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 |
|---|---|---|---|---|
| Strapping of hand or finger CPT 29280 | $81.12 | $110.00 | $10.86 – $135.19 | 22 |
| Strapping of hip CPT 29520 | $182.95 | $165.00 | $9.80 – $304.91 | 22 |
| Strapping of knee CPT 29530 | $182.95 | $163.00 | $9.80 – $304.91 | 22 |
| Strapping of toes 29550 CPT 29550 | $81.12 | $110.00 | $6.18 – $135.19 | 22 |
| Strep a ag ia CPT 87430 | $23.20 | $83.00 | $8.79 – $55.61 | 21 |
| Strep a dna dir probe CPT 87650 | $27.67 | not published | $10.49 – $32.68 | 17 |
| Strep a dna quant CPT 87652 | $57.63 | not published | $21.84 – $68.07 | 16 |
| Strep b assay w/optic CPT 87802 | $17.57 | not published | $6.66 – $21.16 | 17 |
| Strep b dna amp probe CPT 87653 | $48.42 | $237.00 | $18.35 – $165.65 | 21 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $79.69 – $208.69 | 4 |
| Streptokinase antibody CPT 86590 | $17.47 | not published | $9.90 – $20.64 | 16 |
| Streptomycin injection HCPCS J3000 | $46.75 | $230.00 | $19.13 – $198.26 | 14 |
| Streptozocin injection HCPCS J9320 | not published | not published | $289.33 – $2,707.29 | 7 |
| Stress test pulmonary CPT 94618 | $182.95 | $437.00 | $9.58 – $336.93 | 22 |
| Stress tte complete CPT 93351 | $751.34 | $265.00 | $51.76 – $1,252.24 | 19 |
| Str markers spec anal addl CPT 81266 | $420.64 | $1,506.00 | $159.42 – $1,161.13 | 21 |
| Str markers specimen anal CPT 81265 | $321.64 | $1,447.00 | $121.90 – $1,115.64 | 21 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $970.61 | $382.00 | $70.93 – $1,617.68 | 20 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $477.20 | $1,250.00 | $293.93 – $690.40 | 19 |
| Subq njx filling matrl 1cc/< CPT 11950 | $275.88 | $155.00 | $28.33 – $459.79 | 22 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $1,016.25 | $190.00 | $55.81 – $1,693.74 | 22 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $149.14 | $390.00 | $91.86 – $214.50 | 19 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $143.63 | $375.00 | $88.47 – $287.09 | 19 |
| Subsequent repair of nerve CPT 64872 | $149.63 | $396.00 | $63.47 – $715.95 | 19 |
| Subtalar arthro w/deb CPT 29906 | $4,499.12 | $2,220.00 | $399.16 – $7,498.53 | 19 |
| Subtalar arthro w/exc CPT 29905 | $9,977.57 | $1,650.00 | $304.59 – $16,629.28 | 19 |
| Subtalar arthro w/fb rmvl CPT 29904 | $4,499.12 | $2,070.00 | $384.04 – $7,498.53 | 19 |
| Subtalar arthro w/fusion CPT 29907 | $17,653.66 | $2,890.00 | $522.92 – $29,422.77 | 19 |
| Subtemporal cranial dcmprn CPT 61340 | $2,208.33 | $5,010.00 | $910.58 – $8,996.88 | 19 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | not published | $93.27 | $0.82 – $13.79 | 13 |
| Suction lipectomy head&neck CPT 15876 | $4,872.75 | $3,500.00 | $217.36 – $8,121.25 | 20 |
| Suction lipectomy lwr extrem CPT 15879 | $4,872.75 | $3,500.00 | $217.36 – $8,121.25 | 20 |
| Suction lipectomy trunk CPT 15877 | $4,872.75 | $3,500.00 | $217.36 – $8,121.25 | 20 |
| Suction lipectomy upr extrem CPT 15878 | $2,837.09 | $1,700.00 | $217.36 – $4,728.48 | 20 |
| Suction socket HCPCS L6686 | $1,165.12 | not published | $776.75 – $1,668.97 | 16 |
| Suction susp ak/knee disart HCPCS L5652 | $736.58 | not published | $491.05 – $1,055.09 | 16 |
| Sugars multiple quant CPT 84379 | $15.91 | not published | $9.41 – $39.94 | 16 |
| Sugars single quant CPT 84378 | $15.91 | not published | $9.41 – $41.90 | 16 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | not published | $62,848.82 | $10.50 – $30.17 | 12 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.05 | $117.86 | $0.02 – $20.52 | 14 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | $36.00 | $0.02 – $35.61 | 12 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | $152.00 | $10.58 – $85.71 | 13 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | $4.79 | not published | $3.19 – $6.82 | 16 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $64.39 | not published | $3.17 – $107.32 | 20 |
| Supply of digital device HCPCS G0552 | $183.07 | not published | $69.38 – $429.82 | 16 |
| Supp non-insulin inf cath/wk HCPCS A4221 | $35.70 | not published | $23.80 – $50.79 | 16 |
| Support clav 29.6-40.5in med HCPCS L3650 | $111.23 | not published | $74.15 – $159.33 | 16 |
| Supprelin la implant HCPCS J9226 | $59,595.77 | not published | $22,585.93 – $99,326.28 | 20 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $66.18 – $113.40 | 3 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $57.34 – $99.29 | 3 |
