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 |
|---|---|---|---|---|
| Shoe outflare wedge HCPCS L3390 | $84.12 | not published | $56.08 – $121.34 | 16 |
| Shoe post-op mens m HCPCS L3260 | not published | not published | $18.65 – $121.82 | 5 |
| Shoe sole wedge between sole HCPCS L3370 | $84.12 | not published | $49.98 – $121.34 | 16 |
| Shoe sole wedge outside sole HCPCS L3360 | $60.39 | not published | $40.26 – $87.10 | 16 |
| Shoe wedge sach HCPCS L3340 | $144.54 | not published | $83.30 – $208.50 | 16 |
| Sho heel count plast reinfor HCPCS L3430 | $271.78 | not published | $66.63 – $392.03 | 16 |
| Sho insert w arch toe filler HCPCS L5000 | $973.88 | not published | $649.25 – $1,404.77 | 16 |
| Sho lift taper to metatarsal HCPCS L3300 | $88.46 | not published | $58.97 – $127.59 | 16 |
| Shortening of hand tendon CPT 26479 | $4,499.12 | $1,980.00 | $431.11 – $2,432.91 | 20 |
| Shortening of thigh bone CPT 27465 | $9,977.57 | $4,180.00 | $824.95 – $7,559.64 | 20 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,293.72 – $8,244.98 | 6 |
| Shorten radius or ulna CPT 25390 | $9,977.57 | $2,520.00 | $449.43 – $6,951.49 | 20 |
| Shorten radius & ulna CPT 25392 | $9,977.57 | $3,230.00 | $595.76 – $4,346.75 | 20 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $99.00 | $76.00 | $9.21 – $48.24 | 21 |
| Shoulder abduction joint pai HCPCS L6640 | $572.12 | not published | $381.41 – $825.26 | 16 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $119.66 | $315.00 | $5.96 – $177.55 | 21 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $9,977.57 | $3,460.00 | $622.60 – $9,956.25 | 20 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $143.75 | $325.00 | $5.75 – $184.25 | 21 |
| Shoulder flexion-abduction j HCPCS L6645 | $618.72 | not published | $412.48 – $892.48 | 16 |
| Shoulder harness HCPCS L5699 | $346.52 | not published | $231.01 – $499.84 | 16 |
| Shoulder lock actuator HCPCS L6647 | $882.36 | not published | $588.24 – $1,272.76 | 16 |
| Shoulder MRI (with and without contrast) CPT 73223 | $479.72 | $4,579.00 | $63.47 – $3,067.93 | 21 |
| Shoulder MRI (with contrast) CPT 73222 | $1,077.92 | $3,760.00 | $47.93 – $2,519.20 | 21 |
| Shoulder MRI (without contrast) CPT 73221 | $328.08 | $2,940.00 | $40.26 – $1,969.80 | 21 |
| Shoulder prosthesis removal CPT 23334 | $9,977.57 | $3,550.00 | $622.39 – $3,157.11 | 20 |
| Shoulder prosthesis removal CPT 23335 | $9,977.57 | $4,250.00 | $732.29 – $7,853.39 | 20 |
| Shoulder universal joint HCPCS L6650 | $671.08 | not published | $447.39 – $967.99 | 16 |
| Shoulder X-ray CPT 73030 | $119.66 | $261.00 | $5.75 – $141.37 | 21 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $119.66 | $208.00 | $4.69 – $105.86 | 21 |
| Shrinker prosth above knee HCPCS L8460 | $112.59 | not published | $75.06 – $162.41 | 16 |
| Shrinker prosth below knee HCPCS L8440 | $79.21 | not published | $52.81 – $114.25 | 16 |
| Shrinker upper limb HCPCS L8465 | $104.07 | not published | $69.38 – $150.11 | 16 |
| Shunt as-aort to pulm art CPT 33755 | $1,900.89 | $4,520.00 | $804.93 – $8,517.40 | 20 |
| Shunt central w/prostc graft CPT 33764 | $1,900.89 | $4,520.00 | $804.93 – $8,159.87 | 20 |
