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 |
|---|---|---|---|---|
| Cystouretero w/biopsy CPT 52354 | $7,372.68 | $1,370.00 | $233.66 – $12,287.80 | 20 |
| Cystouretero w/excise tumor CPT 52355 | $7,372.68 | $1,530.00 | $261.35 – $12,287.80 | 20 |
| Cysto/uretero w/lithotripsy CPT 52356 | $7,372.68 | $1,370.00 | $232.81 – $12,287.80 | 19 |
| Cystouretero w/lithotripsy CPT 52353 | $7,372.68 | $1,280.00 | $219.18 – $12,287.80 | 20 |
| Cystouretero w/renal strict CPT 52346 | $7,372.68 | $1,460.00 | $249.64 – $12,287.80 | 20 |
| Cystouretero w/stone remove CPT 52352 | $4,846.99 | $1,160.00 | $198.73 – $8,078.31 | 20 |
| Cysto/uretero w/up stricture CPT 52345 | $4,846.99 | $1,290.00 | $220.88 – $8,078.31 | 20 |
| Cystourethro cut ejacul duct CPT 52402 | $4,846.99 | $880.00 | $147.18 – $8,078.31 | 19 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,874.36 | $1,539.00 | $87.12 – $4,790.60 | 22 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $2,874.36 | $2,834.00 | $80.94 – $4,790.60 | 22 |
| Cystourethro w/addl implant 52442 CPT 52442 | $64.61 | $200.00 | $28.12 – $65.55 | 17 |
| Cystourethro w/implant CPT 52441 | $267.33 | $740.00 | $117.36 – $271.21 | 17 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $3,843.82 – $3,928.04 | 2 |
| Cysto w/renal stricture tx CPT 52343 | $4,846.99 | $1,130.00 | $192.98 – $8,078.31 | 20 |
| Cysto w/up stricture tx CPT 52342 | $4,846.99 | $1,010.00 | $173.60 – $8,078.31 | 20 |
| Cysto w/ureter stricture tx CPT 52341 | $4,846.99 | $930.00 | $159.75 – $8,078.31 | 20 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $1.15 | $138.05 | $0.47 – $60.08 | 14 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $604.66 – $1,583.49 | 4 |
| Cytog alys chrml abnr lw-ps CPT 81349 | $1,653.16 | not published | $977.45 – $2,587.55 | 15 |
| Cytogenetics 25-99 CPT 88274 | $58.48 | $233.00 | $22.16 – $194.05 | 21 |
| Cytogenetics 3-5 CPT 88272 | $56.17 | not published | $21.29 – $394.24 | 17 |
| Cytogenomic neo microra alys CPT 81277 | $1,600.80 | $3,408.00 | $606.68 – $2,627.57 | 20 |
| Cytogenom microarray copy nmbr var CPT 81228 | $1,242.00 | $1,200.00 | $470.70 – $1,944.00 | 21 |
| Cytog genom-wid alys hem mal CPT 81195 | $2,571.24 | $5,089.00 | $1,030.97 – $4,024.56 | 19 |
| Cytomegalovirus ag ia CPT 87332 | $16.53 | not published | $6.27 – $21.28 | 17 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $19.86 | $98.00 | $7.53 – $65.66 | 21 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $23.25 | $113.00 | $8.81 – $75.71 | 21 |
| Cytomegalovirus dfa CPT 87271 | $18.52 | $80.00 | $7.02 – $53.60 | 21 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $2,495.49 | $5,433.65 | $945.76 – $4,679.50 | 22 |
| Cytomeg dna dir probe CPT 87495 | $41.44 | not published | $15.71 – $48.95 | 17 |
| Cyto/molecular report CPT 88291 | $45.53 | $137.00 | $16.72 – $52.08 | 17 |
| Cytopath c/v auto in fluid CPT 88174 | $35.01 | not published | $13.27 – $48.37 | 17 |
| Cytopath c/v automated CPT 88147 | $69.77 | not published | $21.67 – $82.41 | 17 |
| Cytopath c/v auto redo CPT 88152 | $38.14 | not published | $21.67 – $45.05 | 16 |
| Cytopath c/v auto rescreen CPT 88148 | $25.59 | not published | $9.70 – $42.58 | 17 |
| Cytopath c/v index add-on CPT 88155 | $20.22 | not published | $7.66 – $24.11 | 17 |
| Cytopath c/v manual CPT 88150 | $25.59 | $28.00 | $8.81 – $20.73 | 17 |
| Cytopath c/v redo CPT 88153 | $33.16 | not published | $19.61 – $39.17 | 16 |
| Cytopath c/v thin layer redo CPT 88143 | $31.80 | not published | $12.05 – $85.99 | 17 |
| Cytopath fl nongyn filter CPT 88106 | $39.77 | $71.00 | $9.75 – $95.93 | 20 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $71.65 | $222.00 | $13.88 – $148.74 | 22 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $36.72 | $155.00 | $13.92 – $103.85 | 21 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $27.96 | $137.00 | $10.60 – $91.79 | 21 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $51.36 | $157.00 | $11.30 – $105.19 | 22 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $51.36 | $157.00 | $13.71 – $105.19 | 22 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $11.56 | $27.00 | $5.69 – $21.31 | 15 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $234.27 | $639.00 | $13.98 – $428.13 | 22 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $90.05 | $260.00 | $27.84 – $189.45 | 22 |
| Cytopath smear other source CPT 88160 | $39.77 | $124.00 | $13.02 – $106.27 | 22 |
| Cytopath smear other source CPT 88162 | $71.65 | $222.00 | $19.73 – $171.22 | 22 |
