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 |
|---|---|---|---|---|
| Drug test def 1-7 classes HCPCS G0480 | $157.91 | $566.00 | $6.00 – $186.52 | 21 |
| Drug test def 22+ classes HCPCS G0483 | $340.75 | not published | $129.14 – $402.48 | 16 |
| Drug test def 8-14 classes HCPCS G0481 | $216.09 | $774.00 | $81.90 – $596.75 | 21 |
| Drug test def simple all cl HCPCS G0659 | $85.75 | not published | $50.70 – $101.29 | 15 |
| Drug test prsmv instrmnt CPT 80306 | $23.65 | not published | $8.96 – $27.94 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $85.75 | $377.00 | $6.00 – $101.29 | 21 |
| Drvvt confirm - quest CPT 85597 | $24.81 | $121.00 | $9.40 – $81.07 | 21 |
| Dry needling (97799) CPT 97799 | not published | $275.00 | $31.20 – $163.00 | 12 |
| Dstrj extensive retinopathy CPT 67227 | $5,405.82 | $800.00 | $137.17 – $9,009.70 | 20 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $2,685.07 | $2,322.00 | $84.99 – $4,475.11 | 21 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $558.97 | $680.00 | $106.93 – $931.62 | 22 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $558.97 | $580.00 | $89.89 – $931.62 | 22 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | $1,016.25 | $680.00 | $105.44 – $1,693.74 | 22 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $1,016.25 | $910.00 | $143.14 – $1,693.74 | 22 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | $756.27 | not published | $286.61 – $1,260.45 | 18 |
| Ductogram sgl duct CPT 77053 | $328.08 | $425.00 | $10.65 – $546.80 | 22 |
| Duodenal exclusion CPT 48547 | $2,528.66 | $6,130.00 | $1,061.81 – $10,920.86 | 19 |
| Duodenal motility study CPT 91022 | $513.11 | $529.00 | $77.69 – $1,075.00 | 22 |
| Duplex scan bilateral study 93985 CPT 93985 | $328.08 | $1,118.00 | $23.64 – $861.98 | 22 |
| Duplex scan unilateral study 93986 CPT 93986 | $143.75 | $937.00 | $14.70 – $722.43 | 22 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $143.75 | $923.00 | $14.27 – $618.41 | 22 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $296.91 | $1,107.00 | $15.12 – $741.69 | 22 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $328.08 | $1,295.00 | $21.81 – $830.13 | 22 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $0.02 – $50.75 | 4 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $171.12 | not published | $117.80 – $228.16 | 11 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $119.05 | $12,933.98 | $45.12 – $2,708.55 | 22 |
| Dxa bone density axl vrt fx CPT 77085 | $143.75 | $56.00 | $9.16 – $239.59 | 19 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $176.93 | $293.00 | $36.44 – $294.88 | 22 |
| Dx aly aud oi snd prcsr each CPT 92623 | $19.21 | $67.00 | $9.16 – $51.66 | 15 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,447.43 | $684.00 | $76.04 – $4,079.05 | 22 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,447.43 | $2,347.00 | $77.11 – $4,079.05 | 22 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,447.43 | $2,218.00 | $76.68 – $4,079.05 | 22 |
| Dx dark adaptation exam i&r CPT 92284 | $614.27 | $40.00 | $8.73 – $1,023.78 | 20 |
| Dx duod intub w/asp spec 43756 CPT 43756 | $1,247.13 | $170.00 | $30.03 – $2,078.56 | 19 |
| Dx duod intub w/asp specs CPT 43757 | $1,247.13 | $250.00 | $44.73 – $2,078.56 | 19 |
| Dx gastr intub w/asp spec CPT 43754 | $296.91 | $120.00 | $30.46 – $494.85 | 19 |
| Dx gastr intub w/asp specs CPT 43755 | $176.93 | $196.00 | $35.15 – $294.88 | 19 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $98.45 – $127.92 | 3 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $261.29 – $341.66 | 3 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $87.11 – $111.73 | 3 |
| Dx laryngoscopy newborn CPT 31520 | $537.80 | $510.00 | $86.05 – $896.33 | 20 |
| Dx laryngoscopy w/oper scope CPT 31526 | $2,447.43 | $510.00 | $86.27 – $4,079.05 | 20 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $167.36 – $217.78 | 3 |
| Dynamic cavernosometry CPT 54231 | $343.55 | $379.00 | $66.88 – $572.59 | 20 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $28.88 – $42.44 | 2 |
| Dynamic surface emg CPT 96002 | $296.91 | $70.00 | $11.50 – $494.85 | 20 |
| Ear and throat examination CPT 92502 | $741.60 | $302.00 | $55.17 – $1,236.00 | 20 |
| Ear canal biopsy 69105 CPT 69105 | $2,133.48 | $325.00 | $36.64 – $3,555.80 | 22 |
| Ear cartilage graft CPT 21235 | $8,139.99 | $2,537.00 | $322.70 – $13,566.64 | 22 |
| Ear irrigation 69209 CPT 69209 | $81.12 | $110.00 | $10.83 – $1,075.00 | 22 |
