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 |
|---|---|---|---|---|
| Ercp remove duct calculi 43264 CPT 43264 | $5,301.42 | $3,838.00 | $202.35 – $8,835.70 | 22 |
| Ercp remove forgn body duct 43275 CPT 43275 | $2,638.57 | $3,838.00 | $209.38 – $4,397.62 | 22 |
| Ercp sphincter pressure meas CPT 43263 | $2,638.57 | $3,838.00 | $198.94 – $4,397.62 | 22 |
| Ercp stent exchange w/dilate CPT 43276 | $8,347.72 | $3,838.00 | $267.32 – $13,912.86 | 22 |
| Ercp w/specimen collection CPT 43260 | $5,301.42 | $1,070.00 | $179.13 – $8,835.70 | 20 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $4.87 – $11.92 | 3 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $100.20 | $4,280.00 | $37.97 – $3,323.01 | 22 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $12.64 | $390.98 | $5.17 – $107.75 | 14 |
| ER Visit (level 1, minor) CPT 99281 | $115.95 | $227.00 | $7.03 – $193.25 | 22 |
| ER Visit (level 2) CPT 99282 | $211.13 | $553.00 | $25.77 – $370.51 | 22 |
| ER Visit (level 3) CPT 99283 | $375.36 | $1,068.00 | $44.30 – $715.56 | 22 |
| ER Visit (level 4) CPT 99284 | $573.75 | $1,731.00 | $75.40 – $1,159.77 | 22 |
| ER Visit (level 5, high severity) CPT 99285 | $818.88 | $2,639.00 | $109.27 – $1,768.13 | 22 |
| Erwinaze injection HCPCS J9019 | not published | not published | $411.15 – $1,076.72 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $27.82 | $605.00 | $11.39 – $222.92 | 14 |
| Escharotomy ea addl incision CPT 16036 | $112.18 | $275.00 | $46.86 – $496.32 | 19 |
| Esd endoscopy or colonoscopy HCPCS C9779 | $5,301.42 | not published | $2,009.16 – $8,835.70 | 17 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $0.57 | $306.00 | $0.23 – $263.77 | 14 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $0.29 | $996.00 | $0.12 – $11.38 | 14 |
| Esophageal dilat s&i CPT 74360 | $41.22 | $469.00 | $18.53 – $314.23 | 22 |
| Esophageal lengthening add on code 43338 CPT 43338 | $158.98 | $402.00 | $66.03 – $713.83 | 18 |
| Esophageal motility CPT 78258 | $549.70 | $1,444.00 | $21.51 – $967.48 | 22 |
| Esophageal recording CPT 93615 | $1,674.16 | $140.00 | $20.44 – $2,790.27 | 20 |
| Esophageal recording CPT 93616 | $1,674.16 | not published | $33.93 – $2,790.27 | 18 |
| Esophag muc integ w/eso egd HCPCS C9777 | $5,301.42 | not published | $2,009.16 – $8,835.70 | 17 |
| Esophagomyotomy abdominal 43330 CPT 43330 | $1,894.22 | $4,570.00 | $798.54 – $8,175.37 | 19 |
| Esophagomyotomy thoracic 43331 CPT 43331 | $1,931.96 | $4,580.00 | $817.71 – $8,198.59 | 19 |
| Esophagoplasty congenital CPT 43313 | $4,104.71 | $9,420.00 | $1,727.64 – $16,597.83 | 19 |
| Esophagosc dilate balloon 30 CPT 43214 | $2,638.57 | $2,218.00 | $107.35 – $4,397.62 | 22 |
| Esophagosc flex trnsn biopsy CPT 43198 | $1,247.13 | $330.00 | $52.19 – $2,078.56 | 19 |
| Esophagoscop mucosal resect CPT 43211 | $2,638.57 | $2,016.00 | $131.85 – $4,397.62 | 22 |
| Esophagoscop stent placement CPT 43212 | $8,347.72 | $4,511.00 | $108.20 – $13,912.86 | 22 |
| Esophagoscop ultrasound exam CPT 43231 | $2,638.57 | $2,797.00 | $87.97 – $4,397.62 | 22 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,638.57 | $2,016.00 | $67.52 – $4,397.62 | 22 |
