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 |
|---|---|---|---|---|
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $65.92 | $505.00 | $27.34 – $304.85 | 22 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $55.12 | $287.00 | $13.81 – $158.79 | 22 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $328.08 | $905.00 | $57.72 – $606.35 | 22 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $143.75 | $661.00 | $25.99 – $409.37 | 22 |
| Ultrasound prostate/transrectal CPT 76872 | $143.75 | $846.00 | $20.24 – $566.82 | 22 |
| Ultrasound spinal canal and contents CPT 76800 | $143.75 | $728.00 | $41.11 – $487.76 | 22 |
| Ultrasound transabd ea addl gest CPT 76812 | $145.67 | $572.00 | $54.53 – $383.24 | 22 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $479.72 | $2,549.00 | $47.50 – $1,965.28 | 21 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $90.18 | $1,860.00 | $25.13 – $1,434.06 | 21 |
| Ultraviolet therapy CPT 97028 | $11.58 | not published | $4.39 – $21.14 | 18 |
| Umbilical artery cath newborn 36660 CPT 36660 | $81.05 | $289.00 | $36.64 – $289.00 | 22 |
| Umbilical cord occlud w/us CPT 59072 | $724.03 | $1,800.00 | $158.80 – $698.35 | 19 |
| Umbilicoplasty 15847 CPT 15847 | not published | $2,200.00 | $196.94 – $2,587.30 | 16 |
| Unit mobile power mpu HCPCS Q0479 | $20,397.63 | not published | $12,865.53 – $29,218.34 | 15 |
| Unlistd noninvas vasc dx std CPT 93998 | $39.77 | $1,555.00 | $15.07 – $1,198.91 | 21 |
| Unlisted all/immlg svc/px CPT 95199 | $39.77 | not published | $15.07 – $66.29 | 18 |
| Unlisted chemotherapy px CPT 96549 | $64.39 | $6,000.00 | $0.46 – $150.35 | 22 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | $325.68 | $4,790.00 | $123.43 – $542.80 | 19 |
| Unlisted CT procedure CPT 76497 | $119.66 | $1,908.00 | $33.84 – $1,274.46 | 21 |
| Unlisted cv px dx nuc med CPT 78499 | $549.70 | not published | $208.33 – $916.16 | 17 |
| Unlisted cytogenetic study CPT 88299 | $71.65 | not published | $27.15 – $119.42 | 18 |
| Unlisted cytopathology px CPT 88199 | $71.65 | not published | $15.85 – $119.42 | 18 |
| Unlisted dialysis procedure CPT 90999 | not published | not published | $756.65 – $756.65 | 1 |
| Unlisted dx gi procedure CPT 91299 | $176.93 | $2,897.00 | $67.05 – $2,233.59 | 22 |
| Unlisted endocrine px dx nuc CPT 78099 | $549.70 | not published | $208.33 – $916.16 | 17 |
| Unlisted fetal invas px w/us CPT 59897 | $277.99 | $1,672.00 | $105.35 – $1,170.40 | 18 |
| Unlisted fluoroscopic px CPT 76496 | $119.66 | $1,171.00 | $32.00 – $902.84 | 21 |
| Unlisted gi px dx nuc med CPT 78299 | $549.70 | not published | $208.33 – $916.16 | 17 |
| Unlisted gu px dx nuc med CPT 78799 | $549.70 | not published | $208.33 – $916.16 | 17 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $9.64 – $48.17 | 3 |
| Unlisted hystsc px uterus CPT 58579 | $277.99 | not published | $105.35 – $463.31 | 18 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $8,312.83 | $18,484.00 | $464.00 – $13,854.72 | 19 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $8,312.83 | $4,880.00 | $659.60 – $13,854.72 | 20 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $8,312.83 | $7,000.00 | $961.42 – $13,854.72 | 19 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | $8,312.83 | $5,310.00 | $1,460.00 – $13,854.72 | 19 |
