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 |
|---|---|---|---|---|
| Teflon or equal cable lining HCPCS L6665 | $77.80 | not published | $51.87 – $111.44 | 16 |
| Telavancin injection HCPCS J3095 | $10.17 | not published | $3.85 – $16.95 | 19 |
| Telehealth original site facility fee HCPCS Q3014 | not published | $165.00 | $12.90 – $42.16 | 14 |
| Telethx isodose plan cplx CPT 77307 | $514.85 | $1,176.00 | $91.38 – $906.70 | 22 |
| Telethx isodose plan simple CPT 77306 | $514.85 | $815.00 | $47.07 – $858.08 | 22 |
| Temozolomide HCPCS J8700 | $0.75 | not published | $0.27 – $1.16 | 9 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $14.35 | not published | $5.44 – $23.92 | 19 |
| Temperature gradient studies CPT 93740 | $176.93 | not published | $2.91 – $294.88 | 18 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $2,109.77 – $2,109.77 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $28.04 | $6,351.02 | $10.63 – $3,094.58 | 22 |
| Tendon lengthening CPT 26476 | $4,499.12 | $1,880.00 | $413.43 – $7,498.53 | 20 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $4,499.12 | $1,880.00 | $344.85 – $7,498.53 | 20 |
| Tendon shortening CPT 26477 | $4,499.12 | $1,830.00 | $391.49 – $7,498.53 | 20 |
| Tendon transfer with graft CPT 26492 | $4,499.12 | $2,840.00 | $575.53 – $7,498.53 | 20 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $258.02 | $24,896.78 | $97.79 – $21,461.02 | 22 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $784.05 – $4,074.66 | 3 |
| Tenodesis biceps tdn at elbw CPT 24340 | $9,977.57 | $2,010.00 | $372.11 – $16,629.28 | 20 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $4,499.12 | $4,716.00 | $385.74 – $7,498.53 | 22 |
| Tenolysis triceps CPT 24332 | $4,499.12 | $2,020.00 | $376.16 – $7,498.53 | 20 |
| Tenoplasty elbow to sho 1 CPT 24320 | $9,977.57 | $2,550.00 | $465.19 – $16,629.28 | 20 |
| Tenosynovectomy radic 26145 CPT 26145 | $2,211.05 | $3,572.00 | $310.55 – $3,685.08 | 22 |
| Tenotomy hip flexor open CPT 27005 | $4,499.12 | $2,380.00 | $429.83 – $4,390.74 | 19 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $4,499.12 | $960.00 | $176.58 – $7,498.53 | 20 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $2,211.05 | $770.00 | $147.40 – $3,685.08 | 22 |
| Tension based scoliosis orth HCPCS L1005 | $5,428.17 | not published | $3,618.78 – $7,775.52 | 15 |
| Tens suppl 2 lead per month HCPCS A4595 | $17.55 | not published | $11.70 – $61.37 | 16 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $3.41 | $64.10 | $1.40 – $14.65 | 14 |
| Teriparatide injection HCPCS J3110 | not published | not published | $28.21 – $134.45 | 5 |
| Term dev auto grasp feature HCPCS L6881 | $6,947.09 | not published | $4,631.39 – $9,951.27 | 15 |
| Term device, multi art digit HCPCS L6715 | $5,364.89 | not published | $469.56 – $7,684.87 | 15 |
| Term dev mech hand vol close HCPCS L6709 | $2,362.85 | not published | $1,575.23 – $3,384.64 | 15 |
| Term dev mech hand vol open HCPCS L6708 | $1,664.86 | not published | $1,109.91 – $2,384.80 | 15 |
| Term dev mech hook vol close HCPCS L6707 | $2,518.57 | not published | $1,679.05 – $3,607.68 | 15 |
| Term dev mech hook vol open HCPCS L6706 | $711.96 | not published | $474.64 – $1,019.82 | 15 |
| Term dev modifier wrist unit HCPCS L6805 | $651.72 | not published | $434.48 – $933.55 | 16 |
| Term dev, passive hand mitt HCPCS L6703 | $594.37 | not published | $396.24 – $851.38 | 15 |
| Term dev precision pinch dev HCPCS L6810 | $346.46 | not published | $230.98 – $496.29 | 16 |
| Term dev, sport/rec/work att HCPCS L6704 | $1,147.26 | not published | $764.84 – $1,643.39 | 15 |
| Tert gene targeted seq alys CPT 81345 | $255.58 | $916.00 | $96.86 – $706.24 | 21 |
| Test for chlorohydrocarbons CPT 82441 | $8.29 | not published | $4.90 – $27.82 | 16 |
| Test for porphobilinogen CPT 84106 | $8.03 | not published | $3.04 – $9.49 | 17 |
| Test for urine cystines CPT 82615 | $13.18 | not published | $4.99 – $17.37 | 17 |
| Testicular imaging w/vasc flow CPT 78761 | $549.70 | $1,598.00 | $20.87 – $1,070.66 | 22 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $107.24 – $171.63 | 3 |
| Testosterone response panel CPT 80414 | $71.26 | not published | $42.14 – $84.17 | 16 |
| Testosterone undecanoate 1mg HCPCS J3145 | $2.86 | not published | $1.08 – $4.76 | 19 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $81.12 | not published | $24.77 – $135.19 | 17 |
| Test sock elbw disart/above HCPCS L6682 | $577.82 | not published | $385.21 – $827.69 | 16 |
| Test socket above knee HCPCS L5624 | $678.42 | not published | $452.28 – $971.80 | 16 |
| Test socket below knee HCPCS L5620 | $503.76 | not published | $335.84 – $721.59 | 16 |
