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, lecanemab-irmb, 1 mg HCPCS J0174 | $1.84 | $1,983.83 | $0.70 – $682.29 | 21 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.70 – $1.84 | 6 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | $30.77 | not published | $11.66 – $51.29 | 19 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $32.11 | $121.63 | $13.14 – $86.36 | 14 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | $0.07 | $389.45 | $0.03 – $335.71 | 14 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $9.57 | not published | $3.63 – $15.95 | 19 |
| Inj, levothyroxine, hikma HCPCS J0652 | $10.61 | not published | $4.34 – $16.56 | 9 |
| Inj, lidocaine w epinephrine HCPCS J2004 | not published | $75.50 | $0.01 – $9.22 | 13 |
| Inj, linezolid (hospira) HCPCS J2021 | $29.85 | not published | $5.83 – $46.60 | 9 |
| Inj, lovotibeglogene autotem HCPCS J3394 | $4,488,461.15 | not published | $1,701,061.72 – $7,480,768.58 | 18 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | $452.67 | not published | $171.56 – $754.46 | 19 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | $32.28 | not published | $12.24 – $53.81 | 18 |
| Inj luxturna 1 billion vec g HCPCS J3398 | $4,176.98 | not published | $1,583.01 – $6,961.63 | 18 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $79.05 | $661.00 | $34.93 – $509.63 | 21 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | $69.65 | not published | $26.40 – $109.02 | 15 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $3.20 – $8.38 | 5 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $119.98 | $1,550.00 | $45.47 – $517.20 | 22 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | $89.39 | not published | $33.88 – $139.92 | 14 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $484.50 – $1,268.82 | 3 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | $1,097.10 | not published | $415.79 – $1,828.50 | 19 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $178.17 – $674.37 | 6 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $5.18 | $50.36 | $2.12 – $36.27 | 14 |
| Inj, meropenem (b. braun) HCPCS J2184 | $2.77 | not published | $1.13 – $5.95 | 9 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $3.01 | $692.53 | $1.14 – $592.65 | 21 |
| Inj meropenem (wg crit care) HCPCS J2183 | $2.17 | $95.00 | $0.89 – $81.89 | 14 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $1.14 – $2.98 | 4 |
| Inj, micafungin (par pharm) HCPCS J2247 | $0.30 | not published | $0.12 – $0.89 | 9 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $57.84 | not published | $21.92 – $96.41 | 19 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $349.78 | $14,397.17 | $132.56 – $12,367.26 | 22 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | $36.54 | not published | $13.85 – $60.90 | 19 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $12.64 | $180.00 | $5.17 – $137.06 | 14 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | $9.16 | $165.00 | $3.75 – $142.23 | 14 |
| Inj multihance HCPCS A9577 | $2.48 | $834.05 | $0.01 – $6.90 | 14 |
| Inj multihance multipack HCPCS A9578 | $2.43 | not published | $0.99 – $5.04 | 9 |
| Inj. mycophenolate mofetil HCPCS J7519 | $0.51 | $328.94 | $0.21 – $191.80 | 14 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $8.70 – $24.93 | 5 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | $946.79 | not published | $358.82 – $1,577.99 | 19 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $958.81 | $826.00 | $37.70 – $1,598.02 | 22 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $2.99 | $710.06 | $1.13 – $607.76 | 21 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | $38.37 | $23,834.24 | $14.54 – $20,540.80 | 21 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | $130.72 | not published | $49.54 – $217.87 | 19 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $2,837.09 | $2,218.00 | $84.99 – $4,728.48 | 22 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $2,837.09 | $2,218.00 | $67.31 – $4,728.48 | 22 |
| Inj, nyposi 1 mcg HCPCS Q5148 | $1.38 | not published | $0.56 – $2.16 | 12 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $64.92 | $123,850.76 | $24.60 – $106,755.05 | 21 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $1,007.42 – $1,985.38 | 4 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $55.49 | $496.20 | $22.71 – $94.82 | 14 |
| Inj ogivri 10 mg HCPCS Q5114 | $52.04 | $8,109.43 | $19.72 – $2,593.27 | 22 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $50.10 – $131.19 | 5 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $1.32 – $3.45 | 5 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | $545.82 | not published | $206.86 – $909.70 | 19 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $3.88 – $10.16 | 5 |
