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 |
|---|---|---|---|---|
| Culture bact stool aero addl path ea CPT 87046 | $13.03 | $64.00 | $4.94 – $42.88 | 21 |
| Culture body fluid CPT 87070 | $11.90 | $57.00 | $4.51 – $38.19 | 21 |
| Culture fungi definitive id mold CPT 87107 | $14.24 | $70.00 | $5.40 – $46.90 | 21 |
| Culture fungi definitive id yeast CPT 87106 | $14.24 | $70.00 | $5.40 – $46.90 | 21 |
| Culture fungi other (except blood) CPT 87102 | $11.61 | $56.00 | $4.40 – $37.52 | 21 |
| Culture fungi skin/hair/nail CPT 87101 | $10.64 | $52.00 | $4.03 – $34.84 | 21 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $20.16 | not published | $7.64 – $23.81 | 17 |
| Culture mycoplasma any source CPT 87109 | $21.24 | $12.80 | $5.12 – $29.75 | 21 |
| Culture of specimen by kit CPT 87084 | $37.36 | not published | $9.92 – $44.12 | 17 |
| Culture quantitative aerobic other source CPT 87071 | $13.65 | $64.00 | $5.17 – $42.88 | 21 |
| Culture screening strep group a CPT 87081 | $9.15 | $153.60 | $3.47 – $17.73 | 21 |
| Culture type pulse field gel CPT 87152 | $10.68 | not published | $4.05 – $13.36 | 17 |
| Culture typing added method CPT 87158 | $10.68 | not published | $4.05 – $15.23 | 17 |
| Culture typing glc/hplc CPT 87143 | $17.28 | $85.00 | $6.55 – $56.95 | 21 |
| Culture typing immunologic CPT 87147 | $7.15 | $34.00 | $2.71 – $22.78 | 21 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $300.92 | not published | $114.05 – $355.44 | 16 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $48.42 | $99.00 | $18.35 – $76.33 | 21 |
| Culture urine each isolate CPT 87088 | $11.16 | $54.00 | $4.23 – $36.18 | 21 |
| Culture virus isolation CPT 87250 | $26.99 | not published | $10.23 – $65.12 | 17 |
| Curette/treat cornea CPT 65435 | $1,370.74 | $651.00 | $38.55 – $2,284.57 | 22 |
| Curette/treat cornea CPT 65436 | $3,269.14 | $1,160.00 | $202.78 – $5,448.56 | 22 |
| Cus elbo skt in for con/atyp HCPCS L6696 | $2,235.24 | not published | $1,490.16 – $3,201.84 | 15 |
| Cus elbo skt in not con/atyp HCPCS L6697 | $2,235.24 | not published | $1,490.16 – $3,201.84 | 15 |
| Custom glove for term device HCPCS L6895 | $1,134.82 | not published | $756.54 – $1,625.56 | 16 |
| Custom shape cover ak HCPCS L5705 | $1,948.42 | not published | $1,298.95 – $2,791.00 | 16 |
| Custom shape cover bk HCPCS L5704 | $1,062.75 | not published | $708.50 – $1,522.33 | 16 |
| Custom shape cvr hip disart HCPCS L5707 | $2,553.29 | not published | $1,702.19 – $3,657.43 | 16 |
| Custom shape cvr knee disart HCPCS L5706 | $1,900.43 | not published | $1,266.95 – $2,722.25 | 16 |
| Cutter lead HCPCS C1773 | not published | $6,525.00 | $31.50 – $90.51 | 11 |
| Cv line/pic reposition CPT 36597 | $2,164.52 | $1,383.00 | $33.23 – $3,607.53 | 22 |
| Cv stress test i&r only 93018 CPT 93018 | $19.03 | $61.00 | $8.73 – $32.17 | 18 |
| Cv stress test/supervision only 93016 CPT 93016 | $28.62 | $93.00 | $13.21 – $41.11 | 18 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $19.76 | $28.25 | $7.49 – $37.24 | 21 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $0.88 | $25.97 | $0.36 – $6.53 | 14 |
