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 |
|---|---|---|---|---|
| Oncology prostate prob score CPT 81539 | $1,048.80 | not published | $397.48 – $1,641.60 | 16 |
| Oncology thyroid CPT 81545 | not published | not published | $4,669.01 – $4,669.01 | 1 |
| Oncology tissue of origin CPT 81504 | $717.60 | not published | $494.00 – $1,123.20 | 13 |
| Oncology tum unknown origin CPT 81540 | $5,175.00 | not published | $3,059.80 – $8,100.00 | 14 |
| Onco (ovar) five proteins CPT 81503 | $1,237.86 | $450.00 | $180.00 – $1,937.52 | 20 |
| Onco (ovar) two proteins CPT 81500 | $359.49 | not published | $212.56 – $562.68 | 15 |
| Oncoprotein dcp CPT 83951 | $88.89 | $118.75 | $33.69 – $104.99 | 20 |
| Oncoprotein her-2/neu CPT 83950 | $88.89 | not published | $33.69 – $136.83 | 17 |
| Onc prostate 3 genes CPT 81551 | $2,801.40 | $2,407.00 | $962.80 – $4,384.80 | 21 |
| Onc prostate mrna 22 cnt gen CPT 81542 | $5,344.74 | not published | $3,160.16 – $8,365.68 | 15 |
| Onc prostate mrna 46 genes CPT 81541 | $5,344.74 | $7,558.00 | $3,023.20 – $8,365.68 | 20 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | $4,968.00 | not published | $1,882.80 – $7,776.00 | 16 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | $10,730.88 | not published | $6,344.81 – $16,796.16 | 15 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $0.15 – $1.22 | 5 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $0.02 | $256.85 | $0.01 – $1.58 | 14 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $0.13 | $152.28 | $0.05 – $4.31 | 14 |
| One-way allow prorated trip HCPCS P9604 | not published | not published | $5.04 – $12.66 | 3 |
| One way chest drain valve HCPCS A7040 | $79.53 | not published | $46.29 – $113.92 | 15 |
| Oocyte identification CPT 89254 | $234.27 | $1,484.00 | $88.78 – $994.28 | 20 |
| Oophorectomy partial or total 58943 CPT 58943 | $1,681.24 | $3,980.00 | $720.37 – $7,121.50 | 19 |
| Open ablate liver tumor cryo CPT 47381 | $2,095.96 | $4,990.00 | $881.82 – $8,452.03 | 19 |
| Open ablate liver tumor rf CPT 47380 | $2,023.70 | $4,920.00 | $857.33 – $8,811.05 | 19 |
| Open aortic tube prosth repair 34830 CPT 34830 | $2,479.90 | $6,080.00 | $953.04 – $11,134.19 | 19 |
| Open aortofemor prosth repr CPT 34832 | $2,665.62 | $6,420.00 | $1,008.82 – $11,700.21 | 19 |
| Open aortoiliac prosth repr 34831 CPT 34831 | $2,708.88 | $6,680.00 | $1,118.68 – $11,782.57 | 19 |
| Open bx/exc inguinofem nodes CPT 38531 | $5,383.86 | $1,450.00 | $275.84 – $8,973.11 | 19 |
| Open bx of lung pleura 32098 CPT 32098 | $1,082.78 | $2,590.00 | $460.08 – $4,661.07 | 18 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | $321.43 | $790.00 | $133.55 – $1,412.89 | 19 |
| Open nasoethmoid fx with fixj CPT 21339 | $8,139.99 | $2,380.00 | $446.45 – $13,566.64 | 20 |
| Open nasoethmoid fx without fixj CPT 21338 | $8,139.99 | $2,100.00 | $399.80 – $13,566.64 | 20 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $5,383.86 | $2,240.00 | $392.77 – $8,973.11 | 20 |
| Open skull for drainage 61312 CPT 61312 | $3,128.36 | $7,470.00 | $1,278.64 – $12,893.43 | 19 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $2,211.05 | $910.00 | $172.10 – $3,685.08 | 20 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $7,651.38 | $2,120.00 | $360.82 – $12,752.30 | 20 |