| Esophagoscopy control bleed CPT 43227 | $2,638.57 | $2,016.00 | $93.72 – $4,397.62 | 22 |
| Esophagoscopy flex biopsy CPT 43202 | $2,638.57 | $2,114.00 | $59.43 – $4,397.62 | 22 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,247.13 | $2,016.00 | $50.69 – $2,078.56 | 22 |
| Esophagoscopy flex dx brush CPT 43197 | $1,247.13 | $455.00 | $43.67 – $2,078.56 | 22 |
| Esophagoscopy flex remove fb CPT 43215 | $2,638.57 | $2,016.00 | $81.37 – $4,397.62 | 22 |
| Esophagoscopy lesion ablate CPT 43229 | $5,301.42 | $3,838.00 | $111.40 – $8,835.70 | 22 |
| Esophagoscopy lesion removal CPT 43216 | $2,638.57 | $3,187.00 | $76.04 – $4,397.62 | 22 |
| Esophagoscopy retro balloon CPT 43213 | $2,638.57 | $2,218.00 | $143.78 – $4,397.62 | 22 |
| Esophagoscopy rigid balloon CPT 43195 | $5,301.42 | $610.00 | $101.60 – $8,835.70 | 19 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $2,638.57 | $510.00 | $86.48 – $4,397.62 | 19 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $8,139.99 | $2,148.00 | $305.44 – $13,566.64 | 22 |
| Esophagoscopy snare les remv CPT 43217 | $2,638.57 | $2,016.00 | $90.74 – $4,397.62 | 22 |
| Esophagoscopy w/us needle bx CPT 43232 | $2,638.57 | $660.00 | $113.10 – $4,397.62 | 20 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | $2,638.57 | $650.00 | $109.48 – $4,397.62 | 19 |
| Esophagoscp rig trnso biopsy CPT 43193 | $2,638.57 | $560.00 | $94.36 – $4,397.62 | 19 |
| Esophagoscp rig trnso inject CPT 43192 | $2,638.57 | $560.00 | $93.72 – $4,397.62 | 19 |
| Esophagoscp rig trnso rem fb CPT 43194 | $2,638.57 | $640.00 | $103.09 – $4,397.62 | 19 |
| Esophagotomy thrc rmvl fb CPT 43045 | $1,888.88 | $4,450.00 | $802.58 – $7,962.03 | 19 |
| Esophagus endoscopy/ligation CPT 43205 | $2,638.57 | $2,114.00 | $80.30 – $4,397.62 | 22 |
| Esophagus motility study CPT 91010 | $513.11 | $1,906.00 | $43.24 – $1,277.02 | 22 |
| Esoph balloon distension tst CPT 91040 | $513.11 | $3,252.00 | $32.80 – $2,441.00 | 22 |
| Esoph egd dilation <30 mm CPT 43249 | $2,638.57 | $2,148.00 | $86.90 – $4,397.62 | 22 |
| Esoph endoscopy dilation CPT 43226 | $2,638.57 | $2,016.00 | $74.76 – $4,397.62 | 22 |
| Esoph fundoplasty lap 43327 CPT 43327 | $1,190.06 | $2,790.00 | $504.60 – $5,017.98 | 18 |
| Esoph fundoplasty thor 43328 CPT 43328 | $1,606.62 | $3,860.00 | $676.70 – $6,908.17 | 18 |
| Esophgl motil w/stim/perfus CPT 91013 | $24.91 | not published | $14.09 – $58.32 | 5 |
| Esoph imped function test CPT 91037 | $296.91 | $2,407.00 | $32.80 – $1,612.69 | 22 |
| Esoph imped funct test > 1hr CPT 91038 | $513.11 | $2,862.00 | $38.13 – $2,441.00 | 22 |
| Esoph optical endomicroscopy CPT 43206 | $2,638.57 | $440.00 | $75.62 – $4,397.62 | 18 |
| Esoph scope w/sclerosis inj CPT 43204 | $2,638.57 | $2,114.00 | $76.89 – $4,397.62 | 22 |
| Esoph scope w/submucous inj CPT 43201 | $2,638.57 | $340.00 | $58.79 – $4,397.62 | 20 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | $5,002.17 | $12,190.00 | $2,100.61 – $21,964.28 | 18 |
| Esphg thrsc moblj CPT 43288 | $5,263.73 | $12,630.00 | $2,208.81 – $22,916.75 | 18 |
