Henry Ford Wyandotte Hospital:
2333 Biddie Avenue, Wyandotte, MI · Henry Ford Health · · NPI 1992725352
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 |
|---|---|---|---|---|
| Rpr diaphragm lac/any approach 39501 CPT 39501 | $1,210.63 | $2,890.00 | $516.53 – $5,227.05 | 20 |
| Rpr fem hernia init blocked CPT 49553 | $4,923.19 | $2,150.00 | $388.30 – $4,450.51 | 20 |
| Rpr hern preemie reduc CPT 49491 | $8,312.83 | $2,710.00 | $487.13 – $4,452.82 | 20 |
| Rpr hypopl a-arch w/byp CPT 33853 | $2,620.29 | $6,070.00 | $1,103.13 – $11,367.14 | 20 |
| Rpr hypopl a-arch wo byp CPT 33852 | $2,009.87 | $4,440.00 | $848.59 – $8,672.76 | 20 |
| Rpr hypspad comp dsj & urtp CPT 54348 | $7,372.68 | $3,310.00 | $578.93 – $4,565.78 | 20 |
| Rpr hypspad comp simple CPT 54340 | $4,846.99 | $1,850.00 | $332.07 – $3,872.65 | 20 |
| Rpr ing hernia baby blocked CPT 49496 | $4,923.19 | $2,090.00 | $380.21 – $3,814.72 | 20 |
| Rpr ing hernia baby reduc CPT 49495 | $4,923.19 | $1,390.00 | $254.75 – $4,149.89 | 20 |
| Rpr ing hernia init blocked CPT 49501 | $4,923.19 | $2,060.00 | $374.03 – $4,450.51 | 20 |
| Rpr ing hernia init reduce CPT 49500 | $8,901.75 | $1,350.00 | $263.06 – $6,553.68 | 20 |
| Rpr ing hern premie blocked CPT 49492 | $4,923.19 | $3,280.00 | $581.06 – $4,503.83 | 20 |
| Rpr intst excl anrect fist HCPCS C9796 | $3,816.64 | not published | $1,446.45 – $6,361.06 | 17 |
| Rpr nsl vlv collapse w/implt CPT 30468 | $8,139.99 | $503.00 | $92.87 – $218.94 | 19 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | $8,139.99 | $477.00 | $82.64 – $195.94 | 19 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $1,036.63 | $2,443.00 | $435.80 – $4,052.34 | 20 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $1,294.66 | $3,020.00 | $541.87 – $4,999.90 | 20 |
| Rpr pul art unifocal without cpb CPT 33925 | $2,433.62 | $5,940.00 | $1,019.42 – $10,666.99 | 20 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $14.39 – $67.16 | 3 |
| Rpr&refit spct prsth aphakia CPT 92371 | $81.12 | not published | $10.77 – $135.19 | 17 |
| Rpr rem hernia init reduce CPT 49550 | $4,923.19 | $1,960.00 | $356.14 – $4,450.51 | 20 |
| Rpr tga aortic pulm art rcns CPT 33778 | $3,334.30 | $8,130.00 | $1,397.07 – $14,580.84 | 20 |
| Rpr tga atr bfl clsr vsd CPT 33776 | $2,802.10 | $6,400.00 | $1,179.59 – $12,759.07 | 20 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | $2,647.72 | $6,390.00 | $1,113.99 – $12,075.90 | 20 |
| Rpr tga atrial baffle px CPT 33774 | $2,577.95 | $6,190.00 | $1,086.30 – $11,158.60 | 20 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | $2,686.46 | $6,530.00 | $1,127.20 – $11,737.47 | 20 |
| Rpr tga rcnstj clsr vsd CPT 33780 | $3,340.51 | $7,770.00 | $1,394.72 – $15,564.13 | 20 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | $3,275.43 | $8,070.00 | $1,366.61 – $15,291.69 | 20 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | $3,252.38 | $8,030.00 | $1,355.75 – $15,221.49 | 20 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | $2,990.02 | $7,340.00 | $1,249.46 – $13,901.96 | 20 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | $3,066.58 | $7,560.00 | $1,278.43 – $14,336.10 | 20 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $766.14 – $1,565.31 | 2 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $9,977.57 | $1,170.00 | $219.39 – $6,951.49 | 20 |
| Rp therapy unlisted px CPT 79999 | $320.85 | not published | $121.60 – $534.75 | 17 |
| Rrp hypspad comp moblj&urtp CPT 54344 | $13,016.74 | $3,090.00 | $541.66 – $4,573.75 | 20 |
| Rsect hip tum incl femur CPT 27078 | $9,977.57 | $6,910.00 | $1,169.37 – $12,654.76 | 20 |
| Rsv assay w/optic CPT 87807 | $18.08 | not published | $6.85 – $36.13 | 17 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $282.81 – $823.06 | 7 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $183.07 | not published | $18.34 – $429.82 | 19 |
| Rtm dev sply cbt 16-30 d CPT 98978 | $51.32 | not published | $19.45 – $85.54 | 16 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $51.32 | not published | $19.45 – $112.57 | 19 |
| Rtm dev sply resp sys 16-30d CPT 98976 | $51.32 | not published | $19.45 – $142.74 | 19 |
| Rtm tx mgmt 1st 20 min CPT 98980 | $36.25 | $150.00 | $13.74 – $75.90 | 20 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | $35.78 | $120.00 | $13.56 – $47.76 | 20 |
| Rubella antibody igg CPT 86762 | $19.86 | $29.00 | $7.53 – $23.46 | 20 |
| Rubeola ag if CPT 87283 | $83.90 | not published | $24.60 – $99.10 | 17 |
| Rubeola antibody igg CPT 86765 | $17.77 | $88.00 | $6.74 – $58.96 | 20 |
| Runx1 gene targeted seq alys CPT 81334 | $454.72 | $1,629.00 | $268.86 – $1,104.46 | 18 |
| Russell viper venom diluted CPT 85613 | $13.22 | $67.00 | $5.01 – $44.89 | 20 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $1,265.57 | not published | $479.63 – $1,980.89 | 16 |