| Cyclic citrullinated peptide antibody CPT 86200 | $17.87 | $88.00 | $6.77 – $95.56 | 21 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $12.70 – $108.13 | 2 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $0.81 | $4,445.00 | $0.31 – $305.15 | 22 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $2.51 | $51.24 | $0.84 – $16.20 | 14 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $101.68 | $218.57 | $36.70 – $122.32 | 14 |
| Cyclosporine 2 hour CPT 80158 | $24.91 | $121.00 | $9.44 – $46.23 | 21 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $0.73 | $15.87 | $0.30 – $3.28 | 14 |
| Cyclosporine oral 100 mg HCPCS J7502 | $2.50 | $1,927.85 | $1.02 – $12.67 | 14 |
| Cygnus matrix, per sq cm HCPCS Q4199 | $171.12 | not published | $66.49 – $363.79 | 15 |
| Cygnus, per sq cm HCPCS Q4170 | $171.12 | not published | $36.17 – $228.16 | 14 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | not published | $29,975.40 | $1,658.70 – $4,766.00 | 11 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $904.99 – $1,343.09 | 2 |
| Cyp2c19 gene com variants CPT 81225 | $402.08 | $754.00 | $152.38 – $629.34 | 21 |
| Cyp2c9 gene com variants CPT 81227 | $241.24 | $864.00 | $91.43 – $666.14 | 21 |
| Cyp2d6 gene com variants CPT 81226 | $622.26 | $956.00 | $235.83 – $973.97 | 21 |
| Cyp3a4 gene common variants CPT 81230 | $241.24 | $864.00 | $91.43 – $666.14 | 20 |
| Cyp3a5 gene common variants CPT 81231 | $241.24 | $864.00 | $91.43 – $666.14 | 20 |
| Cystatin c CPT 82610 | $25.56 | $83.00 | $15.12 – $53.97 | 20 |
| Cystic fibrosis cftr CPT 81223 | $688.62 | not published | $260.98 – $1,427.63 | 16 |
| Cystine urine quantitative CPT 82131 | $31.71 | $13.48 | $5.39 – $41.62 | 21 |
| Cysto cgen post urtl valves CPT 52400 | $4,846.99 | $1,560.00 | $273.07 – $8,078.31 | 20 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $479.72 | $349.00 | $9.59 – $799.53 | 22 |
| Cysto impl 4 or more HCPCS C9740 | $13,016.74 | not published | $4,933.16 – $21,694.57 | 18 |
| Cysto insj dev ischmc rmdlg CPT 53865 | $13,016.74 | $463.00 | $92.87 – $21,694.57 | 18 |
| Cysto, litho, vacuum kidney HCPCS C9761 | $13,016.74 | not published | $4,933.16 – $21,694.57 | 18 |
| Cystometrogram w/up 51727 CPT 51727 | $958.81 | $716.00 | $67.52 – $1,598.02 | 22 |
| Cystorrhaphy wound comp 51865 CPT 51865 | $1,176.95 | $2,950.00 | $516.53 – $5,463.60 | 19 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $13,016.74 | $2,460.00 | $434.95 – $21,694.57 | 22 |
| Cysto rx balo cath urtl strx CPT 52284 | $7,372.68 | $505.00 | $93.08 – $12,287.80 | 19 |
| Cystoscopy and biopsy CPT 52007 | $4,846.99 | $540.00 | $94.36 – $8,078.31 | 20 |
| Cystoscopy and radiotracer CPT 52250 | $4,846.99 | $780.00 | $135.04 – $8,078.31 | 20 |
| Cystoscopy and treatment CPT 52214 | $4,846.99 | $580.00 | $96.92 – $8,078.31 | 20 |
| Cystoscopy and treatment CPT 52224 | $4,846.99 | $2,218.00 | $112.04 – $8,078.31 | 22 |
