 20 |
| Revision of toe CPT 28312 | $4,499.12 | $3,604.00 | $221.09 – $7,498.53 | 22 |
| Revision of tricuspid valve CPT 33468 | $3,465.62 | $8,240.00 | $1,448.61 – $15,098.33 | 19 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | $3,406.53 | $8,230.00 | $1,431.15 – $14,885.01 | 19 |
| Revision of ulna CPT 25360 | $9,977.57 | $2,150.00 | $388.94 – $16,629.28 | 20 |
| Revision of unstable kneecap CPT 27420 | $9,977.57 | $2,450.00 | $449.64 – $16,629.28 | 20 |
| Revision of unstable kneecap CPT 27422 | $9,977.57 | $2,450.00 | $445.60 – $16,629.28 | 20 |
| Revision of upper arm CPT 24940 | $17,653.66 | $1,380.00 | $219.88 – $23,538.22 | 18 |
| Revision of ureter CPT 50700 | $1,205.49 | $3,020.00 | $531.44 – $5,634.67 | 19 |
| Revision of urethra CPT 53450 | $4,846.99 | $1,330.00 | $241.76 – $8,078.31 | 20 |
| Revision of urethra CPT 53460 | $4,846.99 | $1,490.00 | $268.81 – $8,078.31 | 20 |
| Revision of urethra CPT 57220 | $6,878.55 | $1,040.00 | $198.73 – $11,464.26 | 20 |
| Revision of urinary tract CPT 51820 | $1,411.27 | $3,540.00 | $621.75 – $7,165.86 | 19 |
| Revision open av fistula without thromb CPT 36832 | $7,651.38 | $2,590.00 | $438.99 – $12,752.30 | 20 |
| Revision orbitofacial bones CPT 21275 | $8,139.99 | $2,750.00 | $487.34 – $13,566.64 | 20 |
| Revision/removal of kneecap CPT 27424 | $9,977.57 | $2,470.00 | $449.00 – $16,629.28 | 20 |
| Revision tips CPT 37183 | $7,826.12 | $1,220.00 | $205.33 – $13,043.53 | 20 |
| Revis reconst shoulder joint CPT 23473 | $17,653.66 | $5,390.00 | $918.46 – $29,422.77 | 19 |
| Revis reconst shoulder joint CPT 23474 | $17,653.66 | $5,830.00 | $989.81 – $32,021.17 | 18 |
| Revitalon 1 square cm HCPCS Q4157 | $171.12 | not published | $66.49 – $228.16 | 14 |
| Revita, per sq cm HCPCS Q4180 | $171.12 | not published | $66.49 – $603.63 | 14 |
| Revj fem anast autog vn grf CPT 35884 | $7,651.38 | $4,280.00 | $718.88 – $12,752.30 | 19 |
| Revj fem anast nonautog grf CPT 35883 | $7,651.38 | $4,150.00 | $690.97 – $12,752.30 | 19 |
| Revj mstdc rsltg compl mstdc CPT 69601 | $8,139.99 | $3,320.00 | $577.23 – $13,566.64 | 20 |
| Revj mstdc rsltg tympanplsty CPT 69604 | $8,139.99 | $3,560.00 | $628.99 – $13,566.64 | 20 |
| Revj open gstr rstcv px CPT 43848 | $2,714.36 | $6,600.00 | $1,142.75 – $11,772.02 | 19 |
| Revj prior hypspad repair CPT 54352 | $7,372.68 | $4,640.00 | $803.65 – $12,287.80 | 20 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | $4,807.27 | not published | $1,821.89 – $8,012.12 | 17 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | $8,139.99 | $3,480.00 | $616.21 – $13,566.64 | 20 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $4,807.27 | $1,240.00 | $194.90 – $8,012.12 | 20 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | $700.00 | $280.00 – $18,069.72 | 14 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $4,807.27 | $470.00 | $86.69 – $8,012.12 | 20 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $4,807.27 | $410.00 | $133.76 – $8,012.12 | 20 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | $24,109.66 | $7,780.00 | $1,434.13 – $12,040.21 | 18 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | $24,109.66 | $6,251.00 | $1,446.27 – $3,569.48 | 17 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | $42,430.50 | $1,860.00 | $474.79 – $70,717.50 | 19 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | $24,109.66 | $5,880.00 | $1,073.95 – $2,459.06 | 17 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | $15,321.63 | $2,424.00 | $475.20 – $25,536.05 | 19 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $268.94 – $23,235.65 | 5 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $14.92 | $6,399.29 | $5.66 – $5,511.88 | 22 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $2,685.07 | $2,577.00 | $112.68 – $4,475.11 | 21 |
