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 |
|---|---|---|---|---|
| Floweramniopatch, per sq cm HCPCS Q4178 | $171.12 | not published | $66.49 – $228.16 | 15 |
| #flow interp 9 - 15 markers CPT 88188 | $81.72 | $269.00 | $32.00 – $216.29 | 18 |
| Floxuridine injection HCPCS J9200 | $5,871.79 | $12,158.00 | $2,225.32 – $10,437.10 | 22 |
| Flt3 gene CPT 81245 | $228.40 | $820.00 | $86.56 – $416.34 | 21 |
| Flt3 gene analysis CPT 81246 | $114.54 | $323.00 | $21.33 – $249.03 | 20 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $6.18 | $89.40 | $2.08 – $46.55 | 14 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $112.34 | $1,531.58 | $45.98 – $287.48 | 14 |
| Fluidotherapy charges pt CPT 97022 | $21.51 | $76.00 | $8.15 – $163.00 | 22 |
| Fluid pressure muscle 20950 CPT 20950 | $973.71 | $494.00 | $59.37 – $1,622.86 | 22 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $8.58 – $43.34 | 4 |
| Fluocinol acet intravit imp HCPCS J7313 | $700.26 | $27,616.50 | $265.39 – $23,804.13 | 21 |
| Fluocinolone acetonide implt HCPCS J7311 | $467.73 | not published | $177.26 – $45,599.06 | 20 |
| Fluorescein angioscopy i&r CPT 92230 | $513.11 | $139.00 | $17.04 – $855.19 | 20 |
| Fluorescein angrph mltiframe CPT 92235 | $296.91 | $280.00 | $26.63 – $494.85 | 22 |
| Fluorescein&icg angiography CPT 92242 | $296.91 | $377.00 | $34.29 – $494.85 | 22 |
| Fluorescent antibody titer dna CPT 86256 | $16.63 | $265.00 | $3.40 – $56.86 | 21 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | $1,180.66 | not published | $447.45 – $1,967.77 | 16 |
| Fluoroestradiol f 18 HCPCS A9591 | $635.38 | not published | $73.60 – $1,058.97 | 18 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $101.75 | $610.00 | $18.11 – $408.70 | 22 |
| Fluoroguide needle placement CPT 77002 | $125.76 | $488.00 | $17.25 – $326.96 | 22 |
| Fluoro polarize fetal lung CPT 83663 | $26.10 | not published | $1.51 – $30.82 | 17 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $328.08 | $616.00 | $9.80 – $546.80 | 22 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $2.68 | $228.20 | $1.10 – $37.88 | 14 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $8.55 | $469.91 | $3.50 – $206.02 | 14 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | $731.40 | $1,498.00 | $277.19 – $1,154.96 | 20 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $2.56 – $118.98 | 5 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $2,682.73 | not published | $1,016.72 – $4,471.22 | 18 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $17.69 – $51.81 | 6 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $12.05 – $92.30 | 6 |
| Fmri brain by phys/psych CPT 70555 | $328.08 | $4,059.00 | $72.85 – $3,129.49 | 22 |
| Fmri brain by tech CPT 70554 | $328.08 | $4,059.00 | $62.41 – $3,129.49 | 22 |
| Fna bx w/ct gdn 1st les CPT 10009 | $973.71 | $370.00 | $59.43 – $1,622.86 | 19 |
| Fna bx w/ct gdn ea addl CPT 10010 | $97.21 | $270.00 | $41.96 – $1,683.87 | 17 |
| Fna bx w/mr gdn 1st les CPT 10011 | $973.71 | $469.00 | $187.60 – $1,622.86 | 18 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | $370.00 | $81.27 – $1,263.47 | 9 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $10.31 – $36.29 | 5 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $39.19 | not published | $20.50 – $56.13 | 16 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $19.10 | not published | $9.99 – $27.36 | 16 |
| Foam drg > 48 sq in w/border HCPCS A6214 | $20.26 | not published | $10.60 – $29.01 | 16 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | $57.77 | not published | $30.23 – $82.75 | 16 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $14.70 | not published | $7.70 – $21.05 | 16 |
| Foam/fabric leg strap HCPCS A5114 | $14.96 | not published | $8.94 – $21.43 | 16 |
| Foam stability fetal lung CPT 83662 | $26.10 | not published | $4.70 – $30.82 | 17 |
| Folic acid CPT 82746 | $20.29 | $99.00 | $7.69 – $66.33 | 21 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $0.07 | $196.76 | $0.03 – $73.36 | 14 |
| Follow-up angiography CPT 75898 | $4,341.66 | $1,560.00 | $51.62 – $7,236.10 | 22 |
| Followup eval of foot pt lop HCPCS G0246 | $183.07 | $107.00 | $0.01 – $429.82 | 22 |
| Follow-up surgery of eye CPT 66250 | $3,269.14 | $1,789.00 | $304.80 – $5,448.56 | 22 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $8.88 | $5,199.84 | $3.36 – $2,554.11 | 21 |
| Fondaparinux sodium HCPCS J1652 | $1.21 | $180.50 | $0.50 – $63.99 | 14 |
| Fo nontorsion joint cf HCPCS L3935 | $340.96 | not published | $227.30 – $488.41 | 15 |
