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 |
|---|---|---|---|---|
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $182.95 | $275.00 | $8.31 – $304.91 | 21 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $558.97 | $304.00 | $58.36 – $931.62 | 22 |
| Puncture/clear windpipe 31612 CPT 31612 | $4,558.89 | $160.00 | $26.63 – $7,598.14 | 20 |
| Puncture spinal lumbar diagnostic CPT 62270 | $970.61 | $1,186.00 | $37.49 – $1,617.68 | 22 |
| Puraply 1 sq cm HCPCS Q4195 | $171.12 | not published | $66.49 – $228.16 | 16 |
| Puraply xt 1 sq cm HCPCS Q4197 | $171.12 | not published | $65.04 – $228.16 | 15 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $63.55 | $472.00 | $28.33 – $1,075.00 | 22 |
| Pvb thoracic cont infusion CPT 64463 | $970.61 | $990.00 | $48.78 – $1,617.68 | 22 |
| Pvb thoracic single inj site CPT 64461 | $970.61 | $586.00 | $45.80 – $1,617.68 | 22 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | $1,166.04 | not published | $777.36 – $1,670.28 | 15 |
| Pwr pck base combo vad, rep HCPCS Q0489 | $27,621.33 | not published | $18,414.22 – $39,565.85 | 15 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,749.14 – $1,749.14 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | $1,276.51 | $3,210.00 | $562.53 – $6,266.18 | 19 |
| Pyelotomy w/exploration CPT 50120 | $1,235.32 | $3,100.00 | $544.22 – $5,881.77 | 19 |
| Pyelotomy w/removal calculus CPT 50130 | $1,341.47 | $3,370.00 | $590.65 – $6,297.81 | 19 |
| Pyloroplasty 43800 CPT 43800 | $1,308.60 | $3,180.00 | $555.50 – $5,689.59 | 19 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $21.47 | $70.19 | $5.57 – $60.50 | 14 |
| Pyruvate CPT 84210 | $19.98 | $34.20 | $7.57 – $23.60 | 21 |
| Pyruvate kinase CPT 84220 | $13.03 | $68.00 | $4.94 – $45.56 | 21 |
| Quadrilateral brim HCPCS L2188 | $474.93 | not published | $316.62 – $680.30 | 16 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | $182.95 | not published | $5.81 – $304.91 | 18 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $746.61 | $1,900.00 | $24.07 – $1,464.90 | 22 |
| Quant diff pulm perf w/imaging CPT 78597 | $549.70 | $1,153.00 | $21.09 – $916.16 | 22 |
| Quest t3 uptake CPT 84479 | $8.93 | $43.00 | $3.38 – $28.81 | 21 |
| Quick disconn hook adapter o HCPCS L6628 | $967.19 | not published | $644.79 – $1,385.44 | 16 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $194.55 – $1,244.81 | 7 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $486.37 | not published | $184.33 – $957.23 | 18 |
| Rabies ig ht&sol human im/sc CPT 90377 | $331.38 | not published | $125.59 – $754.18 | 19 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $386.33 | $10,416.65 | $146.41 – $1,799.28 | 22 |
| Rabies vaccine id CPT 90676 | $326.87 | not published | $86.10 – $544.78 | 17 |
| Radial keratotomy CPT 65771 | not published | $560.00 | $224.00 – $1,190.38 | 10 |
| Radiation handling CPT 77790 | $25.57 | $263.00 | $12.60 – $187.26 | 15 |
| Radiation physics consult CPT 77336 | $184.82 | $626.00 | $48.68 – $352.42 | 22 |
| Radiation therapy dose plan CPT 77300 | $184.82 | $379.00 | $20.87 – $308.04 | 22 |
| Radiation therapy management CPT 77431 | $149.39 | $383.00 | $67.95 – $175.05 | 18 |
| Radiation treatment aid(s) CPT 77332 | $184.82 | $2,962.00 | $11.34 – $308.04 | 22 |
| Radiation treatment aid(s) CPT 77333 | $184.82 | $538.00 | $16.22 – $360.46 | 22 |
| Radiation treatment aid(s) CPT 77334 | $514.85 | $918.00 | $38.34 – $858.08 | 22 |
| Radiation treatment delivery CPT 77401 | not published | not published | $26.80 – $163.66 | 7 |
| Radiation treatment delivery CPT 77402 | $140.29 | $1,439.00 | $54.24 – $570.17 | 22 |
| Radiation treatment delivery CPT 77412 | $759.77 | $3,790.00 | $196.44 – $1,484.72 | 22 |
| Radiation tx management x5 CPT 77427 | $274.29 | $696.00 | $124.61 – $285.68 | 18 |
| Radical abdominal hysterectomy 58210 CPT 58210 | $2,499.87 | $6,240.00 | $1,069.90 – $11,235.56 | 19 |
| Radical rescj tumor clavicle CPT 23200 | $9,977.57 | $5,040.00 | $870.74 – $9,195.44 | 19 |
| Radical rescj tumor prox hum CPT 23220 | $9,977.57 | $6,520.00 | $1,108.03 – $11,860.70 | 19 |
| Radical rescj tumor scapula CPT 23210 | $9,977.57 | $5,920.00 | $1,013.45 – $10,760.38 | 19 |
| Radical resection of elbow CPT 24149 | $9,977.57 | $3,870.00 | $695.23 – $16,629.28 | 20 |
| Radical resection sternum 21630 CPT 21630 | $9,977.57 | $4,100.00 | $746.57 – $7,393.91 | 19 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | $3,994.09 | $3,560.00 | $628.35 – $6,656.82 | 19 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | $3,994.09 | $4,830.00 | $845.40 – $6,656.82 | 19 |
| Radiesse injection HCPCS Q2026 | $481.88 | not published | $12.84 – $803.14 | 18 |
