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 |
|---|---|---|---|---|
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,211.05 | $1,650.00 | $334.30 – $3,685.08 | 22 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $385.32 | $810.00 | $131.80 – $565.29 | 22 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,211.05 | $1,500.00 | $325.04 – $3,685.08 | 22 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $382.26 | $820.00 | $125.30 – $565.29 | 22 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $706.09 | $1,300.00 | $131.80 – $565.29 | 22 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $509.33 | $1,110.00 | $131.80 – $565.29 | 22 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $492.99 | $1,050.00 | $131.80 – $565.29 | 22 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $507.33 | $1,110.00 | $149.45 – $640.99 | 22 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $741.60 | $1,490.00 | $263.07 – $1,236.00 | 22 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $339.18 | $690.00 | $131.80 – $565.29 | 22 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $420.71 | $880.00 | $131.80 – $565.29 | 22 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $440.47 | $940.00 | $131.80 – $565.29 | 22 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $4,499.12 | $1,530.00 | $317.16 – $7,498.53 | 22 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $339.18 | $730.00 | $131.80 – $565.29 | 22 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $339.18 | $650.00 | $131.80 – $565.29 | 22 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $4,558.89 | $952.00 | $52.19 – $7,598.14 | 22 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $189.37 – $189.37 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,211.05 | $1,236.00 | $209.81 – $3,685.08 | 22 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $566.72 | $1,090.00 | $131.80 – $565.29 | 22 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $439.16 | $950.00 | $131.80 – $565.29 | 22 |
| Clsd tx pelvic ring fx CPT 27197 | $339.18 | $406.00 | $78.81 – $1,075.00 | 22 |
| Clsd tx pelvic ring fx CPT 27198 | $418.90 | $990.00 | $131.80 – $1,075.00 | 22 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,211.05 | $1,280.00 | $260.07 – $3,685.08 | 22 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $339.18 | $590.00 | $130.78 – $565.29 | 22 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $362.86 | $770.00 | $131.80 – $565.29 | 22 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,211.05 | $1,290.00 | $281.80 – $3,685.08 | 22 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $356.04 | $770.00 | $131.80 – $565.29 | 22 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,211.05 | $1,290.00 | $265.61 – $3,685.08 | 22 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,211.05 | $1,630.00 | $304.66 – $3,685.08 | 22 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,211.05 | $1,902.00 | $267.10 – $3,685.08 | 22 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $4,499.12 | $3,805.00 | $217.90 – $7,498.53 | 22 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $339.18 | $264.00 | $19.38 – $565.29 | 22 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $339.18 | $287.00 | $64.33 – $565.29 | 22 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $443.09 | $930.00 | $131.80 – $565.29 | 22 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,211.05 | $1,410.00 | $303.74 – $3,685.08 | 22 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $356.63 | $760.00 | $131.80 – $565.29 | 22 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $419.99 | $940.00 | $131.80 – $565.29 | 22 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $411.01 | $900.00 | $131.80 – $565.29 | 22 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $416.43 | $890.00 | $131.80 – $565.29 | 22 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $744.22 | $1,690.00 | $130.49 – $611.26 | 22 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $459.80 | $960.00 | $131.80 – $565.29 | 22 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $397.14 | $840.00 | $131.80 – $565.29 | 22 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | $2,679.31 | $6,530.00 | $1,122.51 – $11,638.93 | 19 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | $2,659.32 | $6,530.00 | $1,111.22 – $12,274.63 | 19 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $573.11 | $1,140.00 | $131.80 – $622.79 | 22 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,211.05 | $1,420.00 | $284.57 – $3,685.08 | 22 |
