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 |
|---|---|---|---|---|
| Drainage of mouth lesion CPT 41015 | $741.60 | $1,080.00 | $178.49 – $1,236.00 | 22 |
| Drainage of mouth lesion CPT 41016 | $8,139.99 | $1,130.00 | $207.46 – $13,566.64 | 20 |
| Drainage of mouth lesion CPT 41017 | $4,558.89 | $1,140.00 | $204.91 – $7,598.14 | 20 |
| Drainage of mouth lesion CPT 41018 | $2,133.48 | $1,340.00 | $238.99 – $3,555.80 | 20 |
| Drainage of nose lesion int 30000 CPT 30000 | $325.68 | $380.00 | $70.50 – $542.80 | 22 |
| Drainage of nose lesion sept 30020 CPT 30020 | $741.60 | $380.00 | $71.14 – $1,236.00 | 22 |
| Drainage of pelvis bursa CPT 26991 | $2,211.05 | $1,720.00 | $313.54 – $3,702.09 | 20 |
| Drainage of pelvis lesion 26990 CPT 26990 | $4,499.12 | $2,090.00 | $421.31 – $7,498.53 | 22 |
| Drainage of prostate abscess CPT 52700 | $4,846.99 | $1,440.00 | $258.58 – $8,078.31 | 20 |
| Drainage of prostate abscess CPT 55720 | $4,846.99 | $1,470.00 | $264.76 – $8,078.31 | 20 |
| Drainage of prostate abscess CPT 55725 | $4,846.99 | $1,930.00 | $348.68 – $8,078.31 | 20 |
| Drainage of rectal abscess CPT 45005 | $1,645.43 | $530.00 | $110.76 – $2,742.38 | 20 |
| Drainage of rectal abscess 45020 CPT 45020 | $3,816.64 | $1,920.00 | $351.88 – $6,361.06 | 20 |
| Drainage of salivary gland CPT 42305 | $4,558.89 | $1,400.00 | $245.38 – $7,598.14 | 22 |
| Drainage of salivary gland CPT 42320 | $741.60 | $570.00 | $103.31 – $1,236.00 | 22 |
| Drainage of spinal cyst CPT 63172 | $2,164.09 | $4,900.00 | $892.04 – $8,724.48 | 19 |
| Drainage of spinal cyst CPT 63173 | $2,631.26 | $6,110.00 | $1,082.25 – $10,572.41 | 19 |
| Drainage of throat abscess CPT 42725 | $8,139.99 | $2,680.00 | $451.56 – $13,566.64 | 20 |
| Drainage of urethra abscess CPT 53040 | $4,846.99 | $1,280.00 | $231.11 – $8,078.31 | 20 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,874.36 | $530.00 | $95.00 – $4,790.60 | 20 |
| Drainage of urinary leakage CPT 53080 | $958.81 | $1,370.00 | $248.36 – $2,578.54 | 20 |
| Drainage of urinary leakage CPT 53085 | $2,874.36 | $2,120.00 | $376.80 – $4,790.60 | 20 |
| Drain bladder by trocar/cath CPT 51101 | $1,180.80 | $1,348.00 | $28.33 – $1,968.00 | 22 |
| Drain blood from under nail 11740 CPT 11740 | $182.95 | $124.00 | $20.02 – $304.91 | 22 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,271.01 | $2,247.00 | $114.81 – $3,785.02 | 22 |
| Drain cath image guided visceral pq CPT 49405 | $2,271.01 | $2,049.00 | $106.29 – $3,785.02 | 22 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $970.61 | $765.00 | $54.10 – $1,617.68 | 22 |
| Drain chest lesion CPT 21502 | $4,499.12 | $1,690.00 | $326.32 – $7,498.53 | 20 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $149.50 | not published | $86.99 – $214.15 | 15 |
| Drain finger abscess;simple 26010 CPT 26010 | $275.88 | $440.00 | $89.42 – $459.79 | 22 |
| Drain lower leg bursa CPT 27604 | $4,499.12 | $1,090.00 | $201.92 – $7,498.53 | 20 |
| Drain lower leg lesion 27603 CPT 27603 | $3,994.09 | $1,280.00 | $236.86 – $6,656.82 | 22 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,994.09 | $1,579.00 | $208.95 – $6,656.82 | 22 |
| Drain open lung lesion 32200 CPT 32200 | $1,658.32 | $3,850.00 | $707.16 – $6,895.50 | 19 |
| Drain ostomy pouch w/flange HCPCS A5063 | $5.33 | not published | $2.17 – $7.62 | 16 |
| Drain ovarn cyst abd CPT 58805 | $4,451.18 | $1,310.00 | $243.03 – $7,418.63 | 20 |
| Drain ovary abscess open CPT 58820 | $4,451.18 | $1,010.00 | $193.62 – $7,418.63 | 20 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | $1,565.93 | $3,730.00 | $665.63 – $6,663.21 | 19 |
| Drain penis lesion CPT 54015 | $2,271.01 | $1,217.00 | $176.79 – $3,785.02 | 22 |
| Drain shoulder bone lesion CPT 23035 | $2,211.05 | $2,230.00 | $404.70 – $3,685.08 | 20 |
| Drain shoulder bursa 23031 CPT 23031 | $3,994.09 | $680.00 | $137.60 – $6,656.82 | 20 |
| Drain shoulder lesion CPT 23030 | $3,994.09 | $820.00 | $155.49 – $6,656.82 | 20 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,994.09 | $1,660.00 | $309.28 – $6,656.82 | 22 |
| Drain thyroid/tongue cyst CPT 60000 | $2,133.48 | $490.00 | $92.87 – $3,555.80 | 20 |
| Drain to peritoneal cavity CPT 49062 | $1,101.68 | $2,500.00 | $467.75 – $4,519.56 | 19 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $275.88 | $360.00 | $64.97 – $459.79 | 22 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $275.88 | $226.00 | $34.72 – $459.79 | 22 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $558.97 | $440.00 | $78.38 – $931.62 | 22 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $1,016.25 | $480.00 | $24.71 – $1,693.74 | 22 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $171.12 | $22,183.20 | $23.08 – $17,103.25 | 21 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $1,407.50 | $3,120.00 | $592.35 – $5,590.32 | 19 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $458.63 | $1,301.00 | $183.39 – $1,301.00 | 22 |