| Ear protector evaluation CPT 92596 | $51.36 | not published | $19.47 – $256.65 | 19 |
| Ecallantide injection HCPCS J1290 | $800.05 | not published | $303.21 – $1,333.42 | 19 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $9.91 | $30.00 | $4.47 – $13.05 | 18 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $81.12 | $75.00 | $4.61 – $135.19 | 22 |
| Ecg < 30 days transmission & analysis CPT 93271 | $130.73 | $559.00 | $50.80 – $439.21 | 22 |
| Ecg external < 48 hours recording CPT 93225 | $182.95 | $566.00 | $12.00 – $436.39 | 22 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $81.12 | $357.00 | $22.96 – $275.25 | 22 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $51.36 | $553.00 | $7.83 – $426.36 | 22 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $51.36 | $553.00 | $7.83 – $426.36 | 22 |
| Ecg record/review CPT 93268 | $228.11 | $818.00 | $108.20 – $482.18 | 18 |
| Ecg/review interpret only CPT 93272 | $33.06 | $79.00 | $15.12 – $48.39 | 18 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $751.34 | $2,364.00 | $43.03 – $1,252.24 | 22 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $328.08 | $642.00 | $15.76 – $546.80 | 22 |
| Echocardiography doppler color flow mapping CPT 93325 | $27.13 | $353.00 | $2.13 – $198.99 | 22 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,077.92 | $3,532.00 | $408.52 – $2,723.17 | 21 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $479.72 | $924.00 | $181.81 – $799.53 | 21 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $24.03 | $311.00 | $4.69 – $170.18 | 22 |
| Echo exam of eye CPT 76516 | $143.75 | $489.00 | $14.27 – $327.63 | 22 |
| Echo exam of eye CPT 76519 | $143.75 | $545.00 | $19.17 – $365.15 | 22 |
| Echo exam of eye CPT 76529 | $119.66 | $638.00 | $20.45 – $199.43 | 22 |
| Echo exam of eye thickness CPT 76514 | $39.77 | $93.00 | $2.80 – $66.29 | 22 |
| Echo exam of fetal heart CPT 76825 | $751.34 | $1,494.00 | $50.27 – $1,252.24 | 22 |
| Echo exam of fetal heart CPT 76826 | $328.08 | $911.00 | $25.13 – $610.37 | 22 |
| Echo exam of fetal heart CPT 76827 | $143.75 | $495.00 | $17.47 – $331.65 | 22 |
| Echo exam of fetal heart CPT 76828 | $143.75 | $293.00 | $15.07 – $239.59 | 22 |
| Echo exam uterus 76831- CPT 76831 | $328.08 | $715.00 | $22.15 – $546.80 | 22 |
| Echograp trans r pros study CPT 76873 | $143.75 | $806.00 | $48.56 – $540.02 | 22 |
| Echo guidance radiotherapy CPT 76965 | $94.07 | $1,029.00 | $19.01 – $689.43 | 22 |
| Echo guidance radiotherapy HCPCS G6001 | not published | not published | $25.47 – $352.98 | 5 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $65.93 – $221.25 | 2 |
| Echo guide for amniocentesis CPT 76946 | $25.72 | $294.00 | $10.47 – $196.98 | 22 |
| Echo guide for artery repair CPT 76936 | $296.91 | $1,665.00 | $59.21 – $1,115.55 | 22 |
| Echo guide for heart biopsy CPT 76932 | $47.09 | $121.00 | $21.73 – $144.93 | 19 |
| Echo guide for transfusion CPT 76941 | not published | not published | $70.18 – $359.55 | 6 |
| Echo guide ova aspiration CPT 76948 | $67.05 | $370.00 | $20.28 – $247.90 | 21 |
| Echo guide villus sampling CPT 76945 | $44.74 | $417.00 | $20.45 – $279.39 | 22 |
| Echo stress CPT 93350 | $751.34 | $1,333.00 | $43.03 – $1,252.24 | 22 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $751.34 | $119.00 | $11.82 – $1,252.24 | 20 |
| Echo tee guidance CPT 93355 | $274.39 | $1,765.00 | $122.48 – $1,360.82 | 22 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $751.34 | $1,648.00 | $67.10 – $1,252.24 | 22 |
| Echo transesophageal CPT 93313 | $751.34 | $651.00 | $5.36 – $1,252.24 | 22 |
| Echo transesophageal CPT 93314 | $191.36 | $975.00 | $56.45 – $653.25 | 22 |
| Echo transesophageal CPT 93315 | $751.34 | $1,887.00 | $78.81 – $1,264.29 | 22 |
| Echo transesophageal CPT 93317 | $119.87 | $345.00 | $54.74 – $414.51 | 19 |
| Echo transesophageal intraop CPT 93318 | $751.34 | $1,887.00 | $64.97 – $1,264.29 | 22 |
| Echo transthoracic CPT 93303 | $751.34 | $1,333.00 | $38.34 – $1,252.24 | 22 |
| Echo transthoracic CPT 93304 | $751.34 | $864.00 | $22.15 – $1,252.24 | 22 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $328.08 | $967.00 | $27.48 – $647.89 | 22 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $310.61 | $5,007.00 | $133.34 – $3,354.69 | 22 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $323.47 | $800.00 | $138.45 – $1,465.70 | 18 |
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.