| Unlisted laps px appendix CPT 44979 | $8,312.83 | $2,040.00 | $441.86 – $13,854.72 | 19 |
| Unlisted laps px bladder CPT 51999 | $8,312.83 | $7,840.00 | $728.00 – $13,854.72 | 19 |
| Unlisted laps px endoc sys CPT 60659 | $8,312.83 | not published | $3,150.44 – $13,854.72 | 18 |
| Unlisted laps px esoph CPT 43289 | $8,312.83 | $5,302.00 | $399.60 – $13,854.72 | 19 |
| Unlisted laps px lymphtc sys CPT 38589 | $8,312.83 | $4,400.00 | $399.60 – $13,854.72 | 19 |
| Unlisted laps px ovidct ovry CPT 58679 | $8,312.83 | $2,980.00 | $703.45 – $13,854.72 | 19 |
| Unlisted laps px renal CPT 50549 | $8,312.83 | $8,230.00 | $1,324.00 – $13,854.72 | 19 |
| Unlisted laps px spleen CPT 38129 | $8,312.83 | $3,950.00 | $1,580.00 – $13,854.72 | 19 |
| Unlisted laps px testis CPT 54699 | $8,312.83 | not published | $3,150.44 – $13,854.72 | 18 |
| Unlisted laps px ureter CPT 50949 | $8,312.83 | $5,056.00 | $612.00 – $13,854.72 | 19 |
| Unlisted laps px uterus CPT 58578 | $8,312.83 | $5,420.00 | $576.00 – $13,854.72 | 19 |
| Unlisted maaa CPT 81599 | not published | not published | $147.20 – $152.01 | 2 |
| Unlisted maxlfcl prosth px CPT 21089 | $325.68 | not published | $123.43 – $542.80 | 18 |
| Unlisted misc path test CPT 89240 | $71.65 | $222.00 | $21.16 – $171.16 | 21 |
| Unlisted mr procedure CPT 76498 | $119.66 | $8,226.00 | $29.78 – $5,511.42 | 21 |
| Unlisted muscskel px dx nuc CPT 78399 | $549.70 | not published | $208.33 – $916.16 | 17 |
| Unlisted muscskel px head CPT 21499 | $325.68 | $2,680.00 | $123.43 – $1,284.50 | 19 |
| Unlisted neurological dx px CPT 95999 | $176.93 | $586.00 | $67.05 – $451.81 | 22 |
| Unlisted nrvs sys px dx nuc CPT 78699 | $549.70 | not published | $208.33 – $916.16 | 17 |
| Unlisted oph svc/procedure CPT 92499 | $39.77 | not published | $15.07 – $66.29 | 17 |
| Unlisted orl service/px CPT 92700 | $39.77 | $434.00 | $0.02 – $2,441.00 | 21 |
| Unlisted procedure colon CPT 45399 | $1,278.72 | $4,024.00 | $244.00 – $2,131.20 | 19 |
| Unlisted procedure esophagus CPT 43499 | $1,247.13 | $6,600.00 | $204.00 – $2,078.56 | 22 |
| Unlisted procedure eyelids CPT 67999 | $436.44 | $360.00 | $144.00 – $727.40 | 19 |
| Unlisted procedure larynx CPT 31599 | $325.68 | $7,129.00 | $123.43 – $542.80 | 19 |
| Unlisted procedure liver CPT 47399 | $973.71 | $8,480.00 | $143.60 – $1,622.86 | 19 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $10.83 – $1,458.72 | 3 |
| Unlisted procedure orbit CPT 67599 | $436.44 | $3,048.00 | $165.40 – $2,133.60 | 19 |
| Unlisted procedure pancreas CPT 48999 | $973.71 | $8,030.00 | $369.02 – $1,622.86 | 19 |
| Unlisted procedure rectum CPT 45999 | $1,278.72 | $5,600.00 | $324.00 – $2,441.00 | 22 |
| Unlisted procedure spine CPT 22899 | $339.18 | $6,410.00 | $128.54 – $1,847.30 | 22 |
