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 |
|---|---|---|---|---|
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.49 – $1.28 | 5 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | $83.10 | not published | $31.49 – $426.87 | 19 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | $34.85 | $1.01 – $30.04 | 13 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $211.51 – $654.44 | 5 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $1.76 | $66.60 | $0.72 – $24.05 | 14 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $1.21 | $22.70 | $0.49 – $9.49 | 14 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $1.21 | $9.95 | $0.50 – $8.58 | 14 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | $8.24 | $154.80 | $3.37 – $71.12 | 14 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $6.84 | $116.55 | $2.80 – $66.34 | 14 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $3.34 | $703.52 | $1.27 – $602.12 | 22 |
| Inj ceftolozane tazobactam HCPCS J0695 | $12.35 | $528.08 | $4.68 – $450.89 | 22 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | $167.25 | not published | $63.39 – $261.79 | 14 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | $23.59 | not published | $8.94 – $39.31 | 19 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | $115.01 | not published | $43.59 – $191.68 | 19 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | $125.86 | not published | $47.70 – $209.77 | 19 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $3.49 – $5.59 | 4 |
| Inj, clindamycin (baxter) HCPCS J0737 | $3.24 | $66.15 | $1.33 – $27.67 | 14 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $49.24 | $133.00 | $21.73 – $530.49 | 18 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | $15,810.80 | $89.31 – $13,585.81 | 13 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $6,796.72 | not published | $961.54 – $11,327.87 | 19 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | $761.09 | not published | $288.44 – $1,268.48 | 18 |
| Inj cutaquig 100 mg HCPCS J1551 | $20.46 | not published | $7.75 – $32.01 | 16 |
| Inj cuvitru, 100 mg HCPCS J1555 | $23.82 | not published | $9.03 – $39.70 | 19 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | $6.79 | $4,445.00 | $2.57 – $478.41 | 21 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | $12.41 | not published | $4.70 – $19.42 | 15 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $0.84 | not published | $0.32 – $1.39 | 19 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $0.96 | $4,445.00 | $0.36 – $1,558.50 | 22 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $5.30 | $1,731.08 | $2.01 – $724.57 | 22 |
| Inj, daptomycin (baxter) HCPCS J0874 | $0.08 | not published | $0.03 – $0.19 | 9 |
| Inj, daptomycin (hospira) HCPCS J0877 | $0.08 | not published | $0.03 – $0.11 | 9 |
| Inj daptomycin (xellia) HCPCS J0873 | $0.04 | not published | $0.01 – $0.11 | 9 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | $4.30 | not published | $1.63 – $7.16 | 19 |
| Inj, decitabine (sun pharma) HCPCS J0893 | $1.07 | $350.00 | $0.44 – $301.70 | 14 |
| Inj delandistrogene mox rokl HCPCS J1413 | $4,592,446.42 | not published | $1,740,470.64 – $7,654,077.37 | 17 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $38.96 | $9,629.79 | $14.76 – $4,148.28 | 20 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.21 – $0.56 | 5 |
| Inj disk cerv-thor ea lev CPT 62291 | $190.48 | $1,303.00 | $85.20 – $1,303.00 | 22 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | $65.46 | not published | $45.06 – $102.47 | 12 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $5.75 | not published | $2.18 – $9.58 | 18 |
| Inj dupuytren cord w/enzyme CPT 20527 | $422.07 | $218.00 | $37.28 – $1,075.00 | 22 |
| Inj, durolane 1 mg HCPCS J7318 | $9.00 | $3,346.51 | $3.41 – $2,884.69 | 22 |
| Inj dx for sinogram CPT 20501 | $44.89 | $123.00 | $19.81 – $707.49 | 19 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $219.88 – $224.69 | 2 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $970.61 | $972.00 | $46.65 – $1,617.68 | 21 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $83.99 | $931.00 | $36.85 – $720.65 | 22 |
| Injection, belinostat, 10mg HCPCS J9032 | $73.29 | $7,754.69 | $27.78 – $6,641.44 | 22 |
| Injection, burosumab-twza 1m HCPCS J0584 | $687.26 | $42,507.92 | $260.46 – $12,216.80 | 22 |
| Injection, cangrelor HCPCS C9460 | $27.52 | $3,155.78 | $10.43 – $2,715.97 | 21 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $1,107.11 | not published | $419.58 – $1,751.77 | 14 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $422.07 | $191.00 | $31.52 – $703.46 | 22 |
