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 |
|---|---|---|---|---|
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $36.56 | not published | $13.85 – $85.56 | 17 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $37.33 | not published | $14.15 – $82.25 | 17 |
| Screen cerv/vag thin layer HCPCS G0123 | $27.96 | $137.00 | $10.60 – $91.79 | 21 |
| Screen c/v thin layer by md HCPCS G0124 | $32.76 | $98.00 | $11.78 – $45.54 | 16 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $1,278.72 | $1,392.00 | $105.22 – $2,131.20 | 22 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $1,278.72 | $975.00 | $105.01 – $2,131.20 | 22 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $24.91 | $35.00 | $3.38 – $20.58 | 18 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $39.01 | not published | $14.79 – $61.06 | 16 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $63.96 | $229.00 | $24.24 – $176.56 | 21 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $33.23 | not published | $12.59 – $52.01 | 16 |
| Screening Mammogram CPT 77067 | $121.76 | $393.00 | $22.37 – $288.35 | 22 |
| Screening pap smear by phys HCPCS P3001 | $32.76 | not published | $22.36 – $58.32 | 8 |
| Screening prostate cancer PSA HCPCS G0103 | $26.65 | $124.00 | $10.10 – $83.08 | 21 |
| Screen pap by tech w md supv HCPCS P3000 | $25.59 | not published | $9.70 – $40.05 | 17 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $17.00 | $32.00 | $0.01 – $21.44 | 15 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | not published | $57,162.00 | $3.11 – $8.92 | 11 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $143.75 | $717.00 | $18.96 – $446.89 | 22 |
| Sc ther infusion reset pump CPT 96371 | $99.00 | not published | $37.52 – $193.76 | 19 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $1,186.29 | $2,760.00 | $510.35 – $4,973.64 | 19 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $332.98 | $6,446.00 | $138.88 – $4,318.82 | 21 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $8.28 | $293.00 | $3.41 – $225.90 | 20 |
| Sedimentation rate erythrocyte automated CPT 85652 | $3.73 | $19.00 | $1.41 – $12.73 | 21 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,468.96 – $6,465.78 | 6 |
| Segmentectomy 32484 CPT 32484 | $2,048.20 | $4,890.00 | $862.86 – $8,777.25 | 19 |
| Select picture audiometry CPT 92583 | $81.12 | not published | $30.74 – $190.08 | 19 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | $1.55 | not published | $0.63 – $2.22 | 16 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $44.20 | $118.00 | $16.75 – $163.00 | 22 |
| Self-meas bp 2 readg bid 30d CPT 99474 | $11.30 | not published | $7.94 – $29.15 | 3 |
| Self-meas bp pt educaj/train CPT 99473 | $39.77 | not published | $12.83 – $66.29 | 19 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $43.95 | $24.00 | $4.20 – $163.00 | 16 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $43.95 | $14.00 | $4.20 – $163.00 | 16 |
| Semen analysis HCPCS G0027 | $8.97 | not published | $3.40 – $10.60 | 17 |
| Semen analysis presence/motility CPT 89321 | $16.63 | $80.00 | $6.30 – $53.60 | 21 |
| Semen analysis w/count CPT 89310 | $11.88 | not published | $4.50 – $18.21 | 17 |
| Sensorimotor examination CPT 92060 | $81.12 | $202.00 | $18.58 – $135.34 | 22 |
| Sensorineural acuity lvl tst CPT 92575 | $51.36 | not published | $19.47 – $236.25 | 20 |
| Separate eyelid adhesions CPT 68340 | $3,269.14 | $1,645.00 | $227.27 – $5,448.56 | 22 |
| Sept9 promoter methylation analysis CPT 81327 | $264.96 | $85.00 | $34.00 – $414.72 | 20 |
| Sequestrectomy olecrn proces CPT 24138 | $9,977.57 | $2,220.00 | $421.53 – $16,629.28 | 20 |
| Sequestrectomy radial h/n CPT 24136 | $4,499.12 | $2,090.00 | $382.97 – $7,498.53 | 20 |
| Sequestrectomy shft/dstl hum CPT 24134 | $9,977.57 | $2,460.00 | $448.37 – $16,629.28 | 20 |
| Serial casting application 97139app CPT 97139 | not published | not published | $0.01 – $39.57 | 4 |
| Serial tonometry CPT 92100 | $36.31 | $189.00 | $16.61 – $126.63 | 21 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $0.02 – $4.01 | 6 |
| Serpina1 gene CPT 81332 | $60.24 | not published | $22.83 – $94.28 | 16 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $0.02 – $137.98 | 4 |
| Set radiation therapy field CPT 77280 | $184.82 | $748.00 | $23.64 – $559.44 | 22 |
| Set radiation therapy field CPT 77285 | $514.85 | $1,274.00 | $35.57 – $942.39 | 22 |
| Set radiation therapy field CPT 77290 | $514.85 | $1,756.00 | $52.19 – $1,176.52 | 22 |
| Set-up cardiovert-defibrill CPT 93745 | $422.32 | $918.00 | $34.62 – $707.78 | 22 |
