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 |
|---|---|---|---|---|
| Platelets each unit HCPCS P9019 | $71.57 | not published | $27.12 – $153.16 | 18 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $952.97 | $4,228.00 | $361.16 – $3,259.79 | 21 |
| Platelets irradiated ea unit HCPCS P9032 | $528.90 | not published | $200.44 – $881.50 | 18 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $194.15 | $716.00 | $73.58 – $552.04 | 21 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $255.16 | $878.00 | $96.70 – $676.94 | 21 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $337.13 | not published | $127.77 – $561.89 | 18 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $677.58 | not published | $256.79 – $1,129.30 | 18 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $688.54 | $2,590.00 | $260.95 – $1,996.89 | 21 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $916.03 | $3,395.00 | $347.16 – $2,617.55 | 21 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $817.53 | $2,342.00 | $309.83 – $1,805.68 | 20 |
| Platelet survival CPT 78191 | $549.70 | not published | $89.41 – $916.16 | 20 |
| Plating chrome/nickel pr bar HCPCS L2750 | $132.55 | not published | $88.37 – $189.85 | 16 |
| Plcg2 gene common variants CPT 81320 | $402.08 | not published | $152.38 – $629.34 | 16 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $4,923.19 | $3,750.00 | $144.63 – $8,205.32 | 22 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $271.58 | $700.00 | $115.87 – $16,017.00 | 18 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $4,846.99 | $3,691.00 | $112.46 – $8,078.31 | 22 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $4,846.99 | $4,173.00 | $187.01 – $8,078.31 | 22 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $1,107.01 | $2,750.00 | $460.72 – $4,910.31 | 18 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $973.71 | $718.00 | $45.37 – $1,622.86 | 22 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $53.92 | $311.00 | $23.43 – $1,075.00 | 22 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $447.38 | $1,120.00 | $179.98 – $1,981.03 | 18 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $77.17 | $210.00 | $34.08 – $4,171.09 | 18 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $61.73 | $170.00 | $27.05 – $1,222.82 | 18 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $52.37 | $140.00 | $23.00 – $2,444.95 | 18 |
| Plerixafor injection HCPCS J2562 | $42.31 | $29,909.21 | $16.04 – $1,293.01 | 22 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $513.11 | $286.00 | $7.67 – $855.19 | 22 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | $1,333.16 | $3,100.00 | $567.22 – $5,584.00 | 19 |
| Plmt access bil tree sm bwl CPT 47541 | $8,901.75 | $1,090.00 | $187.23 – $14,836.24 | 19 |
| Plmt biliary drainage cath CPT 47534 | $4,923.19 | $3,641.00 | $202.14 – $8,205.32 | 22 |
| Plmt nephroureteral catheter CPT 50433 | $4,846.99 | $2,790.00 | $139.94 – $8,078.31 | 22 |
| Plmt ureteral stent prq CPT 50694 | $4,846.99 | $3,851.00 | $146.12 – $8,078.31 | 22 |
| Plug insert indwelling 16f HCPCS L8511 | $123.58 | not published | $82.39 – $177.01 | 15 |
| Pm device progr eval dual CPT 93280 | $51.32 | $226.00 | $19.94 – $174.25 | 22 |
| Pm device progr eval multi CPT 93281 | $56.61 | $269.00 | $19.94 – $207.40 | 22 |
| Pml/raralpha 1 breakpoint CPT 81316 | $286.09 | not published | $108.42 – $447.79 | 16 |
| Pmp22 gene dup/delet CPT 81324 | $1,046.54 | not published | $618.78 – $1,638.06 | 15 |
| Pmp22 gene full sequence CPT 81325 | $1,062.02 | not published | $627.94 – $1,662.29 | 15 |
| Pmp22 gene known fam variant CPT 81326 | $64.31 | not published | $44.27 – $100.66 | 14 |
| Pm phone r-strip device eval CPT 93293 | $51.32 | $289.00 | $8.52 – $222.82 | 22 |
| Pms2 gene dup/delet variants CPT 81319 | $280.83 | $1,093.00 | $106.43 – $439.56 | 21 |
| Pms2 gene full seq analysis CPT 81317 | $933.57 | $3,855.00 | $173.33 – $1,461.24 | 21 |
| Pms2 known familial variants CPT 81318 | $456.78 | $1,636.00 | $173.11 – $1,261.36 | 21 |
| Pne flu hepb cov home admin HCPCS M0201 | $57.23 | $106.00 | $18.80 – $105.76 | 22 |
| Pneum full leg splnt pre ots HCPCS L4370 | $399.17 | not published | $266.11 – $571.78 | 16 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | $862.57 | $294.00 | $52.40 – $1,437.62 | 20 |
| #pnh-flow cytometry interp CPT 88187 | $48.87 | $158.00 | $18.36 – $129.24 | 18 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $7.36 – $32.85 | 5 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $35.98 | $213.00 | $13.63 – $142.71 | 21 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $188.75 | $55,884.23 | $71.53 – $10,313.41 | 22 |
| Polycentric hinge pair HCPCS L6600 | $385.43 | not published | $256.96 – $552.10 | 16 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $1,180.80 | $3,497.00 | $83.71 – $2,895.19 | 22 |
