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 |
|---|---|---|---|---|
| Circumcise/surg/28 days or < 54160 CPT 54160 | $958.81 | $2,157.00 | $84.35 – $2,157.00 | 22 |
| Circumcision (newborn) CPT 54150 | $2,874.36 | $2,003.00 | $53.68 – $4,790.60 | 22 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $2.91 | $380.00 | $1.19 – $82.80 | 14 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $454.72 | $1,629.00 | $172.33 – $1,255.96 | 21 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $10.24 | $1,355.00 | $3.88 – $646.50 | 22 |
| C-laminoplasty w/graft/plate CPT 63051 | $2,388.27 | $5,920.00 | $1,004.30 – $10,515.40 | 18 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | not published | $4,928.55 | $47.70 – $137.06 | 11 |
| Clamp neck artery CPT 61703 | $2,085.35 | $4,720.00 | $861.59 – $7,607.24 | 19 |
| Claviculectomy partial CPT 23120 | $4,499.12 | $1,910.00 | $360.18 – $7,498.53 | 20 |
| Claviculectomy total CPT 23125 | $4,499.12 | $2,320.00 | $426.64 – $7,498.53 | 20 |
| Clean out mastoid cavity CPT 69222 | $741.60 | $430.00 | $80.30 – $1,236.00 | 22 |
| Clearance of airways CPT 31720 | $301.10 | $251.00 | $28.97 – $501.84 | 22 |
| Clearance of airways CPT 31725 | $101.20 | $260.00 | $44.94 – $475.19 | 19 |
| Clearance of tear duct CPT 68530 | $436.44 | $800.00 | $135.68 – $727.40 | 22 |
| C-lens fitg corneosclrl lens CPT 92313 | $182.95 | $72.00 | $22.79 – $304.91 | 18 |
| C-lens fitg tech aphakia 1 CPT 92315 | $182.95 | not published | $18.63 – $304.91 | 17 |
| C-lens fitg tech aphakia ou CPT 92316 | $182.95 | not published | $27.85 – $304.91 | 17 |
| C-lens fitg tech corneosclrl CPT 92317 | $51.36 | not published | $18.63 – $85.61 | 17 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $30.56 – $212.93 | 3 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $2.64 | $66.15 | $1.08 – $10.75 | 14 |
| Clip ligating vesolock lg HCPCS C1760 | not published | $3,450.00 | $21.19 – $60.87 | 11 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | not published | not published | $216.54 – $216.54 | 1 |
| Clitoroplasty intersex state CPT 56805 | $4,451.18 | $3,670.00 | $653.06 – $7,418.63 | 20 |
| Cllr miami j sm HCPCS L0174 | $472.29 | $386.00 | $154.40 – $444.91 | 19 |
| Cl mult vsd w/rem pul band CPT 33677 | $2,974.51 | $7,270.00 | $1,245.20 – $13,674.87 | 18 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $19.83 | $5,750.00 | $3.85 – $4,913.40 | 22 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $23.77 | $201.00 | $9.73 – $129.30 | 14 |
| Close bladder-uterus fistula CPT 51920 | $999.44 | $2,490.00 | $441.76 – $4,773.02 | 19 |
| Close bronchial fistula 32815 CPT 32815 | $3,989.15 | $9,610.00 | $1,676.52 – $17,066.66 | 19 |
| Close chest after drainage CPT 32810 | $1,308.75 | $3,050.00 | $557.21 – $5,455.14 | 19 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $546.60 | $1,090.00 | $131.80 – $565.29 | 22 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $2,211.05 | $1,280.00 | $249.85 – $3,685.08 | 22 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $2,211.05 | $4,187.00 | $444.32 – $4,187.00 | 22 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $566.50 | $1,720.00 | $131.80 – $669.89 | 22 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,211.05 | $1,380.00 | $181.97 – $3,685.08 | 22 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $467.13 | $990.00 | $125.30 – $565.29 | 22 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,211.05 | $1,460.00 | $302.03 – $3,685.08 | 22 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $339.18 | $350.00 | $70.72 – $565.29 | 22 |
| Closed tx nose/jaw fx CPT 21345 | $2,133.48 | $2,020.00 | $362.31 – $3,555.80 | 22 |
| Closed tx orbit without manipulj CPT 21400 | $741.60 | $716.00 | $110.55 – $1,236.00 | 22 |
| Closed tx orbit w/manipulj CPT 21401 | $2,133.48 | $1,756.00 | $201.29 – $3,555.80 | 22 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,211.05 | $3,805.00 | $355.71 – $3,685.08 | 22 |
| Closed tx septal&nose fx CPT 21337 | $4,558.89 | $3,392.00 | $179.77 – $7,598.14 | 22 |
| Closed tx sesamoid fx 28530 CPT 28530 | $339.18 | $325.00 | $65.82 – $565.29 | 22 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $339.18 | $670.00 | $131.80 – $565.29 | 22 |
| Closed tx vert fx w/manj CPT 22315 | $4,499.12 | $2,580.00 | $482.02 – $7,498.53 | 22 |
| Close kidney-skin fistula CPT 50520 | $1,651.38 | $3,960.00 | $698.43 – $6,287.27 | 19 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $325.68 | $530.00 | $88.40 – $542.80 | 22 |
| Close mastoid fistula CPT 69700 | $2,133.48 | $2,160.00 | $381.48 – $3,555.80 | 20 |
| Close median sternotomy separation 21750 CPT 21750 | $9,977.57 | $2,320.00 | $421.31 – $4,169.01 | 19 |
