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 |
|---|---|---|---|---|
| Leukocyte phagocytosis CPT 86344 | $14.34 | not published | $7.51 – $16.94 | 15 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $235.67 | $8,180.39 | $89.32 – $1,124.91 | 22 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $2,434.14 | $16,260.11 | $922.50 – $4,657.67 | 22 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $5,001.70 – $11,834.92 | 4 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $8.91 – $249.98 | 8 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | $975.20 | not published | $244.16 – $1,625.33 | 19 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | $78.71 | not published | $29.83 – $131.18 | 19 |
| Lev 1 hosp type b ed visit HCPCS G0380 | $102.20 | not published | $38.73 – $239.95 | 18 |
| Lev 2 hosp type b ed visit HCPCS G0381 | $127.72 | not published | $48.40 – $299.86 | 18 |
| Lev 3 hosp type b ed visit HCPCS G0382 | $236.35 | not published | $89.57 – $554.91 | 18 |
| Lev 4 hosp type b ed visit HCPCS G0383 | $363.42 | not published | $137.73 – $853.25 | 18 |
| Lev 5 hosp type b ed visit HCPCS G0384 | $564.77 | not published | $214.04 – $1,325.97 | 18 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $2.09 – $3.76 | 4 |
| Levalbuterol non-comp con HCPCS J7612 | $0.53 | not published | $0.22 – $0.83 | 7 |
| Levalbuterol non-comp unit HCPCS J7614 | $0.11 | $9.88 | $0.05 – $4.40 | 14 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $0.05 | $209.68 | $0.02 – $8.45 | 14 |
| Levetiracetam therapeutic drug level CPT 80177 | $18.29 | $93.00 | $6.93 – $71.70 | 21 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $2.98 | $59.85 | $0.65 – $3.12 | 14 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $139.38 – $1,472.64 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $8.26 | $366.08 | $3.38 – $244.38 | 14 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $4,457.77 | $9,762.00 | $161.24 – $7,526.50 | 22 |
| Liberta rc ipg HCPCS C1820 | not published | $78,780.00 | $592.20 – $1,701.59 | 11 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.03 – $0.05 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | $59.00 | $0.01 – $7.03 | 13 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | $31.25 | $0.01 – $26.29 | 14 |
| Lidocaine therapeutic drug level CPT 80176 | $20.27 | $41.00 | $7.68 – $27.47 | 21 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | not published | $15,849.99 | $4,755.00 – $13,662.69 | 12 |
| Lift assist for elbow HCPCS L6635 | $350.88 | not published | $233.92 – $502.60 | 16 |
| Lift heel adj small gl60404sm HCPCS L3332 | $125.10 | not published | $34.09 – $179.19 | 16 |
| Lift heel adjustable med HCPCS L3334 | $64.68 | not published | $43.12 – $92.65 | 16 |
| Lifts elevation metal extens HCPCS L3330 | $959.80 | not published | $416.43 – $1,374.85 | 16 |
| Ligate esophagus veins CPT 43400 | $2,153.23 | $5,230.00 | $905.68 – $9,113.08 | 19 |
| Ligate leg veins open CPT 37761 | $4,341.66 | $1,840.00 | $310.98 – $7,236.10 | 19 |
| Ligate leg veins radical 37760 CPT 37760 | $4,341.66 | $2,130.00 | $337.61 – $7,236.10 | 20 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $96.99 | $688.00 | $41.54 – $462.55 | 22 |
| Ligate/staple esophagus CPT 43405 | $2,107.89 | $4,950.00 | $894.17 – $9,366.48 | 19 |
| Ligate/strip long leg vein CPT 37722 | $4,341.66 | $1,620.00 | $270.51 – $7,236.10 | 20 |
| Ligate/strip short leg vein CPT 37718 | $4,341.66 | $1,460.00 | $231.32 – $7,236.10 | 20 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $4,451.18 | $3,971.00 | $211.94 – $7,418.63 | 22 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $2,271.01 | $1,031.00 | $119.92 – $3,785.02 | 22 |
| Ligation common iliac vein CPT 37660 | $1,853.86 | $4,500.00 | $778.52 – $7,974.71 | 19 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $4,341.66 | $830.00 | $145.27 – $7,236.10 | 20 |
| Ligation external carotid artery 37600 CPT 37600 | $4,341.66 | $2,430.00 | $422.38 – $7,236.10 | 20 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $4,341.66 | $2,530.00 | $430.69 – $7,236.10 | 20 |
| Ligation internal jugular vein 37565 CPT 37565 | $4,341.66 | $2,420.00 | $415.35 – $7,236.10 | 20 |
| Ligation major artery chest CPT 37616 | $1,607.41 | $3,780.00 | $682.88 – $6,756.14 | 19 |
| Ligation/major artery/extremity 37618 CPT 37618 | $548.62 | $1,300.00 | $235.58 – $2,352.72 | 19 |
| Ligation major artery neck CPT 37615 | $4,341.66 | $1,770.00 | $295.01 – $7,236.10 | 20 |
| Ligation nasal sinus artery CPT 30915 | $4,341.66 | $1,860.00 | $344.85 – $7,236.10 | 20 |
| Ligation of abdomen artery 37617 CPT 37617 | $7,651.38 | $4,580.00 | $768.08 – $8,232.38 | 19 |
