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 |
|---|---|---|---|---|
| Wrist arthroscopy/surgery CPT 29844 | $4,499.12 | $1,620.00 | $300.33 – $7,498.53 | 20 |
| Wrist arthroscopy/surgery CPT 29845 | $4,499.12 | $1,880.00 | $348.68 – $7,498.53 | 20 |
| Wrist arthroscopy/surgery CPT 29846 | $4,499.12 | $1,700.00 | $311.19 – $7,498.53 | 20 |
| Wrist arthroscopy/surgery CPT 29847 | $9,977.57 | $1,750.00 | $329.72 – $16,629.28 | 20 |
| Wrist/elbow bowden cable mol HCPCS L6580 | $3,430.74 | not published | $2,287.16 – $4,914.31 | 16 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | $2,881.36 | not published | $1,920.90 – $4,127.37 | 16 |
| Wrist endoscopy/surgery CPT 29848 | $2,211.05 | $1,670.00 | $309.70 – $4,274.26 | 20 |
| Wrist X-ray CPT 73110 | $119.66 | $328.00 | $5.54 – $186.26 | 22 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $119.66 | $290.00 | $5.33 – $160.80 | 22 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | $4,223.96 | not published | $2,815.97 – $6,050.55 | 16 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | $5,683.61 | $3,990.00 | $432.43 – $9,472.69 | 19 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $3,173.34 | $2,490.00 | $402.14 – $7,719.71 | 20 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | $7,316.99 | $2,000.00 | $371.26 – $12,194.99 | 19 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | $5,683.61 | $3,490.00 | $349.45 – $9,472.69 | 19 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $13.26 – $34.73 | 3 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | $7,316.99 | $2,549.00 | $458.38 – $12,194.99 | 19 |
| Xe133 xenon 10mci HCPCS A9558 | not published | $353.00 | $0.01 – $446.20 | 13 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $2,837.09 | $2,124.00 | $348.26 – $4,728.48 | 22 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $2,837.09 | $1,830.00 | $321.84 – $4,728.48 | 22 |
| X-linked intellectual dblt CPT 81470 | $1,261.32 | not published | $868.30 – $1,974.24 | 13 |
| X-linked intellectual dblt CPT 81471 | $1,261.32 | not published | $0.02 – $1,974.24 | 13 |
| Xm archive tissue molec anal CPT 88363 | $39.77 | $84.00 | $9.80 – $66.29 | 19 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | $519.39 | $1,280.00 | $215.77 – $2,299.91 | 18 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $287.48 | $720.00 | $116.60 – $2,086.61 | 19 |
| X-ray abdomen >=3 views CPT 74021 | $143.75 | $343.00 | $7.88 – $239.59 | 22 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $479.72 | $1,159.00 | $17.04 – $799.53 | 22 |
| X-ray assay calculus CPT 82370 | $17.28 | not published | $6.55 – $20.80 | 17 |
| X-ray bone length studies CPT 77073 | $143.75 | $374.00 | $8.31 – $229.81 | 22 |
| X-ray bone survey infant CPT 77076 | $143.75 | $650.00 | $20.66 – $490.36 | 22 |
| X-ray consultation CPT 76140 | not published | $70.00 | $17.70 – $109.48 | 14 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $196.44 – $1,042.36 | 5 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $164.77 – $893.70 | 5 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $143.75 | $417.00 | $10.86 – $321.51 | 22 |
| X-ray exam entire spi 6/> vw CPT 72084 | $143.75 | $520.00 | $12.57 – $400.92 | 22 |
| X-ray exam of arm infant CPT 73092 | $143.75 | $242.00 | $4.90 – $136.68 | 22 |
| X-ray exam of femur 1 CPT 73551 | $119.66 | $257.00 | $5.11 – $199.43 | 22 |
| X-ray exam of jaw joint CPT 70328 | $119.66 | $226.00 | $5.54 – $199.43 | 22 |
| X-ray exam of jaw joint CPT 70332 | $328.08 | $99.00 | $15.98 – $546.80 | 20 |
| X-ray exam of mastoids CPT 70120 | $143.75 | $149.00 | $5.54 – $239.59 | 20 |
| X-ray exam of middle ear CPT 70134 | $751.34 | not published | $39.25 – $1,252.24 | 20 |
| X-ray exam of penis CPT 74445 | $143.75 | $417.00 | $34.29 – $279.39 | 22 |
| X-ray exam of perineum CPT 74775 | $328.08 | $90.00 | $18.32 – $546.80 | 20 |
| X-ray exam of salivary gland CPT 70380 | $119.66 | $31.00 | $5.11 – $199.43 | 20 |
| X-ray exam of tear duct CPT 70170 | $328.08 | $56.00 | $8.95 – $546.80 | 20 |
| X-ray exam of teeth CPT 70300 | $119.66 | $197.00 | $3.41 – $199.43 | 21 |
| X-ray exam of teeth CPT 70310 | $328.08 | not published | $28.97 – $546.80 | 19 |
| X-ray exam si joints CPT 72200 | $143.75 | $257.00 | $5.33 – $239.59 | 22 |