| Surg dx exam anorectal CPT 45990 | $3,816.64 | $358.00 | $63.47 – $6,361.06 | 20 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $1,129.75 | $2,730.00 | $468.60 – $4,825.81 | 19 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | $1,131.31 | $2,730.00 | $468.81 – $4,840.58 | 19 |
| Surgery for urethra pouch CPT 53240 | $4,846.99 | $1,380.00 | $250.06 – $8,078.31 | 20 |
| Surgery of pancreatic cyst CPT 48500 | $1,640.14 | $3,930.00 | $696.30 – $6,916.62 | 19 |
| Surgery to stop leg growth CPT 27475 | $9,977.57 | $2,190.00 | $400.01 – $16,629.28 | 20 |
| Surgery to stop leg growth CPT 27477 | $9,977.57 | $2,430.00 | $438.35 – $16,629.28 | 20 |
| Surgery to stop leg growth CPT 27479 | $9,977.57 | $3,060.00 | $541.66 – $16,629.28 | 20 |
| Surgery to stop leg growth CPT 27485 | $9,977.57 | $2,220.00 | $403.85 – $16,629.28 | 20 |
| Surgical exposure prostate 55860 CPT 55860 | $7,372.68 | $2,860.00 | $501.19 – $12,287.80 | 20 |
| Surgical opening esophagus CPT 43351 | $1,913.16 | $4,420.00 | $813.45 – $8,443.56 | 19 |
| Surgical opening esophagus CPT 43352 | $1,550.00 | $3,640.00 | $659.45 – $6,557.62 | 19 |
| Surgical opening of stomach CPT 43510 | $1,358.04 | $3,230.00 | $472.65 – $2,078.56 | 20 |
| Surgical opening of stomach 43500 CPT 43500 | $1,129.36 | $2,670.00 | $479.46 – $4,806.76 | 19 |
| Surgical opening of throat CPT 42955 | $2,133.48 | $2,460.00 | $442.49 – $3,555.80 | 20 |
| Surgical pathology level 1 gross examination only CPT 88300 | $39.77 | $86.00 | $2.35 – $66.29 | 22 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $51.36 | $157.00 | $3.56 – $105.19 | 22 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $71.65 | $222.00 | $5.79 – $148.74 | 22 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $71.65 | $243.00 | $17.16 – $119.42 | 22 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $492.88 | $748.00 | $41.56 – $821.47 | 22 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,107.84 | $975.00 | $72.69 – $1,846.39 | 22 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $1,918.66 | $4,600.00 | $808.97 – $8,238.68 | 19 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | $2,158.03 | $5,180.00 | $907.59 – $9,210.22 | 19 |
| Surgical revision intestine CPT 44680 | $1,528.29 | $3,660.00 | $643.69 – $6,532.23 | 19 |
| Surgical trays HCPCS A4550 | not published | not published | $29.74 – $74.77 | 3 |
| Surgigraft, 1 sq cm HCPCS Q4183 | $171.12 | not published | $66.49 – $228.16 | 14 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $3,816.64 | $1,360.00 | $272.21 – $6,361.06 | 20 |
| Susceptibility agar dilution per agent CPT 87181 | $6.56 | $32.00 | $2.48 – $20.74 | 21 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $6.56 | $32.00 | $2.48 – $21.44 | 21 |
| Susceptibility mic per plate CPT 87186 | $11.94 | $91.15 | $4.52 – $38.19 | 21 |
| Suscept studies macrobroth dilution ea CPT 87188 | $9.16 | $45.00 | $3.47 – $30.15 | 21 |
| Suspend bowel w/prosthesis CPT 44700 | $1,351.05 | $3,370.00 | $584.47 – $6,228.14 | 19 |
| Suspension of testis CPT 54620 | $4,846.99 | $980.00 | $173.81 – $8,078.31 | 20 |
| Suspension of uterus CPT 58410 | $1,059.58 | $2,580.00 | $459.44 – $4,842.68 | 19 |
| Suspension of uterus 58400 CPT 58400 | $602.56 | $1,430.00 | $265.19 – $2,644.16 | 19 |
| Suspension sleeve lower ext HCPCS L2397 | $207.00 | not published | $138.00 – $296.52 | 16 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $1,468.40 | $3,610.00 | $621.53 – $6,479.44 | 19 |
| Suture bile duct injury 47900 CPT 47900 | $1,958.21 | $4,680.00 | $827.72 – $8,392.88 | 19 |
| Svc venogram s&i CPT 75827 | $2,164.52 | $1,301.00 | $33.65 – $3,607.53 | 22 |
| Swallowing Evaluation (Bedside) CPT 92610 | $79.38 | $396.00 | $39.10 – $265.32 | 22 |
| Swallowing Therapy Session CPT 92526 | $114.58 | $268.00 | $50.29 – $206.79 | 22 |
| Sweat collection by iontophoresis CPT 89230 | $71.65 | not published | $2.86 – $119.42 | 20 |
| Symes ankle without (sach) foot HCPCS L5703 | $4,287.00 | not published | $2,858.00 – $6,140.86 | 15 |
| Symes met fr leath socket ar HCPCS L5060 | $5,739.64 | not published | $3,826.43 – $8,221.69 | 16 |
| Symes type medial opening so HCPCS L5636 | $437.34 | not published | $291.56 – $626.46 | 16 |
| Symes type poster opening so HCPCS L5634 | $572.18 | not published | $381.45 – $819.61 | 16 |
| Symes type ptb brim design s HCPCS L5632 | $457.53 | not published | $305.02 – $655.38 | 16 |
| Syme typ expandabl wall sckt HCPCS L5630 | $932.89 | not published | $621.93 – $1,336.30 | 16 |
| Sympathectomy cervical CPT 64802 | $2,685.07 | $2,940.00 | $560.62 – $4,475.11 | 20 |
| Sympathectomy digital artery CPT 64820 | $2,685.07 | $2,340.00 | $446.02 – $4,475.11 | 20 |
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.