| Rheumatoid factor qualitative CPT 86430 | $8.47 | $40.00 | $3.21 – $26.80 | 21 |
| Rheumatoid factor quantitative CPT 86431 | $7.82 | $38.00 | $2.97 – $15.23 | 21 |
| Rh ig IV CPT 90386 | not published | not published | $16.34 – $1,096.84 | 6 |
| Rh ig minidose im CPT 90385 | $110.40 | not published | $30.44 – $172.80 | 15 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $8,139.99 | $3,455.00 | $762.75 – $13,566.64 | 20 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $6.66 | $535.88 | $2.73 – $420.31 | 14 |
| Rho d immune globulin 50 mcg HCPCS J2788 | $31.64 | not published | $12.95 – $82.14 | 10 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $46.80 | not published | $17.73 – $77.99 | 20 |
| Rho d immune globulin inj HCPCS J2790 | $111.13 | $374.00 | $45.48 – $224.92 | 14 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $84.49 – $236.92 | 7 |
| R hrt cath chd abnl nt cnj CPT 93594 | $4,457.77 | $7,159.00 | $182.97 – $7,429.62 | 22 |
| R hrt cath chd nml nt cnj CPT 93593 | $4,457.77 | $7,159.00 | $118.64 – $7,429.62 | 22 |
| Rhythm ecg with report CPT 93040 | $20.92 | $54.00 | $9.22 – $24.70 | 18 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $143.75 | $309.00 | $8.09 – $239.59 | 22 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $143.75 | $414.00 | $9.59 – $243.88 | 22 |
| Rib cartilage graft CPT 21230 | $8,139.99 | $2,420.00 | $420.68 – $13,566.64 | 20 |
| Rib gusset (elastic) each HCPCS L1280 | $148.20 | not published | $98.80 – $212.28 | 16 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | $2,280.00 | not published | $2,325.60 – $5,542.74 | 6 |
| Rib X-ray (3 views, both sides) CPT 71110 | $143.75 | $363.00 | $8.52 – $239.59 | 22 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $0.21 | $540.68 | $0.09 – $399.97 | 14 |
| Right heart cath congenital CPT 93530 | not published | not published | $1,029.74 – $1,029.74 | 1 |
| Right ventric recording CPT 93603 | $1,674.16 | $5,373.00 | $31.00 – $3,599.91 | 22 |
| Rilonacept injection HCPCS J2793 | not published | not published | $27.64 – $68.62 | 4 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | $10.02 | not published | $4.51 – $14.36 | 15 |
| Ring flange plas/leather mol HCPCS L1110 | $540.01 | not published | $360.01 – $773.53 | 16 |
| Ring flange plastic/leather HCPCS L1100 | $322.08 | not published | $214.72 – $461.35 | 16 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,155.09 | $1,515.00 | $498.00 – $1,129.98 | 18 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | $10.02 | not published | $5.05 – $14.36 | 16 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $20.61 | $31,946.06 | $7.81 – $27,494.40 | 22 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | $51.52 | $38.00 | $4.00 – $85.86 | 18 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $15.43 | $3,877.01 | $5.85 – $834.45 | 22 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $103.18 | $14,142.80 | $39.10 – $2,472.70 | 22 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $50.89 | $22,598.27 | $19.29 – $17,007.04 | 22 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $41.60 | $12,733.25 | $15.77 – $2,186.59 | 22 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $28.84 | not published | $10.93 – $90.51 | 19 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $18.31 | $10,802.00 | $6.94 – $1,853.64 | 22 |
| R & l heart cath congenital CPT 93531 | not published | not published | $2,136.21 – $2,136.21 | 1 |
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.