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 |
|---|---|---|---|---|
| Ost pch for bar w flange/flt HCPCS A4419 | $3.39 | not published | $1.44 – $4.86 | 16 |
| Ost skn barr extnd >4 sq HCPCS A4410 | $17.77 | not published | $7.04 – $25.47 | 16 |
| Ost urine pch w b/bltin conv HCPCS A4430 | $16.75 | not published | $7.09 – $23.99 | 16 |
| Other bone graft microvasc CPT 20962 | $9,977.57 | $8,900.00 | $1,548.51 – $13,098.31 | 19 |
| Other immunoelectrophoresis CPT 86325 | $31.92 | $151.00 | $12.10 – $63.83 | 21 |
| Oth resp proc, group HCPCS G0239 | $51.36 | $181.00 | $9.58 – $139.55 | 22 |
| Oth resp proc, indiv HCPCS G0238 | $39.77 | $78.00 | $7.62 – $66.29 | 21 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $67.83 | $118.00 | $25.71 – $163.00 | 22 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $10.85 | $63.00 | $5.34 – $63.00 | 21 |
| Otoplasty 69300 CPT 69300 | $4,558.89 | $1,561.00 | $272.43 – $7,598.14 | 20 |
| Ot re-evaluation patient/family CPT 97168 | $93.07 | $163.00 | $35.27 – $163.00 | 22 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $25.24 | $43.00 | $12.44 – $43.00 | 22 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $27.38 | $43.00 | $13.49 – $43.00 | 22 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | $2,256.34 | $5,360.00 | $952.32 – $9,672.71 | 19 |
| Out of office emerg med serv CPT 99060 | not published | not published | $45.00 – $54.51 | 2 |
| Outrigger HCPCS L1080 | $88.73 | not published | $59.16 – $127.11 | 16 |
| Outrigger bil with vert extens HCPCS L1085 | $297.07 | not published | $198.05 – $425.54 | 16 |
| Ovarian cystectomy 58925 CPT 58925 | $6,878.55 | $2,460.00 | $445.17 – $11,464.26 | 20 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $143.00 – $864.31 | 7 |
| Ovulation tests CPT 84830 | $17.53 | not published | $3.15 – $20.70 | 16 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $0.79 | not published | $0.32 – $5.38 | 10 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $0.06 | $1,640.00 | $0.03 – $94.82 | 14 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $3.19 – $8.35 | 7 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $0.38 – $2.45 | 4 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | not published | $80.00 | $1.43 – $4.48 | 13 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $104.72 – $536.82 | 5 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $383.97 | not published | $145.52 – $639.95 | 18 |
| Pabpn1 gene detc abnor allel CPT 81312 | $189.06 | not published | $71.65 – $295.92 | 16 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | not published | not published | $0.02 – $0.02 | 2 |
| Packing strips, non-impreg HCPCS A6407 | $3.67 | not published | $1.46 – $5.26 | 16 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $0.14 | $444.21 | $0.06 – $68.96 | 14 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $11.29 | $4,966.91 | $4.28 – $3,720.52 | 22 |
| Pad repl cerv collr univ adult HCPCS L0999 | not published | not published | $166.67 – $166.67 | 2 |
| Palb2 gene full gene seq CPT 81307 | $933.57 | $1,398.00 | $353.81 – $1,461.24 | 21 |
| Palb2 gene known famil vrnt CPT 81308 | $415.86 | $1,489.00 | $157.61 – $1,148.02 | 21 |
| Palifermin injection HCPCS J2425 | $50.55 | not published | $19.16 – $84.24 | 20 |
| Palingen or palingen xplus HCPCS Q4173 | $171.12 | not published | $66.49 – $321.10 | 14 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $1,269.90 – $3,325.64 | 4 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $20.85 | $5,358.65 | $7.90 – $1,538.18 | 22 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $602.72 | not published | $228.42 – $3,850.88 | 19 |
| Palonosetron hcl HCPCS J2469 | $0.49 | $155.00 | $0.20 – $50.86 | 14 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $15.58 | $285.68 | $6.38 – $41.65 | 14 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $4,880.59 – $7,090.31 | 4 |
| Pancreatectomy CPT 48146 | $2,667.66 | $6,420.00 | $1,127.41 – $11,459.43 | 19 |
| Pancreatectomy CPT 48152 | $4,058.32 | $9,920.00 | $1,704.64 – $17,668.57 | 19 |
| Pancreatectomy CPT 48154 | $4,075.80 | $9,990.00 | $1,711.88 – $17,660.11 | 19 |
| Pancreatectomy 48153 CPT 48153 | $4,338.75 | $10,660.00 | $1,825.62 – $18,958.99 | 19 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | $2,195.19 | $5,370.00 | $928.89 – $9,569.20 | 19 |
| Pancreatorrhaphy CPT 48545 | $1,909.73 | $4,580.00 | $805.78 – $8,226.06 | 19 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $239.67 | $21,789.80 | $90.83 – $4,684.93 | 22 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | not published | $35.00 | $3.03 – $9.86 | 13 |
