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 |
|---|---|---|---|---|
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $4.46 – $9.46 | 3 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $4.76 | not published | $1.95 – $29.95 | 10 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | $781,813.20 | not published | $296,295.87 – $1,303,022.00 | 19 |
| Tis cgen car anomal 1st shnt CPT 33745 | $1,424.42 | $8,454.00 | $592.57 – $5,664.18 | 21 |
| Tis cgen car anomal ea addl CPT 33746 | $568.57 | $5,853.00 | $236.64 – $3,921.51 | 21 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | $207.62 | $1,341.00 | $86.05 – $1,075.00 | 22 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | $228.03 | $570.00 | $94.36 – $1,075.00 | 22 |
| Tis cltr skn agrft t/a/l add CPT 15151 | $149.65 | $380.00 | $62.20 – $1,075.00 | 22 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | $188.45 | $470.00 | $78.17 – $1,075.00 | 22 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $270.57 | $22,252.40 | $102.54 – $19,138.47 | 22 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $12.49 – $29.68 | 2 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $17.92 – $66.78 | 5 |
| Tissue culture placenta CPT 88235 | $207.41 | $991.00 | $78.61 – $322.54 | 21 |
| Tissue culture skin/biopsy CPT 88233 | $194.21 | $947.00 | $73.60 – $634.49 | 21 |
| Tissue culture tumor CPT 88239 | $203.58 | $993.00 | $77.15 – $665.31 | 21 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | $171.12 | not published | $117.80 – $228.16 | 11 |
| Tissue exam koh skin/hair/nails CPT 87220 | $5.89 | $29.00 | $2.23 – $19.43 | 21 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $171.12 | not published | $66.49 – $228.16 | 15 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $171.12 | not published | $66.49 – $228.16 | 14 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | not published | not published | $0.02 – $52.92 | 4 |
| Tissue transglutaminase iga CPT 86364 | $15.91 | not published | $6.03 – $18.79 | 16 |
| Tixagev and cilgav inj HCPCS M0220 | not published | not published | $172.93 – $231.79 | 2 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | $56.00 | $0.01 – $57.13 | 13 |
| Tlh uterus 250 g or less CPT 58570 | $14,616.42 | $2,550.00 | $463.70 – $24,360.70 | 19 |
| Tlh uterus over 250 g CPT 58572 | $14,616.42 | $3,360.00 | $603.00 – $24,360.70 | 19 |
| Tlh w/t/o 250 g or less CPT 58571 | $14,616.42 | $2,970.00 | $528.45 – $24,360.70 | 19 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $14,616.42 | $4,040.00 | $705.03 – $24,360.70 | 20 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $1,512.56 | not published | $1,008.38 – $2,166.66 | 16 |
| Tlso 2 piece rigid shell HCPCS L0491 | $1,302.50 | not published | $868.33 – $1,865.74 | 15 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $1,702.48 | $1,391.00 | $556.40 – $1,603.78 | 19 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $2,117.57 | $1,730.00 | $692.00 – $1,994.81 | 19 |
| Tlso 3 piece rigid shell HCPCS L0492 | $848.13 | not published | $565.42 – $1,214.90 | 15 |
| Tlso corset front HCPCS L0970 | $181.25 | not published | $120.83 – $259.62 | 16 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $315.55 | not published | $210.37 – $448.93 | 15 |
| Tlso full corset HCPCS L0974 | $296.37 | not published | $197.58 – $424.53 | 16 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $643.44 | not published | $428.96 – $921.69 | 16 |
| Tlso r fram soft pre ots HCPCS L0467 | $353.90 | not published | $235.93 – $503.49 | 15 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | $806.39 | not published | $537.59 – $1,155.10 | 16 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | $450.93 | not published | $300.62 – $641.53 | 15 |
| Tlso rigid frame pre subclav HCPCS L0470 | $1,115.85 | not published | $743.90 – $1,598.40 | 16 |
| Tlso rigid lined custom fab HCPCS L0482 | $2,861.42 | not published | $1,907.61 – $4,098.80 | 16 |
| Tlso rigid lined pre one pie HCPCS L0488 | $1,702.48 | not published | $1,134.99 – $2,438.69 | 16 |
| Tlso rigid plastic cust fab HCPCS L0484 | $3,090.19 | not published | $2,060.13 – $4,426.50 | 16 |
| Tlso rigid plastic custom fa HCPCS L0480 | $2,561.68 | not published | $1,707.79 – $3,669.44 | 16 |
| Tlso rigid plastic pre one HCPCS L0490 | $479.74 | not published | $319.83 – $2,202.72 | 16 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $588.18 | not published | $392.12 – $842.53 | 16 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | $3,386.85 | $8,170.00 | $1,423.27 – $14,599.89 | 19 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | $3,447.10 | $8,390.00 | $1,449.68 – $14,992.72 | 19 |