| Cytopath smear oth prep screen & interp CPT 88161 | $39.77 | $157.00 | $12.84 – $108.08 | 22 |
| Cytopath tbs c/v auto redo CPT 88166 | $25.59 | $107.00 | $8.81 – $25.09 | 18 |
| Cytopath tbs c/v manual CPT 88164 | $25.59 | $73.00 | $9.70 – $48.91 | 21 |
| Cytopath tbs c/v redo CPT 88165 | $58.26 | not published | $21.67 – $68.82 | 17 |
| Cytopath tbs c/v select CPT 88167 | $25.59 | not published | $9.70 – $47.29 | 17 |
| Cytotoxic antibody screening CPT 86807 | $108.54 | $390.00 | $14.65 – $261.30 | 21 |
| Cytotoxic antibody screening CPT 86808 | $40.96 | $201.00 | $15.52 – $134.67 | 21 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $234.27 | $1,200.00 | $91.03 – $925.20 | 22 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $5.69 | $87.17 | $2.33 – $74.13 | 14 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $425.02 | $8,175.62 | $161.08 – $1,293.00 | 22 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $21.51 | $5,342.39 | $8.15 – $4,140.75 | 22 |
| Dalteparin sodium HCPCS J1645 | $20.57 | not published | $8.42 – $44.86 | 10 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.04 | $245.00 | $0.02 – $53.96 | 14 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | $0.08 | not published | $0.03 – $0.11 | 9 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $75.98 | $31,765.60 | $28.80 – $27,338.85 | 22 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $4.17 | $11,615.00 | $1.58 – $500.39 | 22 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $4.17 | not published | $1.58 – $12.34 | 20 |
| Dark field exam spec collj CPT 87164 | $14.82 | not published | $5.62 – $52.04 | 17 |
| Dark field exam without collj CPT 87166 | $15.59 | not published | $5.91 – $18.42 | 17 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $359.48 | $32,990.00 | $136.24 – $28,394.28 | 22 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $36.33 | $452.42 | $14.87 – $382.23 | 14 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $141.59 – $425.07 | 3 |
| Dbrdmt prmlg les w/pdt CPT 96574 | $358.30 | $930.00 | $107.20 – $1,075.00 | 22 |
| D&c after delivery 59160 CPT 59160 | $4,451.18 | $2,976.00 | $106.93 – $7,418.63 | 22 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $4,451.18 | $720.00 | $133.76 – $7,418.63 | 22 |
| Dch glucoscan CPT 82948 | $6.96 | $24.00 | $2.57 – $16.08 | 21 |
| Dch pulmonary stress test CPT 94621 | $513.11 | $716.00 | $43.24 – $855.19 | 22 |
| Dch validity tests CPT 81002 | $4.80 | $18.00 | $1.82 – $12.06 | 21 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $2,685.07 | $1,890.00 | $340.37 – $4,911.92 | 20 |
| Dcmprn orbit only transcrnl CPT 61330 | $4,558.89 | $6,370.00 | $1,124.64 – $7,598.14 | 20 |
| Dcmprn plantar digital nerve CPT 64726 | $2,685.07 | $870.00 | $164.65 – $4,475.11 | 20 |
| D&c of cervical stump CPT 57558 | $4,451.18 | $373.00 | $72.63 – $7,418.63 | 20 |
| Deamidated gliadin antibody iga CPT 86258 | $16.63 | not published | $6.30 – $19.64 | 16 |
| Debr g/per/abd wall 11006 CPT 11006 | $945.20 | $2,400.00 | $397.88 – $4,310.50 | 19 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $558.97 | $455.00 | $15.55 – $931.62 | 22 |
| Debridement (>20 cm) charge pt CPT 97598 | $66.00 | $213.00 | $13.85 – $159.01 | 22 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,271.01 | $1,476.00 | $128.23 – $3,785.02 | 22 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $71.54 | $187.00 | $6.60 – $1,075.00 | 22 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $127.90 | $333.00 | $6.60 – $1,075.00 | 22 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $558.97 | $543.00 | $35.57 – $931.62 | 22 |
| Debride nail1-5 11720 CPT 11720 | $81.12 | $110.00 | $8.09 – $135.19 | 22 |
| Debride nail6 or more 11721 CPT 11721 | $81.12 | $112.00 | $13.63 – $135.19 | 22 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $973.71 | $1,236.00 | $168.91 – $1,622.86 | 22 |
| Debride skin bone at fx site CPT 11012 | $3,994.09 | $4,272.00 | $231.11 – $6,656.82 | 22 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $759.54 | $1,950.00 | $321.84 – $3,539.62 | 19 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,059.56 | $2,680.00 | $441.76 – $4,787.79 | 19 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $32.47 | $88.00 | $6.60 – $1,075.00 | 22 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $275.88 | $280.00 | $28.33 – $459.79 | 22 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $973.71 | $920.00 | $159.11 – $1,622.86 | 22 |
| Debr inf skin add-on 11001 CPT 11001 | $18.37 | $46.00 | $8.09 – $40.92 | 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.