| Ligation of femoral vein CPT 37650 | $4,341.66 | $1,570.00 | $270.08 – $7,236.10 | 20 |
| Ligation of inf vena cava CPT 37619 | $7,651.38 | $5,930.00 | $1,009.41 – $12,752.30 | 19 |
| Ligation of neck artery CPT 37606 | $4,341.66 | $2,430.00 | $484.36 – $7,236.10 | 20 |
| Ligation of salivary duct CPT 42665 | $4,558.89 | $670.00 | $125.88 – $7,598.14 | 20 |
| Ligation of shunt CPT 49428 | $617.96 | $1,470.00 | $230.86 – $2,806.80 | 19 |
| Ligation upper jaw artery CPT 30920 | $4,341.66 | $2,700.00 | $494.80 – $7,236.10 | 20 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $4,341.66 | $870.00 | $149.31 – $7,236.10 | 20 |
| Lig/band angioaccess av fistula CPT 37607 | $4,341.66 | $1,270.00 | $220.67 – $7,236.10 | 20 |
| Lig&div&compl strpg saph vn CPT 37735 | $4,341.66 | $2,000.00 | $341.01 – $7,236.10 | 20 |
| Liletta, 52 mg HCPCS J7297 | $1,044.12 | $2,870.19 | $861.06 – $2,474.10 | 13 |
| Limb exercise test CPT 95875 | $176.93 | $536.00 | $38.13 – $359.12 | 22 |
| Limb nerve surgery add-on CPT 64783 | $278.62 | $1,217.00 | $118.22 – $1,217.00 | 22 |
| Limited ankle motion ea jnt HCPCS L2200 | $85.22 | not published | $56.81 – $122.07 | 16 |
| Limited autopsy CPT 88036 | not published | not published | $127.07 – $363.72 | 4 |
| Limited autopsy CPT 88037 | not published | not published | $112.96 – $323.17 | 4 |
| Limited motion knee joint HCPCS L2184 | $196.44 | not published | $130.96 – $281.39 | 16 |
| Limited visual field xm CPT 92081 | $81.12 | $146.00 | $10.01 – $135.19 | 22 |
| Lincomycin injection HCPCS J2010 | $7.45 | not published | $3.05 – $19.28 | 10 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $3.78 | $214.20 | $1.55 – $45.00 | 14 |
| Lipase CPT 83690 | $9.51 | $48.00 | $3.60 – $32.16 | 21 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $4,558.89 | $1,150.00 | $202.35 – $7,598.14 | 22 |
| Lipoprotein blood high res frac & quant CPT 83701 | $46.73 | not published | $17.71 – $55.19 | 16 |
| Lipoprotein blood quant CPT 83704 | $47.18 | $54.00 | $17.88 – $131.82 | 20 |
| Lipoprotein direct measurement hdl CPT 83718 | $11.30 | $54.00 | $4.28 – $36.18 | 21 |
| Lipoprotein direct measurement ldl CPT 83721 | $14.49 | $64.00 | $5.49 – $42.88 | 21 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $47.18 | not published | $17.88 – $55.73 | 15 |
| Lip surgery procedure CPT 40799 | $325.68 | not published | $123.43 – $542.80 | 18 |
| Lisocabtagene mara car pos t HCPCS Q2054 | $775,837.71 | not published | $294,031.25 – $1,293,062.86 | 19 |
| Listeria monocytogenes CPT 86723 | $18.20 | not published | $6.90 – $26.78 | 17 |
| Lith ion batt cid, ear level HCPCS L8624 | $274.03 | not published | $182.68 – $392.53 | 15 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | $109.92 | not published | $73.28 – $157.45 | 15 |
| Lithium ion battery charger HCPCS L7368 | $857.61 | not published | $571.74 – $1,228.47 | 16 |
| Lithium therapeutic drug level CPT 80178 | $9.12 | $45.00 | $3.46 – $30.15 | 21 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $174.46 | $6,819.00 | $35.96 – $5,257.45 | 21 |
| Litt icr 1 traj 1 smpl les CPT 61736 | $1,811.18 | $2,828.00 | $647.25 – $5,005.47 | 18 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | $2,143.60 | $3,376.00 | $760.42 – $5,962.73 | 18 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $1,714.14 | $4,130.00 | $728.89 – $7,374.94 | 19 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $243.14 | not published | $92.15 – $287.19 | 15 |
| Liver elastography 91200 CPT 91200 | $176.93 | $407.00 | $7.03 – $313.80 | 22 |
| Liver Function Test CPT 80076 | $11.27 | $54.00 | $4.27 – $36.18 | 21 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | $2,003.99 | $4,960.00 | $853.28 – $8,876.50 | 19 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $369.38 – $672.21 | 2 |
| Liver imaging CPT 78201 | $746.61 | $1,612.00 | $12.57 – $1,244.35 | 22 |
| Liver imaging (3d) CPT 78205 | not published | not published | $228.77 – $523.14 | 2 |
| Liver imag w/vasclr flow CPT 78202 | $746.61 | $1,691.00 | $14.70 – $1,244.35 | 22 |
| Liver/spleen imag static only CPT 78215 | $549.70 | $1,627.00 | $14.48 – $1,090.09 | 22 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $549.70 | not published | $96.53 – $916.16 | 20 |
| Lmtd oph exam general anes CPT 92019 | $3,269.14 | $265.00 | $37.49 – $5,448.56 | 20 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $4,499.12 | $1,500.00 | $282.86 – $7,777.36 | 20 |
| Lockingelbow forearm cntrbal HCPCS L6693 | $4,824.27 | not published | $3,216.18 – $6,910.46 | 16 |
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.