| Close mult vsd CPT 33675 | $2,794.50 | $6,640.00 | $1,170.44 – $12,152.17 | 18 |
| Close mult vsd w/resection CPT 33676 | $2,867.10 | $7,000.00 | $1,200.47 – $13,161.70 | 18 |
| Close nephrovisceral fistula CPT 50525 | $2,085.86 | $5,040.00 | $879.26 – $9,687.49 | 19 |
| Close nephrovisceral fistula CPT 50526 | $2,230.59 | $5,400.00 | $939.33 – $9,034.90 | 19 |
| Close tear duct opening CPT 68760 | $436.44 | $460.00 | $81.37 – $727.40 | 22 |
| Close tear duct opening CPT 68761 | $436.44 | $368.00 | $66.03 – $727.40 | 22 |
| Close tear system fistula CPT 68770 | $3,269.14 | $1,970.00 | $341.44 – $5,448.56 | 20 |
| Clostridium toxin a w/optic CPT 87803 | $22.08 | not published | $8.37 – $26.08 | 17 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,133.48 | $480.00 | $34.29 – $3,555.80 | 22 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $1,194.36 | $2,940.00 | $512.69 – $5,313.65 | 19 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $2,189.92 | $5,460.00 | $928.68 – $9,820.56 | 19 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $1,386.04 | $3,430.00 | $595.34 – $6,226.04 | 19 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | $1,928.34 | $4,780.00 | $818.77 – $8,589.30 | 19 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $741.60 | $988.00 | $123.33 – $1,236.00 | 22 |
| Closure of eyelid by suture CPT 67875 | $1,370.74 | $500.00 | $56.11 – $2,284.57 | 22 |
| Closure of salivary fistula CPT 42600 | $4,558.89 | $1,130.00 | $203.63 – $7,598.14 | 22 |
| Closure of valve CPT 33600 | $2,459.77 | $5,820.00 | $1,036.67 – $10,572.41 | 19 |
| Closure of valve CPT 33602 | $2,390.89 | $5,640.00 | $1,007.92 – $10,262.00 | 19 |
| Closure of windpipe lesion 31820 CPT 31820 | $4,558.89 | $1,060.00 | $191.49 – $7,598.14 | 20 |
| Closure paravalvlr leak pq CPT 33999 | $862.57 | $35,137.00 | $326.90 – $2,441.00 | 21 |
| Closure ureter/bowel fistula CPT 50930 | $1,428.89 | $3,600.00 | $628.78 – $6,726.58 | 19 |
| Closure ureter/skin fistula CPT 50920 | $1,149.29 | $2,860.00 | $506.94 – $5,586.10 | 19 |
| Clot factor fletcher fact CPT 85292 | $26.12 | $127.00 | $9.90 – $85.09 | 21 |
| Clot factor viii reltd antgn CPT 85244 | $28.18 | not published | $10.68 – $33.28 | 17 |
| Clot factor wght kininogen CPT 85293 | $26.12 | $127.00 | $9.90 – $85.09 | 21 |
| Clot factor xii hageman CPT 85280 | $26.70 | $56.75 | $10.12 – $38.02 | 21 |
| Clot factor xiii fibrin scrn CPT 85291 | $12.57 | $59.00 | $4.76 – $39.53 | 21 |
| Clot factor xiii fibrin stab CPT 85290 | $22.55 | $110.00 | $8.55 – $55.28 | 21 |
| Clotting assay whole blood CPT 85396 | $22.15 | $77.00 | $3.69 – $34.61 | 17 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $1.06 – $1.98 | 3 |
| Clsd ostomy pouch w/flange HCPCS A5054 | $3.53 | not published | $1.47 – $5.06 | 16 |
| Clsd ostomy pouch without barr HCPCS A5052 | $2.93 | not published | $1.31 – $4.19 | 16 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $522.52 | $930.00 | $131.80 – $565.29 | 22 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $450.16 | $970.00 | $131.80 – $565.29 | 22 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $510.53 | $1,000.00 | $131.80 – $565.29 | 22 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $2,211.05 | $1,902.00 | $157.19 – $3,685.08 | 22 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $362.04 | $730.00 | $131.80 – $565.29 | 22 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,211.05 | $1,080.00 | $220.24 – $3,685.08 | 22 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $344.90 | $710.00 | $131.80 – $565.29 | 22 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $339.18 | $610.00 | $128.01 – $565.29 | 22 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $339.18 | $590.00 | $131.80 – $565.29 | 22 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $591.74 | $1,240.00 | $131.80 – $568.24 | 22 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $449.81 | $980.00 | $131.80 – $565.29 | 22 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $339.18 | $246.00 | $45.58 – $565.29 | 22 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,211.05 | $2,510.00 | $479.89 – $3,685.08 | 22 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $2,211.05 | $1,560.00 | $334.30 – $3,685.08 | 22 |
| Clsd tx fracture of radius 25500 CPT 25500 | $384.45 | $800.00 | $131.80 – $565.29 | 22 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $339.18 | $395.00 | $84.35 – $565.29 | 22 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $339.18 | $450.00 | $92.44 – $565.29 | 22 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $478.13 | $990.00 | $131.80 – $565.29 | 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.