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 |
|---|---|---|---|---|
| Biopsy of nerve CPT 64795 | $2,685.07 | $670.00 | $118.85 – $4,475.11 | 20 |
| Biopsy of ovary(s) 58900 CPT 58900 | $4,451.18 | $1,330.00 | $248.15 – $7,418.63 | 20 |
| Biopsy of pancreas open CPT 48100 | $1,265.06 | $3,040.00 | $538.25 – $5,440.37 | 19 |
| Biopsy of penis CPT 54105 | $3,994.09 | $2,003.00 | $124.61 – $6,656.82 | 22 |
| Biopsy of penis 54100 CPT 54100 | $2,271.01 | $538.00 | $66.24 – $3,785.02 | 22 |
| Biopsy of prostate CPT 55700 | not published | not published | $120.84 – $2,777.09 | 5 |
| Biopsy of prostate CPT 55705 | $4,846.99 | $860.00 | $63.69 – $8,078.31 | 20 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $3,816.64 | $990.00 | $192.77 – $6,361.06 | 20 |
| Biopsy of sacroiliac joint CPT 27050 | $2,211.05 | $1,320.00 | $254.96 – $3,685.08 | 20 |
| Biopsy of salivary gland 42400 CPT 42400 | $973.71 | $357.00 | $30.46 – $1,622.86 | 22 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | $2,133.48 | $740.00 | $128.87 – $3,555.80 | 22 |
| Biopsy of stomach CPT 43605 | $1,206.74 | $2,860.00 | $510.56 – $5,140.50 | 19 |
| Biopsy of tear gland CPT 68510 | $3,269.14 | $1,591.00 | $149.74 – $5,448.56 | 22 |
| Biopsy of tear sac CPT 68525 | $3,269.14 | $1,247.00 | $131.63 – $5,448.56 | 22 |
| Biopsy of testis CPT 54500 | $3,994.09 | $242.00 | $42.81 – $6,656.82 | 20 |
| Biopsy of testis CPT 54505 | $4,846.99 | $680.00 | $123.11 – $8,078.31 | 20 |
| Biopsy of toe joint lining CPT 28054 | $4,499.12 | $1,217.00 | $141.86 – $7,498.53 | 22 |
| Biopsy of upper nose/throat CPT 42804 | $4,558.89 | $500.00 | $71.99 – $7,598.14 | 22 |
| Biopsy of urethra CPT 53200 | $2,874.36 | $470.00 | $81.58 – $4,790.60 | 20 |
| Biopsy of wrist joint CPT 25100 | $4,499.12 | $1,130.00 | $221.31 – $7,498.53 | 20 |
| Biopsy oocyte polar body CPT 89291 | $234.27 | $4,134.00 | $88.78 – $3,187.31 | 21 |
| Biopsy oocyte polar body <=5 CPT 89290 | $234.27 | $3,755.00 | $88.78 – $2,895.11 | 21 |
| Biopsy/removal lymph nodes CPT 38525 | $5,383.86 | $1,480.00 | $274.56 – $8,973.11 | 20 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | $5,383.86 | $2,218.00 | $281.16 – $8,973.11 | 22 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,271.01 | $1,258.00 | $70.29 – $3,785.02 | 22 |
| Biopsy roof of mouth CPT 42100 | $2,133.48 | $353.00 | $64.75 – $3,555.80 | 22 |
| Biopsy skin incisional single lesion CPT 11106 | $1,016.25 | $378.00 | $29.61 – $1,693.74 | 22 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,271.01 | $716.00 | $91.59 – $3,785.02 | 22 |
| Biopsy thigh soft tissues CPT 27324 | $3,994.09 | $1,330.00 | $256.67 – $6,656.82 | 20 |
| Biopsy tongue anterior two-thirds CPT 41100 | $741.60 | $350.00 | $62.20 – $1,236.00 | 22 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | $4,451.18 | $500.00 | $86.48 – $7,418.63 | 22 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $741.60 | $340.00 | $52.61 – $1,236.00 | 22 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | $9,977.57 | $1,470.00 | $268.59 – $16,629.28 | 20 |
