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 |
|---|---|---|---|---|
| Shoe heel new leather standa HCPCS L3455 | $69.03 | not published | $24.98 – $98.88 | 16 |
| Shoe heel new rubber standar HCPCS L3460 | $58.26 | not published | $34.09 – $83.45 | 16 |
| Shoe heel pad & depress for HCPCS L3480 | $105.67 | not published | $33.31 – $151.36 | 16 |
| Shoe heel sach cushion type HCPCS L3450 | $178.97 | not published | $119.31 – $256.37 | 16 |
| Shoe heel thomas extend to b HCPCS L3470 | $105.67 | not published | $70.44 – $151.36 | 16 |
| Shoe heel thomas with wedge HCPCS L3465 | $99.28 | not published | $41.86 – $142.21 | 16 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $138.07 | $113.00 | $45.20 – $130.07 | 19 |
| Shoe metatarsal bar between HCPCS L3410 | $157.44 | not published | $93.71 – $225.52 | 16 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | $69.03 | not published | $46.02 – $98.88 | 16 |
| Shoe outflare wedge HCPCS L3390 | $84.12 | not published | $56.08 – $120.49 | 16 |
| Shoe post-op mens m HCPCS L3260 | not published | not published | $18.65 – $120.98 | 5 |
| Shoe sole wedge between sole HCPCS L3370 | $84.12 | not published | $49.98 – $120.49 | 16 |
| Shoe sole wedge outside sole HCPCS L3360 | $60.39 | not published | $40.26 – $86.50 | 16 |
| Shoe wedge sach HCPCS L3340 | $144.54 | not published | $83.30 – $207.05 | 16 |
| Sho heel count plast reinfor HCPCS L3430 | $271.78 | not published | $66.63 – $389.31 | 16 |
| Sho insert w arch toe filler HCPCS L5000 | $973.88 | not published | $649.25 – $1,395.02 | 16 |
| Sho lift taper to metatarsal HCPCS L3300 | $88.46 | not published | $58.97 – $126.70 | 16 |
| Shortening of hand tendon CPT 26479 | $4,499.12 | $1,980.00 | $431.11 – $7,498.53 | 20 |
| Shortening of thigh bone CPT 27465 | $9,977.57 | $4,180.00 | $824.95 – $7,501.62 | 19 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,293.72 – $8,181.70 | 6 |
| Shorten radius or ulna CPT 25390 | $9,977.57 | $2,520.00 | $449.43 – $16,629.28 | 20 |
| Shorten radius & ulna CPT 25392 | $9,977.57 | $3,230.00 | $595.76 – $16,629.28 | 20 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $99.00 | $76.00 | $6.91 – $32.47 | 22 |
| Shoulder abduction joint pai HCPCS L6640 | $572.12 | not published | $381.41 – $819.53 | 16 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $119.66 | $315.00 | $5.96 – $177.55 | 22 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $9,977.57 | $3,460.00 | $622.60 – $16,629.28 | 20 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $143.75 | $325.00 | $5.75 – $184.25 | 22 |
| Shoulder flexion-abduction j HCPCS L6645 | $618.72 | not published | $412.48 – $886.28 | 16 |
| Shoulder harness HCPCS L5699 | $346.52 | not published | $231.01 – $496.37 | 16 |
| Shoulder lock actuator HCPCS L6647 | $882.36 | not published | $588.24 – $1,263.92 | 16 |
| Shoulder MRI (with and without contrast) CPT 73223 | $479.72 | $4,579.00 | $63.47 – $3,067.93 | 22 |
| Shoulder MRI (with contrast) CPT 73222 | $1,077.92 | $3,760.00 | $47.93 – $2,519.20 | 22 |
| Shoulder MRI (without contrast) CPT 73221 | $328.08 | $2,940.00 | $40.26 – $1,969.80 | 22 |
| Shoulder prosthesis removal CPT 23334 | $9,977.57 | $3,550.00 | $622.39 – $16,629.28 | 19 |
| Shoulder prosthesis removal CPT 23335 | $9,977.57 | $4,250.00 | $732.29 – $7,793.11 | 18 |
| Shoulder universal joint HCPCS L6650 | $671.08 | not published | $447.39 – $961.27 | 16 |
| Shoulder X-ray CPT 73030 | $119.66 | $261.00 | $5.75 – $141.37 | 22 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $119.66 | $208.00 | $4.69 – $105.86 | 22 |
| Shrinker prosth above knee HCPCS L8460 | $112.59 | $59.00 | $23.60 – $106.07 | 19 |
| Shrinker prosth below knee HCPCS L8440 | $79.21 | not published | $52.81 – $113.46 | 16 |
| Shrinker upper limb HCPCS L8465 | $104.07 | not published | $69.38 – $149.07 | 16 |
| Shunt as-aort to pulm art CPT 33755 | $1,900.89 | $4,520.00 | $804.93 – $8,452.03 | 19 |
| Shunt central w/prostc graft CPT 33764 | $1,900.89 | $4,520.00 | $804.93 – $8,097.24 | 19 |
| Shunt desc aorta to pulm art CPT 33762 | $1,833.73 | $4,410.00 | $772.76 – $8,270.40 | 19 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | not published | $7,200.00 | $540.00 – $1,551.60 | 11 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $143.75 | $550.00 | $14.91 – $368.50 | 22 |
| Shunt subclavian to pulm art CPT 33750 | $1,805.33 | $4,340.00 | $761.05 – $8,141.54 | 19 |
| Shunt supr v/c p-art 1 lung CPT 33766 | $1,903.39 | $4,590.00 | $801.73 – $8,604.09 | 19 |
| Shunt supr v/c p-art bth lng CPT 33767 | $2,029.39 | $4,900.00 | $853.92 – $8,756.10 | 19 |
| Sialidase enzyme assay CPT 87905 | $16.86 | not published | $6.39 – $19.92 | 16 |
