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 |
|---|---|---|---|---|
| Prgrmg dev eval pm/ldls pm CPT 93279 | $51.32 | $205.00 | $19.60 – $158.06 | 22 |
| Prgrmg dev eval scrms ip CPT 93285 | $51.32 | $212.00 | $15.98 – $163.45 | 22 |
| Prgrmg eval implantable dfb CPT 93282 | $56.15 | $233.00 | $19.94 – $179.64 | 22 |
| Prgrmg eval implantable dfb CPT 93283 | $75.64 | $247.00 | $19.94 – $190.44 | 22 |
| Prgrmg eval implantable dfb CPT 93284 | $82.03 | $289.00 | $19.94 – $222.82 | 22 |
| Prgr stim/pace a/iv drug CPT 93623 | $77.69 | $5,436.00 | $33.44 – $3,642.12 | 22 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $223.12 | $640.00 | $99.68 – $352.00 | 19 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $259.00 | $432.00 | $74.55 – $237.60 | 19 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $108.14 | $330.00 | $47.50 – $176.00 | 19 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $152.19 | $326.00 | $68.16 – $179.30 | 19 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $100.41 | $228.00 | $44.94 – $125.40 | 19 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $62.98 | $125.00 | $28.12 – $68.75 | 19 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $25,206.69 | $10,125.00 | $240.05 – $42,011.16 | 21 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $212.92 | $4,389.00 | $90.10 – $2,940.63 | 21 |
| Prin care mgmt staff 1st 30 CPT 99426 | $139.68 | not published | $44.94 – $232.81 | 18 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $558.97 | $580.00 | $110.55 – $931.62 | 22 |
| Pr incision & drainage abscess simple/single CPT 10060 | $275.88 | $312.00 | $64.11 – $459.79 | 22 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $419.01 | $361.00 | $74.55 – $698.35 | 22 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $558.97 | $329.00 | $65.18 – $931.62 | 22 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $235.61 | $729.00 | $0.01 – $305.12 | 21 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $183.07 | $516.00 | $0.01 – $305.12 | 21 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $16.08 | $293.00 | $7.03 – $225.90 | 21 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $2,685.07 | $3,963.00 | $366.79 – $4,475.11 | 22 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | not published | $7,800.00 | $273.60 – $786.14 | 11 |
| Probe nasolacrimal duct CPT 68810 | $436.44 | $399.00 | $71.57 – $727.40 | 22 |
| Probe nasolacrimal duct CPT 68811 | $3,269.14 | $427.00 | $74.98 – $5,448.56 | 20 |
| Probe nasolacrimal duct CPT 68815 | $3,269.14 | $2,352.00 | $123.11 – $5,448.56 | 22 |
| Probe nl duct w/balloon CPT 68816 | $3,269.14 | $490.00 | $85.41 – $5,448.56 | 19 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $475.45 | $1,805.00 | $180.19 – $792.42 | 22 |
| Procalcitonin CPT 84145 | $37.56 | $181.00 | $14.24 – $139.55 | 21 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $145.73 – $472.11 | 5 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $3.48 | $60.50 | $1.42 – $16.18 | 14 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | $5.09 | $0.61 – $2.20 | 13 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | $2,391.91 | $6,250.00 | $1,046.26 – $11,495.34 | 19 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $2,459.27 | $6,190.00 | $1,066.49 – $11,305.25 | 19 |
| Proctosigmoidoscopy ablate CPT 45320 | $3,816.64 | $360.00 | $63.47 – $6,361.06 | 20 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $1,645.43 | $2,016.00 | $65.39 – $2,742.38 | 22 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $1,645.43 | $280.00 | $49.05 – $2,742.38 | 20 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,278.72 | $263.00 | $28.76 – $2,131.20 | 22 |
| Proctosigmoidoscopy removal CPT 45308 | $3,816.64 | $290.00 | $51.97 – $6,361.06 | 20 |
| Proctosigmoidoscopy removal CPT 45309 | $1,645.43 | $2,218.00 | $54.95 – $2,742.38 | 22 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $1,645.43 | $360.00 | $63.90 – $2,742.38 | 20 |
| Proctosigmoidoscopy volvul CPT 45321 | $3,816.64 | $352.00 | $62.62 – $6,361.06 | 20 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $1,645.43 | $2,218.00 | $44.09 – $2,742.38 | 22 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $3,816.64 | $3,722.00 | $61.13 – $6,361.06 | 22 |
| Proctosigmoidoscopy w/stent CPT 45327 | $8,347.72 | $398.00 | $70.08 – $13,912.86 | 20 |
| Progenamatrix, per sq cm HCPCS Q4222 | $171.12 | not published | $66.49 – $228.16 | 15 |
| Progesterone CPT 84144 | $28.79 | $141.00 | $10.91 – $94.47 | 21 |
| Prolactin CPT 84146 | $26.74 | $130.00 | $10.14 – $55.71 | 21 |