| Biopsy vrt bdy open thoracic CPT 20250 | $4,499.12 | $1,350.00 | $247.08 – $7,498.53 | 20 |
| Biospy of bladder CPT 53899 | $343.55 | $10,000.00 | $118.80 – $572.59 | 19 |
| Biotinidase - quest CPT 82261 | $23.28 | $54.99 | $8.82 – $53.84 | 21 |
| Biovance 1 square cm HCPCS Q4154 | $171.12 | not published | $66.49 – $228.16 | 15 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | $171.12 | not published | $66.49 – $660.38 | 15 |
| Bis xtracell fluid analysis CPT 93702 | $177.25 | $380.00 | $68.75 – $294.88 | 22 |
| Bivalirudin HCPCS J0583 | $0.22 | $830.00 | $0.09 – $159.47 | 14 |
| Bk/ak locking mechanism HCPCS L5671 | $840.36 | not published | $560.24 – $1,203.77 | 16 |
| Bk back check HCPCS L5686 | $97.80 | not published | $65.20 – $140.09 | 16 |
| Bk flex inner socket ext fra HCPCS L5645 | $1,655.39 | not published | $1,103.60 – $2,371.25 | 16 |
| Bk fork strap HCPCS L5684 | $81.32 | not published | $54.22 – $116.48 | 16 |
| Bk joint covers pair HCPCS L5678 | $67.08 | not published | $44.72 – $96.10 | 16 |
| Bk knee joints polycentric p HCPCS L5677 | $937.60 | not published | $625.07 – $1,343.06 | 16 |
| Bk knee joints single axis p HCPCS L5676 | $612.21 | not published | $408.14 – $876.97 | 16 |
| Bk molded distal cushion HCPCS L5668 | $194.06 | not published | $129.37 – $277.97 | 16 |
| Bk molded supracondylar susp HCPCS L5670 | $458.44 | not published | $305.62 – $656.69 | 16 |
| Bk mold socket sach ft endo HCPCS L5301 | $4,552.63 | not published | $3,035.09 – $6,521.36 | 16 |
| Bk removable medial brim sus HCPCS L5672 | $606.65 | not published | $404.43 – $868.98 | 16 |
| Bk thigh lacer glut/ischia m HCPCS L5682 | $1,056.57 | not published | $704.38 – $1,513.48 | 16 |
| Bk thigh lacer non-molded HCPCS L5680 | $514.23 | not published | $342.82 – $736.59 | 16 |
| Bk waist belt padded and lin HCPCS L5690 | $212.04 | not published | $141.36 – $303.74 | 16 |
| Bk waist belt webbing HCPCS L5688 | $103.89 | not published | $69.26 – $148.80 | 16 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $23.69 – $270.29 | 5 |
| Bladder Catheter Insertion (simple) CPT 51702 | $182.95 | $206.00 | $14.48 – $304.91 | 22 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $343.55 | $174.00 | $16.61 – $572.59 | 22 |
| Bladder irrigation tubing HCPCS A4355 | $17.54 | not published | $6.92 – $25.12 | 16 |
| Bld exchange truj oth thn nb CPT 36455 | $606.63 | $440.00 | $72.85 – $1,011.06 | 20 |
| Bld prd mix CPT 86965 | $234.27 | $118.00 | $13.53 – $390.45 | 22 |
| Bld push tfuj 2 yr/< CPT 36440 | $606.63 | $569.00 | $26.84 – $1,011.06 | 22 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $31.76 | $330.86 | $13.00 – $122.44 | 14 |
| Blepharoplasty lower 15820 CPT 15820 | $2,837.09 | $1,620.00 | $287.34 – $4,728.48 | 22 |
| Blepharoplasty upper 15822 CPT 15822 | $2,837.09 | $1,230.00 | $226.85 – $4,728.48 | 22 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $2,837.09 | $1,710.00 | $307.15 – $4,728.48 | 22 |
| Blepharp lwr eyelid fat pad CPT 15821 | $2,837.09 | $1,720.00 | $308.42 – $4,728.48 | 22 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $225.88 | $16,720.31 | $85.61 – $14,412.91 | 22 |