| Cystoscopy and treatment CPT 52234 | $4,846.99 | $2,504.00 | $138.24 – $8,078.31 | 22 |
| Cystoscopy and treatment CPT 52235 | $4,846.99 | $6,707.00 | $162.31 – $8,078.31 | 22 |
| Cystoscopy and treatment CPT 52240 | $7,372.68 | $1,280.00 | $219.60 – $12,287.80 | 20 |
| Cystoscopy and treatment CPT 52260 | $2,874.36 | $690.00 | $118.43 – $4,790.60 | 20 |
| Cystoscopy and treatment CPT 52265 | $2,874.36 | $530.00 | $92.02 – $4,790.60 | 22 |
| Cystoscopy and treatment CPT 52276 | $2,874.36 | $870.00 | $148.89 – $4,790.60 | 20 |
| Cystoscopy and treatment CPT 52277 | $4,846.99 | $1,060.00 | $181.90 – $8,078.31 | 20 |
| Cystoscopy and treatment CPT 52283 | $2,874.36 | $660.00 | $113.96 – $4,790.60 | 20 |
| Cystoscopy and treatment CPT 52285 | $958.81 | $640.00 | $110.55 – $2,062.86 | 20 |
| Cystoscopy and treatment CPT 52290 | $2,874.36 | $800.00 | $137.39 – $4,790.60 | 20 |
| Cystoscopy and treatment CPT 52300 | $4,846.99 | $920.00 | $157.62 – $8,078.31 | 20 |
| Cystoscopy and treatment CPT 52301 | $4,846.99 | $950.00 | $162.73 – $8,078.31 | 20 |
| Cystoscopy and treatment CPT 52305 | $7,372.68 | $910.00 | $156.13 – $12,287.80 | 20 |
| Cystoscopy and treatment CPT 52310 | $2,874.36 | $2,052.00 | $85.84 – $4,790.60 | 22 |
| Cystoscopy and treatment CPT 52315 | $2,874.36 | $1,360.00 | $154.64 – $4,790.60 | 22 |
| Cystoscopy and treatment CPT 52320 | $4,846.99 | $810.00 | $138.02 – $8,078.31 | 20 |
| Cystoscopy and treatment CPT 52330 | $4,846.99 | $3,578.00 | $147.40 – $8,078.31 | 22 |
| Cystoscopy (Bladder Scope) CPT 52000 | $958.81 | $1,503.00 | $45.37 – $1,598.02 | 22 |
| Cystoscopy chemodenervation CPT 52287 | $2,874.36 | $1,539.00 | $95.00 – $4,790.60 | 22 |
| Cystoscopy & duct catheter CPT 52010 | $958.81 | $540.00 | $93.93 – $1,598.02 | 20 |
| Cystoscopy implant stent CPT 52282 | $4,846.99 | $1,110.00 | $189.36 – $8,078.31 | 20 |
| Cystoscopy inject material CPT 52327 | $7,372.68 | $860.00 | $143.56 – $12,287.80 | 20 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | $7,372.68 | not published | $2,794.14 – $12,287.80 | 18 |
| Cystoscopy removal of clots CPT 52001 | $4,846.99 | $2,511.00 | $161.24 – $8,078.31 | 22 |
| Cystoscopy & revise urethra CPT 52270 | $2,874.36 | $600.00 | $103.31 – $4,790.60 | 20 |
| Cystoscopy & revise urethra CPT 52275 | $2,874.36 | $810.00 | $139.73 – $4,790.60 | 20 |
| Cystoscopy stone removal CPT 52325 | $7,372.68 | $1,050.00 | $179.56 – $12,287.80 | 20 |
| Cystoscopy & ureter catheter CPT 52005 | $2,874.36 | $3,481.00 | $76.25 – $4,790.60 | 22 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $2,874.36 | $940.00 | $174.02 – $4,790.60 | 20 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | $4,846.99 | $1,520.00 | $277.75 – $8,078.31 | 20 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | $4,846.99 | $2,540.00 | $449.22 – $8,078.31 | 20 |
| Cystouretero & or pyeloscope CPT 52351 | $4,846.99 | $2,504.00 | $169.97 – $8,078.31 | 22 |
| Cysto/uretero stricture tx CPT 52344 | $4,846.99 | $1,210.00 | $207.04 – $8,078.31 | 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.