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 |
|---|---|---|---|---|
| Complx repair fccmnaxghf 13131 CPT 13131 | $558.97 | $810.00 | $130.14 – $931.62 | 22 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $558.97 | $1,030.00 | $160.18 – $931.62 | 22 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $148.53 | $430.00 | $12.30 – $200.38 | 22 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $99.53 | $284.00 | $12.30 – $134.15 | 22 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,016.25 | $670.00 | $109.27 – $1,693.74 | 22 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $88.22 | $246.00 | $12.30 – $116.70 | 22 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $1,173.84 | not published | $782.56 – $1,681.45 | 16 |
| Composite byp grft 2 veins CPT 35682 | $490.36 | $1,220.00 | $177.42 – $2,190.09 | 19 |
| Composite byp grft 3/> segmt CPT 35683 | $574.98 | $1,420.00 | $174.88 – $2,530.12 | 19 |
| Composite byp grft pros&vein CPT 35681 | $111.45 | $279.00 | $45.80 – $498.42 | 19 |
| Composite drsg >16<=48 sq in HCPCS A6204 | $12.23 | not published | $6.41 – $17.52 | 16 |
| Composite drsg <= 16 sq in HCPCS A6203 | $6.62 | not published | $3.44 – $9.50 | 16 |
| Composite graft/pri close/don area 15760 CPT 15760 | $2,837.09 | $2,290.00 | $389.79 – $4,728.48 | 22 |
| Comprehensive hearing test CPT 92557 | $176.93 | $157.00 | $16.40 – $294.88 | 22 |
| Compre oph exam est pt 1/> CPT 92014 | $183.07 | $199.00 | $0.01 – $305.12 | 22 |
| Compre oph exam new pt 1/> CPT 92004 | $183.07 | $237.00 | $0.01 – $305.12 | 22 |
| Compression stocking bk18-30 HCPCS A6530 | $53.92 | not published | $32.51 – $76.70 | 16 |
| Comp rpr tof wo pulm atresia CPT 33692 | $2,761.68 | $6,780.00 | $1,153.61 – $12,754.06 | 19 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $511.75 | $4,380.00 | $170.11 – $3,376.98 | 22 |
| Concentration infection agents any type CPT 87015 | $9.22 | $46.00 | $3.49 – $10.89 | 21 |
| Conditioning play audiometry 92582 CPT 92582 | $176.93 | $143.00 | $57.14 – $294.88 | 22 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | not published | $321.17 – $464.20 | 2 |
| Condylomata destruction 56420 CPT 56420 | $277.99 | $309.00 | $63.90 – $463.31 | 22 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | $0.55 | not published | $0.31 – $0.79 | 16 |
| Conform band s w>=3" <5"/yd HCPCS A6446 | $0.76 | not published | $0.40 – $1.09 | 16 |
| Conform band s w >=5"/yd HCPCS A6447 | $1.34 | not published | $0.67 – $1.92 | 16 |
| Congo red blood test HCPCS P2029 | $6.83 | not published | $4.04 – $10.69 | 14 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $45.46 – $119.04 | 3 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $4,451.18 | $1,072.00 | $147.61 – $7,418.63 | 22 |
| Conization of cervix CPT 57520 | $4,451.18 | $910.00 | $174.45 – $7,418.63 | 20 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $540.63 | $1,166.18 | $204.89 – $1,005.25 | 22 |
| Connect omega .5mm HCPCS L8613 | $577.47 | not published | $384.98 – $564.92 | 14 |
| Connector tis 2x10mm HCPCS C9352 | not published | not published | $844.95 – $2,772.71 | 4 |
| Constj trachesophgl fstl CPT 31611 | $4,558.89 | $1,717.00 | $313.11 – $7,598.14 | 22 |
| Construct bladder opening CPT 51980 | $933.53 | $2,320.00 | $412.58 – $4,350.62 | 19 |
| Construct bowel bladder CPT 50820 | $1,715.57 | $4,310.00 | $751.68 – $8,025.40 | 19 |
| Construct bowel bladder CPT 50825 | $2,126.21 | $5,450.00 | $933.79 – $10,124.71 | 19 |
| Construction of absent anus CPT 46730 | $2,854.32 | $6,700.00 | $1,216.44 – $11,113.10 | 19 |
| Construction of absent anus CPT 46735 | $3,269.11 | $7,750.00 | $1,388.33 – $12,872.34 | 19 |
| Construction of absent anus CPT 46740 | $3,106.97 | $7,330.00 | $1,321.45 – $12,403.49 | 19 |
| Construction of vagina CPT 57291 | $6,878.55 | $1,700.00 | $311.41 – $11,464.26 | 20 |
| Construct thumb replacement CPT 26550 | $4,499.12 | $5,370.00 | $981.08 – $7,498.53 | 20 |
| Construct vagina with graft CPT 57292 | $6,878.55 | $2,610.00 | $466.47 – $11,464.26 | 20 |
| Consultation pathology during surgery CPT 88329 | $81.12 | $157.00 | $19.58 – $135.19 | 21 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $1,107.84 | $2,674.00 | $20.32 – $1,846.39 | 22 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $39.96 | $114.00 | $15.42 – $71.69 | 21 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $234.27 | $636.00 | $26.03 – $426.12 | 22 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $113.96 | $321.00 | $19.67 – $148.74 | 22 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $94.74 | $356.00 | $19.47 – $115.05 | 19 |
| Consultation with family CPT 90887 | not published | $183.00 | $22.80 – $96.89 | 18 |