| Open tx compl front sinus fx CPT 21344 | $8,139.99 | $4,500.00 | $775.11 – $8,454.13 | 19 |
| Open tx iliac spine uni/bil HCPCS G0412 | $9,977.57 | not published | $699.85 – $13,303.42 | 15 |
| Open tx nose fx w/skele fixj CPT 21330 | $8,139.99 | $1,800.00 | $312.68 – $13,566.64 | 20 |
| Open tx nose & septal fx CPT 21335 | $4,558.89 | $2,310.00 | $413.86 – $7,598.14 | 20 |
| Open tx post pelvic fxcture HCPCS G0415 | $4,499.12 | not published | $1,329.84 – $8,331.63 | 15 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | $9,977.57 | $2,030.00 | $347.40 – $16,629.28 | 19 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | $9,977.57 | $2,490.00 | $417.91 – $16,629.28 | 19 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | $2,211.05 | $3,360.00 | $568.50 – $3,685.08 | 19 |
| Open tx/sternum fracture 21825 CPT 21825 | $9,977.57 | $1,810.00 | $359.54 – $3,281.99 | 19 |
| Open wedge/bx lung infiltr CPT 32096 | $1,150.01 | $2,740.00 | $487.34 – $4,927.16 | 18 |
| Open wedge bx lung nodule 32097 CPT 32097 | $1,157.23 | $2,740.00 | $490.97 – $4,914.51 | 18 |
| Ophthalmic biometry CPT 92136 | $182.95 | $244.00 | $12.00 – $304.91 | 22 |
| Ophthalmic endoscope add-on CPT 66990 | $100.22 | $284.00 | $44.94 – $542.79 | 19 |
| Ophthalmic mitomycin HCPCS J7315 | not published | $1,127.00 | $19.28 – $752.12 | 13 |
| Ophthalmodynamometry CPT 92260 | $51.36 | not published | $9.71 – $85.61 | 19 |
| Ophth Ultrasound b & quant a CPT 76510 | $182.95 | $911.00 | $20.11 – $702.38 | 22 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $143.75 | $633.00 | $20.66 – $424.11 | 22 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | $143.75 | $130.00 | $19.01 – $239.59 | 20 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $0.02 – $205.00 | 3 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | $1,576.48 | $3,970.00 | $693.95 – $7,381.28 | 18 |
| Opn ax/subcla art expos CPT 34715 | $417.57 | $1,030.00 | $166.02 – $1,852.21 | 18 |
| Opn exc/dst ntra-abd CPT 49189 | $3,221.64 | $7,404.00 | $1,369.38 – $3,268.33 | 17 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | $2,774.24 | $6,360.00 | $1,181.30 – $2,814.45 | 17 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | $3,961.69 | $9,123.00 | $1,683.77 – $4,019.11 | 17 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | $2,317.83 | $5,320.00 | $986.19 – $2,351.43 | 17 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | $1,822.08 | $4,130.00 | $778.94 – $1,848.49 | 17 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | $377.28 | $920.00 | $156.34 – $1,657.90 | 18 |
| Opn ilac art expos cndt crtj CPT 34833 | $553.46 | $1,400.00 | $210.35 – $3,761.39 | 19 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $60,565.56 | $2,180.00 | $420.89 – $100,942.61 | 19 |
| Opn impltj nea neuromuscular CPT 64580 | $26,675.88 | $1,030.00 | $200.86 – $44,813.55 | 20 |
| Opn impltj nea perph nerve CPT 64575 | $15,321.63 | $1,110.00 | $187.23 – $37,262.77 | 20 |
| Opn impltj nea sacral nerve CPT 64581 | $8,763.11 | $2,160.00 | $374.88 – $20,696.33 | 20 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $42,430.50 | $2,761.00 | $460.93 – $70,717.50 | 19 |