| Inj., omadacycline, 1 mg HCPCS J0121 | $5.71 | $1,480.67 | $2.16 – $1,272.03 | 22 |
| Inj onase abepar-xioi treat HCPCS J3399 | $3,572,794.09 | not published | $1,354,037.18 – $5,954,656.82 | 18 |
| Inj ontruzant 10 mg HCPCS Q5112 | $37.64 | not published | $14.26 – $62.73 | 19 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $135.47 – $354.77 | 5 |
| Inj, palonosetron (posfrea) HCPCS J2468 | $80.83 | not published | $30.63 – $134.72 | 19 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $6.24 – $17.36 | 6 |
| Inj, panzyga, 500 mg HCPCS J1576 | $98.29 | not published | $37.25 – $163.81 | 19 |
| Inj, pasireotide long acting HCPCS J2502 | $793.59 | not published | $300.76 – $1,322.65 | 19 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $137.96 | $29,360.00 | $52.29 – $25,304.01 | 22 |
| Inj, pedmark, 100 mg HCPCS J0208 | $132.57 | not published | $50.24 – $220.95 | 18 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | $190.51 | $7,044.17 | $72.20 – $6,067.76 | 22 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $164.63 | not published | $25.64 – $274.38 | 19 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | $51.76 | not published | $19.62 – $86.27 | 17 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $55.11 | not published | $7.99 – $91.85 | 19 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | $13.44 | $1,416.38 | $5.09 – $1,177.82 | 22 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | $112.10 | not published | $42.48 – $175.46 | 15 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | $14.63 | not published | $5.54 – $22.90 | 14 |
| Inj pemetrexed ditromethamin HCPCS J9323 | $0.17 | not published | $0.07 – $21.17 | 19 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | $5.78 | not published | $2.19 – $9.64 | 19 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | $2.05 | not published | $0.84 – $4.37 | 9 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | $21.16 | not published | $7.40 – $35.27 | 19 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | $9,989.82 | not published | $4,088.59 – $20,746.79 | 7 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | $101.18 | not published | $0.02 – $168.63 | 19 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $13.77 – $36.06 | 5 |
| Inj peritoneal venous shunt CPT 49427 | $52.21 | $151.00 | $19.03 – $280.86 | 19 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $16.75 | not published | $6.35 – $27.92 | 19 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | $47.82 | not published | $18.12 – $85.75 | 18 |
| Inj., plazomicin, 5 mg HCPCS J0291 | $4.84 | not published | $1.84 – $8.07 | 19 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | $126.59 | not published | $47.97 – $198.14 | 14 |
| Inj proc ankle arthr CPT 27648 | $64.43 | $170.00 | $27.90 – $994.68 | 19 |
| Inj proc elbow arthro CPT 24220 | $81.12 | $220.00 | $35.78 – $720.52 | 19 |
| Inj proc for lymphang CPT 38790 | $109.65 | $273.00 | $48.35 – $506.85 | 19 |
| Inj proc lumbr disk ea lvl CPT 62290 | $203.30 | $1,268.00 | $90.95 – $1,268.00 | 22 |
| Inj proc myelogram lumbar CPT 62284 | $103.38 | $290.00 | $45.80 – $1,285.12 | 19 |
| Inj proc sialogram CPT 42550 | $75.35 | $207.00 | $33.23 – $817.36 | 19 |
| Inj progesterone per 50 mg HCPCS J2675 | $0.99 | not published | $0.40 – $8.15 | 10 |
| Inj prohance multipack HCPCS A9576 | $1.95 | $4.00 | $0.01 – $3.45 | 12 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $21.83 – $57.15 | 3 |
| Inj recombin esperoct per iu HCPCS J7204 | $3.09 | not published | $1.17 – $5.15 | 19 |
| Inj, releuko 1 mcg HCPCS Q5125 | $0.47 | not published | $0.18 – $0.78 | 19 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $1.04 | not published | $0.43 – $2.17 | 12 |
| Inj retro urethrocysto CPT 51610 | $82.58 | $500.00 | $36.85 – $500.00 | 22 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $18.34 | $3,811.98 | $6.95 – $3,284.63 | 22 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | $17,324.12 | $284,285.00 | $6,565.59 – $284,235.00 | 21 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $0.90 – $2.37 | 5 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | $39.35 | not published | $14.91 – $65.59 | 19 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | $17.98 | not published | $6.81 – $29.97 | 18 |
| Inj scleros sol mult veins CPT 36471 | $558.97 | $280.00 | $42.60 – $931.62 | 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.