| Foot arch support remov prem HCPCS L3030 | $129.40 | not published | $86.27 – $185.36 | 16 |
| Foot arch supp premold metat HCPCS L3050 | $79.82 | not published | $53.21 – $85.20 | 15 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $130.99 | not published | $87.33 – $187.64 | 16 |
| Foot external keel sach foot HCPCS L5970 | $369.11 | not published | $246.07 – $528.73 | 16 |
| Foot insert plastazote or eq HCPCS L3002 | $273.90 | not published | $127.80 – $392.35 | 16 |
| Foot insert remov molded spe HCPCS L3001 | $224.33 | not published | $20.44 – $321.34 | 16 |
| Foot insert silicone gel eac HCPCS L3003 | $295.47 | not published | $196.98 – $423.24 | 16 |
| Foot lamin/prepreg composite HCPCS L3031 | $207.70 | not published | $75.16 – $297.53 | 15 |
| Foot longitudinal arch suppo HCPCS L3010 | $295.47 | not published | $196.98 – $423.24 | 16 |
| Foot longitud/metatarsal sup HCPCS L3020 | $336.49 | not published | $224.32 – $482.00 | 16 |
| Foot plas heel stabi pre ots HCPCS L3170 | $86.28 | not published | $17.03 – $123.58 | 16 |
| Foot plate molded stirrup at HCPCS L2250 | $566.49 | not published | $377.66 – $811.46 | 16 |
| Foot single axis ankle/foot HCPCS L5974 | $393.70 | not published | $262.47 – $563.94 | 16 |
| Foot X-ray CPT 73630 | $119.66 | $272.00 | $5.11 – $148.74 | 22 |
| Foot X-ray (2 views, both feet) CPT 73620 | $119.66 | $294.00 | $4.90 – $163.48 | 22 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $1,398.85 | not published | $932.57 – $2,003.76 | 16 |
| Forearm/arm cuffs free motio HCPCS L3720 | $1,054.62 | not published | $703.08 – $1,510.69 | 16 |
| Forearm X-ray (both sides) CPT 73090 | $119.66 | $234.00 | $4.90 – $123.28 | 22 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $4,872.75 | $3,260.00 | $559.55 – $8,121.25 | 22 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $705.97 – $2,021.41 | 4 |
| Forensic cytopathology CPT 88125 | $71.65 | not published | $11.93 – $119.42 | 19 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $343.55 | $190.00 | $32.16 – $572.59 | 22 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $1.59 – $6.57 | 3 |
| Formoterol fumarate, inh HCPCS J7606 | $3.03 | not published | $1.24 – $5.40 | 7 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $0.14 | $1,044.45 | $0.06 – $68.96 | 14 |
| Foscarnet sodium injection HCPCS J1455 | $9.26 | $1,445.00 | $2.36 – $38.28 | 14 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $1.85 | not published | $0.68 – $4.43 | 15 |
| Fractionation ketosteroids CPT 83593 | $39.33 | not published | $14.91 – $62.06 | 17 |
| Fracture assessment via dxa CPT 77086 | $119.66 | $31.00 | $5.11 – $199.43 | 19 |
| _fragile x methylation-sendout CPT 81244 | $61.95 | $223.00 | $23.48 – $171.93 | 21 |
| Fragmenting of kidney stone CPT 50590 | $4,846.99 | $1,850.00 | $332.28 – $8,078.31 | 20 |
| Frame typ sock above elb/dis HCPCS L6688 | $1,078.51 | not published | $719.01 – $1,544.91 | 16 |
| Frame typ socket bel elbow/w HCPCS L6687 | $974.50 | not published | $649.67 – $1,395.90 | 16 |
| Frame typ socket shoulder di HCPCS L6689 | $1,285.39 | not published | $856.92 – $1,841.24 | 16 |
| Frame typ sock interscap-tho HCPCS L6690 | $1,513.35 | not published | $1,008.90 – $2,167.78 | 16 |
| Free fascial flap microvasc CPT 15758 | $2,833.65 | $7,550.00 | $1,237.96 – $13,953.65 | 19 |
| Freeing of bowel adhesion 44005 CPT 44005 | $1,538.78 | $3,740.00 | $650.72 – $6,701.21 | 19 |
| Free jejunum flap microvasc CPT 43496 | not published | $999.00 | $219.88 – $10,471.50 | 16 |
| Free myo/skin flap microvasc CPT 15756 | $2,866.61 | $7,580.00 | $1,251.16 – $14,109.93 | 19 |
| Free omental flap microvasc CPT 49906 | not published | $999.00 | $219.88 – $4,043.14 | 15 |
| Free/remove chest lining 32320 CPT 32320 | $2,303.39 | $5,440.00 | $977.46 – $9,761.45 | 19 |
| Free skin flap microvasc CPT 15757 | $2,839.16 | $7,490.00 | $1,240.73 – $13,913.51 | 19 |
| Frenectomy 41115 CPT 41115 | $2,133.48 | $470.00 | $84.99 – $3,555.80 | 22 |
| Frenotomy 40806 CPT 40806 | $741.60 | $251.00 | $18.32 – $1,236.00 | 22 |
| Frenulotomy of penis CPT 54164 | $2,874.36 | $2,003.00 | $118.22 – $4,790.60 | 22 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $99.29 | $455.00 | $37.63 – $350.81 | 21 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $115.71 | $391.00 | $43.85 – $301.46 | 21 |
| Fresh frozen plasma thawing ea un CPT 86927 | $234.27 | not published | $3.61 – $390.45 | 20 |
| Fr frz plasma donor retested HCPCS P9060 | $71.66 | not published | $27.16 – $119.44 | 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.