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 |
|---|---|---|---|---|
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $29.15 – $58.06 | 3 |
| Ph body fluid CPT 83986 | $4.94 | $24.00 | $1.87 – $5.84 | 21 |
| Phencyclidine (pcp) CPT 83992 | not published | $124.00 | $0.02 – $97.85 | 12 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $40.13 | $143.00 | $2.85 – $50.76 | 14 |
| Phenobarbital therapeutic drug level CPT 80184 | $21.11 | $76.00 | $8.00 – $50.92 | 21 |
| Phentolaine mesylate inj HCPCS J2760 | $580.37 | $1,474.91 | $219.95 – $1,085.60 | 22 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | $172.50 | $0.01 – $1.51 | 14 |
| Phenylep ketorolac opth soln HCPCS J1097 | $134.60 | $1,421.00 | $51.01 – $1,220.59 | 21 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $0.82 | $24.80 | $0.34 – $7.31 | 14 |
| Phenytoin total therapeutic drug level CPT 80185 | $18.29 | $90.00 | $6.93 – $60.30 | 21 |
| Phlebotomy therapeutic CPT 99195 | $182.95 | $429.00 | $65.25 – $2,441.00 | 22 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $4,341.66 | $1,510.00 | $156.56 – $7,236.10 | 22 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $4,341.66 | $1,850.00 | $192.34 – $7,236.10 | 22 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $115.00 – $115.00 | 1 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $166.59 – $166.59 | 1 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $69.77 – $69.77 | 1 |
| Phosphorus CPT 84100 | $6.54 | $32.00 | $2.48 – $21.44 | 20 |
| Phosphorus 24 hour urine CPT 84105 | $7.98 | $34.00 | $3.02 – $22.78 | 21 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | $153.68 | $348.00 | $31.52 – $228.00 | 22 |
| Photochemotherapy puva CPT 96912 | $130.11 | $296.00 | $31.52 – $228.00 | 22 |
| Photochemotherapy uv-a or b CPT 96913 | $558.97 | $1,085.00 | $97.14 – $931.62 | 22 |
| Photodynamic tx addl 15 min CPT 96571 | $33.69 | $92.00 | $14.91 – $39.23 | 19 |
| Photodynmc tx 30 min add-on CPT 96570 | $65.81 | $342.00 | $29.39 – $229.14 | 22 |
| Photo patch test CPT 95052 | $81.12 | $24.00 | $3.83 – $135.19 | 22 |
| Photopheresis CPT 36522 | $5,988.98 | $12,097.00 | $49.84 – $9,981.63 | 22 |
| Photosensitivity tests CPT 95056 | $182.95 | $167.00 | $10.76 – $304.91 | 22 |
| Phys blood bank serv authrj CPT 86079 | $71.65 | not published | $27.15 – $119.42 | 19 |
| Phys blood bank serv reactj CPT 86078 | $234.27 | $639.00 | $9.29 – $428.13 | 21 |
| Phys blood bank serv xmatch CPT 86077 | $56.08 | $188.00 | $9.29 – $75.86 | 19 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $133.14 | $377.00 | $50.46 – $290.67 | 22 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $133.14 | $300.00 | $50.46 – $231.30 | 22 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $133.14 | $338.00 | $50.46 – $260.60 | 22 |
| Physical Therapy Re-Evaluation CPT 97164 | $91.73 | $163.00 | $34.76 – $163.00 | 22 |
| Physician standby services CPT 99360 | not published | $95.00 | $38.00 – $75.36 | 10 |
| Phys review of motion tests CPT 96004 | $149.47 | $366.00 | $67.73 – $151.63 | 18 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $3.88 | $151.91 | $1.59 – $17.02 | 14 |
| Pierce earlobes 69090 CPT 69090 | not published | $50.00 | $20.00 – $224.69 | 9 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $478.16 | $15,661.00 | $181.21 – $1,422.50 | 21 |
| Pik3ca gene trgt seq alys CPT 81309 | $379.27 | $1,359.00 | $143.74 – $1,047.79 | 21 |
| Pild/placebo control clin tr HCPCS G0276 | $9,977.57 | not published | $340.75 – $16,629.28 | 17 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $1,231.03 | not published | $820.69 – $1,763.38 | 16 |
| Pin caspar distraction 12mm HCPCS C1821 | not published | $56,513.40 | $45.00 – $129.30 | 11 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,016.25 | $1,440.00 | $273.28 – $1,693.74 | 22 |
| Pin finger dislocation CPT 26776 | $4,499.12 | $1,574.00 | $277.33 – $7,498.53 | 22 |
| Pin finger fracture each CPT 26756 | $4,499.12 | $1,574.00 | $264.55 – $7,498.53 | 22 |
| Pin hand dislocation CPT 26676 | $4,499.12 | $2,248.00 | $311.83 – $7,498.53 | 22 |
| Pin knuckle dislocation CPT 26706 | $4,499.12 | $2,248.00 | $266.68 – $7,498.53 | 22 |
| Pin service 60m per month HCPCS G0023 | $139.68 | not published | $44.94 – $232.81 | 17 |
| Pinworm exam CPT 87172 | $5.89 | $29.00 | $2.23 – $19.43 | 21 |
| Pinworm examinations HCPCS Q0113 | $5.89 | not published | $2.23 – $10.57 | 16 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $1.51 | $103.20 | $0.62 – $19.83 | 14 |
| Pituitary evaluation panel CPT 80418 | $799.68 | not published | $20.69 – $944.55 | 16 |
