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 |
|---|---|---|---|---|
| Instll rx agnt into rnal tub CPT 50391 | $343.55 | $320.00 | $54.10 – $1,075.00 | 22 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | $278.42 | $610.00 | $122.48 – $282.45 | 17 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | $8.24 | not published | $3.12 – $17.91 | 18 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $7,651.38 | $5,211.00 | $213.00 – $12,752.30 | 21 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $7,651.38 | $1,839.00 | $196.60 – $12,752.30 | 22 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $4,341.66 | $3,296.00 | $148.25 – $7,236.10 | 22 |
| Ins tun intraperit dia cath CPT 49421 | $4,923.19 | $790.00 | $131.85 – $8,205.32 | 20 |
| Inst via cath agent pleurds CPT 32560 | $862.57 | $260.00 | $43.67 – $1,437.62 | 20 |
| Insulin for insulin pump use HCPCS J1817 | $4.42 | $222.02 | $1.81 – $35.75 | 14 |
| Insulin suppression panel CPT 80432 | $228.54 | not published | $135.13 – $269.94 | 16 |
| Insulin tolerance panel CPT 80434 | $393.34 | not published | $45.03 – $464.60 | 16 |
| Insulin tolerance panel CPT 80435 | $142.14 | $606.00 | $84.04 – $467.23 | 20 |
| Insulin total CPT 83525 | $15.77 | $76.00 | $5.98 – $50.92 | 21 |
| Ins vag brachytx device CPT 57156 | $419.01 | $2,620.00 | $80.94 – $1,755.40 | 22 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $1,374.86 – $6,301.36 | 8 |
| Integra meshed bil wound mat HCPCS C9363 | $171.12 | $1,665.84 | $0.02 – $1,435.95 | 20 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | not published | not published | $223.31 – $322.77 | 2 |
| Intens behave ther cardio dx HCPCS G0446 | $51.52 | $75.00 | $19.52 – $85.86 | 18 |
| Intens cardiac rehab no exer HCPCS G0423 | $177.25 | not published | $67.17 – $295.41 | 18 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $177.25 | not published | $67.17 – $295.41 | 18 |
| Intercalary algrft compl CPT 20934 | $973.99 | $2,370.00 | $413.65 – $4,332.12 | 18 |
| Interdental fixation CPT 21110 | $2,133.48 | $2,180.00 | $542.43 – $3,555.80 | 20 |
| Interdental wirg oth/thn fx CPT 21497 | $2,133.48 | $2,472.00 | $380.38 – $3,555.80 | 22 |
| Interdiscal perq aspir dx CPT 62267 | $973.71 | $510.00 | $86.05 – $1,622.86 | 19 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $42.82 – $113.39 | 7 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $21.50 – $82.08 | 7 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $9.85 – $17.85 | 3 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $30.72 – $80.44 | 7 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | $25,918.40 | $55.62 – $19,983.09 | 11 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $2,107.79 – $5,575.00 | 4 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $403.07 – $1,860.85 | 5 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $911.81 – $21,749.19 | 5 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $9.28 – $86.81 | 6 |
| Intermediate visual field xm CPT 92082 | $81.12 | $167.00 | $12.99 – $135.19 | 22 |
| Internal nerve revision 64727 CPT 64727 | $206.56 | $620.00 | $92.44 – $1,129.89 | 19 |
| Interphalangeal joint spacer HCPCS L8658 | $515.62 | not published | $343.75 – $504.41 | 14 |
| Interrogate subq defib CPT 93261 | $51.32 | $197.00 | $19.94 – $151.89 | 22 |
| Interrogation vad in person CPT 93750 | $130.73 | $226.00 | $21.73 – $217.88 | 22 |
| Interrog dev eval icpms ip CPT 93290 | $51.32 | $197.00 | $12.99 – $151.89 | 22 |
| Interrog dev eval scrms ip CPT 93291 | $39.77 | $197.00 | $11.08 – $151.89 | 22 |
| Interrog device eval heart CPT 93289 | $51.32 | $209.00 | $19.94 – $161.14 | 22 |
| Interrog evl pm/ldls pm ip CPT 93288 | $51.32 | $177.00 | $12.78 – $136.47 | 22 |
| Interrog&prgrmg ipnss CPT 93151 | $130.73 | $166.00 | $21.94 – $217.88 | 21 |
| Interrog&prgrmg ipnss polysm CPT 93152 | $422.32 | $1,524.00 | $48.35 – $1,175.00 | 21 |
| Interrog without prgrmg ipnss CPT 93153 | $130.73 | $166.00 | $11.93 – $217.88 | 21 |
| Interscap-thor myoelectronic HCPCS L6975 | $30,131.21 | not published | $20,087.47 – $43,161.10 | 16 |
| Interscapular-thor switch CT HCPCS L6970 | $27,336.45 | not published | $18,224.30 – $39,157.78 | 16 |
| Interstitial brachy inter CPT 77799 | $140.29 | not published | $53.17 – $233.82 | 17 |
| Interthoracoscplr amputation CPT 23900 | $17,653.66 | $4,610.00 | $801.52 – $8,452.03 | 19 |
| Intestinal stricturoplasty CPT 44615 | $1,491.21 | $3,660.00 | $634.53 – $6,572.37 | 19 |
| Intestine transplnt cadaver CPT 44135 | not published | $25,400.00 | $219.88 – $17,780.00 | 6 |
