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 |
|---|---|---|---|---|
| Triptorelin pamoate HCPCS J3315 | $639.21 | not published | $242.25 – $1,519.07 | 20 |
| Trluml dil aq o/f can without st CPT 66174 | $5,683.61 | $2,970.00 | $344.63 – $9,472.69 | 19 |
| Trluml dil aq o/f can w/st CPT 66175 | $7,316.99 | $3,110.00 | $395.54 – $12,194.99 | 19 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $17,653.66 | $4,494.00 | $232.60 – $29,422.77 | 22 |
| Trml dstrj ios bvn ea addl CPT 64629 | $241.75 | $696.00 | $64.80 – $245.25 | 21 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $672.60 | $1,570.00 | $131.80 – $732.95 | 22 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $3,057.00 | $8,780.00 | $771.52 – $5,882.60 | 15 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $1,365.97 | $12,683.00 | $567.22 – $8,497.61 | 22 |
| Trnscath plc stnt ante carotid art CPT 37218 | $1,130.07 | $4,142.00 | $473.07 – $4,142.00 | 22 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $289.88 | $7,644.00 | $119.71 – $7,644.00 | 22 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $199.53 | $8,202.00 | $83.92 – $8,202.00 | 22 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $15,873.70 | $15,619.00 | $172.74 – $26,456.16 | 22 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $4,341.66 | $7,126.00 | $168.70 – $7,236.10 | 21 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $7,651.38 | $5,996.00 | $215.77 – $12,752.30 | 21 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $4,341.66 | $4,649.00 | $129.08 – $7,236.10 | 21 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $4,341.66 | $4,649.00 | $68.37 – $7,236.10 | 21 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $4,341.66 | $5,826.00 | $187.87 – $7,236.10 | 21 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $4,872.75 | $2,870.00 | $489.90 – $8,121.25 | 22 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $271.11 | $730.00 | $102.60 – $1,075.00 | 22 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $2,837.09 | $2,180.00 | $365.72 – $4,728.48 | 22 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $2,837.09 | $2,700.00 | $445.60 – $4,728.48 | 22 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $2,837.09 | $2,330.00 | $395.54 – $4,728.48 | 22 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $2,837.09 | $2,140.00 | $383.83 – $4,728.48 | 22 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $2,837.09 | $1,630.00 | $296.71 – $4,728.48 | 22 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | $884.21 | not published | $335.10 – $1,044.39 | 15 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | $4,471.20 | not published | $2,643.68 – $6,998.40 | 14 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | $1,542.96 | $3,530.00 | $653.48 – $6,711.77 | 19 |
| Troponin quantitative CPT 84484 | $17.21 | $68.00 | $6.52 – $30.15 | 21 |
| Tr retinal les preterm inf CPT 67229 | $1,359.53 | $3,650.00 | $286.61 – $1,260.45 | 19 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | $4,846.99 | $1,220.00 | $225.78 – $8,078.31 | 19 |
| Truskin, per sq centimeter HCPCS Q4167 | $171.12 | not published | $66.49 – $228.16 | 14 |
| Truss addition to std pad wa HCPCS L8320 | $104.74 | not published | $69.83 – $150.03 | 16 |
| Truss add to std pad scrotal HCPCS L8330 | $83.41 | not published | $55.60 – $119.47 | 16 |
| Truss double with standard pad HCPCS L8310 | $252.47 | not published | $168.31 – $361.64 | 16 |
| Truss single with standard pad HCPCS L8300 | $142.53 | not published | $95.02 – $204.15 | 16 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,077.92 | not published | $408.52 – $1,796.53 | 18 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,077.92 | $3,835.00 | $408.52 – $2,956.79 | 21 |
| Tte w or without fol w/cont, com HCPCS C8921 | $1,077.92 | $1,448.00 | $408.52 – $1,796.53 | 21 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $1,077.92 | $1,144.00 | $408.52 – $1,796.53 | 21 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $8,312.83 | $1,160.00 | $212.36 – $13,854.72 | 20 |
| Tube drain vert dev st 5-40f HCPCS A5200 | $22.25 | not published | $9.62 – $31.86 | 16 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $92.52 | not published | $48.84 – $132.53 | 16 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | $12.89 | not published | $5.09 – $18.47 | 16 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $93.37 | not published | $49.29 – $133.74 | 16 |
| Tubing (oxygen) per foot HCPCS A4616 | $0.11 | not published | $0.07 – $3.54 | 16 |
| Tubular dressing HCPCS A6457 | $2.24 | not published | $0.90 – $3.21 | 16 |
| Tumor cell deplete of harvst CPT 38211 | $606.63 | not published | $66.99 – $1,011.06 | 19 |
| Tvh >250 gms 58290 CPT 58290 | $10,196.50 | $6,419.00 | $645.18 – $16,994.17 | 22 |
| Tvh w/mmk 58267 CPT 58267 | $1,384.57 | $3,380.00 | $599.38 – $6,291.49 | 19 |
