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 |
|---|---|---|---|---|
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $19.27 – $46.21 | 11 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | $4,499.12 | $2,050.00 | $374.24 – $7,498.53 | 20 |
| Knee arthroscopy/drainage CPT 29871 | $4,499.12 | $1,690.00 | $313.32 – $7,498.53 | 20 |
| Knee arthroscopy dx CPT 29870 | $4,499.12 | $1,742.00 | $254.96 – $7,498.53 | 22 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | $4,499.12 | $1,780.00 | $328.87 – $7,498.53 | 20 |
| Knee arthroscopy/surgery CPT 29850 | $2,211.05 | $2,050.00 | $378.50 – $3,685.08 | 20 |
| Knee arthroscopy/surgery CPT 29851 | $2,211.05 | $3,080.00 | $549.54 – $3,685.08 | 20 |
| Knee arthroscopy/surgery CPT 29873 | $4,499.12 | $1,720.00 | $332.28 – $7,498.53 | 20 |
| Knee arthroscopy/surgery CPT 29874 | $4,499.12 | $1,770.00 | $322.70 – $7,498.53 | 20 |
| Knee arthroscopy/surgery CPT 29875 | $4,499.12 | $1,630.00 | $302.46 – $7,498.53 | 20 |
| Knee arthroscopy/surgery CPT 29876 | $4,499.12 | $2,170.00 | $392.13 – $7,498.53 | 20 |
| Knee arthroscopy/surgery CPT 29879 | $4,499.12 | $2,180.00 | $397.46 – $7,498.53 | 20 |
| Knee arthroscopy/surgery CPT 29880 | $4,499.12 | $1,840.00 | $339.95 – $7,498.53 | 20 |
| Knee arthroscopy/surgery CPT 29882 | $4,499.12 | $2,310.00 | $409.39 – $7,835.24 | 20 |
| Knee arthroscopy/surgery CPT 29883 | $4,499.12 | $2,800.00 | $501.19 – $7,498.53 | 20 |
| Knee arthroscopy/surgery CPT 29884 | $4,499.12 | $2,010.00 | $373.82 – $7,498.53 | 20 |
| Knee arthroscopy/surgery CPT 29886 | $4,499.12 | $2,110.00 | $385.74 – $7,498.53 | 20 |
| Knee arthroscopy/surgery CPT 29887 | $9,977.57 | $2,460.00 | $453.05 – $16,629.28 | 20 |
| Knee arthroscopy/surgery CPT 29888 | $9,977.57 | $3,260.00 | $567.22 – $16,629.28 | 20 |
| Knee arthroscopy/surgery CPT 29889 | $17,653.66 | $4,050.00 | $722.07 – $29,422.77 | 20 |
| Knee cap medial or lateral p HCPCS L2800 | $170.79 | not published | $113.86 – $244.64 | 16 |
| Knee control condylar pad HCPCS L2810 | $138.52 | not published | $92.35 – $198.42 | 16 |
| Knee control full kneecap HCPCS L2795 | $139.10 | not published | $92.74 – $199.25 | 16 |
| Knee disart expand wall sock HCPCS L5653 | $1,149.28 | not published | $766.19 – $1,646.27 | 16 |
| Knee disarticulat leather so HCPCS L5640 | $1,245.05 | not published | $830.03 – $1,783.46 | 16 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $243.11 | not published | $162.08 – $348.26 | 16 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $243.11 | not published | $154.86 – $348.26 | 16 |
| Knee joint cam lock each joi HCPCS L2415 | $206.03 | not published | $137.36 – $295.13 | 16 |
| Knee joint drop lock ea jnt HCPCS L2405 | $147.85 | not published | $98.57 – $211.79 | 16 |
| Knee lift loop drop lock rin HCPCS L2492 | $198.93 | not published | $132.62 – $284.94 | 16 |
| Knee MRI (with and without contrast) CPT 73723 | $479.72 | $4,566.00 | $63.26 – $3,059.22 | 22 |
| Knee MRI (with contrast) CPT 73722 | $1,077.92 | $3,785.00 | $47.93 – $2,535.95 | 22 |
| Knee MRI (without contrast) CPT 73721 | $328.08 | $2,940.00 | $40.04 – $1,969.80 | 22 |
| Knee orth pos locking joint HCPCS L1831 | $499.15 | not published | $332.76 – $715.00 | 16 |
