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 |
|---|---|---|---|---|
| Established Patient Office Visit (level 3) CPT 99213 | $81.60 | $415.00 | $0.01 – $82.78 | 22 |
| Established Patient Office Visit (level 4) CPT 99214 | $120.28 | $519.00 | $0.01 – $122.02 | 22 |
| Established Patient Office Visit (level 5) CPT 99215 | $178.74 | $674.00 | $0.01 – $181.33 | 22 |
| Estim aid bone healg invasiv CPT 20975 | $253.64 | $610.00 | $107.57 – $1,089.75 | 19 |
| Estradiol total CPT 82670 | $38.56 | $189.00 | $14.61 – $126.63 | 21 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $10.28 | $566.21 | $4.21 – $347.55 | 14 |
| Estrogens total-sendout CPT 82672 | $29.95 | $146.00 | $11.35 – $97.82 | 21 |
| Etanercept injection HCPCS J1438 | not published | $3,064.10 | $919.23 – $2,641.25 | 11 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $713.57 | not published | $192.38 – $1,189.28 | 19 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $125.17 – $335.75 | 6 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | $4,558.89 | $2,870.00 | $536.33 – $7,598.14 | 20 |
| Ethylene glycol -sendout CPT 82693 | $20.56 | $60.00 | $7.79 – $43.44 | 21 |
| Etonogestrel implant system HCPCS J7307 | $1,120.00 | $3,901.08 | $1,170.32 – $3,362.73 | 13 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $1.44 | $359.00 | $0.59 – $67.33 | 14 |
| Etoposide 50 mg cap HCPCS J8560 | $119.77 | $269.66 | $49.02 – $232.45 | 19 |
| Euflexxa inj per dose HCPCS J7323 | $145.54 | $1,086.88 | $55.16 – $936.89 | 22 |
| Euglobulin lysis CPT 85360 | $11.61 | $38.18 | $4.40 – $25.58 | 21 |
| Evacuate mole of uterus CPT 59870 | $4,451.18 | $1,640.00 | $307.79 – $7,418.63 | 20 |
| Eval aud funcj ea addl 15 CPT 92627 | $19.21 | $83.00 | $9.46 – $163.00 | 16 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $176.93 | $329.00 | $40.51 – $294.88 | 22 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $166.11 | $470.00 | $81.84 – $362.37 | 22 |
| Evaluation cervical mucus CPT 89330 | $14.32 | not published | $8.47 – $29.83 | 16 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $135.39 | $487.00 | $51.31 – $375.48 | 21 |
| Evaluation heart device CPT 93640 | $255.24 | $1,469.00 | $109.91 – $984.23 | 22 |
| Evaluation of speech fluency 92521 CPT 92521 | $181.41 | $410.00 | $89.38 – $316.11 | 21 |
| Evaluation psychiatric diagnostic CPT 90791 | $244.07 | $351.00 | $67.90 – $406.78 | 21 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $818.74 | $1,920.00 | $333.77 – $3,288.31 | 18 |
| Evasc prlng admn rx agnt add CPT 61651 | $350.23 | $840.00 | $142.71 – $1,398.09 | 18 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $1,715.12 | $12,357.00 | $709.50 – $8,279.19 | 21 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $1,715.46 | $4,260.00 | $711.63 – $7,543.88 | 18 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $2,522.90 | $15,375.00 | $1,037.95 – $10,301.25 | 21 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $3,170.08 | $7,970.00 | $1,307.82 – $14,095.16 | 18 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $616.03 | $5,724.00 | $235.71 – $3,835.08 | 21 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $1,905.84 | $4,830.00 | $789.38 – $8,500.61 | 18 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $3,133.92 | $8,040.00 | $1,287.80 – $14,139.50 | 18 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $1,614.83 | $9,469.00 | $670.10 – $6,344.23 | 21 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $2,556.92 | $6,360.00 | $1,051.79 – $11,322.18 | 18 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | $1,299.66 | $3,096.00 | $540.81 – $5,439.21 | 18 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $1,034.48 | $2,464.00 | $430.47 – $4,327.69 | 18 |
| Event monitor CPT 93270 | $51.32 | $437.00 | $5.64 – $336.93 | 22 |
| Evoked auditory tst complete CPT 92588 | $513.11 | $217.00 | $3.46 – $855.19 | 22 |
| Evoked oa emissions ltd CPT 92587 | $296.91 | $155.00 | $2.57 – $494.85 | 22 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | $242.00 | $23.74 – $186.58 | 14 |
| Evoked potentials upper limbs CPT 95925 | $296.91 | $846.00 | $17.47 – $566.82 | 22 |
| Evoked potential visual not glaucoma CPT 95930 | $296.91 | $489.00 | $11.50 – $494.85 | 22 |
| Evok oa screening qual CPT 92558 | not published | not published | $11.30 – $22.99 | 3 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $2,095.78 | not published | $1,397.19 – $3,002.07 | 16 |
| Ewho w/joint(s) cf HCPCS L3764 | $1,208.80 | not published | $805.86 – $1,731.52 | 15 |
| Exam of vagina w/scope 57420 CPT 57420 | $419.01 | $325.00 | $51.76 – $698.35 | 22 |