| Int hrhc lig 1 hroid without img CPT 46945 | $3,816.64 | $730.00 | $216.03 – $6,361.06 | 20 |
| Int hrhc lig 2+hroid without img CPT 46946 | $3,816.64 | $730.00 | $244.74 – $6,361.06 | 20 |
| Intl custm cong/latyp insert HCPCS L5681 | $2,235.24 | not published | $1,490.16 – $3,201.84 | 16 |
| Intra-atrial pacing CPT 93610 | $10,724.84 | $5,073.00 | $37.34 – $17,874.73 | 22 |
| Intra-atrial recording CPT 93602 | $10,724.84 | $7,316.00 | $36.03 – $17,874.73 | 22 |
| Intracard echo interv w/s&i CPT 93662 | $95.55 | $1,107.00 | $43.88 – $741.69 | 22 |
| Intracran angioplsty w/stent CPT 61635 | $2,086.45 | $5,074.00 | $1,268.57 – $8,825.86 | 16 |
| Intracranial angioplasty CPT 61630 | $1,932.04 | $7,492.00 | $951.89 – $5,019.64 | 20 |
| Intracranial complete study CPT 93886 | $328.08 | $1,360.00 | $28.97 – $911.20 | 22 |
| Intracranial limited study CPT 93888 | $143.75 | $1,145.00 | $23.00 – $767.15 | 22 |
| Intracranial vessel surgery CPT 61680 | $3,436.88 | $8,090.00 | $1,407.72 – $14,008.54 | 19 |
| Intracranial vessel surgery CPT 61682 | $6,119.31 | $15,310.00 | $2,476.13 – $25,850.27 | 19 |
| Intracranial vessel surgery CPT 61684 | $4,271.91 | $10,210.00 | $1,741.70 – $17,729.81 | 19 |
| Intracranial vessel surgery CPT 61686 | $6,687.25 | $17,090.00 | $2,709.36 – $28,036.13 | 19 |
| Intracranial vessel surgery CPT 61690 | $3,306.05 | $7,790.00 | $1,354.25 – $13,503.81 | 19 |
| Intracranial vessel surgery CPT 61692 | $5,449.21 | $13,500.00 | $2,210.73 – $22,735.12 | 19 |
| Intranasal biopsy 30100 CPT 30100 | $2,133.48 | $325.00 | $38.98 – $3,555.80 | 22 |
| Intranasal reconstruction CPT 30620 | $8,139.99 | $2,030.00 | $393.84 – $13,566.64 | 20 |
| Intraop colon lavage add-on CPT 44701 | $234.61 | $590.00 | $97.13 – $1,032.75 | 19 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | $595.32 | $1,581.00 | $212.46 – $757.08 | 19 |
| Intraop hipec px 1st 60 min CPT 96547 | $500.07 | $4,500.00 | $40.00 – $1,222.25 | 18 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $741.60 | $691.00 | $65.60 – $1,236.00 | 22 |
| Intraoral periapical first HCPCS D0220 | $119.66 | $40.00 | $10.65 – $199.43 | 17 |
| Intrapul surf admin endo tube CPT 94610 | $301.10 | $178.00 | $30.46 – $501.84 | 22 |
| Intrauterine transfusion ftl CPT 36460 | $606.63 | $1,120.00 | $189.78 – $1,011.06 | 20 |
| Intraventricular pacing CPT 93612 | $10,724.84 | $5,073.00 | $100.11 – $17,874.73 | 22 |
| Intrinsic factor antibody CPT 86340 | $20.81 | $32.00 | $7.89 – $49.14 | 21 |
| Intrm oph exam est patient CPT 92012 | $183.07 | $139.00 | $0.01 – $305.12 | 22 |
| Intro cath dialysis circuit CPT 36901 | $2,164.52 | $2,263.00 | $93.93 – $3,607.53 | 21 |
| Intro cath dialysis circuit w/pta CPT 36902 | $7,826.12 | $7,528.00 | $133.98 – $13,043.53 | 21 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $15,873.70 | $1,070.00 | $177.00 – $26,456.16 | 19 |
| Intro catheter aorta CPT 36200 | $188.65 | $1,619.00 | $78.38 – $1,619.00 | 22 |
| Intro cath svc/ivc CPT 36010 | $143.82 | $2,958.00 | $60.71 – $2,958.00 | 22 |
| Intro long gi tube CPT 44500 | $1,247.13 | $63.00 | $10.44 – $2,160.74 | 20 |
| Intro long gi tube w/mult fluo CPT 74340 | $35.22 | $781.00 | $15.98 – $523.27 | 22 |
| Intro windpipe wire/tube CPT 31730 | $2,447.43 | $510.00 | $123.32 – $4,079.05 | 20 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $120.56 | $2,647.00 | $50.48 – $1,773.49 | 21 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $94.74 | $1,402.00 | $39.83 – $1,075.00 | 21 |
| Intubation endotracheal emergency procedure CPT 31500 | $325.68 | $660.00 | $84.77 – $542.80 | 22 |
| Io anal gast n-stim init CPT 95980 | $62.72 | $338.00 | $26.41 – $260.60 | 22 |
| Io anal gast n-stim subsq CPT 95981 | $81.12 | $58.00 | $10.65 – $135.19 | 22 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | $3,823.00 | $0.01 – $3,581.05 | 13 |
| Iodine i-125 sodium iodide HCPCS A9527 | $533.40 | $104.00 | $44.57 – $889.00 | 21 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $326.80 – $855.84 | 5 |
| Io ga n-stim subsq w/reprog CPT 95982 | $51.32 | $222.00 | $19.94 – $171.16 | 22 |
| Ionm in operatng room 15 min CPT 95940 | $37.55 | $170.00 | $17.04 – $131.07 | 21 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | $640.00 | $60.80 – $493.44 | 14 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $0.55 | $340.62 | $0.01 – $0.68 | 14 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $0.21 | $1,293.50 | $0.01 – $0.23 | 14 |
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.