| Blind cor sinus reducer impl HCPCS C9783 | $15,873.70 | $7,433.00 | $2,441.00 – $26,456.16 | 20 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | $513.11 | not published | $194.46 – $855.19 | 16 |
| Blind interatrial shunt ide HCPCS C9758 | $23,553.69 | not published | $8,926.51 – $39,256.15 | 17 |
| Blind myocar trpl bon marrow HCPCS C9782 | $23,553.69 | not published | $8,926.51 – $39,256.15 | 17 |
| Blind/nonblind trans atrial HCPCS C9792 | $13,123.07 | not published | $4,973.45 – $21,871.78 | 16 |
| Blink reflex test CPT 95933 | $81.12 | $455.00 | $20.24 – $304.85 | 22 |
| Blm gene CPT 81209 | $54.25 | $65.00 | $20.56 – $84.91 | 21 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | not published | $16,950.00 | $0.02 – $8.69 | 13 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | not published | $8,497.50 | $0.02 – $43.96 | 13 |
| Bln dil 900ml preperitnl HCPCS C1727 | not published | not published | $0.02 – $0.02 | 2 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | not published | $6,900.00 | $66.85 – $171.81 | 11 |
| Bln press regulation 71-80cm HCPCS C1815 | not published | $20,081.25 | $2,375.46 – $6,825.49 | 11 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | not published | $7,200.00 | $450.00 – $1,293.00 | 11 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $24.12 | not published | $12.73 – $34.56 | 16 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,216.18 | $2,581.00 | $46.22 – $2,026.97 | 22 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,216.18 | $3,641.00 | $43.24 – $2,026.97 | 22 |
| Block paracervical nrv CPT 64435 | $970.61 | $325.00 | $24.71 – $1,617.68 | 22 |
| Block plantar digital nerve CPT 64455 | $422.07 | $164.00 | $19.17 – $1,075.00 | 22 |
| Block tap inj(s) w/wo img bi CPT 64488 | $81.82 | $1,951.00 | $36.21 – $1,951.00 | 22 |
| Block tap inj(s) w/wo img uni CPT 64486 | $69.37 | $975.00 | $30.89 – $1,594.00 | 22 |
| Blood clot lysis time CPT 85175 | $28.11 | not published | $6.75 – $33.20 | 16 |
| Blood clot retraction CPT 85170 | $22.49 | not published | $7.41 – $26.57 | 16 |
| Blood Clotting (PT/INR) Test CPT 85610 | $5.92 | $25.00 | $2.24 – $16.75 | 21 |
| Blood Clotting (PTT) Test CPT 85730 | $8.29 | $57.00 | $3.14 – $38.19 | 21 |
| Blood component/product noc HCPCS P9099 | $47.54 | not published | $18.02 – $98.66 | 18 |
| Blood Count (CBC) Test CPT 85025 | $10.72 | $52.00 | $4.06 – $34.84 | 21 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $8.93 | $43.00 | $3.38 – $28.81 | 21 |
| Blood count spun microhematocrit CPT 85013 | $9.66 | $34.00 | $3.66 – $22.78 | 21 |
| Blood Culture Test CPT 87040 | $14.24 | $110.00 | $5.40 – $73.70 | 21 |
| Blood draw capillary 36416 CPT 36416 | not published | $33.00 | $1.57 – $22.11 | 16 |
| Blood Draw (Venipuncture) CPT 36415 | $12.89 | $17.00 | $1.61 – $11.39 | 21 |
| Blood gases o2 saturation direct measurement CPT 82805 | $108.70 | $254.00 | $32.26 – $170.18 | 21 |
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.