| Knee-shin exo fluid swing ph HCPCS L5724 | $2,935.63 | not published | $1,957.09 – $4,205.11 | 16 |
| Knee-shin exo frct swg & sta HCPCS L5718 | $1,566.19 | not published | $1,044.13 – $2,243.48 | 16 |
| Knee-shin exo frict swg & st HCPCS L5712 | $727.98 | not published | $485.32 – $1,042.79 | 16 |
| Knee-shin exo mech stance ph HCPCS L5716 | $1,464.68 | not published | $976.45 – $2,098.06 | 16 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | $1,019.78 | not published | $679.85 – $1,460.77 | 16 |
| Knee-shin exo variable frict HCPCS L5714 | $740.72 | not published | $493.81 – $1,061.04 | 16 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | $3,494.99 | not published | $2,329.99 – $5,006.35 | 16 |
| Knee-shin fluid swg & stance HCPCS L5728 | $4,095.74 | not published | $2,730.50 – $5,866.91 | 16 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | $2,255.02 | not published | $1,503.34 – $3,230.17 | 16 |
| Knee-shin pneum swg frct exo HCPCS L5722 | $1,904.61 | not published | $1,269.74 – $2,728.24 | 16 |
| Knee-shin pro flex/ext cont HCPCS L5859 | $24,655.27 | not published | $16,972.83 – $24,119.29 | 13 |
| Knee-shin sys hydraul stance HCPCS L5848 | $1,827.29 | not published | $1,218.19 – $2,617.48 | 16 |
| Knee-shin sys stance flexion HCPCS L5845 | $3,045.73 | not published | $2,030.49 – $4,362.81 | 16 |
| Knee X-ray CPT 73564 | $143.75 | $350.00 | $7.03 – $239.59 | 22 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $119.66 | $290.00 | $5.11 – $160.80 | 22 |
| Knee X-ray (3 views, both knees) CPT 73562 | $119.66 | $328.00 | $5.96 – $186.26 | 22 |
| Knee X-ray (standing, both knees) CPT 73565 | $119.66 | $333.00 | $5.33 – $199.43 | 22 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | $607.63 | not published | $405.09 – $870.40 | 16 |
| Kne sing axis fric shin sach HCPCS L5200 | $6,176.91 | not published | $4,117.94 – $8,848.03 | 16 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $975.47 | not published | $650.31 – $1,397.30 | 16 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $975.47 | not published | $650.31 – $1,397.30 | 15 |
| Ko derot ant cruciate custom HCPCS L1840 | $1,594.89 | not published | $1,063.26 – $2,284.59 | 16 |
| Ko elastic w/joints pre ots HCPCS L1812 | $108.34 | not published | $72.23 – $154.15 | 15 |
| Ko rigid without joints pre ots HCPCS L1836 | $138.04 | not published | $92.03 – $227.62 | 16 |
| Ko single upright pre cst HCPCS L1843 | $1,521.74 | not published | $1,014.49 – $2,179.80 | 16 |
| Ko single upright prefab ots HCPCS L1851 | $928.28 | not published | $618.86 – $1,320.66 | 15 |
| Ko supracondylar socket mold HCPCS L1860 | $2,114.84 | not published | $1,409.89 – $3,029.37 | 16 |
| Ko swedish type pre ots HCPCS L1850 | $317.95 | not published | $211.97 – $486.16 | 16 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $1,230.99 | not published | $820.66 – $1,763.31 | 16 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $1,984.33 | not published | $1,322.89 – $2,842.44 | 16 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | $2,582.68 | not published | $1,721.79 – $3,699.53 | 16 |
| Kras gene addl variants CPT 81276 | $266.69 | $973.00 | $101.07 – $750.18 | 21 |