| Exam pelvic add-on CPT 99459 | $23.13 | $115.00 | $11.08 – $63.25 | 17 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $4,451.18 | $2,976.00 | $61.56 – $7,418.63 | 22 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $3,994.09 | $1,800.00 | $304.66 – $6,656.82 | 22 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $3,994.09 | $2,310.00 | $366.53 – $6,656.82 | 22 |
| Exc 1st&/crv rib w/sympth CPT 21616 | $9,977.57 | $2,440.00 | $424.72 – $4,595.62 | 19 |
| Exc abd les sc 3 cm/> CPT 22903 | $3,994.09 | $1,480.00 | $273.49 – $6,656.82 | 22 |
| Exc abdl tum deep < 5 cm CPT 22900 | $3,994.09 | $1,890.00 | $349.11 – $6,656.82 | 22 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $3,994.09 | $2,240.00 | $409.17 – $6,656.82 | 22 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,911.48 – $1,911.48 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $2,804.94 – $2,804.94 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $3,994.09 | $1,350.00 | $249.85 – $6,656.82 | 22 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $2,271.01 | $1,090.00 | $204.48 – $3,785.02 | 22 |
| Exc aurl glomus tum extended CPT 69554 | $3,202.99 | $8,120.00 | $1,425.40 – $15,239.84 | 19 |
| Exc aurl glomus tum trnscanl CPT 69550 | $8,139.99 | $3,310.00 | $624.30 – $13,566.64 | 20 |
| Exc aurl glomus tum trnsmstd CPT 69552 | $8,139.99 | $5,030.00 | $911.21 – $13,566.64 | 20 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $2,271.01 | $1,210.00 | $224.08 – $3,785.02 | 22 |
| Exc back tum deep 5 cm/> CPT 21933 | $3,994.09 | $2,480.00 | $446.45 – $6,656.82 | 22 |
| Exc bartholins gland/cyst CPT 56740 | $4,451.18 | $980.00 | $180.41 – $7,418.63 | 20 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $2,271.01 | $918.00 | $127.59 – $3,785.02 | 22 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $3,994.09 | $1,201.00 | $180.20 – $6,656.82 | 22 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $2,271.01 | $807.00 | $105.22 – $3,785.02 | 22 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $973.71 | $318.00 | $48.78 – $1,622.86 | 22 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $973.71 | $328.00 | $62.41 – $1,622.86 | 22 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $973.71 | $470.00 | $84.14 – $1,622.86 | 22 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $2,271.01 | $580.00 | $101.60 – $3,785.02 | 22 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $973.71 | $356.00 | $63.05 – $1,622.86 | 22 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $2,271.01 | $510.00 | $91.59 – $3,785.02 | 22 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $3,994.09 | $910.00 | $156.13 – $6,656.82 | 22 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $558.97 | $355.00 | $60.28 – $931.62 | 22 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $973.71 | $480.00 | $86.48 – $1,622.86 | 22 |
| Exc breast duct fistula 19112 CPT 19112 | $5,383.86 | $1,040.00 | $211.08 – $8,973.11 | 20 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | $1,855.76 | $4,670.00 | $780.65 – $8,487.93 | 19 |
| Exc cervix repair bowel 57556 CPT 57556 | $6,878.55 | $1,820.00 | $333.35 – $11,464.26 | 20 |
| Exc cervix/repair pelvis 57545 CPT 57545 | $1,083.05 | $2,630.00 | $469.67 – $5,022.18 | 19 |
| Exc cervix/repair vagina 57555 CPT 57555 | $6,878.55 | $1,930.00 | $350.60 – $11,464.26 | 20 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | $3,994.09 | $3,976.00 | $708.86 – $6,656.82 | 19 |
| Exc ch wal tum without lymphadec CPT 21602 | $9,977.57 | $5,294.00 | $975.11 – $9,407.35 | 18 |
| Exc ch wal tum w/lymphadec CPT 21603 | $9,977.57 | $5,878.00 | $1,066.28 – $10,411.10 | 18 |
| Exc coa rpr l subcl art/prst CPT 33851 | $1,832.76 | $4,370.00 | $775.32 – $8,177.47 | 19 |
| Exc coa w/direct anastomosis CPT 33840 | $1,785.98 | $4,250.00 | $755.94 – $7,955.71 | 19 |
| Exc coccygl pr ulc flap clsr CPT 15922 | $4,872.75 | $2,550.00 | $466.26 – $8,121.25 | 20 |
| Exc coccygl pr ulc prim sutr CPT 15920 | $3,994.09 | $2,050.00 | $400.65 – $6,656.82 | 20 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | $4,499.12 | $2,440.00 | $505.45 – $7,498.53 | 20 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $4,499.12 | $1,740.00 | $323.55 – $7,498.53 | 20 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | $9,977.57 | $2,400.00 | $441.98 – $16,629.28 | 20 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | $9,977.57 | $2,850.00 | $508.86 – $16,629.28 | 20 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | $4,499.12 | $2,050.00 | $379.14 – $7,498.53 | 20 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | $9,977.57 | $2,110.00 | $393.84 – $16,629.28 | 20 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | $9,977.57 | $1,370.00 | $253.04 – $16,629.28 | 20 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | $4,499.12 | $1,930.00 | $361.04 – $7,498.53 | 20 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $2,437.41 – $2,437.41 | 1 |
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.