| Papaverin hcl injection HCPCS J2440 | not published | $129.23 | $10.50 – $65.59 | 13 |
| Parathormone (pth) intact CPT 83970 | $56.97 | $279.00 | $21.59 – $186.93 | 21 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | $1,743.11 | $4,650.00 | $765.31 – $8,432.98 | 19 |
| Parathyrd planar w/spect&ct CPT 78072 | $746.61 | $2,433.00 | $45.16 – $1,875.84 | 22 |
| Parathyroid autotransplantation 60512 CPT 60512 | $318.34 | $830.00 | $134.62 – $1,484.71 | 19 |
| Parathyroid planar imaging CPT 78070 | $549.70 | $1,496.00 | $23.22 – $1,002.32 | 22 |
| Parathyroid planar img w/tomo spect CPT 78071 | $549.70 | $2,003.00 | $34.51 – $1,544.31 | 22 |
| Paravaginal defect repair 57284 CPT 57284 | $6,878.55 | $2,640.00 | $470.73 – $11,464.26 | 20 |
| Parenteral 50% dextrose solu HCPCS B4164 | not published | not published | $21.78 – $49.72 | 5 |
| Parial mast w/lymph removal 19302 CPT 19302 | $9,130.48 | $3,050.00 | $553.16 – $15,217.47 | 20 |
| Paricalcitol HCPCS J2501 | $1.34 | not published | $0.55 – $18.10 | 10 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $275.88 | $75.00 | $8.73 – $459.79 | 22 |
| Parotid duct diversion CPT 42507 | $8,139.99 | $1,630.00 | $281.59 – $13,566.64 | 20 |
| Parotid duct diversion CPT 42509 | $8,139.99 | $2,700.00 | $458.38 – $13,566.64 | 20 |
| Parotid duct diversion CPT 42510 | $4,558.89 | $2,000.00 | $342.72 – $7,598.14 | 20 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | $9,977.57 | $2,910.00 | $553.37 – $16,629.28 | 20 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $4,451.18 | $600.00 | $115.87 – $7,418.63 | 20 |
| Partial complicated cystectomy 51555 CPT 51555 | $1,643.68 | $4,170.00 | $720.15 – $7,736.06 | 19 |
| Partial exc bone humerus CPT 24140 | $4,499.12 | $2,310.00 | $418.33 – $7,498.53 | 20 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $4,499.12 | $1,410.00 | $265.61 – $7,498.53 | 20 |
| Partial excision of lip CPT 40500 | $4,558.89 | $1,789.00 | $212.36 – $7,598.14 | 22 |
| Partial hip replacement CPT 27125 | $17,653.66 | $3,770.00 | $660.51 – $30,184.28 | 19 |
| Partial hysterectomy CPT 58180 | $1,281.07 | $3,120.00 | $552.74 – $5,780.38 | 19 |
| Partial proctectomy CPT 45113 | $2,464.93 | $6,250.00 | $1,081.19 – $11,831.15 | 19 |
| Partial proctectomy; perineal 45123 CPT 45123 | $1,514.00 | $3,750.00 | $658.60 – $6,853.28 | 19 |
| Partial removal donor liver CPT 47140 | $5,063.90 | $12,260.00 | $2,133.20 – $20,460.55 | 18 |
| Partial removal donor liver CPT 47141 | $6,040.27 | $14,700.00 | $2,541.52 – $26,129.03 | 18 |
| Partial removal donor liver CPT 47142 | $6,641.08 | $16,170.00 | $2,790.30 – $28,673.94 | 18 |
| Partial removal finger bone CPT 26235 | $2,211.05 | $1,610.00 | $296.28 – $3,685.08 | 20 |
| Partial removal finger bone CPT 26236 | $2,211.05 | $1,440.00 | $269.23 – $3,685.08 | 20 |
| Partial removal foot fascia CPT 28060 | $4,499.12 | $2,504.00 | $219.18 – $7,498.53 | 22 |
| Partial removal leg bone(s) CPT 27360 | $4,499.12 | $2,830.00 | $546.35 – $7,498.53 | 20 |
| Partial removal of bladder CPT 51550 | $1,270.33 | $3,170.00 | $555.72 – $5,888.13 | 19 |
| Partial removal of esophagus CPT 43116 | $7,003.53 | $17,430.00 | $2,891.12 – $32,152.31 | 19 |
| Partial removal of esophagus CPT 43118 | $5,120.19 | $12,610.00 | $2,138.95 – $23,216.66 | 19 |
| Partial removal of esophagus CPT 43121 | $4,068.92 | $9,740.00 | $1,708.26 – $17,495.39 | 19 |
| Partial removal of esophagus CPT 43123 | $6,370.80 | $15,420.00 | $2,662.71 – $28,842.90 | 19 |
| Partial removal of esophagus 43117 CPT 43117 | $4,593.03 | $11,200.00 | $1,931.27 – $15,123.67 | 19 |
| Partial removal of esophagus 43122 CPT 43122 | $3,542.12 | $8,760.00 | $1,489.94 – $15,700.23 | 19 |
| Partial removal of eye fluid CPT 67005 | $3,173.34 | $1,470.00 | $263.69 – $5,288.90 | 20 |
| Partial removal of eye fluid CPT 67010 | $3,173.34 | $1,700.00 | $298.63 – $5,288.90 | 20 |
| Partial removal of fibula CPT 27641 | $4,499.12 | $2,170.00 | $388.94 – $7,498.53 | 20 |
| Partial removal of foot bone CPT 28288 | $4,499.12 | $1,390.00 | $265.61 – $7,498.53 | 20 |
| Partial removal of hand bone CPT 26230 | $4,499.12 | $1,620.00 | $300.76 – $7,498.53 | 20 |
| Partial removal of heart sac 33030 CPT 33030 | $2,846.42 | $6,860.00 | $1,197.49 – $12,270.43 | 19 |
| Partial removal of larynx CPT 31367 | $2,751.71 | $7,130.00 | $1,225.60 – $13,486.92 | 19 |
| Partial removal of larynx CPT 31368 | $3,036.99 | $7,920.00 | $1,351.06 – $15,011.75 | 19 |
| Partial removal of larynx CPT 31370 | $2,587.57 | $6,690.00 | $1,155.95 – $12,699.15 | 19 |
| Partial removal of larynx CPT 31375 | $2,462.69 | $6,340.00 | $1,100.78 – $12,040.21 | 19 |
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.