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 |
|---|---|---|---|---|
| Nsl/sins ndsc surg frnt sins CPT 31296 | $9,704.27 | $590.00 | $97.13 – $16,173.78 | 19 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | $9,704.27 | $840.00 | $137.60 – $16,173.78 | 19 |
| Nsl/sins ndsc surg max sins CPT 31295 | $9,704.27 | $520.00 | $86.05 – $16,173.78 | 19 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | $9,704.27 | $4,020.00 | $670.95 – $16,173.78 | 20 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | $9,704.27 | $470.00 | $78.81 – $16,173.78 | 19 |
| Nsl/sins ndsc total CPT 31253 | $9,704.27 | $1,650.00 | $267.95 – $16,173.78 | 19 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $9,704.27 | $1,470.00 | $239.20 – $16,173.78 | 19 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | $5,126.62 | $1,960.00 | $334.62 – $8,544.36 | 20 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | $8,139.99 | $7,091.00 | $86.05 – $13,566.64 | 18 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | $8,139.99 | $7,042.00 | $86.05 – $13,566.64 | 21 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | $2,447.43 | $1,470.00 | $237.92 – $4,079.05 | 19 |
| Ntraop hipec px ea add 30min CPT 96548 | $229.71 | $1,500.00 | $20.00 – $559.87 | 18 |
| Ntrk1 translocation analysis CPT 81191 | $286.09 | $1,024.00 | $108.42 – $789.50 | 21 |
| Ntrk2 translocation analysis CPT 81192 | $286.09 | $1,024.00 | $108.42 – $789.50 | 21 |
| Ntrk3 translocation analysis CPT 81193 | $286.09 | $1,024.00 | $108.42 – $789.50 | 21 |
| Ntrk translocation analysis CPT 81194 | $715.23 | $2,561.00 | $271.06 – $1,974.53 | 21 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | $46.16 | $112.00 | $20.45 – $61.60 | 18 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | $68.30 | $168.00 | $30.46 – $92.40 | 18 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | $90.76 | not published | $66.41 – $108.45 | 3 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $42.82 | $41.00 | $19.17 – $43.44 | 18 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | $23.24 | $56.00 | $10.22 – $30.80 | 18 |
| Ntrprof ph1/ntrnet/ehr rfrl CPT 99452 | $44.16 | $41.00 | $19.81 – $44.80 | 18 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $456.73 – $2,375.33 | 6 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | not published | not published | $455.10 – $2,375.33 | 6 |
| Nuclear exam of tear flow CPT 78660 | $549.70 | not published | $98.00 – $916.16 | 20 |
| Nuclear localization/abscess CPT 78807 | not published | not published | $364.90 – $718.89 | 2 |
| Nuclear matrix protein 22 CPT 86386 | $30.06 | not published | $11.39 – $35.50 | 16 |
| Nuclear rx intra-arterial CPT 79445 | $320.85 | $1,124.00 | $67.73 – $855.81 | 22 |
| Nuclear rx intra-articular CPT 79440 | $320.85 | $1,065.00 | $26.40 – $713.55 | 21 |
| Nuclear rx intracav admin CPT 79200 | $320.85 | $808.00 | $35.17 – $541.36 | 22 |
| Nuclear rx IV admin CPT 79101 | $320.85 | $1,081.00 | $35.17 – $824.97 | 22 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,780.19 | $4,032.00 | $47.50 – $3,108.67 | 22 |
| Nuclr rx interstit colloid CPT 79300 | $320.85 | $1,239.00 | $39.62 – $830.13 | 22 |
| Nudge control elbow lock HCPCS L6637 | $686.96 | not published | $457.98 – $984.04 | 16 |
| Nudt15 gene common variants CPT 81306 | $402.08 | not published | $152.38 – $629.34 | 16 |
| Nursing fac care supervision CPT 99379 | not published | not published | $48.52 – $104.00 | 4 |
| Nursing fac care supervision CPT 99380 | not published | not published | $77.73 – $156.44 | 4 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $166.25 | $331.00 | $74.98 – $182.05 | 19 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $102.82 | $230.00 | $46.65 – $126.50 | 19 |
| Nushield 1 square cm HCPCS Q4160 | $171.12 | not published | $66.49 – $2,561.63 | 15 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $1,774.88 | not published | $672.65 – $2,958.14 | 18 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | $383,985.00 | not published | $145,524.75 – $601,020.00 | 14 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $112.64 | $27,050.84 | $42.69 – $23,274.72 | 22 |
| Obltrj a-pulm sep def w/byp CPT 33814 | $2,189.25 | $5,230.00 | $924.42 – $9,370.72 | 19 |
| Observation care discharge CPT 99217 | not published | not published | $106.90 – $140.09 | 2 |
| Observation direct referral from physician office for admission HCPCS G0379 | $818.88 | $193.00 | $25.80 – $1,922.58 | 22 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $271.54 | $682.00 | $120.98 – $375.10 | 19 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $126.63 | $419.00 | $56.23 – $230.45 | 19 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $203.91 | $531.00 | $91.16 – $292.05 | 19 |