| Sialography s&i CPT 70390 | $328.08 | $788.00 | $11.08 – $546.80 | 22 |
| Sialolithotomy 42330 CPT 42330 | $4,558.89 | $530.00 | $95.85 – $7,598.14 | 22 |
| Sickling rbc CPT 85660 | $7.60 | $38.00 | $2.88 – $25.46 | 21 |
| Sigmoidoscopy and biopsy CPT 45331 | $1,278.72 | $846.00 | $42.60 – $2,131.20 | 22 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $1,278.72 | $2,148.00 | $63.69 – $2,131.20 | 22 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,645.43 | $2,148.00 | $67.52 – $2,742.38 | 22 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $1,278.72 | $2,148.00 | $39.83 – $2,131.20 | 22 |
| Sigmoidoscopy w/ablation CPT 45346 | $1,645.43 | $2,016.00 | $91.38 – $2,742.38 | 22 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,645.43 | $2,148.00 | $61.13 – $2,742.38 | 22 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $8,347.72 | $2,148.00 | $87.12 – $13,912.86 | 22 |
| Sigmoidoscopy w/resection CPT 45349 | $3,816.64 | $2,148.00 | $111.83 – $6,361.06 | 22 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,645.43 | $2,148.00 | $69.44 – $2,742.38 | 22 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $1,278.72 | $2,148.00 | $71.14 – $2,148.00 | 22 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $1,645.43 | $560.00 | $96.70 – $2,742.38 | 20 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $1,278.72 | $975.00 | $55.17 – $2,131.20 | 22 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $81.12 | $315.00 | $7.88 – $211.05 | 22 |
| Sig w/tndsc balloon dilation CPT 45340 | $1,645.43 | $2,318.00 | $46.22 – $2,742.38 | 22 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.45 – $49.07 | 5 |
| Silicon gel insert w/wo lock HCPCS L6692 | $1,086.79 | not published | $724.53 – $1,556.77 | 16 |
| Sim ang w/prs cath rad emb HCPCS C8004 | $15,873.70 | not published | $6,168.38 – $21,164.93 | 13 |
| Simple cystometrogram 51725 CPT 51725 | $343.55 | $246.00 | $48.56 – $572.59 | 22 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $151.98 | $414.89 | $62.20 – $341.69 | 14 |
| Single energy x-ray study HCPCS G0130 | $143.75 | not published | $23.99 – $239.59 | 19 |
| Single pivot hinge pair HCPCS L6605 | $396.72 | not published | $264.48 – $568.27 | 16 |
| Single transfer toe-hand CPT 26553 | $9,977.57 | $10,860.00 | $1,884.41 – $17,098.34 | 19 |
| Sinus CT scan (with and without contrast) CPT 70488 | $241.18 | $2,121.00 | $37.28 – $1,421.07 | 22 |
| Sinus CT scan (with contrast) CPT 70487 | $241.18 | $1,679.00 | $33.23 – $1,124.93 | 22 |
| Sinus CT scan (without contrast) CPT 70486 | $143.75 | $1,458.00 | $25.35 – $976.86 | 22 |
| Sinus/juglr venogram s&i CPT 75860 | $4,341.66 | $1,392.00 | $34.08 – $7,236.10 | 22 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $4,558.89 | $1,150.00 | $208.53 – $7,598.14 | 20 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $8,139.99 | $1,850.00 | $351.88 – $13,566.64 | 20 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $8,139.99 | $1,560.00 | $304.16 – $13,566.64 | 20 |
| Sinus X-ray (complete) CPT 70220 | $119.66 | $312.00 | $6.60 – $175.54 | 22 |
| Sinus X-ray (limited) CPT 70210 | $119.66 | $272.00 | $5.33 – $148.74 | 22 |
| Sio flex pelvisacral custom HCPCS L0622 | $453.30 | not published | $302.20 – $649.33 | 15 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $160.65 | not published | $33.42 – $228.55 | 16 |
| Sipuleucel-t - su HCPCS Q2043 | $75,077.67 | $187,857.50 | $28,453.35 – $161,890.07 | 22 |
| Sirolimus, oral HCPCS J7520 | $1.34 | $1,810.22 | $0.55 – $11.64 | 14 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $120.21 | $25,813.10 | $45.56 – $22,207.79 | 22 |
| Six volt bat otto bock/eq ea HCPCS L7360 | $449.55 | not published | $299.70 – $643.95 | 16 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $0.02 – $105.13 | 4 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $0.02 – $220.77 | 3 |
| Skin and muscle repair face CPT 15845 | $4,872.75 | $3,220.00 | $617.06 – $8,121.25 | 20 |
| Skin barrier with flange HCPCS A4373 | $12.34 | not published | $4.89 – $17.66 | 16 |
| Skin Biopsy CPT 11102 | $558.97 | $201.00 | $19.17 – $1,075.00 | 22 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,837.09 | $2,200.00 | $385.96 – $4,728.48 | 22 |
| Skin full graft add-on 15241 CPT 15241 | $131.76 | $370.00 | $57.08 – $342.00 | 22 |
| Skin pedicle flap arms/legs CPT 15572 | $4,872.75 | $2,430.00 | $427.28 – $8,121.25 | 22 |
| Skin pedicle flap trunk CPT 15570 | $2,837.09 | $2,400.00 | $428.98 – $4,728.48 | 22 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $149.22 | $370.00 | $64.11 – $342.00 | 22 |
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.