| Prolng clin staff svc 1st hr CPT 99415 | $31.02 | $63.00 | $0.01 – $63.00 | 15 |
| Prolng clin staff svc ea add CPT 99416 | $17.24 | $37.00 | $0.01 – $30.06 | 15 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $44.00 | $72.00 | $11.02 – $51.46 | 15 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $44.00 | $52.00 | $0.01 – $25.47 | 18 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $146.85 – $178.83 | 2 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $144.34 – $168.91 | 2 |
| Prolonged IV inf, req pump HCPCS C8957 | $292.48 | not published | $110.84 – $487.46 | 18 |
| Prolong home eval add 15m HCPCS G0318 | $43.95 | $46.00 | $9.60 – $337.43 | 14 |
| Prolong service without contact CPT 99358 | not published | $233.00 | $0.01 – $103.37 | 15 |
| Prolong serv without contact add CPT 99359 | not published | $94.00 | $0.01 – $34.00 | 15 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | $3.04 | $0.13 – $1.30 | 13 |
| Promethazine hcl injection HCPCS J2550 | $5.48 | not published | $2.07 – $10.24 | 10 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | $436.44 | $1,520.00 | $120.35 – $887.75 | 20 |
| Proph rta dtchmnt pc CPT 67145 | $756.27 | $1,550.00 | $120.35 – $1,260.45 | 22 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | $17,653.66 | $2,870.00 | $709.20 – $29,422.77 | 20 |
| Prophylactic tx radius CPT 25490 | $9,977.57 | $2,370.00 | $591.78 – $16,629.28 | 20 |
| Prophylactic tx radius&ulna CPT 25492 | $4,499.12 | $3,010.00 | $745.01 – $7,498.53 | 20 |
| Prophylactic tx ulna CPT 25491 | $17,653.66 | $2,450.00 | $609.47 – $29,422.77 | 20 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $0.12 | $95.00 | $0.05 – $10.52 | 14 |
| _propoxygc/msur CPT 80367 | not published | $124.00 | $0.02 – $95.60 | 12 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | $39.44 | $2.11 – $17.03 | 13 |
| Pros sheath/sock w gel cushn HCPCS L8417 | $127.82 | not published | $85.21 – $183.08 | 16 |
| Pros soc insert gasket/seal HCPCS L7700 | $254.22 | not published | $169.48 – $364.16 | 15 |
| Pros sock multi ply upper lm HCPCS L8435 | $38.14 | not published | $25.43 – $54.64 | 16 |
| Pros sock single ply ak HCPCS L8480 | $15.55 | not published | $10.37 – $22.28 | 16 |
| Pros sock single ply upper l HCPCS L8485 | $20.93 | not published | $13.96 – $29.98 | 16 |
| Prostate biopsy, any mthd HCPCS G0416 | $492.88 | $430.00 | $65.50 – $821.47 | 22 |
| Prostate ca screening; dre HCPCS G0102 | $10.85 | $59.00 | $4.90 – $54.76 | 17 |
| Prostatectomy (turp) CPT 52601 | $7,372.68 | $2,380.00 | $335.48 – $12,287.80 | 20 |
| Prostate laser enucleation CPT 52649 | $7,372.68 | $2,690.00 | $418.97 – $12,486.97 | 19 |
| Prostatic microwave thermotx CPT 53850 | $4,846.99 | $1,130.00 | $211.08 – $8,078.31 | 20 |
| Prostatic rf thermotx CPT 53852 | $4,846.99 | $2,218.00 | $225.57 – $8,078.31 | 22 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $185.58 | not published | $123.72 – $265.83 | 15 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $71.14 | not published | $47.43 – $101.90 | 15 |
| Prosthetic sock multi ply bk HCPCS L8420 | $35.44 | $29.00 | $11.60 – $33.38 | 19 |
| Prosthetic type socket molde HCPCS L2350 | $1,413.01 | not published | $942.01 – $2,024.06 | 16 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $11.27 | not published | $7.52 – $16.15 | 16 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $2.17 | $163.70 | $0.89 – $23.37 | 14 |
| Protect body sock ea pre ots HCPCS L0984 | $114.76 | not published | $76.51 – $164.39 | 16 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | not published | $1,314.09 – $2,957.35 | 4 |
| Protein analysis w/probe CPT 88372 | $36.18 | not published | $19.24 – $35.40 | 14 |
| Protein c activity CPT 85303 | $19.10 | $94.00 | $7.24 – $62.98 | 21 |
| Protein c concentrate HCPCS J2724 | $20.72 | not published | $7.85 – $34.53 | 20 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $24.48 | $73.00 | $3.34 – $48.91 | 22 |
| Protein s total CPT 85305 | $16.02 | $77.00 | $6.07 – $37.57 | 21 |
| Protein total 24 hour urine CPT 84156 | $5.06 | $24.00 | $1.92 – $17.11 | 21 |
| Protein total body fluid CPT 84157 | $5.52 | $65.00 | $2.09 – $34.78 | 21 |
| Protein total serum plasma whole blood CPT 84155 | $5.06 | $24.00 | $1.92 – $16.08 | 20 |
| Protein western blot tissue CPT 88371 | $30.68 | $73.00 | $4.60 – $18.07 | 17 |
| Prothrombin complex kcentra HCPCS J7168 | $2.89 | not published | $1.09 – $6.35 | 18 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $5.44 | $25.00 | $2.06 – $16.75 | 21 |
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.