| Sach foot, replacement HCPCS L5971 | $369.11 | not published | $246.07 – $532.43 | 15 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $51.04 | $7,740.50 | $19.34 – $5,214.16 | 21 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $143.75 | $298.00 | $6.60 – $166.16 | 21 |
| Safety plan interven HCPCS G0560 | $54.58 | $126.00 | $5.18 – $85.43 | 18 |
| Salivary gland function exam CPT 78232 | $549.70 | not published | $74.52 – $916.16 | 20 |
| Salivary gland imaging CPT 78230 | $549.70 | not published | $124.98 – $916.16 | 20 |
| Salivary glnd img serial img CPT 78231 | $549.70 | not published | $74.23 – $916.16 | 20 |
| Salmonella antibody CPT 86768 | $18.20 | not published | $6.90 – $24.39 | 17 |
| Salpingostomy 58770 CPT 58770 | $4,451.18 | $2,730.00 | $484.79 – $3,281.02 | 20 |
| Same day nb discharge 99463 CPT 99463 | $183.07 | $348.00 | $60.49 – $136.02 | 20 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $1.56 – $3.26 | 3 |
| Sargramostim injection HCPCS J2820 | $85.21 | $948.89 | $32.29 – $632.41 | 21 |
| Sars-cov-2 antb quantitative CPT 86413 | $70.97 | not published | $26.90 – $111.09 | 16 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | $264.85 | not published | $108.40 – $534.02 | 12 |
| Sarscov coronavirus ag ia CPT 87426 | $48.76 | $138.00 | $18.48 – $93.56 | 20 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $97.00 | $76.00 | $30.40 – $151.83 | 20 |
| S bowel endoscope w/stent CPT 44379 | $8,347.72 | $3,073.00 | $228.76 – $3,073.00 | 21 |
| Sbrt management CPT 77435 | $903.25 | $2,360.00 | $408.96 – $1,590.42 | 20 |
| Sbrt w/positron emission del HCPCS G0563 | $4,374.81 | not published | $1,657.99 – $7,291.35 | 17 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $164.43 | $431.00 | $101.28 – $166.81 | 19 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $198.31 | $423.00 | $89.46 – $201.18 | 19 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $95.05 | $210.00 | $43.24 – $96.43 | 19 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $138.97 | $286.00 | $62.84 – $140.98 | 19 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $52.16 | $137.00 | $23.64 – $52.92 | 19 |
| Sbsq psyc collab care mgmt CPT 99493 | $139.68 | $365.00 | $54.28 – $129.01 | 20 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $328.08 | $1,065.00 | $23.86 – $676.03 | 21 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $143.75 | $772.00 | $14.70 – $479.72 | 21 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $143.75 | $781.00 | $14.91 – $523.27 | 21 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $143.75 | $941.00 | $12.99 – $592.95 | 21 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $143.75 | $934.00 | $14.27 – $588.26 | 21 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $143.75 | $772.00 | $14.48 – $479.72 | 21 |
| Scan proc cranial extra CPT 61782 | $212.44 | $580.00 | $92.02 – $1,079.07 | 20 |
| Scan proc cranial intra 61781 CPT 61781 | $342.54 | $860.00 | $137.17 – $1,481.31 | 20 |
| Scan proc spinal CPT 61783 | $325.67 | $830.00 | $132.27 – $1,453.63 | 20 |
| Scap thorac prosth tiss shap HCPCS L6570 | $8,580.63 | not published | $5,720.42 – $12,377.18 | 16 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,271.01 | $390.00 | $67.10 – $1,803.33 | 20 |
| Scope plantar fasciotomy CPT 29893 | $4,499.12 | $1,360.00 | $266.46 – $3,436.59 | 20 |
| Scope uretscp lithovue dig disp HCPCS C1747 | not published | $10,485.00 | $0.02 – $355.95 | 12 |
| Scr c/v cyto, automated sys HCPCS G0147 | $25.59 | not published | $9.70 – $40.05 | 16 |
| Scr c/v cyto,autosys and md HCPCS G0141 | $32.76 | not published | $22.36 – $58.32 | 7 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | $44.08 | not published | $16.70 – $68.99 | 16 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | $60.68 | not published | $23.00 – $94.98 | 16 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $36.56 | not published | $13.85 – $85.56 | 18 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | $37.33 | not published | $14.15 – $82.25 | 17 |
| Screen cerv/vag thin layer HCPCS G0123 | $27.96 | $137.00 | $10.60 – $91.79 | 21 |
| Screen c/v thin layer by md HCPCS G0124 | $32.76 | $98.00 | $11.78 – $45.97 | 18 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $1,278.72 | $1,392.00 | $105.22 – $1,704.96 | 21 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $1,278.72 | $975.00 | $105.01 – $1,704.96 | 21 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $24.91 | $35.00 | $3.37 – $23.47 | 19 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $39.01 | not published | $14.79 – $61.06 | 16 |
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.