| Driver pneumatic vad, rep HCPCS Q0480 | $153,044.43 | not published | $102,029.62 – $219,226.65 | 15 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | $111.08 | $342.00 | $47.93 – $1,075.00 | 22 |
| Drm agrft t/a/l ea addl CPT 15131 | $111.08 | $342.00 | $47.93 – $1,075.00 | 22 |
| Drng appendix abscess open 44900 CPT 44900 | $1,119.01 | $2,630.00 | $474.35 – $4,690.64 | 19 |
| Drng hand tendon sheath 26020 CPT 26020 | $4,499.12 | $4,702.00 | $339.31 – $7,498.53 | 22 |
| Drng of eyelid abscess 67700 CPT 67700 | $436.44 | $360.00 | $65.39 – $727.40 | 22 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,271.01 | $787.00 | $116.30 – $3,785.02 | 22 |
| Drng of hydrocele 55000 CPT 55000 | $973.71 | $277.00 | $49.20 – $1,622.86 | 22 |
| Drng of mouth lesion 40801 CPT 40801 | $741.60 | $787.00 | $120.77 – $1,236.00 | 22 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $4,451.18 | $3,820.00 | $179.56 – $7,418.63 | 22 |
| Drng of palm multi bursas 26030 CPT 26030 | $4,499.12 | $1,600.00 | $297.14 – $7,498.53 | 20 |
| Drng of palm single bursa 26025 CPT 26025 | $4,499.12 | $1,370.00 | $257.94 – $7,498.53 | 20 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $1,645.43 | $1,410.00 | $263.27 – $2,742.38 | 20 |
| Drng of salivary cyst 42409 CPT 42409 | $4,558.89 | $720.00 | $134.19 – $7,598.14 | 22 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,271.01 | $1,072.00 | $104.58 – $3,785.02 | 22 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $1,536.49 | $3,740.00 | $654.34 – $6,716.00 | 19 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | $1,440.93 | $3,390.00 | $611.52 – $6,107.76 | 19 |
| Drng ovary abscess perqt 58822 CPT 58822 | $928.15 | $2,230.00 | $403.42 – $4,185.90 | 19 |
| Drng peritoneal abscess open 49020 CPT 49020 | $2,234.22 | $5,420.00 | $948.92 – $9,733.98 | 19 |
| Drng salivary gland simple 42300 CPT 42300 | $2,133.48 | $490.00 | $90.31 – $3,555.80 | 22 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $741.60 | $440.00 | $81.58 – $1,236.00 | 20 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $1.87 | $53.08 | $0.76 – $6.11 | 14 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $9.91 | $36.89 | $4.06 – $31.80 | 14 |
| Drop lock knee HCPCS L2182 | $193.79 | not published | $129.20 – $277.60 | 16 |
| Drop lock retainer each HCPCS L2785 | $50.26 | not published | $33.51 – $71.98 | 16 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | not published | $1,024.31 | $200.69 – $576.65 | 11 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $171.12 | not published | $11.49 – $4,961.51 | 16 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $171.12 | $5,596.50 | $10.36 – $228.16 | 22 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $171.12 | not published | $2.29 – $228.16 | 16 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $24.70 – $42.64 | 2 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | $21.51 | not published | $11.27 – $30.81 | 16 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $171.12 | not published | $66.49 – $228.16 | 14 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $171.12 | not published | $46.83 – $228.16 | 15 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $171.12 | $32,015.25 | $14.99 – $228.16 | 22 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $171.12 | not published | $66.49 – $228.16 | 14 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $171.12 | not published | $66.49 – $228.16 | 14 |
| Drug admin & hemodynmic meas CPT 93463 | $118.11 | $651.00 | $52.82 – $501.92 | 22 |
| Drug assay caffeine CPT 80155 | $53.23 | not published | $18.73 – $62.87 | 15 |
| Drug assay posaconazole CPT 80187 | $37.41 | $79.00 | $14.18 – $60.91 | 21 |
| Drug assay rufinamide CPT 80210 | $37.41 | not published | $14.18 – $44.19 | 16 |
| Drug assay vedolizumab CPT 80280 | $53.23 | $266.09 | $20.17 – $205.16 | 21 |
| Drug assay voriconazole CPT 80285 | $37.41 | $79.00 | $14.18 – $60.91 | 21 |
| Drug asy hydroxychloroquine CPT 80220 | $25.72 | not published | $9.75 – $30.38 | 16 |
| Drug of abuse screen urine CPT 80305 | $17.39 | $64.00 | $6.59 – $49.34 | 21 |
| Drug screening tapentadol CPT 80372 | not published | not published | $0.02 – $109.33 | 4 |
| Drug screen quant tiagabine CPT 80199 | $37.41 | not published | $14.18 – $44.19 | 15 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $0.02 – $84.93 | 3 |
| Drug test def 15-21 classes HCPCS G0482 | $274.26 | $112.00 | $44.80 – $323.95 | 21 |
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.