| Opn tx complx malar fx CPT 21365 | $8,139.99 | $3,640.00 | $613.87 – $13,566.64 | 20 |
| Opn tx complx malar w/grft CPT 21366 | $8,139.99 | $4,160.00 | $726.12 – $13,566.64 | 20 |
| Opn tx depress front sinus fx 21343 CPT 21343 | $8,139.99 | $3,470.00 | $621.53 – $7,387.59 | 19 |
| Opn tx dprsd zygomatic arch CPT 21356 | $8,139.99 | $1,220.00 | $242.18 – $13,566.64 | 20 |
| Opn tx nasomax fx multple CPT 21347 | $8,139.99 | $3,270.00 | $598.96 – $13,566.64 | 20 |
| Opn tx nasomax fx w/fixj CPT 21346 | $8,139.99 | $2,980.00 | $582.77 – $13,566.64 | 20 |
| Opn tx nasomax fx w/graft CPT 21348 | $8,139.99 | $3,530.00 | $604.49 – $7,311.57 | 19 |
| Opn tx orbit fx combined CPT 21387 | $8,139.99 | $2,550.00 | $447.73 – $13,566.64 | 20 |
| Opn tx orbit fx periorbital CPT 21386 | $8,139.99 | $2,270.00 | $402.36 – $13,566.64 | 20 |
| Opn tx orbit fx transantral CPT 21385 | $8,139.99 | $2,450.00 | $430.05 – $13,566.64 | 20 |
| Opn tx orbit fx w/bone grft CPT 21408 | $8,139.99 | $2,950.00 | $519.29 – $13,566.64 | 20 |
| Opn tx orbit fx w/implant CPT 21407 | $8,139.99 | $2,090.00 | $368.28 – $13,566.64 | 20 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $8,139.99 | $1,870.00 | $345.91 – $13,566.64 | 20 |
| Opn tx orbit periorbtl implt CPT 21390 | $8,139.99 | $3,392.00 | $451.77 – $13,566.64 | 22 |
| Opn tx orbit periorbt w/grft CPT 21395 | $8,139.99 | $3,310.00 | $571.91 – $13,566.64 | 20 |
| Opps service,sched team conf HCPCS G0175 | $573.75 | not published | $217.44 – $1,347.06 | 17 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $407.83 – $1,177.39 | 7 |
| Opscpy extnd on/mac draw CPT 92202 | $81.12 | $85.00 | $7.46 – $135.19 | 22 |
| Opscpy extnd rta draw uni/bi CPT 92201 | $81.12 | $85.00 | $11.72 – $135.19 | 22 |
| Optical endomicroscpy interp CPT 88375 | $63.15 | not published | $42.12 – $107.79 | 5 |
| Optokinetic nystagmus test CPT 92534 | not published | not published | $33.04 – $43.12 | 5 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $9,977.57 | $2,150.00 | $390.43 – $16,629.28 | 20 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $9,977.57 | $1,870.00 | $344.85 – $16,629.28 | 20 |
| Optx acute shoulder dislc CPT 23660 | $9,977.57 | $1,910.00 | $351.45 – $16,629.28 | 20 |
| Optx carpl scphd fx int fixj CPT 25628 | $9,977.57 | $2,360.00 | $426.64 – $16,629.28 | 20 |
| Optx clavicular fx w/int fix CPT 23515 | $9,977.57 | $2,370.00 | $433.03 – $16,629.28 | 20 |
| Optx complicated mndblr fx CPT 21470 | $8,139.99 | $3,930.00 | $662.86 – $13,566.64 | 20 |
| Optx cranfcl sep comp mlt CPT 21433 | $8,139.99 | $5,740.00 | $973.41 – $10,587.22 | 19 |
| Optx cranfcl sep w/wiring CPT 21432 | $8,139.99 | $2,320.00 | $428.56 – $4,137.33 | 19 |
| Optx crnfcl sep comp mlt int CPT 21436 | $8,139.99 | $6,720.00 | $1,150.84 – $11,560.80 | 19 |
| Optx crnfc sep comp int&/xtr CPT 21435 | $8,139.99 | $4,590.00 | $804.50 – $7,729.73 | 19 |
| Optx crpl fx oth/thn scph ea CPT 25645 | $4,499.12 | $1,860.00 | $348.26 – $7,498.53 | 20 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $9,977.57 | $2,570.00 | $468.17 – $16,629.28 | 20 |
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.