| Radiofq trsmtr for implt neu HCPCS L8683 | $9,157.14 | not published | $6,104.76 – $13,117.04 | 15 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | $1,436.87 | not published | $957.91 – $2,058.22 | 15 |
| Radiology port images(s) CPT 77417 | not published | $232.00 | $0.43 – $155.44 | 19 |
| Radiotherapy dose plan imrt CPT 77301 | $1,903.23 | $6,531.00 | $267.32 – $4,375.77 | 22 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $237.25 | $507.00 | $89.91 – $395.41 | 22 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $746.61 | $2,433.00 | $22.79 – $1,630.11 | 22 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $746.61 | $3,461.00 | $28.76 – $2,318.87 | 22 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,780.19 | $9,188.00 | $51.55 – $7,083.95 | 22 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $746.61 | $2,510.00 | $31.31 – $1,681.70 | 22 |
| Radphm lcl tumor plr sgl day CPT 78800 | $549.70 | $1,522.00 | $19.60 – $1,019.74 | 22 |
| Radphm quant measure sgl area add-on CPT 78835 | $91.52 | $323.00 | $13.63 – $249.03 | 22 |
| Rad rescj tum dstl/shft hum CPT 24150 | $9,977.57 | $5,180.00 | $890.98 – $16,629.28 | 20 |
| Rad rescj tum shoulder<5 cm CPT 23077 | $3,994.09 | $3,830.00 | $670.52 – $6,656.82 | 20 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | $3,994.09 | $4,450.00 | $781.92 – $6,656.82 | 19 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | $3,994.09 | $3,480.00 | $610.88 – $6,656.82 | 20 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | $3,994.09 | $2,340.00 | $421.95 – $6,656.82 | 20 |
| Rad resect abd tumor 5 cm/> CPT 22905 | $3,994.09 | $4,510.00 | $789.17 – $6,656.82 | 19 |
| Rad resect hand tumor < 3 cm CPT 26117 | $3,994.09 | $2,440.00 | $442.83 – $6,656.82 | 20 |
| Rad resect hand tumor 3 cm/> CPT 26118 | $3,994.09 | $3,470.00 | $621.11 – $6,656.82 | 19 |
| Rad resection tum radial h/n CPT 24152 | $9,977.57 | $4,390.00 | $780.65 – $16,629.28 | 20 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | $3,994.09 | $3,180.00 | $562.75 – $6,656.82 | 20 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $104.30 | $22,561.85 | $39.53 – $3,881.04 | 22 |
| Range of motion measurements CPT 95852 | $7.18 | not published | $2.72 – $50.08 | 18 |
| Ranibizumab injection HCPCS J2778 | $90.31 | not published | $34.23 – $1,020.03 | 20 |
| Rapid desensitization CPT 95180 | $614.27 | $512.00 | $55.38 – $1,023.78 | 21 |
| Rapid Strep Test CPT 87880 | $22.81 | $81.00 | $8.65 – $54.27 | 21 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $529.05 | $16,775.93 | $200.50 – $2,891.31 | 22 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $310.23 | $73,654.21 | $117.57 – $17,314.25 | 22 |
| Rb82 rubidium HCPCS A9555 | not published | $2,306.00 | $0.01 – $1,676.93 | 13 |
| Rbc count only automated CPT 85041 | $4.17 | not published | $1.58 – $5.21 | 17 |
| Rbc deglycerolized each unit HCPCS P9039 | $421.26 | $2,927.00 | $159.65 – $2,256.72 | 21 |
| Rbc depletion of harvest CPT 38212 | $606.63 | $898.00 | $44.03 – $1,011.06 | 21 |
| Rbc irradiated each unit HCPCS P9038 | $195.45 | not published | $74.07 – $325.75 | 18 |
| Rbc mechanical fragility CPT 85547 | $11.87 | not published | $4.50 – $18.92 | 17 |
| Rbc o2 co2 reduced HCPCS P9027 | $688.54 | not published | $260.95 – $1,147.56 | 17 |
| Rbc osmotic fragility CPT 85555 | $10.31 | not published | $6.10 – $12.42 | 16 |
| Rbc serum pretx incubj drugs CPT 86975 | $614.27 | not published | $13.53 – $1,023.78 | 19 |
| Rcm img acquisj&i&r 1st les CPT 96931 | $221.88 | not published | $147.98 – $617.21 | 3 |
| Rcm img acquisj&i&r ea addl CPT 96934 | $156.09 | not published | $104.61 – $376.41 | 3 |
| Rcm img acquisj only 1st les CPT 96932 | $163.57 | $156.00 | $46.80 – $123.10 | 13 |
| Rcm img acquisj only ea addl CPT 96935 | $101.42 | $52.00 | $15.60 – $49.97 | 13 |
| Rcm i&r only 1st lesion CPT 96933 | $58.31 | not published | $38.92 – $69.60 | 3 |
| Rcm i&r only ea addl lesion CPT 96936 | $54.68 | not published | $37.71 – $66.49 | 3 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | $8,139.99 | $7,300.00 | $1,231.99 – $13,566.64 | 20 |
| Rcnstj forehead w/autograft CPT 21180 | $8,139.99 | $5,610.00 | $953.81 – $9,685.39 | 19 |
| Rcnstj forehead with grafts CPT 21179 | $8,139.99 | $4,960.00 | $856.47 – $8,306.28 | 19 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | $8,139.99 | $5,280.00 | $886.93 – $9,765.66 | 19 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | $8,139.99 | $5,480.00 | $926.55 – $10,173.28 | 19 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | $8,139.99 | $7,120.00 | $1,180.66 – $12,737.15 | 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.