| Test socket hemipelvectomy HCPCS L5628 | $1,087.59 | not published | $725.06 – $1,557.91 | 16 |
| Test socket hip disarticulat HCPCS L5626 | $1,074.01 | not published | $716.01 – $1,538.46 | 16 |
| Test socket knee disarticula HCPCS L5622 | $678.67 | not published | $452.45 – $972.16 | 16 |
| Test socket shldr disart/tho HCPCS L6684 | $785.19 | not published | $523.46 – $1,124.73 | 16 |
| Test socket symes HCPCS L5618 | $567.77 | not published | $378.52 – $813.29 | 16 |
| Test sock wrist disart/bel e HCPCS L6680 | $522.62 | not published | $348.41 – $748.61 | 16 |
| Test stress cardiovascular tracing only CPT 93017 | $296.91 | $586.00 | $25.96 – $494.85 | 22 |
| Test urine for lactose CPT 83633 | $15.53 | not published | $4.49 – $18.34 | 17 |
| Test urine for porphyrins CPT 84119 | $18.44 | not published | $6.99 – $21.78 | 17 |
| Test urine urobilinogen CPT 84578 | $6.17 | not published | $2.34 – $7.29 | 17 |
| Tetanus ig im CPT 90389 | not published | not published | $557.92 – $1,842.43 | 7 |
| Tetanus immune globulin inj HCPCS J1670 | $812.19 | $1,971.98 | $307.81 – $1,695.54 | 22 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $24.59 | $13,108.39 | $9.32 – $11,298.14 | 22 |
| Tgfbi gene common variants CPT 81333 | $189.06 | not published | $71.65 – $295.92 | 15 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $1,048.15 | not published | $397.23 – $1,640.58 | 16 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $4,029.05 | $6,190.00 | $1,526.95 – $6,306.34 | 21 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $825.12 | not published | $312.71 – $1,291.49 | 16 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | $234.27 | not published | $15.55 – $390.45 | 17 |
| Thawing cryopresrved embryo CPT 89352 | $234.27 | $2,226.00 | $15.55 – $1,491.42 | 20 |
| Thawing cryopresrved oocyte CPT 89356 | $234.27 | $1,166.00 | $11.08 – $898.99 | 20 |
| Thawing cryopresrved sperm CPT 89353 | $71.65 | $222.00 | $15.55 – $171.16 | 20 |
| Thaw preserved stem cells CPT 38208 | $606.63 | $484.00 | $25.73 – $1,011.06 | 21 |
| Theophylline therapeutic drug level CPT 80198 | $19.51 | $95.00 | $7.40 – $63.65 | 21 |
| Therapeutic procd strg endur HCPCS G0237 | $39.77 | $78.00 | $8.49 – $66.29 | 21 |
| Therapeutic pulpotomy HCPCS D3220 | $888.94 | $300.00 | $74.35 – $1,481.57 | 17 |
| Therapy activation ipnss CPT 93150 | $130.73 | $166.00 | $23.22 – $217.88 | 21 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | not published | $118.00 | $35.40 – $90.98 | 11 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $47.75 | $118.00 | $18.10 – $163.00 | 22 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $39.76 | $118.00 | $15.07 – $79.06 | 22 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $36.32 | $65.00 | $17.90 – $60.15 | 21 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $31.00 | $55.00 | $14.99 – $53.69 | 21 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | $275.88 | $357.00 | $84.97 – $2,441.00 | 21 |
| Ther fx nasal inf turbinate CPT 30930 | $4,558.89 | $1,294.00 | $69.44 – $7,598.14 | 22 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $241.18 | $1,118.00 | $65.60 – $749.06 | 22 |
| Ther/proph/diag inj ia CPT 96373 | $292.48 | $228.00 | $12.57 – $487.46 | 22 |
| Ther radiology tx plng cplx CPT 77263 | $237.10 | $621.00 | $107.35 – $295.56 | 18 |
| Ther radiology tx plng intrm CPT 77262 | $149.91 | $397.00 | $68.37 – $200.22 | 18 |
| Ther radiology tx plng smpl CPT 77261 | $97.35 | $263.00 | $44.52 – $131.91 | 18 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $2.49 | $34.85 | $1.02 – $17.50 | 14 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $3.88 – $16.53 | 4 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $119.66 | $298.00 | $5.54 – $199.43 | 22 |
| Thigh/wght bear high roll cu HCPCS L2550 | $577.06 | not published | $384.71 – $826.60 | 16 |
| Thigh/wght bear lacer molded HCPCS L2540 | $769.63 | not published | $513.08 – $1,102.43 | 16 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $406.73 | not published | $271.15 – $582.61 | 16 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | $530.72 | not published | $353.81 – $760.23 | 16 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | $53.20 | not published | $21.77 – $83.06 | 4 |
| Thiotepa injection HCPCS J9340 | not published | not published | $221.75 – $635.55 | 5 |
| Thorabd diaphr hern repair CPT 43336 | $2,067.85 | $5,180.00 | $869.89 – $9,239.80 | 18 |
| Thorabd diaphr hern repair CPT 43337 | $2,201.03 | $5,270.00 | $925.27 – $9,959.93 | 18 |
| Thorac cont lat support upri HCPCS L2680 | $248.15 | not published | $165.43 – $355.45 | 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.