| Tnot opn elbw to sho ea tdn CPT 24310 | $4,499.12 | $1,520.00 | $282.01 – $7,498.53 | 20 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $56.43 – $98.65 | 3 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $2.86 | $255.50 | $1.17 – $9.43 | 14 |
| Tobramycin non-comp unit HCPCS J7682 | $17.21 | not published | $7.04 – $45.86 | 7 |
| Tobramycin peak therapeutic drug level CPT 80200 | $22.26 | $108.00 | $8.44 – $72.36 | 21 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $7.74 | $8,017.46 | $2.93 – $1,373.58 | 22 |
| Tocilizumab for covid-19 HCPCS Q0249 | $10.45 | not published | $4.27 – $21.70 | 7 |
| Toe joint transfer CPT 26556 | $9,977.57 | $11,280.00 | $1,964.07 – $20,623.16 | 19 |
| Toe X-ray (both feet) CPT 73660 | $119.66 | $279.00 | $4.05 – $153.43 | 22 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $16.91 | not published | $6.41 – $51.61 | 17 |
| Tomosynthesis breast screen bilateral CPT 77063 | $38.86 | $133.00 | $11.80 – $102.54 | 22 |
| Tone decay hearing test CPT 92563 | $51.36 | not published | $19.47 – $113.84 | 20 |
| Tongue and neck surgery CPT 41135 | $2,745.01 | $7,110.00 | $1,222.41 – $13,400.28 | 19 |
| Tongue base vol reduction CPT 41530 | $4,558.89 | $1,190.00 | $230.68 – $7,598.14 | 18 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $4,558.89 | $360.00 | $64.11 – $7,598.14 | 22 |
| Tongue jaw & neck surgery CPT 41155 | $3,763.81 | $9,890.00 | $1,666.51 – $18,587.25 | 19 |
| Tongue mouth jaw surgery CPT 41150 | $2,776.71 | $7,160.00 | $1,238.60 – $13,567.16 | 19 |
| Tongue mouth neck surgery CPT 41153 | $3,012.36 | $7,770.00 | $1,340.20 – $14,751.96 | 19 |
| Tongue removal neck surgery CPT 41145 | $3,456.80 | $8,990.00 | $1,540.84 – $17,068.78 | 19 |
| Tongue suspension CPT 41512 | $8,139.99 | $2,110.00 | $394.69 – $13,566.64 | 18 |
| Tongue to lip surgery CPT 41510 | $4,558.89 | $1,430.00 | $274.77 – $7,598.14 | 20 |
| Tonsillectomy (age 12+) CPT 42826 | $4,558.89 | $810.00 | $147.61 – $7,598.14 | 20 |
| Tonsillectomy (child under 12) CPT 42825 | $8,139.99 | $850.00 | $155.28 – $13,566.64 | 20 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $1.72 | $480.24 | $0.70 – $394.87 | 14 |
| Topotecan oral HCPCS J8705 | $172.62 | not published | $70.65 – $270.19 | 14 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $55.49 | $29,321.75 | $21.03 – $25,232.25 | 22 |
| Torsion ank & half solid sti HCPCS L2375 | $208.68 | not published | $139.12 – $298.92 | 16 |
| Torsion straight knee joint HCPCS L2380 | $218.87 | not published | $145.91 – $313.51 | 16 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | $1,873.17 | $4,620.00 | $801.31 – $8,331.63 | 19 |
| Total hip arthroplasty CPT 27132 | $17,653.66 | $5,580.00 | $959.14 – $19,040.00 | 19 |
| Total Hip Replacement CPT 27130 | $17,653.66 | $4,510.00 | $741.03 – $30,184.28 | 20 |
| Total hysterectomy CPT 58150 | $1,383.33 | $3,340.00 | $595.12 – $13,268.78 | 19 |
| Total Knee Replacement CPT 27447 | $17,653.66 | $4,510.00 | $739.32 – $29,434.36 | 20 |
| Total lung lavage CPT 32997 | $430.99 | $1,100.00 | $191.49 – $2,086.61 | 19 |
| Total ob care failed vbac 59618 CPT 59618 | $3,840.83 | $5,920.00 | $2,289.91 – $14,321.13 | 19 |
| Total tau CPT 84394 | $177.91 | not published | $17.27 – $210.14 | 15 |
| Tot contact ak/knee disart s HCPCS L5650 | $824.77 | not published | $549.85 – $1,181.43 | 16 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $24,109.66 | $5,700.00 | $970.64 – $40,182.77 | 19 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | $24,109.66 | $5,848.00 | $1,000.46 – $2,352.60 | 17 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | $525.24 | $5,848.00 | $219.60 – $532.85 | 17 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | $695.88 | $1,800.00 | $286.49 – $42,608.41 | 18 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | $4,181.97 | $10,240.00 | $1,759.38 – $15,664.35 | 19 |
| Tot estradiol response panel CPT 80415 | $77.13 | not published | $45.60 – $91.10 | 16 |
| Toxoplasma antibody igg CPT 86777 | $19.86 | $98.00 | $7.53 – $27.29 | 21 |
| Toxoplasma antibody igm CPT 86778 | $19.89 | $98.00 | $7.54 – $27.29 | 21 |
| Tp53 gene full gene sequence CPT 81351 | $885.75 | $3,172.00 | $335.69 – $2,445.61 | 21 |
| Tp53 gene known famil vrnt CPT 81353 | $425.04 | $1,789.00 | $161.08 – $1,379.32 | 21 |
| Tp53 gene trgt sequence alys CPT 81352 | $454.72 | $1,674.00 | $172.33 – $1,290.65 | 21 |
| Tpmt gene com vrnts CPT 81335 | $241.24 | $864.00 | $91.43 – $377.59 | 21 |
| Tprnl balo cntnc dev adjmt CPT 53454 | $343.55 | $746.00 | $44.17 – $572.59 | 17 |
| Tprnl balo cntnc dev bi CPT 53451 | $18,141.49 | $2,484.00 | $597.76 – $30,235.82 | 17 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | $4,846.99 | $1,980.00 | $161.38 – $8,078.31 | 17 |
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.