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 |
|---|---|---|---|---|
| Glaucoma surgery CPT 66170 | $3,173.34 | $3,420.00 | $598.32 – $5,288.90 | 20 |
| Glove finger flexion right lg xl HCPCS L3912 | $162.62 | not published | $108.41 – $232.94 | 16 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $227.51 | not published | $86.22 – $379.18 | 20 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $197.69 | $763.04 | $74.92 – $387.90 | 22 |
| Glucagon plasma - sendout CPT 82943 | $19.72 | $27.40 | $7.47 – $30.63 | 21 |
| Glucagon tolerance panel CPT 80422 | $63.58 | not published | $37.59 – $75.09 | 15 |
| Glucagon tolerance panel CPT 80424 | $69.69 | not published | $41.21 – $82.32 | 16 |
| Glucagon tolerance test CPT 82946 | $24.52 | not published | $9.29 – $54.04 | 16 |
| Glucose 1 hr post dose CPT 82950 | $6.56 | $32.00 | $2.48 – $21.44 | 21 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $8.35 | $39.00 | $3.16 – $13.00 | 21 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $4.53 | $32.00 | $1.72 – $21.44 | 21 |
| Glucose blood quantitative CPT 82947 | $5.42 | $25.00 | $1.54 – $16.75 | 20 |
| Glucose body fluid CPT 82945 | $5.42 | $25.00 | $2.06 – $16.75 | 21 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $81.12 | $92.00 | $31.52 – $135.19 | 22 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $17.76 | $88.00 | $6.73 – $58.96 | 21 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $5.41 | $25.00 | $2.05 – $16.75 | 21 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $0.52 | $137.00 | $0.21 – $6.12 | 14 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $14.88 – $38.47 | 6 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $16.05 | $6,047.58 | $6.08 – $5,169.91 | 22 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $25.64 | $125.00 | $9.72 – $83.75 | 21 |
| Gonadotropin hormone panel CPT 80426 | $204.81 | not published | $121.09 – $241.91 | 15 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $25.56 | $211.00 | $9.69 – $83.75 | 21 |
| Gonioscopy CPT 92020 | $182.95 | $99.00 | $10.44 – $304.91 | 22 |
| Goniotomy CPT 65820 | $5,683.61 | $2,360.00 | $461.36 – $9,472.69 | 20 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,072.95 | $9,688.73 | $406.63 – $3,048.95 | 21 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $171.12 | not published | $27.81 – $3,680.21 | 16 |
| Graft axiofill 1000mg HCPCS J3590 | not published | $7,811.75 | $21.84 – $62.75 | 12 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | $171.12 | not published | $66.49 – $1,159.61 | 15 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $171.12 | $4,668.00 | $61.89 – $4,023.82 | 21 |
| Graft hand or finger tendon CPT 26416 | $4,499.12 | $2,840.00 | $572.12 – $7,498.53 | 20 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $171.12 | $21,321.00 | $32.29 – $228.16 | 22 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $723.94 – $3,295.88 | 6 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | not published | $16,519.86 | $63.00 – $181.02 | 11 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | not published | $105,000.00 | $101.70 – $292.22 | 11 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $171.12 | not published | $60.18 – $2,552.88 | 16 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $171.12 | not published | $66.49 – $228.16 | 16 |
| Graft repair of spine defect 63710 CPT 63710 | $1,571.76 | $3,750.00 | $666.90 – $6,646.32 | 19 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $171.12 | $5,100.00 | $66.49 – $445.50 | 22 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $171.12 | $43.00 | $30.10 – $228.16 | 17 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $171.12 | not published | $66.49 – $228.16 | 14 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $171.12 | $95,793.00 | $66.49 – $6,234.85 | 22 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | $171.12 | not published | $66.49 – $228.16 | 14 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $171.12 | not published | $66.49 – $517.93 | 16 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | not published | $19,815.90 | $24.26 – $69.72 | 11 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | not published | $10,062.00 | $43.20 – $124.13 | 11 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $2.53 – $97.43 | 6 |
| Granisetron hcl injection HCPCS J1626 | $0.20 | not published | $0.08 – $7.54 | 10 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | not published | $2,830.21 – $3,061.71 | 3 |
| Great toe-hand transfer CPT 26551 | $9,977.57 | $10,930.00 | $1,897.40 – $20,224.01 | 19 |