| Twelve volt battery utah/equ HCPCS L7364 | $868.97 | not published | $579.31 – $1,244.74 | 16 |
| Tx atrial fib pulm vein isol CPT 93656 | $35,940.54 | $19,889.00 | $514.40 – $59,900.90 | 22 |
| Tx closed distal humerus fx CPT 24999 | $339.18 | $4,640.00 | $128.54 – $1,799.00 | 19 |
| Tx closed hip disl traumatic without anes CPT 27250 | $339.18 | $600.00 | $111.40 – $689.22 | 22 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $4,499.12 | $1,900.00 | $354.43 – $7,498.53 | 22 |
| Tx closed tib shaft fx without manip CPT 27750 | $472.26 | $1,020.00 | $131.80 – $565.29 | 22 |
| Tx contour defects >10.0 cc CPT 11954 | $1,016.25 | $420.00 | $61.34 – $1,693.74 | 22 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $1,016.25 | $171.00 | $39.62 – $1,693.74 | 22 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | $1,315.71 | $3,190.00 | $543.58 – $5,676.91 | 19 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | $1,246.60 | $3,020.00 | $515.25 – $5,374.90 | 19 |
| Tx l/r atrial fib addl CPT 93657 | $398.24 | $1,795.00 | $166.35 – $1,202.65 | 22 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $4,499.12 | $2,430.00 | $438.99 – $7,498.53 | 22 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $4,499.12 | $1,630.00 | $310.34 – $7,498.53 | 22 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $4,499.12 | $1,789.00 | $334.41 – $7,498.53 | 22 |
| Tx open nsl fx uncomp CPT 21325 | $4,558.89 | $1,490.00 | $263.69 – $7,598.14 | 20 |
| Tx open nsl sptl fx CPT 21336 | $4,499.12 | $2,050.00 | $371.90 – $7,498.53 | 20 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $4,499.12 | $5,510.00 | $359.97 – $7,498.53 | 22 |
| Tx septic abortion surgical 59830 CPT 59830 | $637.06 | $1,500.00 | $267.32 – $2,665.27 | 19 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $339.18 | $610.00 | $123.97 – $565.29 | 22 |
| Tympanic membrane repair CPT 69610 | $2,133.48 | $940.00 | $159.11 – $3,555.80 | 22 |
| Tympanolysis transcanal 69450 CPT 69450 | $4,558.89 | $1,720.00 | $316.94 – $7,598.14 | 20 |
| Tympanometry & reflex thresh CPT 92550 | $296.91 | $69.00 | $14.69 – $494.85 | 22 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $741.60 | $420.00 | $76.25 – $1,236.00 | 22 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $8,139.99 | $4,470.00 | $819.20 – $13,566.64 | 20 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $8,139.99 | $3,960.00 | $749.97 – $13,566.64 | 20 |
| Tyms gene com variants CPT 81346 | $241.24 | $864.00 | $91.43 – $666.14 | 19 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $23.73 – $332.81 | 7 |
| U2af1 gene common variants CPT 81357 | $266.69 | $1,048.00 | $101.07 – $808.01 | 20 |
| Ua w/micro/comp poc CPT 81000 | $5.55 | $21.00 | $2.10 – $14.07 | 21 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $96.85 | $33,380.01 | $36.71 – $28,730.47 | 22 |
| Ue triple control harness HCPCS L6677 | $504.06 | not published | $336.04 – $722.04 | 15 |
| Ugt1a1 gene analy common variants CPT 81350 | $322.92 | $942.00 | $100.90 – $505.44 | 19 |
| Ultrasound bone density measure CPT 76977 | $143.75 | $127.00 | $1.70 – $239.59 | 22 |
| Ultrasound breast complete CPT 76641 | $143.75 | $1,552.00 | $21.51 – $1,158.04 | 22 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $119.66 | $623.00 | $20.02 – $441.78 | 22 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $143.75 | $479.00 | $13.98 – $320.93 | 22 |
| Ultrasound dx ophth b-scan CPT 76512 | $143.75 | $511.00 | $12.22 – $342.37 | 22 |
| Ultrasound elastography ea l target les CPT 76983 | $49.27 | $352.00 | $15.34 – $271.39 | 22 |
| Ultrasound elastography parenchyma CPT 76981 | $143.75 | $820.00 | $18.53 – $632.22 | 22 |
| Ultrasound encephalogram CPT 76506 | $143.75 | $812.00 | $18.74 – $544.04 | 22 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $99.75 – $105.67 | 2 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $143.75 | $1,132.00 | $19.65 – $758.44 | 22 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $143.75 | $429.00 | $23.43 – $287.43 | 22 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $43.93 | $614.00 | $20.02 – $411.38 | 22 |
| Ultrasound guidance for vascular access CPT 76937 | $35.92 | $195.00 | $8.73 – $130.65 | 22 |
| Ultrasound guide intraoperative CPT 76998 | $71.69 | $520.00 | $31.10 – $348.40 | 22 |
| Ultrasound guide tissue ablation CPT 76940 | $149.34 | $437.00 | $65.39 – $292.79 | 22 |
| Ultrasound hips infant dynamic CPT 76885 | $119.66 | $682.00 | $21.73 – $456.94 | 22 |
| Ultrasound infant hips ltd without stress CPT 76886 | $119.66 | $473.00 | $18.32 – $316.91 | 22 |
| Ultrasound joint complete left CPT 76881 | $143.75 | $776.00 | $7.40 – $598.30 | 22 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $143.75 | $924.00 | $10.89 – $712.40 | 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.