| Esphg tot w/laps moblj CPT 43286 | $4,464.40 | $10,600.00 | $1,878.23 – $19,231.38 | 18 |
| Esphg tot w/thrcm CPT 43112 | $4,863.84 | $12,060.00 | $2,039.90 – $16,549.22 | 19 |
| Esrd home pt serv p mo 12-19 CPT 90965 | $722.97 | $1,658.00 | $329.09 – $733.45 | 17 |
| Esrd home pt serv p mo 20+ CPT 90966 | $434.09 | $865.00 | $197.88 – $440.38 | 17 |
| Esrd home pt serv p mo 2-11 CPT 90964 | $748.37 | $1,741.00 | $340.59 – $759.22 | 17 |
| Esrd home pt serv p mo <2yrs CPT 90963 | $878.43 | $1,995.00 | $399.38 – $891.16 | 17 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | $299.52 | $670.00 | $137.17 – $303.86 | 17 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | $43.95 | $2,310.00 | $306.70 – $1,617.00 | 13 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | $474.42 | $1,085.00 | $216.20 – $481.29 | 17 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | $43.95 | $2,890.00 | $462.56 – $2,023.00 | 13 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | $1,663.48 | $3,452.00 | $754.87 – $1,687.59 | 17 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | $1,454.73 | $2,971.00 | $659.66 – $1,475.81 | 17 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | $512.73 | $1,162.00 | $233.87 – $520.16 | 17 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | $726.97 | $1,593.00 | $330.79 – $737.51 | 17 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | $434.53 | $869.00 | $198.09 – $440.83 | 17 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | $754.93 | $1,670.00 | $343.36 – $765.87 | 17 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | $521.61 | $1,305.00 | $237.71 – $529.17 | 17 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | $1,118.81 | $2,351.00 | $508.22 – $1,135.02 | 17 |
| Esrd svc pr day pt 12-19 CPT 90969 | $43.95 | $56.00 | $11.08 – $24.68 | 17 |
| Esrd svc pr day pt <2 CPT 90967 | $43.95 | $66.00 | $11.72 – $26.07 | 17 |
| Esrd svc pr day pt 20+ CPT 90970 | $43.95 | $29.00 | $6.39 – $14.17 | 17 |
| Esrd svc pr day pt 2-11 CPT 90968 | $43.95 | $58.00 | $11.29 – $25.14 | 17 |
| Essure 58565 CPT 58565 | $6,878.55 | $1,400.00 | $363.38 – $11,464.26 | 19 |
| Establish access to aorta CPT 36160 | $158.27 | $410.00 | $68.16 – $2,941.94 | 19 |
| Establish access to artery CPT 36100 | $206.37 | $540.00 | $85.41 – $2,865.93 | 19 |
| Establish brain cavity shunt CPT 62223 | $1,553.47 | $3,660.00 | $652.63 – $6,449.91 | 19 |
| Establish brain cavity shunt CPT 62180 | $2,438.49 | $5,770.00 | $1,003.02 – $9,959.93 | 19 |
| Establish brain cavity shunt CPT 62190 | $1,446.87 | $3,300.00 | $604.28 – $4,418.19 | 19 |
| Establish brain cavity shunt CPT 62192 | $1,555.76 | $3,460.00 | $647.73 – $6,046.53 | 19 |
| Establish brain cavity shunt CPT 62200 | $2,104.22 | $4,930.00 | $866.91 – $8,380.21 | 19 |
| Establish brain cavity shunt CPT 62220 | $1,490.23 | $3,550.00 | $618.34 – $6,386.52 | 19 |
| Established Patient Office Visit (level 1) CPT 99211 | $10.85 | $286.00 | $0.01 – $34.00 | 22 |
| Established Patient Office Visit (level 2) CPT 99212 | $44.49 | $348.00 | $0.01 – $51.00 | 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.