| Consult comp w/report rfrd material CPT 88325 | $234.27 | $630.00 | $68.84 – $390.45 | 20 |
| Contact layer >16<= 48 sq in HCPCS A6207 | $14.45 | not published | $7.56 – $20.69 | 16 |
| Contact lens fitg aphakia 1 CPT 92311 | $614.27 | $86.00 | $26.84 – $1,023.78 | 19 |
| Contact lens fitg aphakia ou CPT 92312 | $182.95 | $99.00 | $31.31 – $304.91 | 18 |
| Contact lens fitting for tx CPT 92071 | $36.31 | $121.00 | $16.61 – $48.33 | 18 |
| Contact lens fitting ou CPT 92310 | $60.00 | $500.00 | $31.10 – $143.88 | 13 |
| Contact lens gas permeable HCPCS V2531 | $920.06 | not published | $601.29 – $900.06 | 14 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $49.46 | $112.00 | $22.37 – $50.18 | 19 |
| Cont intraop neuro monitor HCPCS G0453 | $39.11 | $160.00 | $19.27 – $123.36 | 19 |
| Contour cranial bone lesion CPT 21181 | $8,139.99 | $2,420.00 | $428.98 – $13,566.64 | 20 |
| Contour of face bone lesion CPT 21029 | $4,558.89 | $2,060.00 | $364.23 – $7,598.14 | 20 |
| Contrast baths charges CPT 97034 | $19.35 | $72.00 | $7.33 – $163.00 | 22 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $4,341.66 | $2,794.00 | $39.17 – $7,236.10 | 22 |
| Contrast exam thoracic aorta CPT 75600 | $4,341.66 | $4,162.00 | $15.12 – $7,236.10 | 22 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $7,651.38 | $2,794.00 | $33.23 – $12,752.30 | 22 |
| Contrast x-ray gallbladder CPT 74290 | $241.18 | $563.00 | $9.37 – $401.97 | 22 |
| Contrast x-ray of ankle CPT 73615 | $479.72 | $1,222.00 | $17.89 – $818.74 | 22 |
| Contrast x-ray of brain CPT 70010 | $479.72 | $785.00 | $22.49 – $799.53 | 22 |
| Contrast x-ray of brain CPT 70015 | $1,077.92 | $888.00 | $34.93 – $1,796.53 | 22 |
| Contrast x-ray of elbow CPT 73085 | $479.72 | $1,055.00 | $15.98 – $799.53 | 22 |
| Contrast x-ray of hip CPT 73525 | $479.72 | $1,171.00 | $18.11 – $799.53 | 22 |
| Contrast x-ray of knee joint CPT 73580 | $479.72 | $1,392.00 | $20.24 – $932.64 | 22 |
| Contrast x-ray of wrist CPT 73115 | $479.72 | $1,236.00 | $17.25 – $828.12 | 22 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $24,692.00 | not published | $16,461.33 – $35,369.75 | 15 |
| Controller infinity pt dbs HCPCS C1787 | not published | $4,995.00 | $360.00 – $1,034.40 | 11 |
| Control nosebleed pack+caut 30905 CPT 30905 | $182.95 | $340.00 | $63.26 – $304.91 | 22 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | $573.72 | $1,480.00 | $254.96 – $2,804.66 | 19 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | $4,558.89 | $1,650.00 | $283.50 – $7,598.14 | 20 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | $522.01 | $1,330.00 | $123.43 – $542.80 | 20 |
| Control of nosebleed ant comp 30903 CPT 30903 | $182.95 | $260.00 | $44.52 – $304.91 | 22 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $182.95 | $209.00 | $31.74 – $304.91 | 22 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $741.60 | $550.00 | $92.87 – $1,236.00 | 22 |
| Control throat bleeding CPT 42961 | $532.74 | $1,350.00 | $237.71 – $2,572.32 | 19 |
| Control throat bleeding CPT 42962 | $4,558.89 | $1,680.00 | $292.02 – $7,598.14 | 20 |
| Contrst x-ray uppr gi tract CPT 74249 | not published | not published | $182.90 – $339.95 | 2 |
| Conversion ext bil drg cath CPT 47535 | $4,923.19 | $4,007.00 | $107.99 – $8,205.32 | 22 |
| Convert nephrostomy catheter CPT 50434 | $2,874.36 | $900.00 | $106.29 – $4,790.60 | 22 |
| Conv gtube to jtube CPT 44373 | $2,638.57 | $2,016.00 | $108.63 – $4,397.62 | 22 |
| Coombs direct CPT 86880 | $81.12 | $157.00 | $4.40 – $135.19 | 22 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $234.27 | not published | $4.66 – $390.45 | 20 |
| Coombs indirect titer reference CPT 86886 | $234.27 | $34.00 | $4.22 – $390.45 | 22 |
| Copper cu 64 dotatate diag HCPCS A9592 | $820.11 | $12,453.00 | $0.01 – $2,544.30 | 21 |
| Copper intrauterine device HCPCS J7300 | $1,125.00 | $3,418.50 | $1,025.55 – $2,946.75 | 13 |
| Cor artery disease mrna CPT 81493 | $1,449.00 | not published | $856.74 – $2,268.00 | 14 |
| Core ndl bx lng/med perq CPT 32408 | $2,271.01 | $2,479.00 | $83.28 – $3,785.02 | 22 |
| Corf related serv 15 mins ea HCPCS G0409 | $32.36 | not published | $15.02 – $45.62 | 3 |
| Corf skilled nursing service HCPCS G0128 | $15.01 | not published | $8.73 – $26.61 | 3 |
| Cor hlx vlgs double osteot CPT 28299 | $9,977.57 | $8,904.00 | $359.33 – $16,629.28 | 22 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $4,499.12 | $1,650.00 | $308.85 – $7,498.53 | 20 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $9,977.57 | $7,950.00 | $308.21 – $16,629.28 | 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.