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 |
|---|---|---|---|---|
| Pelvis X-ray (1 to 2 views) CPT 72170 | $143.75 | $293.00 | $5.33 – $239.59 | 22 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $143.75 | $333.00 | $7.88 – $239.59 | 22 |
| Pelv & thor control gluteal HCPCS L2650 | $234.68 | not published | $156.46 – $336.18 | 16 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $82.42 | $18,097.04 | $31.24 – $15,556.55 | 22 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $4.96 | $12,179.00 | $1.88 – $77.58 | 22 |
| Pemivibart infusion HCPCS M0224 | $606.32 | $1,323.00 | $229.79 – $1,020.03 | 20 |
| Peng benzathine/procaine inj HCPCS J0558 | $26.94 | not published | $10.21 – $44.90 | 19 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $44.11 | $2,500.52 | $16.72 – $610.43 | 22 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $1.08 | $59.25 | $0.44 – $15.19 | 14 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $16.53 – $122.74 | 7 |
| Penile injection CPT 54235 | $343.55 | $316.00 | $43.45 – $572.59 | 22 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | not published | $28,654.77 | $6,678.00 – $19,188.12 | 11 |
| Penile vascular study CPT 93980 | $143.75 | $942.00 | $38.13 – $631.14 | 22 |
| Penile vascular study CPT 93981 | $143.75 | $495.00 | $13.42 – $331.65 | 22 |
| Penile venous occlusion CPT 37790 | $4,846.99 | $1,590.00 | $282.01 – $8,078.31 | 20 |
| Penis plastic surgery CPT 54360 | $4,846.99 | $2,350.00 | $416.42 – $8,078.31 | 20 |
| Penis study CPT 54240 | $296.91 | $221.00 | $39.74 – $494.85 | 20 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $0.32 | $505.67 | $0.13 – $256.96 | 13 |
| Pentamidine non-comp unit HCPCS J2545 | not published | $505.67 | $64.15 – $237.05 | 12 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $13.52 – $35.39 | 4 |
| Pentazocine injection HCPCS J3070 | not published | not published | $0.02 – $273.13 | 7 |
| Pentobarbital sodium inj HCPCS J2515 | $50.04 | $3,635.00 | $18.97 – $3,133.37 | 20 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $3,501.19 | $9,168.71 | $1,326.90 – $7,899.12 | 22 |
| Perc cryo ablate renal tum CPT 50593 | $14,616.42 | $1,500.00 | $254.32 – $24,360.70 | 19 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | $1,965.00 | $0.02 – $2,441.00 | 13 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $25,206.69 | $39,414.00 | $2,441.00 – $42,011.16 | 21 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | $1,965.00 | $0.02 – $2,441.00 | 13 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $15,873.70 | $26,050.00 | $2,441.00 – $26,456.16 | 21 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | $1,965.00 | $0.02 – $2,441.00 | 13 |
| Perc d-e cor stent ather s HCPCS C9602 | $25,206.69 | $39,414.00 | $2,441.00 – $42,011.16 | 21 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | $1,653.00 | $0.02 – $2,441.00 | 13 |
| Perc drug-el cor stent sing HCPCS C9600 | $15,873.70 | $26,050.00 | $2,441.00 – $26,456.16 | 21 |
| Perc rf ablate renal tumor CPT 50592 | $8,312.83 | $1,110.00 | $189.78 – $13,854.72 | 19 |
| Percut ablate liver rf CPT 47382 | $8,312.83 | $2,420.00 | $408.53 – $13,854.72 | 20 |
| Percutaneous islet celltrans HCPCS G0341 | $418.65 | not published | $292.87 – $12,365.47 | 5 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $55.49 | $1,130.02 | $22.71 – $256.88 | 14 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $262.55 | $7,871.00 | $114.38 – $5,273.57 | 21 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | $3,510.83 | $8,490.00 | $1,474.17 – $15,136.33 | 19 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,164.52 | $2,537.00 | $130.14 – $3,607.53 | 22 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $1,179.33 | $2,990.00 | $499.70 – $5,383.38 | 19 |
| Peri-implt capslc brst compl CPT 19371 | $5,383.86 | $2,560.00 | $414.07 – $8,973.11 | 20 |
| Perineoplasty rpr per nonob CPT 56810 | $4,451.18 | $850.00 | $153.79 – $7,418.63 | 20 |
| Peripheral vascular rehab CPT 93668 | $81.12 | $77.00 | $10.24 – $135.19 | 22 |
| Peri-proc device eval icd CPT 93287 | $40.37 | $177.00 | $13.85 – $136.47 | 22 |
| Peri-proc device eval pm CPT 93286 | $40.37 | $177.00 | $9.16 – $136.47 | 22 |
| Peritoneal cath sub q resv per CPT 49419 | $7,651.38 | $1,480.00 | $249.64 – $12,752.30 | 20 |
| Peritoneogram rs&i CPT 74190 | $751.34 | $703.00 | $13.85 – $1,252.24 | 22 |
| Perit-vens shunt pat tst CPT 78291 | $549.70 | $1,848.00 | $25.99 – $1,238.16 | 22 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $35.33 – $47.01 | 5 |
| Peroneal straps pair pre ots HCPCS L0980 | $28.97 | not published | $19.31 – $41.50 | 16 |