| Set up port xray equipment HCPCS Q0092 | $34.58 | not published | $18.99 – $64.77 | 6 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.17 | 4 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.05 – $0.51 | 4 |
| Sever cranial nerve CPT 64771 | $2,685.07 | $1,950.00 | $356.35 – $4,475.11 | 20 |
| Sewhfo airplane without jnts cf HCPCS L3976 | $2,593.25 | not published | $1,728.84 – $3,714.67 | 15 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | $3,061.71 | not published | $2,041.14 – $4,385.71 | 15 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | $2,906.28 | not published | $1,937.52 – $4,163.07 | 15 |
| Sewhfo cap design without jnt cf HCPCS L3975 | $2,593.25 | not published | $1,728.84 – $3,714.67 | 15 |
| Sewho airplane without jnts cf HCPCS L3967 | $3,061.71 | not published | $2,041.14 – $4,385.71 | 15 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | $3,061.71 | not published | $2,041.14 – $4,385.71 | 15 |
| Sewho cap design without jnts cf HCPCS L3961 | $2,593.25 | not published | $1,728.84 – $3,714.67 | 15 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | $2,906.28 | not published | $1,937.52 – $4,163.07 | 15 |
| Sewho erbs palsey design abd HCPCS L3962 | $1,113.38 | not published | $742.26 – $1,594.85 | 16 |
| Sex chromatin identification CPT 88130 | $24.81 | $25.00 | $9.15 – $20.51 | 18 |
| Sex chromatin identification CPT 88140 | $11.03 | not published | $4.18 – $16.74 | 17 |
| Sex transformation f to m CPT 55980 | $4,846.99 | not published | $1,836.94 – $8,078.31 | 17 |
| Sex transformation m to f CPT 55970 | $6,878.55 | not published | $2,606.87 – $11,464.26 | 17 |
| Sf3b1 gene common variants CPT 81347 | $266.69 | $1,048.00 | $101.07 – $808.01 | 20 |
| Sgmdsc w/band ligation CPT 45350 | $1,645.43 | $2,148.00 | $58.58 – $2,742.38 | 22 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $275.88 | $155.00 | $23.22 – $459.79 | 22 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $275.88 | $214.00 | $32.38 – $459.79 | 22 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $558.97 | $251.00 | $38.55 – $931.62 | 22 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $558.97 | $330.00 | $49.20 – $931.62 | 22 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $275.88 | $148.00 | $20.87 – $459.79 | 22 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $275.88 | $212.00 | $25.99 – $459.79 | 22 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $275.88 | $251.00 | $32.80 – $459.79 | 22 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $558.97 | $266.00 | $38.13 – $931.62 | 22 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $558.97 | $148.00 | $17.68 – $931.62 | 22 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $275.88 | $187.00 | $26.63 – $459.79 | 22 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $275.88 | $212.00 | $30.89 – $459.79 | 22 |
| Sheath above knee HCPCS L8410 | $35.00 | not published | $23.33 – $50.13 | 16 |
| Sheath below knee HCPCS L8400 | $26.59 | not published | $17.73 – $38.09 | 16 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | not published | $8,985.00 | $936.00 – $2,405.52 | 11 |
| Sheath upper limb HCPCS L8415 | $36.21 | not published | $24.14 – $51.88 | 16 |
| Shigella antibody CPT 86771 | $33.78 | not published | $12.80 – $39.90 | 17 |
| Shlder disart int lock elbow HCPCS L6300 | $7,542.67 | not published | $5,028.44 – $10,804.40 | 16 |
| Shldr disar prosth tiss shap HCPCS L6550 | $7,686.20 | not published | $5,124.13 – $11,010.01 | 16 |
| Shldr disartic myoelectronic HCPCS L6965 | $25,538.79 | not published | $17,025.86 – $36,582.74 | 16 |
| Sho arthrs dx +- synovial bx CPT 29805 | $4,499.12 | $1,550.00 | $286.27 – $7,498.53 | 20 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $9,977.57 | $2,980.00 | $538.04 – $16,629.28 | 19 |
| Sho arthrs srg capsulorraphy CPT 29806 | $9,977.57 | $3,520.00 | $620.47 – $16,629.28 | 20 |
| Sho arthrs srg compl synvct CPT 29821 | $4,499.12 | $1,910.00 | $355.50 – $7,498.53 | 20 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $4,499.12 | $1,850.00 | $329.09 – $7,498.53 | 20 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $4,499.12 | $1,880.00 | $352.94 – $7,498.53 | 20 |
| Sho arthrs srg prtl synvct CPT 29820 | $9,977.57 | $1,740.00 | $319.93 – $16,629.28 | 20 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $4,499.12 | $1,930.00 | $350.81 – $7,498.53 | 20 |
| Sho arthrs srg rpr slap les CPT 29807 | $9,977.57 | $3,440.00 | $607.05 – $16,629.28 | 20 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $4,499.12 | $2,020.00 | $356.35 – $7,498.53 | 20 |
| Shoe clubfoot wedge HCPCS L3380 | $84.12 | not published | $41.86 – $120.49 | 16 |
| Shoe dennis browne splint bo HCPCS L3640 | $73.36 | not published | $48.91 – $105.09 | 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.