| X-ray exam thorac spine4/>vw CPT 72074 | $143.75 | $346.00 | $7.24 – $239.59 | 22 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $119.66 | $207.00 | $5.54 – $199.43 | 22 |
| X-ray fallopian tube CPT 74742 | $39.32 | $520.00 | $17.89 – $348.40 | 22 |
| X-ray head for orthodontia CPT 70350 | $119.66 | $102.00 | $5.54 – $199.43 | 22 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $143.75 | $442.00 | $8.52 – $302.23 | 22 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $143.75 | $475.00 | $9.37 – $327.68 | 22 |
| X-ray joint survey 1 view CPT 77077 | $143.75 | $275.00 | $10.44 – $239.59 | 22 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $119.66 | $234.00 | $4.90 – $130.65 | 22 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $143.75 | $361.00 | $6.82 – $239.59 | 22 |
| X-ray male genital tract CPT 74440 | $328.08 | $455.00 | $11.50 – $546.80 | 22 |
| X-ray mandible ltd <4 views CPT 70100 | $119.66 | $301.00 | $5.75 – $199.43 | 22 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $26.80 – $133.85 | 2 |
| X-ray nose to rectum for foreign body child CPT 76010 | $119.66 | $181.00 | $5.33 – $199.43 | 22 |
| X-ray of mammary ducts CPT 77054 | $328.08 | $84.00 | $13.42 – $546.80 | 19 |
| X-ray optic foramina CPT 70190 | $119.66 | $40.00 | $6.60 – $199.43 | 20 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $97.59 – $519.86 | 5 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $107.41 – $589.49 | 5 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $479.72 | $1,181.00 | $15.76 – $799.53 | 22 |
| X-ray ribs 2 views left CPT 71100 | $119.66 | $282.00 | $6.60 – $199.43 | 22 |
| X-ray sella turcica CPT 70240 | $119.66 | $36.00 | $5.75 – $199.43 | 20 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $751.34 | $396.00 | $15.34 – $245.89 | 22 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $143.75 | $116.00 | $17.25 – $239.59 | 20 |
| X-ray small intestine follow-through study CPT 74248 | $63.49 | $495.00 | $20.45 – $381.65 | 22 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $119.66 | $312.00 | $6.60 – $199.43 | 22 |
| X-ray surgical specimen CPT 76098 | $751.34 | $326.00 | $9.37 – $196.31 | 22 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $119.66 | $265.00 | $8.09 – $204.32 | 22 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $106.68 – $240.19 | 2 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $165.38 – $339.95 | 2 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $241.18 | $441.00 | $17.25 – $401.97 | 22 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | $373.97 | not published | $236.74 – $782.37 | 5 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $95.47 | $363.00 | $44.94 – $290.25 | 18 |
| Xwrap 1 sq cm HCPCS Q4204 | $171.12 | not published | $66.49 – $3,396.77 | 14 |
| Xylose absorption test blood &/or urine CPT 84620 | $17.82 | $23.52 | $6.75 – $25.06 | 21 |
| Xyntha inj HCPCS J7185 | $2.19 | $65.88 | $0.83 – $5.07 | 22 |
| Yersinia antibody CPT 86793 | $18.20 | not published | $6.90 – $27.05 | 17 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $78,417.88 | $92,750.00 | $29,719.24 – $130,696.46 | 21 |
| Zenith amniotic membrane psc HCPCS Q4253 | $171.12 | not published | $66.49 – $228.16 | 15 |
| Ziconotide injection HCPCS J2278 | $14.58 | $17,952.18 | $5.53 – $3,247.45 | 22 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $2.09 | $92.60 | $0.79 – $79.82 | 21 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $2.29 – $4.06 | 3 |
| Zika virus dna/rna amp probe CPT 87662 | $70.81 | $185.00 | $26.84 – $142.64 | 21 |
| Zika virus igm antibody CPT 86794 | $23.25 | $105.00 | $8.81 – $80.96 | 21 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $2.47 | not published | $0.66 – $3.53 | 16 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $12.62 | $146.00 | $5.17 – $125.85 | 14 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $9.97 | $9,605.00 | $3.78 – $4,141.91 | 22 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $46.46 | $4,850.00 | $17.61 – $4,137.60 | 21 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $7.01 | $1,055.00 | $2.87 – $61.20 | 14 |
| Zoster vaccine-live inj CPT 90736 | $215.00 | not published | $235.88 – $603.58 | 7 |
| Zrsr2 gene common variants CPT 81360 | $266.69 | $1,048.00 | $101.07 – $808.01 | 20 |
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.