| Perp bk ptb thermopls direct HCPCS L5520 | $2,682.33 | not published | $1,788.22 – $3,842.28 | 16 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | $7.82 | $0.70 – $2.00 | 13 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $6.38 – $16.72 | 3 |
| Perq art m-thrombect &/nfs CPT 61645 | $1,173.41 | $2,890.00 | $482.02 – $4,808.88 | 18 |
| Perq clsr tcat l atr apndge CPT 33340 | $917.99 | $20,161.00 | $394.48 – $13,507.87 | 21 |
| Perq dev breast 1st mr guide CPT 19287 | $973.71 | $420.00 | $67.52 – $1,622.86 | 19 |
| Perq dev breast 1st strtctc CPT 19283 | $973.71 | $330.00 | $53.68 – $1,622.86 | 19 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $13,016.74 | $4,180.00 | $638.79 – $21,694.57 | 20 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $13,016.74 | $2,840.00 | $400.87 – $21,694.57 | 20 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $15,873.70 | $26,899.00 | $488.84 – $26,456.16 | 22 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $25,206.69 | $17,933.00 | $414.29 – $42,011.16 | 22 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $15,873.70 | $26,899.00 | $429.20 – $26,456.16 | 22 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $15,873.70 | $17,933.00 | $326.32 – $26,456.16 | 22 |
| Perq p-art revsc each addl CPT 33904 | $394.39 | $1,188.00 | $164.01 – $915.95 | 21 |
| Perq plmt bile duct stent CPT 47538 | $8,312.83 | $6,795.00 | $128.87 – $13,854.72 | 22 |
| Perq plmt bile duct stent CPT 47539 | $8,312.83 | $8,629.00 | $233.87 – $13,854.72 | 21 |
| Perq plmt bile duct stent CPT 47540 | $8,312.83 | $1,440.00 | $240.05 – $13,854.72 | 19 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $343.55 | $846.00 | $53.04 – $1,075.00 | 22 |
| Perq skel fix rad/uln dislc CPT 25671 | $4,499.12 | $1,720.00 | $333.35 – $7,498.53 | 20 |
| Perq skel fix ulnar styld fx CPT 25651 | $4,499.12 | $1,580.00 | $302.03 – $7,498.53 | 20 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $350.71 – $350.71 | 1 |
| Perq transcath closure each CPT 93592 | $465.98 | $1,978.00 | $208.53 – $1,325.26 | 21 |
| Perq transcath closure pda CPT 93582 | $25,206.69 | $29,943.00 | $364.44 – $42,011.16 | 22 |
| Perq transcath cls aortic CPT 93591 | $25,206.69 | $21,137.00 | $479.46 – $42,011.16 | 21 |
| Perq transcath cls mitral CPT 93590 | $25,206.69 | $21,137.00 | $581.92 – $42,011.16 | 21 |
| Perq transcath septal reduxn CPT 93583 | $981.55 | $23,790.00 | $408.75 – $15,939.30 | 21 |
| Perq trluml angp nt/recr coa CPT 33897 | $768.84 | $1,835.00 | $319.93 – $3,221.88 | 18 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $4,499.12 | $790.00 | $179.13 – $7,498.53 | 20 |
| Perq tx malar fracture CPT 21355 | $4,558.89 | $1,030.00 | $187.65 – $7,598.14 | 20 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | $8,139.99 | $1,260.00 | $198.07 – $13,566.64 | 20 |
| Perq tx nasoethmoid fx CPT 21340 | $4,558.89 | $2,420.00 | $420.89 – $7,598.14 | 20 |
| Pertussis ag if CPT 87265 | $16.53 | not published | $6.27 – $28.09 | 17 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $23.48 | $20,511.48 | $8.90 – $17,637.80 | 22 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $84.12 | $41,799.61 | $31.88 – $23,991.15 | 22 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $100.15 | not published | $58.28 – $143.46 | 16 |
| Pessary reusable rub anytype HCPCS A4561 | $40.31 | not published | $23.46 – $57.75 | 16 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,966.24 | $6,790.00 | $69.86 – $4,549.30 | 22 |
| Pet CT whole body initial CPT 78816 | $1,966.24 | $6,790.00 | $70.93 – $4,549.30 | 22 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,966.24 | $6,440.00 | $42.60 – $4,314.80 | 22 |
| Pet image full body CPT 78813 | $1,966.24 | $5,228.00 | $56.45 – $3,502.76 | 22 |
| Pet image ltd area CPT 78811 | $1,780.19 | $5,490.00 | $43.88 – $3,678.30 | 22 |
| Pet image skull-thigh CPT 78812 | $1,966.24 | $5,228.00 | $55.17 – $3,502.76 | 22 |
| Pet image w/ct lmtd CPT 78814 | $1,966.24 | $6,790.00 | $62.84 – $4,549.30 | 22 |
| Pet not otherwise specified HCPCS G0235 | $549.70 | $331.00 | $132.40 – $2,556.85 | 19 |
| Pet scan brain perf study CPT 78609 | not published | $5,525.00 | $25.44 – $3,701.75 | 15 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | not published | $30,324.00 | $8.22 – $23.61 | 11 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $28.17 | $48.00 | $10.67 – $37.01 | 22 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $40.57 | $73.00 | $15.38 – $56.28 | 21 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $14.52 | $24.00 | $5.50 – $18.50 | 22 |
| Phalangectomy ea toe 28150 CPT 28150 | $4,499.12 | $890.00 | $169.34 – $7,498.53 | 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.