| Cltx craniofacial separation CPT 21431 | $8,139.99 | $2,310.00 | $412.58 – $4,460.45 | 19 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,211.05 | $1,140.00 | $240.69 – $3,685.08 | 22 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $451.41 | $930.00 | $131.80 – $565.29 | 22 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $2,211.05 | $1,640.00 | $317.80 – $3,685.08 | 22 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $475.77 | $980.00 | $131.80 – $565.29 | 22 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,211.05 | $1,580.00 | $307.57 – $3,685.08 | 22 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $8,139.99 | $3,513.00 | $568.71 – $13,566.64 | 22 |
| Cltx mndblr fx w/mnpj CPT 21451 | $2,133.48 | $2,030.00 | $387.87 – $3,555.80 | 22 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $4,558.89 | $3,231.00 | $383.61 – $7,598.14 | 22 |
| Cltx palatal/max fx wire fix CPT 21421 | $4,558.89 | $3,144.00 | $327.59 – $7,598.14 | 22 |
| Cltx post ankle fx CPT 27767 | $420.42 | $900.00 | $131.80 – $1,075.00 | 22 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,211.05 | $1,440.00 | $282.01 – $3,685.08 | 22 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,211.05 | $1,220.00 | $241.76 – $3,685.08 | 22 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $521.06 | $1,160.00 | $131.80 – $565.29 | 22 |
| Cltx thigh fx CPT 27267 | $4,499.12 | $1,410.00 | $274.98 – $7,498.53 | 22 |
| Cltx thigh fx w/mnpj CPT 27268 | $2,211.05 | $1,770.00 | $329.30 – $3,214.40 | 18 |
| Cltx tmprmand dislc comp CPT 21485 | $2,133.48 | $2,150.00 | $201.89 – $3,555.80 | 22 |
| Cmbn ant pst colprhy CPT 57260 | $6,878.55 | $2,460.00 | $438.35 – $11,464.26 | 20 |
| C motor evoked lwr limbs CPT 95929 | $513.11 | $752.00 | $50.06 – $855.19 | 22 |
| C motor evoked uppr limbs CPT 95928 | $1,180.80 | $895.00 | $50.48 – $1,968.00 | 22 |
| C motor evoked upr&lwr limbs CPT 95939 | $1,180.80 | $1,789.00 | $74.98 – $1,968.00 | 22 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | $2,765.23 | $6,750.00 | $1,158.29 – $12,023.32 | 19 |
| Cmptr ophth dx img ant segmt CPT 92132 | $81.12 | $101.00 | $9.58 – $135.19 | 21 |
| Cmptr ophth img optic nerve CPT 92133 | $81.12 | $449.00 | $9.58 – $346.18 | 22 |
| #cms hgb-carboxyhemoglobin CPT 82376 | $19.42 | not published | $7.36 – $22.93 | 17 |
| #cms hgb-sulfhemoglobin CPT 83060 | $12.14 | not published | $4.60 – $14.34 | 17 |
| #cmvcul-virus inoculation shell CPT 87254 | $26.99 | $131.00 | $10.23 – $87.77 | 21 |
| Cmv ig IV CPT 90291 | not published | not published | $1,791.99 – $4,986.21 | 6 |
| Cmv pcr-sendout CPT 87496 | $48.42 | $245.00 | $18.35 – $84.69 | 21 |
| Cnbp gene detc abnor allele CPT 81187 | $189.06 | not published | $71.65 – $295.92 | 16 |
| Cntct lens hydrophil photoch HCPCS V2524 | $236.66 | not published | $162.92 – $231.51 | 13 |
| Co2 monitor per day CPT 94681 | $513.11 | $325.00 | $6.18 – $855.19 | 22 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $3.62 | $148.50 | $1.37 – $128.01 | 22 |
| Coagulation time activated teg CPT 85347 | $5.91 | $29.00 | $2.24 – $19.43 | 21 |
| Coagulation time lee & white CPT 85345 | $6.47 | not published | $2.45 – $7.64 | 17 |
| Coagulation time otr method CPT 85348 | $6.20 | not published | $2.35 – $7.32 | 17 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | $1,078.50 | $1.56 – $634.86 | 13 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $3.34 – $5.98 | 4 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $9.98 – $125.67 | 3 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $14,283.08 | not published | $9,522.06 – $20,459.64 | 15 |
| Coch implant headset replace HCPCS L8615 | $766.38 | not published | $510.92 – $1,097.79 | 15 |
| Coch implant microphone repl HCPCS L8616 | $178.49 | not published | $118.99 – $255.67 | 15 |
| Coch implant tran cable repl HCPCS L8618 | $44.56 | not published | $29.71 – $63.84 | 15 |
| Coch implant trans coil repl HCPCS L8617 | $155.91 | not published | $103.94 – $223.33 | 15 |
| Cochlear implt f/up exam <7 CPT 92601 | $176.93 | $687.00 | $66.42 – $529.68 | 22 |
| Cochlear implt f/up exam 7/> CPT 92603 | $176.93 | $462.00 | $64.84 – $462.00 | 22 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $65.95 – $280.09 | 3 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.29 – $5.46 | 6 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | $171.12 | not published | $66.49 – $521.03 | 15 |
| Cold agglutinin screen (arc) CPT 86156 | $11.14 | not published | $4.22 – $14.74 | 17 |
| Cold agglutinin titer CPT 86157 | $11.12 | $4.81 | $1.92 – $14.93 | 21 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | $2,301.58 | $5,670.00 | $976.18 – $10,194.39 | 19 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | $2,577.63 | $6,320.00 | $1,103.55 – $11,444.66 | 19 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | $2,859.55 | $7,000.00 | $1,224.54 – $12,764.61 | 19 |
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.