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 |
|---|---|---|---|---|
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $89.85 | $162.00 | $14.22 – $67.44 | 21 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $492.88 | $1,065.00 | $19.21 – $821.47 | 22 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $234.27 | $377.00 | $17.49 – $390.45 | 22 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $14.10 – $45.35 | 7 |
| Ikbkap gene CPT 81260 | $54.25 | $65.00 | $20.56 – $84.91 | 20 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $1,444.20 | $3,540.00 | $617.06 – $6,390.72 | 19 |
| Iliac bone graft microvasc CPT 20956 | $9,977.57 | $8,790.00 | $1,502.08 – $16,200.75 | 19 |
| Iliac/fem angio cath insert HCPCS G0278 | $17.95 | $651.00 | $8.84 – $436.17 | 20 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $178.78 – $5,142.60 | 5 |
| Iloprost non-comp unit dose HCPCS Q4074 | $219.30 | not published | $89.76 – $455.44 | 7 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $4.85 – $7.93 | 4 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | $1,304.64 | $3,020.00 | $556.57 – $5,419.26 | 19 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $80.46 | $31,230.24 | $30.49 – $6,729.81 | 22 |
| Img rta detcj/mntr ds staff CPT 92227 | $81.12 | $52.00 | $11.93 – $135.19 | 22 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | $51.36 | $107.00 | $9.37 – $85.61 | 22 |
| Img rta detc/mntr ds poc aly CPT 92229 | $81.12 | not published | $30.74 – $143.90 | 19 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $27.68 – $74.00 | 6 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $36.90 – $185.09 | 6 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $39.22 – $215.41 | 6 |
| Immob elbow child sm HCPCS L3762 | $165.95 | not published | $110.63 – $237.70 | 16 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | not published | $75.00 | $22.50 – $75.00 | 13 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $175.47 | not published | $116.98 – $251.35 | 16 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $97.64 | $43.81 | $13.43 – $91.98 | 19 |
| Immobilizer shldr sling med HCPCS L3660 | $159.49 | not published | $106.32 – $228.47 | 16 |
| Immt breast prosthesis 19340 CPT 19340 | $11,238.72 | $3,260.00 | $447.09 – $18,731.20 | 20 |
| Immune complex assay CPT 86332 | $33.63 | $22.75 | $9.10 – $41.78 | 21 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $65.26 | $15,719.90 | $24.73 – $451.54 | 22 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $108.87 | $6,833.60 | $41.26 – $2,943.13 | 22 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $65.39 | $5,832.80 | $24.78 – $2,511.65 | 22 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $96.98 – $269.85 | 6 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $28.72 | $141.00 | $10.88 – $94.47 | 21 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $28.72 | $141.00 | $10.88 – $94.47 | 21 |
| Immunoassay tumor qual CPT 86294 | $35.29 | not published | $13.37 – $41.68 | 17 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $16.53 | $80.00 | $9.78 – $53.60 | 20 |
| Immunodiffusion nes CPT 86329 | $19.39 | $28.55 | $7.35 – $22.90 | 21 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $24.42 – $52.22 | 4 |
| Immunofixation electrophoresis serum CPT 86334 | $30.83 | $151.00 | $3.34 – $101.17 | 22 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $106.19 | $213.00 | $14.57 – $62.35 | 21 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $234.27 | $280.00 | $18.01 – $390.45 | 22 |
| Immunoglobulin assay CPT 86023 | $17.19 | $43.45 | $10.17 – $20.80 | 20 |
| Immunology procedure CPT 86849 | not published | not published | $10.83 – $1,326.13 | 4 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $22.96 – $92.50 | 6 |
| Impact tooth remov part bony HCPCS D7230 | $888.94 | $519.00 | $163.52 – $1,481.57 | 18 |
| Impedence cardiogram CPT 93701 | $182.95 | not published | $23.40 – $304.91 | 20 |
| Imp extar knee shck absrb HCPCS C8003 | $24,109.66 | not published | $9,137.21 – $40,182.77 | 17 |
| Impl absrb msh/prsth dly cls CPT 15778 | $538.17 | $1,259.00 | $225.35 – $2,080.63 | 18 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $1,344.92 | not published | $896.61 – $1,315.68 | 14 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,451.36 | not published | $967.57 – $2,078.99 | 15 |
| Implantation iris prosthesis CPT 66683 | $22,634.25 | $2,291.00 | $421.53 – $37,723.75 | 18 |
| Implant biventricular device 33976 CPT 33976 | $2,214.97 | $5,520.00 | $922.93 – $9,818.46 | 19 |
| Implant brain electrodes CPT 61531 | $1,896.89 | $4,260.00 | $788.74 – $7,444.62 | 19 |