| Kras gene variants exon 2 CPT 81275 | $266.69 | $973.00 | $101.07 – $750.18 | 21 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,289.09 | $3,718.89 | $1,115.67 – $3,205.68 | 13 |
| Kyphectomy 1-2 segments CPT 22818 | $24,109.66 | $7,230.00 | $1,219.21 – $13,429.87 | 19 |
| Kyphectomy 3 or more CPT 22819 | $24,109.66 | $8,250.00 | $1,404.10 – $16,773.10 | 19 |
| Kyphosis pad HCPCS L1020 | $182.75 | not published | $121.84 – $261.80 | 16 |
| Kyphosis pad floating HCPCS L1025 | $263.66 | not published | $175.78 – $377.67 | 16 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $22.16 | $59.00 | $10.01 – $49.78 | 19 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $18.05 | $49.00 | $8.09 – $43.11 | 19 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $0.48 | $53.00 | $0.20 – $9.79 | 14 |
| Labioplasty 56800 CPT 56800 | $4,451.18 | $780.00 | $144.84 – $7,418.63 | 20 |
| Lab pathology consultation CPT 80500 | not published | not published | $30.39 – $55.71 | 2 |
| Lab pathology consultation CPT 80502 | not published | not published | $95.92 – $221.33 | 2 |
| Lacer molded to patient mode HCPCS L2330 | $622.67 | not published | $415.11 – $891.95 | 16 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | not published | $302.24 | $0.20 – $105.16 | 13 |
| Lactate dehydrogenase (ldh) CPT 83615 | $8.34 | $41.00 | $3.16 – $27.47 | 20 |
| Lactated ringers intravenous solution HCPCS J7120 | $3.29 | not published | $1.35 – $6.90 | 10 |
| Lactation class HCPCS S9443 | not published | not published | $7.02 – $64.52 | 3 |
| Lactic acid CPT 83605 | $15.97 | $72.00 | $6.05 – $48.24 | 21 |
| Lactoferrin fecal qualitative CPT 83630 | $27.19 | $34.40 | $10.30 – $32.11 | 21 |
| Lactoferrin fecal quant CPT 83631 | $27.09 | $133.00 | $10.27 – $102.54 | 21 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $357.57 | $848.00 | $146.54 – $1,455.29 | 18 |
| Lam facetec & foramot crv CPT 63045 | $9,977.57 | $4,490.00 | $796.83 – $16,629.28 | 20 |
| Lam facetec & foramot lumbar CPT 63047 | $9,977.57 | $3,790.00 | $679.47 – $16,629.28 | 20 |
| Lam facetec & foramot thrc CPT 63046 | $9,977.57 | $4,250.00 | $755.30 – $16,629.28 | 20 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $318.82 | $634.00 | $130.57 – $1,088.60 | 18 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | $3,004.20 | $7,030.00 | $1,235.83 – $12,181.72 | 19 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | $3,177.91 | $7,480.00 | $1,305.05 – $12,954.70 | 19 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | $9,977.57 | $6,100.00 | $1,057.33 – $16,629.28 | 20 |
| Lamination collar with couplin HCPCS L6629 | $329.56 | not published | $219.71 – $472.08 | 16 |
| Laminotomy single cervical CPT 63040 | $9,977.57 | $4,830.00 | $821.33 – $16,629.28 | 20 |
| Laminotomy single lumbar CPT 63042 | $9,977.57 | $4,450.00 | $777.88 – $16,629.28 | 20 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | $999.00 | $191.17 – $18,048.72 | 16 |
| Lam w/cordotomy 1stg thrc CPT 63197 | $2,609.79 | $5,410.00 | $1,073.73 – $8,639.98 | 19 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $48.84 | $29,882.00 | $18.51 – $16,374.55 | 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.