| Great toe with reduction 28495 CPT 28495 | $339.18 | $470.00 | $98.41 – $565.29 | 22 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | $2,837.09 | $2,862.00 | $289.68 – $4,728.48 | 22 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $4,872.75 | $5,724.00 | $302.03 – $8,121.25 | 22 |
| Grfg autol fat lipo ea addl CPT 15772 | $187.03 | $530.00 | $80.51 – $530.00 | 22 |
| Grfg autol soft tiss dir exc CPT 15769 | $4,872.75 | $1,574.00 | $289.89 – $8,121.25 | 19 |
| Ground mileage HCPCS A0425 | not published | not published | $8.54 – $32.02 | 9 |
| Group behave couns 2-10 HCPCS G0473 | $51.52 | $82.00 | $6.92 – $85.86 | 20 |
| Group health education CPT 99078 | not published | $13.00 | $3.90 – $45.90 | 17 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $17.19 | $22.00 | $8.48 – $26.91 | 20 |
| Group train without patient HCPCS G0543 | $39.77 | not published | $9.72 – $53.03 | 12 |
| Growth hormone antibody CPT 86277 | $21.72 | not published | $8.23 – $41.44 | 17 |
| Growth hormone panel CPT 80428 | $92.05 | not published | $54.43 – $167.29 | 16 |
| Growth hormone panel CPT 80430 | $178.48 | not published | $66.22 – $210.81 | 16 |
| Growth stimulation gene 2 CPT 83006 | $104.33 | not published | $34.33 – $123.23 | 14 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | $51.52 | $32.00 | $4.61 – $85.86 | 19 |
| Grp adapt bhv tx by tech CPT 97154 | $51.52 | $18.00 | $4.05 – $85.86 | 19 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $2,689.97 | $6,600.00 | $1,132.52 – $11,767.78 | 19 |
| Gstr rstcv oth/thn v-band CPT 43843 | $1,823.75 | $4,280.00 | $769.36 – $7,774.08 | 19 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | $2,341.82 | $5,540.00 | $986.83 – $9,907.14 | 19 |
| Gstr rstcv px sm int rcnstj CPT 43847 | $2,558.19 | $6,140.00 | $1,076.50 – $10,863.88 | 19 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | $4,730.00 | $649.44 – $7,277.75 | 15 |
| Gstrst open wo constj tube CPT 43830 | $2,638.57 | $2,370.00 | $431.11 – $4,397.62 | 20 |
| G-tube reposition CPT 43761 | $343.55 | $1,072.00 | $56.45 – $894.73 | 22 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,874.36 | $596.00 | $25.13 – $4,790.60 | 22 |
| Guided cath fluid drainage 10030 CPT 10030 | $973.71 | $450.00 | $75.40 – $1,622.86 | 22 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $940.46 | not published | $626.97 – $920.01 | 14 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | not published | $78,948.00 | $4.06 – $11.66 | 11 |
| Guide worley csg 9fx50cm std HCPCS C1892 | not published | $2,955.00 | $6.90 – $19.83 | 11 |
| Guid loc target vol rad tx CPT 77387 | $142.00 | $191.00 | $18.82 – $171.92 | 16 |
| Gum graft CPT 41870 | $2,133.48 | $500.00 | $200.00 – $3,555.80 | 19 |
| Gw stiffened micro access kit HCPCS C1894 | not published | $12,000.00 | $5.63 – $16.16 | 11 |
| Gynecomastia (males) 19300 CPT 19300 | $5,383.86 | $1,380.00 | $271.58 – $8,994.02 | 20 |
| Hair analysis HCPCS P2031 | $6.83 | not published | $4.04 – $6.68 | 13 |
| Hair removal by electrolysis 17380 CPT 17380 | $1,016.25 | not published | $120.54 – $1,693.74 | 19 |
| Hair trnspl 1-15 punch grfts CPT 15775 | $558.97 | $247.00 | $24.77 – $931.62 | 22 |
| Hair trnspl >15 punch grafts CPT 15776 | $558.97 | $315.00 | $24.77 – $931.62 | 22 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | $73.36 | not published | $48.91 – $71.77 | 15 |
| Halo cervical into body jack HCPCS L0820 | $3,565.95 | not published | $2,377.30 – $5,107.99 | 16 |
| Halo cervical into jckt vest HCPCS L0810 | $4,533.18 | not published | $3,022.12 – $6,493.49 | 16 |
| Halo cerv into milwaukee typ HCPCS L0830 | $5,456.41 | not published | $3,637.61 – $7,815.97 | 16 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $5.44 | $159.44 | $2.22 – $56.03 | 14 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $1.01 | $177.50 | $0.41 – $6.59 | 14 |
| Halo repl liner/interface HCPCS L0861 | $365.55 | not published | $243.70 – $523.63 | 16 |
| Hand-held pefr meter a4614 HCPCS A4614 | $46.77 | not published | $24.70 – $67.00 | 16 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $11.00 | $20.00 | $1.05 – $15.43 | 16 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | $162.99 | not published | $108.66 – $233.47 | 15 |
| Handpiece aquabeam hp2000 HCPCS C2596 | not published | not published | $0.02 – $0.02 | 2 |
| Hand restoration multiple fi HCPCS L6905 | $3,261.53 | not published | $2,174.36 – $4,671.95 | 16 |
| Hand restoration no fingers HCPCS L6910 | $3,206.32 | not published | $2,137.55 – $4,592.85 | 16 |
| Hand restoration replacmnt g HCPCS L6915 | $1,377.63 | not published | $918.42 – $1,973.37 | 16 |
| Hand restorat thumb/1 finger HCPCS L6900 | $3,295.41 | not published | $2,196.94 – $4,720.48 | 16 |
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.