| Implant brain electrodes CPT 61533 | $2,331.47 | $5,430.00 | $959.78 – $9,379.16 | 19 |
| Implant brain electrodes CPT 61760 | $2,410.94 | $5,640.00 | $991.09 – $9,795.19 | 19 |
| Implant cartilage 10mm synthetic HCPCS L8699 | not published | $6,000.00 | $1,800.00 – $5,172.00 | 11 |
| Implant cochlear device CPT 69930 | $45,337.91 | $3,940.00 | $675.85 – $81,312.21 | 20 |
| Implant cochlear osia osi300 HCPCS L8690 | $8,083.68 | $14,235.00 | $1,263.60 – $7,615.06 | 18 |
| Implant eye drug system CPT 67027 | $19,185.84 | $2,670.00 | $456.03 – $31,976.39 | 20 |
| Implant hormone pellet(s) 11980 CPT 11980 | $614.27 | $317.00 | $30.89 – $1,023.78 | 22 |
| Implant nerve end CPT 64787 | $302.99 | $800.00 | $129.93 – $1,484.71 | 19 |
| Implant neuroelectrde addl CPT 61864 | $413.38 | $1,040.00 | $165.29 – $1,776.13 | 18 |
| Implant neuroelectrde addl CPT 61868 | $727.26 | $1,830.00 | $290.75 – $3,119.37 | 19 |
| Implant neuroelectrode CPT 61863 | $2,308.31 | $5,370.00 | $954.03 – $9,313.69 | 18 |
| Implant neuroelectrode CPT 61867 | $3,442.27 | $8,210.00 | $1,407.08 – $14,150.05 | 19 |
| Implant neuroelectrodes CPT 63655 | $26,675.88 | $2,870.00 | $534.84 – $44,459.81 | 20 |
| Implant neuroelectrodes CPT 64553 | $15,321.63 | $1,150.00 | $293.76 – $25,536.05 | 20 |
| Implant neuroelectrodes CPT 64555 | $8,763.11 | $2,504.00 | $187.44 – $14,605.18 | 21 |
| Implant neuroelectrodes CPT 64561 | $8,763.11 | $2,504.00 | $172.96 – $14,605.18 | 22 |
| Implant neuroelectrodes CPT 61850 | $1,521.49 | $3,400.00 | $631.33 – $6,101.41 | 19 |
| Implant neuroelectrodes CPT 61860 | $2,378.72 | $5,600.00 | $976.39 – $9,611.46 | 19 |
| Implant neurostim arrays CPT 61886 | $42,430.50 | $4,834.00 | $593.84 – $70,717.50 | 22 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $434.62 – $434.62 | 1 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $1,318.38 | not published | $878.92 – $1,888.51 | 15 |
| Implant/replace hearing aid CPT 69710 | not published | $1,535.00 | $614.00 – $4,241.04 | 9 |
| Implant single ventricular device 33975 CPT 33975 | $1,808.20 | $4,520.00 | $751.25 – $8,054.97 | 19 |
| Implant spinal canal cath CPT 62351 | $9,977.57 | $2,930.00 | $582.98 – $16,629.28 | 20 |
| Implant spine infusion pump CPT 62361 | $24,783.48 | $1,490.00 | $296.50 – $41,305.79 | 20 |
| Implant spine infusion pump CPT 62362 | $24,783.48 | $1,280.00 | $237.07 – $41,305.79 | 20 |
| Implant tcat pulm vlv perq CPT 33477 | $1,679.78 | $18,419.00 | $718.24 – $12,340.73 | 21 |
| Implant ureter in bowel CPT 50800 | $1,202.71 | $3,040.00 | $530.80 – $5,632.57 | 19 |
| Implant ureth bulk agent HCPCS L8606 | $348.97 | $3,450.00 | $232.65 – $2,973.90 | 18 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $2,576.64 | not published | $1,717.76 – $2,520.63 | 14 |
| Impl eye bio-eye 16mm HCPCS L8042 | $5,704.82 | not published | $1,570.91 – $8,171.80 | 15 |
| Impl neurostim electr perc CPT 63650 | $8,763.11 | $4,031.00 | $239.41 – $14,605.18 | 22 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $270.87 | $720.00 | $116.30 – $10,329.40 | 18 |
| Implnt spinl canal catheter 62350 CPT 62350 | $12,067.12 | $1,320.00 | $240.90 – $20,111.87 | 20 |
| Impl oi implt sk tc esp<100 CPT 69716 | $17,653.66 | $1,860.00 | $347.19 – $29,422.77 | 19 |
| Impl oi implt sk tc esp>=100 CPT 69729 | $17,653.66 | $2,089.00 | $375.31 – $29,422.77 | 19 |
| Impl oi implt skull perq esp CPT 69714 | $17,653.66 | $3,440.00 | $279.03 – $29,422.77 | 20 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | $3,200.00 | $644.12 – $23,129.22 | 15 |
| Implt brain chemotx add-on 61517 CPT 61517 | $126.66 | $322.00 | $50.69 – $544.89 | 19 |
| Impltj ntrstrml crnl rng seg CPT 65785 | $5,683.61 | $3,578.00 | $264.38 – $9,472.69 | 22 |
| Impltj tot rplcmt hrt sys CPT 33927 | $3,558.56 | $8,890.00 | $1,475.24 – $15,592.51 | 18 |
| Implt neurostim elctr each HCPCS L8680 | not published | not published | $514.54 – $889.77 | 4 |
| Imp neurosti pls gn any type HCPCS L8679 | $14,560.44 | not published | $9,706.96 – $17,554.97 | 15 |
| Imported lipodox inj HCPCS Q2049 | $412.26 | not published | $156.24 – $877.01 | 18 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | $3.75 | not published | $1.47 – $5.38 | 16 |
| Impres&prep auricular prosth CPT 21086 | $4,558.89 | $4,920.00 | $718.45 – $7,598.14 | 19 |
| Impres&prep def obt prosth CPT 21080 | $4,558.89 | $4,999.00 | $741.67 – $7,598.14 | 21 |
| Impres&prep facial prosth CPT 21088 | $4,558.89 | $2,500.00 | $433.31 – $7,598.14 | 19 |
| Impres&prep intrm obt prosth CPT 21079 | $4,558.89 | $4,999.00 | $660.73 – $7,598.14 | 21 |
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.