| Place breast cath for rad CPT 19297 | $127.08 | $327.00 | $53.04 – $580.76 | 18 |
| Place breast rad tube/caths CPT 19298 | $18,949.33 | $1,050.00 | $168.06 – $31,582.22 | 19 |
| Place cath intracranial art CPT 36228 | $353.56 | $1,912.00 | $143.35 – $1,912.00 | 22 |
| Place cath xtrnl carotid CPT 36227 | $169.01 | $1,912.00 | $69.01 – $1,635.36 | 22 |
| Place cecostomy tube perc CPT 49442 | $1,645.43 | $680.00 | $113.74 – $2,742.38 | 19 |
| Place device/marker, non pro HCPCS C9728 | $1,903.23 | not published | $721.30 – $3,172.05 | 18 |
| Place duod/jej tube perc CPT 49441 | $2,638.57 | $1,885.00 | $138.66 – $4,397.62 | 22 |
| Place endorectal app HCPCS C9725 | $1,278.72 | not published | $484.62 – $2,131.20 | 18 |
| Place gastrostomy tube open 43832 CPT 43832 | $1,485.89 | $3,540.00 | $628.78 – $6,342.19 | 19 |
| Place gastrostomy tube perc CPT 49440 | $2,638.57 | $2,138.00 | $113.74 – $4,397.62 | 22 |
| Placement bile duct support CPT 47801 | $1,548.93 | $3,800.00 | $661.79 – $6,126.77 | 19 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,271.01 | $330.00 | $53.04 – $3,785.02 | 19 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $59.40 | $160.00 | $26.41 – $1,374.98 | 18 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $973.71 | $280.00 | $45.80 – $1,622.86 | 19 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,874.36 | $2,585.00 | $113.32 – $4,790.60 | 22 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | not published | $781.00 | $234.30 – $2,441.00 | 12 |
| Placement of drain pancreas CPT 48001 | $3,241.77 | $7,870.00 | $1,357.45 – $14,160.61 | 19 |
| Placement of seton CPT 46020 | $3,816.64 | $2,218.00 | $70.72 – $6,361.06 | 22 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $15,873.70 | $17,768.00 | $248.78 – $26,456.16 | 22 |
| Place ndl musc/tis for right CPT 20555 | $4,499.12 | $1,080.00 | $178.28 – $7,498.53 | 19 |
| Place needles h&n for right CPT 41019 | $8,139.99 | $1,530.00 | $258.80 – $13,566.64 | 19 |
| Place needles pelvic for right CPT 55920 | $6,878.55 | $1,450.00 | $244.95 – $11,464.26 | 19 |
| Place non-slctv cath thoracic arta CPT 36221 | $4,341.66 | $6,204.00 | $113.53 – $7,236.10 | 22 |
| Placental lactogen CPT 83632 | $27.90 | not published | $10.58 – $37.83 | 17 |
| Place po breast cath for rad CPT 19296 | $11,238.72 | $720.00 | $123.54 – $18,731.20 | 20 |
| Place right device/marker pros CPT 55876 | $1,903.23 | $4,687.00 | $57.94 – $3,172.05 | 22 |
| Place slctv cath carotd art uni CPT 36224 | $7,651.38 | $8,858.00 | $211.72 – $12,752.30 | 22 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $4,341.66 | $6,204.00 | $161.03 – $7,236.10 | 22 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $7,651.38 | $11,868.00 | $189.57 – $12,752.30 | 22 |
| Place slctv cath subclavian art CPT 36225 | $4,341.66 | $5,157.00 | $187.65 – $7,236.10 | 22 |
| Place slctv cath vertebral art uni CPT 36226 | $7,651.38 | $8,858.00 | $210.02 – $12,752.30 | 22 |
| Plaelet rich plasma unit HCPCS P9020 | $753.41 | not published | $209.35 – $1,255.69 | 17 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $177.73 | $598.00 | $67.36 – $461.06 | 21 |
| Plasma cryo redu path each HCPCS P9025 | $180.02 | not published | $68.23 – $300.04 | 17 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | $47.54 | not published | $18.02 – $127.97 | 18 |
| Plasma protein fract,5%,50ml HCPCS P9043 | $10.92 | not published | $4.14 – $54.48 | 18 |
| Plasma volume multiple CPT 78111 | $1,780.19 | $590.00 | $6.60 – $2,966.98 | 22 |
| Plasma volume single CPT 78110 | $1,780.19 | $30.00 | $4.90 – $2,966.98 | 20 |
| Plas shoe insert w ank joint HCPCS L2180 | $224.83 | $184.00 | $73.60 – $211.80 | 19 |
| Plastic mod low ext pad/line HCPCS L2275 | $221.06 | not published | $147.37 – $316.66 | 16 |
| Plastic mold recipro hip & c HCPCS L2627 | $3,624.68 | not published | $2,416.45 – $5,192.13 | 16 |
| Plastic surgery neck CPT 15819 | not published | not published | $1,209.49 – $1,209.49 | 1 |
| Plast socket jts/thgh lacer HCPCS L5105 | $6,542.68 | not published | $4,361.78 – $9,371.98 | 16 |
| Platelet aggregation each agent teg CPT 85576 | $34.38 | $145.00 | $13.03 – $62.65 | 21 |
| Platelet automated CPT 85049 | $6.18 | $30.00 | $2.34 – $20.10 | 21 |
| Platelet deplete of harvest CPT 38213 | $606.63 | not published | $10.83 – $1,011.06 | 19 |
| Platelet pheresis each unit HCPCS P9034 | $415.82 | not published | $157.59 – $800.73 | 18 |
| Platelet pheresis irr ea HCPCS P9036 | $1,277.42 | not published | $484.13 – $2,129.04 | 18 |
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.