| Polysom any age 1-3> param CPT 95808 | $1,180.80 | $275.00 | $51.97 – $1,968.00 | 20 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $1,180.80 | $3,983.00 | $79.02 – $2,668.61 | 22 |
| Polyvalent mult org ea ag ia CPT 87451 | $14.50 | not published | $5.50 – $25.95 | 17 |
| Porfimer sodium injection HCPCS J9600 | $33,435.22 | $70,242.91 | $12,671.46 – $60,506.29 | 21 |
| Portable 02 contents, gas HCPCS E0443 | $83.70 | not published | $55.80 – $156.63 | 16 |
| Portable 02 contents, liquid HCPCS E0444 | $83.70 | not published | $55.80 – $156.26 | 16 |
| Positional change of finger CPT 26555 | $9,977.57 | $4,450.00 | $834.75 – $16,629.28 | 22 |
| Positional nystagmus test CPT 92532 | not published | not published | $30.52 – $125.70 | 6 |
| Positioner proc acufex leg acs HCPCS E0190 | not published | not published | $41.70 – $41.70 | 1 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | $888.94 | $245.00 | $41.48 – $1,481.57 | 17 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | $888.94 | $305.00 | $82.69 – $1,481.57 | 17 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | $888.94 | $440.00 | $117.97 – $1,481.57 | 17 |
| Post-coital mucous exam HCPCS Q0115 | $34.50 | not published | $13.08 – $54.00 | 16 |
| Post d/c phone follow up HCPCS G0544 | $139.68 | not published | $45.24 – $232.81 | 17 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $1,034.70 | $2,670.00 | $426.21 – $4,701.21 | 19 |
| Postop applicat rigid dsg on HCPCS L6388 | $874.91 | not published | $583.27 – $1,253.25 | 16 |
| Postop app non-wgt bear dsg HCPCS L5450 | $803.64 | not published | $535.76 – $1,151.17 | 16 |
| Postop app non-wgt bear dsg HCPCS L5460 | $1,054.07 | not published | $702.71 – $1,509.89 | 16 |
| Postop dress & 1 cast chg bk HCPCS L5400 | $2,711.11 | $2,215.00 | $886.00 – $2,553.94 | 19 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | $3,424.01 | not published | $2,282.68 – $4,904.69 | 16 |
| Postop dsg ak ea add cast ch HCPCS L5430 | $929.44 | not published | $619.63 – $1,331.36 | 16 |
| Postop dsg bk ea add cast ch HCPCS L5410 | $749.00 | not published | $499.33 – $1,072.89 | 16 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | $2,864.95 | not published | $1,909.97 – $4,103.86 | 16 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | $2,406.60 | not published | $1,604.40 – $3,447.31 | 16 |
| Postop ea cast chg & realign HCPCS L6386 | $794.48 | not published | $529.65 – $1,138.04 | 16 |
| Post-operative body jacket HCPCS L1310 | $3,044.49 | not published | $2,029.66 – $4,361.04 | 16 |
| Post-op hip abduct custom fa HCPCS L1685 | $1,886.27 | not published | $1,220.52 – $2,701.96 | 16 |
| Post op service lvrs min 6 HCPCS G0305 | $513.11 | not published | $194.46 – $855.19 | 17 |
| Postpartum Care Only CPT 59430 | $251.05 | $1,033.00 | $123.68 – $756.00 | 22 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $1,058.64 | $2,690.00 | $433.67 – $4,720.17 | 19 |
| Potassium 24 hour urine CPT 84133 | $6.53 | $29.00 | $2.47 – $19.43 | 21 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $0.17 | $147.00 | $0.07 – $4.32 | 14 |
| Potassium hydroxide preps HCPCS Q0112 | $8.05 | $29.00 | $3.05 – $19.43 | 20 |
| Potassium serum/plasma/whole blood CPT 84132 | $6.57 | $31.00 | $2.49 – $20.77 | 20 |
| Pouch clsd w barr attached HCPCS A5051 | $4.06 | not published | $1.94 – $5.81 | 16 |
| Pouch drainable w barrier at HCPCS A5061 | $6.96 | not published | $2.17 – $9.96 | 16 |
| Pouch high output 2pc 50mm red HCPCS A4413 | $10.83 | not published | $4.57 – $15.53 | 16 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | $8.57 | not published | $4.49 – $12.28 | 16 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | $4.33 | not published | $2.28 – $6.21 | 16 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $7.05 | not published | $2.99 – $10.10 | 16 |
| Powder prem protct 1oz HCPCS A4371 | $7.18 | not published | $3.78 – $10.28 | 16 |
| Ppp2r2b gen detc abnor allel CPT 81343 | $189.06 | not published | $71.65 – $295.92 | 16 |
| Pq biliary strict dil s&i CPT 74363 | $54.87 | $781.00 | $24.50 – $523.27 | 22 |
| Pq dr cath chg w cont s&i CPT 75984 | $75.94 | $1,118.00 | $23.64 – $749.06 | 22 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $9,977.57 | $2,384.00 | $270.51 – $16,629.28 | 22 |
| Pq thr inj ext pse CPT 36002 | $862.57 | $1,072.00 | $58.58 – $1,437.62 | 22 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $271.75 | $690.00 | $115.66 – $5,740.26 | 18 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,499.12 | $1,420.00 | $244.31 – $7,498.53 | 19 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,499.12 | $1,330.00 | $230.47 – $7,498.53 | 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.