| Injection, casimersen, 10 mg HCPCS J1426 | $229.34 | not published | $86.92 – $358.97 | 13 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $2.44 – $4.42 | 5 |
| Injection, daratumumab 10 mg HCPCS J9145 | $97.69 | $2,376.89 | $37.02 – $2,005.78 | 22 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $1.34 | 5 |
| Injection, doxercalciferol HCPCS J1270 | $0.43 | not published | $0.18 – $15.59 | 10 |
| Injection during cath supravalvular aortography CPT 93567 | $49.56 | $509.00 | $20.66 – $509.00 | 22 |
| Injection, edaravone, 1 mg HCPCS J1301 | $24.11 | $1,973.70 | $9.14 – $1,678.06 | 22 |
| Injection epidural blood patch or clot CPT 62273 | $970.61 | $1,143.00 | $65.18 – $1,617.68 | 22 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.17 – $0.77 | 5 |
| Injection eye drug CPT 67028 | $454.19 | $494.00 | $48.14 – $756.98 | 22 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.91 – $1.61 | 3 |
| Injection for arthrography wrist (both sides) CPT 25246 | $88.78 | $240.00 | $39.19 – $488.89 | 19 |
| Injection for bladder x-ray CPT 51600 | $54.19 | $357.00 | $23.86 – $357.00 | 22 |
| Injection for hip x-ray CPT 27095 | $102.63 | $280.00 | $44.52 – $2,621.93 | 19 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $60.62 | $165.00 | $26.84 – $530.42 | 19 |
| Injection for spleen x-ray CPT 38200 | $157.57 | $431.00 | $69.65 – $827.89 | 19 |
| Injection for tear sac x-ray CPT 68850 | $64.53 | $176.00 | $29.18 – $681.39 | 19 |
| Injection for ureter x-ray CPT 50684 | $66.13 | $162.00 | $29.82 – $639.93 | 19 |
| Injection for ureter x-ray CPT 50690 | $88.54 | $251.00 | $39.62 – $251.00 | 22 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $12.13 – $96.16 | 6 |
| Injection, fulvestrant HCPCS J9395 | $7.89 | $2,958.58 | $3.23 – $172.40 | 14 |
| Injection glatiramer acetate HCPCS J1595 | not published | $716.40 | $58.65 – $552.34 | 11 |
| Injection, glucarpidase HCPCS C9293 | $619.19 | not published | $234.67 – $969.17 | 14 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $17.51 | not published | $6.64 – $29.19 | 19 |
| Injection into brain canal CPT 61026 | $970.61 | $434.00 | $66.88 – $1,617.68 | 22 |
| Injection into brain canal CPT 61055 | $422.07 | $423.00 | $62.84 – $830.12 | 20 |
| Injection into hemorrhoid(s) CPT 46500 | $1,278.72 | $716.00 | $123.97 – $2,131.20 | 22 |
| Injection into spinal artery CPT 62294 | $1,468.18 | $3,400.00 | $284.01 – $2,026.97 | 20 |
| Injection into vocal cord CPT 31513 | $537.80 | $428.00 | $101.12 – $1,132.15 | 20 |
| Injection intraop add-on CPT 48400 | $146.11 | $362.00 | $60.71 – $654.70 | 19 |
| Injection, isavuconazonium HCPCS J1833 | $1.39 | $1,188.14 | $0.53 – $1,019.87 | 21 |
| Injection jaw joint x-ray CPT 21116 | $56.86 | $160.00 | $24.71 – $884.92 | 19 |
| Injection jugular CPT 36299 | not published | $160.00 | $64.00 – $1,034.36 | 5 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | $1.95 | not published | $0.80 – $3.87 | 9 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $7.91 | not published | $3.00 – $13.18 | 19 |
| Injection of HIV prep drug HCPCS G0012 | $99.00 | not published | $8.48 – $165.00 | 18 |
| Injection of sinus tract CPT 20500 | $2,133.48 | $354.00 | $53.25 – $3,555.80 | 22 |
| Injection,onabotulinumtoxina HCPCS J0585 | $8.98 | $1,958.00 | $3.40 – $1,683.49 | 22 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $99.65 – $159.49 | 3 |
| Injection, peramivir HCPCS J2547 | $2.32 | $954.98 | $0.88 – $818.88 | 21 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $1.78 – $4.34 | 5 |
| Injection px peyronie ds CPT 54200 | $343.55 | $269.00 | $53.25 – $572.59 | 22 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $549.70 | $110.00 | $17.47 – $916.16 | 20 |
| Injection, renflexis HCPCS Q5104 | $38.30 | $2,310.17 | $14.52 – $1,948.27 | 22 |
| Injection, ruconest HCPCS J0596 | $50.75 | not published | $19.23 – $84.59 | 19 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $970.61 | $972.00 | $367.85 – $1,617.68 | 22 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $970.61 | $808.00 | $38.77 – $1,617.68 | 22 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $970.61 | $749.00 | $24.50 – $1,617.68 | 22 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,216.18 | $991.00 | $63.47 – $2,026.97 | 22 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $73.08 | $482.00 | $32.38 – $482.00 | 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.