| Unlisted procedure urinary 58750 CPT 58750 | $1,181.29 | $2,880.00 | $727.61 – $5,797.29 | 17 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | $51.52 | $35.00 | $14.00 – $85.86 | 19 |
| Unlisted px abdomen muscskel CPT 22999 | $339.18 | $920.00 | $128.54 – $565.29 | 19 |
| Unlisted px accessory sinus CPT 31299 | $325.68 | $19,380.00 | $123.43 – $2,457.00 | 19 |
| Unlisted px ant segment eye CPT 66999 | $3,173.34 | $1,883.00 | $68.00 – $5,288.90 | 22 |
| Unlisted px arthroscopy CPT 29999 | $339.18 | $6,490.00 | $128.54 – $973.23 | 19 |
| Unlisted px biliary tract CPT 47999 | $1,247.13 | $11,190.00 | $173.20 – $2,078.56 | 19 |
| Unlisted px casting/strpg CPT 29799 | $223.45 | $177.00 | $84.68 – $372.42 | 21 |
| Unlisted px conjunctiva CPT 68399 | $436.44 | not published | $165.40 – $727.40 | 18 |
| Unlisted px diaphragm CPT 39599 | not published | $3,750.00 | $286.20 – $1,904.00 | 5 |
| Unlisted px exc pressure ulc CPT 15999 | $973.71 | not published | $369.02 – $1,622.86 | 18 |
| Unlisted px external ear CPT 69399 | $325.68 | $470.00 | $123.43 – $542.80 | 19 |
| Unlisted px extraocular musc CPT 67399 | $436.44 | not published | $165.40 – $727.40 | 18 |
| Unlisted px foot/toes CPT 28899 | $339.18 | $5,840.00 | $128.54 – $565.29 | 19 |
| Unlisted px forearm/wrist CPT 25999 | $339.18 | $2,720.00 | $128.54 – $1,526.00 | 19 |
| Unlisted px hands/fingers CPT 26989 | $339.18 | $4,040.00 | $128.54 – $1,092.00 | 19 |
| Unlisted px inner ear CPT 69949 | $325.68 | $1,841.00 | $123.43 – $1,288.70 | 19 |
| Unlisted px lacrimal system CPT 68899 | $436.44 | $4,065.00 | $165.40 – $2,845.50 | 19 |
| Unlisted px leg/ankle CPT 27899 | $339.18 | $3,320.00 | $128.54 – $1,075.00 | 22 |
| Unlisted px male genital sys CPT 55899 | $343.55 | $16,000.00 | $102.00 – $1,594.00 | 22 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $4,898.97 – $5,006.32 | 2 |
| Unlisted px med radj physics CPT 77399 | $184.82 | not published | $70.05 – $308.04 | 17 |
| Unlisted px middle ear CPT 69799 | $325.68 | $4,250.00 | $72.00 – $1,075.00 | 22 |
| Unlisted px neck/thorax CPT 21899 | $325.68 | $3,510.00 | $123.43 – $2,457.00 | 19 |
| Unlisted px palate uvula CPT 42299 | $325.68 | $470.00 | $123.43 – $542.80 | 19 |
| Unlisted px pelvis/hip joint CPT 27299 | $339.18 | $3,680.00 | $128.54 – $1,075.00 | 22 |
| Unlisted px posterior segmnt CPT 67299 | $3,173.34 | not published | $1,202.65 – $5,288.90 | 18 |
| Unlisted px salivry glnd/dux CPT 42699 | $325.68 | $2,000.00 | $123.43 – $770.00 | 19 |
| Unlisted px small intestine CPT 44799 | $1,247.13 | $2,880.00 | $80.00 – $2,078.56 | 22 |
| Unlisted px temporal bone CPT 69979 | $325.68 | not published | $123.43 – $542.80 | 18 |
| Unlisted px ther rad tx plng CPT 77299 | $184.82 | not published | $70.05 – $308.04 | 17 |
| Unlisted px tongue flr mouth CPT 41599 | $325.68 | $680.00 | $123.43 – $542.80 | 19 |
| Unlisted px vestibule mouth CPT 40899 | $325.68 | not published | $123.43 – $542.80 | 18 |
| Unlisted reprod med lab proc CPT 89398 | $71.65 | $640.00 | $15.21 – $448.00 | 18 |
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.