| Observation per hour HCPCS G0378 | not published | $213.00 | $57.90 – $148.80 | 13 |
| Obstetrical care 59410 CPT 59410 | $1,507.88 | $3,550.00 | $928.77 – $6,356.98 | 19 |
| Obstetric panel inc HIV tstg CPT 80081 | $103.31 | $502.00 | $39.15 – $387.04 | 21 |
| Obstetrics panel CPT 80055 | $65.98 | not published | $25.00 – $77.93 | 17 |
| Obtaining screen pap smear HCPCS Q0091 | $39.77 | $34.00 | $10.01 – $66.29 | 21 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $143.75 | $586.00 | $36.00 – $392.62 | 22 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $66.39 | $314.00 | $17.97 – $242.09 | 22 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | $4,451.18 | $780.00 | $143.99 – $7,418.63 | 20 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $136.70 | $377.00 | $51.81 – $290.67 | 22 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $136.70 | $300.00 | $51.81 – $231.30 | 22 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $136.70 | $338.00 | $51.81 – $260.60 | 22 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $81.87 | $61,972.88 | $31.03 – $53,420.62 | 22 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $0.91 | $303.14 | $0.37 – $9.95 | 14 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $274.85 | $20,742.68 | $104.17 – $9,111.59 | 22 |
| Ocular function screen CPT 99172 | not published | not published | $25.97 – $113.56 | 5 |
| Ocular instrumnt screen bil CPT 99174 | $30.00 | $50.00 | $4.26 – $20.00 | 12 |
| Ocular instrumnt screen bil CPT 99177 | $22.00 | $39.00 | $0.01 – $30.07 | 17 |
| Ocular photodynamic ther CPT 67221 | $756.27 | $1,201.00 | $107.35 – $1,260.45 | 22 |
| Ocular reconst transplant CPT 65780 | $5,405.82 | $2,080.00 | $329.09 – $9,009.70 | 20 |
| Ocular reconst transplant CPT 65781 | $7,316.99 | $4,170.00 | $716.11 – $12,194.99 | 19 |
| Ocular reconst transplant CPT 65782 | $5,405.82 | $3,600.00 | $620.90 – $9,009.70 | 19 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $85.88 | $18,151.10 | $32.55 – $1,560.31 | 21 |
| Off base opioid tx, 60 m HCPCS G2087 | $490.96 | $450.00 | $92.50 – $406.78 | 18 |
| Off base opioid tx 70min HCPCS G2086 | $517.14 | $461.00 | $92.50 – $406.78 | 18 |
| Office consultation CPT 99241 | not published | not published | $71.77 – $129.85 | 2 |
| Office emergency care CPT 99058 | not published | not published | $40.47 – $209.72 | 4 |
| Off/op cnsltj new/est low 30 CPT 99243 | $111.00 | $216.00 | $0.01 – $83.27 | 18 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $189.00 | $288.00 | $0.01 – $113.77 | 18 |
| Off/op consltj new/est hi 55 CPT 99245 | $247.00 | $370.00 | $0.01 – $152.73 | 18 |
| Off/op consltj new/est sf 20 CPT 99242 | $74.00 | $173.00 | $0.01 – $70.93 | 18 |
| Offset knee joint each HCPCS L2390 | $173.59 | not published | $115.73 – $248.65 | 16 |
| Offset knee joint heavy duty HCPCS L2395 | $248.12 | not published | $165.42 – $355.41 | 16 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $1.11 | $123.47 | $0.46 – $72.59 | 14 |
| Olanzapine long-acting inj HCPCS J2358 | $4.36 | not published | $1.78 – $8.35 | 9 |
| Ol dig e/m svc 11-20 min CPT 99422 | $35.00 | $35.00 | $14.27 – $32.40 | 18 |
| Ol dig e/m svc 21+ min CPT 99423 | $49.65 | $35.00 | $19.25 – $50.37 | 18 |
| Ol dig e/m svc 5-10 min CPT 99421 | $35.00 | $35.00 | $7.03 – $19.25 | 18 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $62.79 | $4,423.28 | $23.80 – $1,904.28 | 22 |
| Omental flap extra-abdom 49904 CPT 49904 | $1,917.25 | $4,760.00 | $821.54 – $8,675.88 | 19 |
| Omental flap intra-abdom 49905 CPT 49905 | $478.93 | $1,210.00 | $200.86 – $2,166.86 | 19 |
| Onc breast mrna 12 genes CPT 81522 | $5,344.74 | not published | $2,025.58 – $8,365.68 | 16 |
| Onc breast mrna 58 genes CPT 81520 | $3,464.09 | $6,046.00 | $1,312.84 – $5,422.05 | 20 |
| Onc breast mrna 70 genes CPT 81521 | $5,344.74 | $8,313.00 | $2,025.58 – $8,365.68 | 21 |
| Onc brst mrna 11 genes CPT 81518 | $5,344.74 | $9,700.00 | $2,025.58 – $8,365.68 | 21 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | $5,344.74 | not published | $2,025.58 – $8,365.68 | 16 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | $9,926.34 | not published | $5,869.11 – $15,536.88 | 14 |
| Oncology colon mrna CPT 81525 | $4,300.08 | not published | $2,542.49 – $6,730.56 | 14 |
| Oncology colorectal scr CPT 81528 | $702.24 | not published | $266.14 – $1,099.16 | 16 |
| Oncology gynecologic CPT 81535 | $799.65 | not published | $303.06 – $1,251.63 | 15 |
| Oncology gynecologic CPT 81536 | $245.03 | not published | $92.86 – $383.53 | 15 |
| Oncology lung CPT 81538 | $3,961.98 | not published | $1,501.53 – $6,201.36 | 15 |
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.