| Shunt desc aorta to pulm art CPT 33762 | $1,833.73 | $4,410.00 | $772.76 – $8,334.36 | 20 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | not published | $4,125.00 | $398.03 – $1,413.63 | 10 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $143.75 | $550.00 | $14.91 – $368.50 | 21 |
| Shunt subclavian to pulm art CPT 33750 | $1,805.33 | $4,340.00 | $761.05 – $8,204.51 | 20 |
| Shunt supr v/c p-art 1 lung CPT 33766 | $1,903.39 | $4,590.00 | $801.73 – $8,670.64 | 20 |
| Shunt supr v/c p-art bth lng CPT 33767 | $2,029.39 | $4,900.00 | $853.92 – $8,823.82 | 20 |
| Sialidase enzyme assay CPT 87905 | $16.86 | not published | $6.39 – $19.92 | 16 |
| Sialography s&i CPT 70390 | $328.08 | $788.00 | $11.08 – $527.96 | 21 |
| Sialolithotomy 42330 CPT 42330 | $4,558.89 | $530.00 | $95.85 – $327.13 | 21 |
| Sickling rbc CPT 85660 | $7.60 | $38.00 | $2.88 – $25.46 | 20 |
| Sigmoidoscopy and biopsy CPT 45331 | $1,278.72 | $846.00 | $42.60 – $846.00 | 21 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $1,278.72 | $2,148.00 | $63.69 – $1,451.59 | 21 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,645.43 | $2,148.00 | $67.52 – $1,439.16 | 21 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $1,278.72 | $2,148.00 | $39.83 – $1,439.16 | 21 |
| Sigmoidoscopy w/ablation CPT 45346 | $1,645.43 | $2,016.00 | $91.38 – $1,451.59 | 21 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,645.43 | $2,148.00 | $61.13 – $1,439.16 | 21 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $8,347.72 | $2,148.00 | $87.12 – $2,148.00 | 21 |
| Sigmoidoscopy w/resection CPT 45349 | $3,816.64 | $2,148.00 | $111.83 – $1,451.59 | 21 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,645.43 | $2,148.00 | $69.44 – $2,148.00 | 21 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $1,278.72 | $2,148.00 | $71.14 – $2,148.00 | 21 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $1,645.43 | $560.00 | $96.70 – $1,827.12 | 20 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $1,278.72 | $975.00 | $55.17 – $946.58 | 21 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $81.12 | $40.00 | $7.88 – $62.72 | 20 |
| Sig w/tndsc balloon dilation CPT 45340 | $1,645.43 | $2,318.00 | $46.22 – $1,451.59 | 21 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.45 – $49.40 | 5 |
| Silicon gel insert w/wo lock HCPCS L6692 | $1,086.79 | not published | $724.53 – $1,567.65 | 16 |
| Sim ang w/prs cath rad emb HCPCS C8004 | $15,873.70 | not published | $6,168.38 – $21,164.93 | 13 |
| Simple cystometrogram 51725 CPT 51725 | $343.55 | $246.00 | $48.56 – $211.41 | 21 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $151.98 | $414.89 | $62.20 – $265.58 | 13 |
| Single energy x-ray study HCPCS G0130 | $143.75 | not published | $23.99 – $239.59 | 19 |
| Single pivot hinge pair HCPCS L6605 | $396.72 | not published | $264.48 – $572.25 | 16 |
| Single transfer toe-hand CPT 26553 | $9,977.57 | $10,860.00 | $1,884.41 – $17,230.59 | 20 |
| Sinus CT scan (with and without contrast) CPT 70488 | $241.18 | $2,121.00 | $37.28 – $1,421.07 | 21 |
| Sinus CT scan (with contrast) CPT 70487 | $241.18 | $1,679.00 | $33.23 – $1,124.93 | 21 |
| Sinus CT scan (without contrast) CPT 70486 | $143.75 | $1,458.00 | $25.35 – $976.86 | 21 |
| Sinus/juglr venogram s&i CPT 75860 | $4,341.66 | $1,392.00 | $34.08 – $932.64 | 21 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $4,558.89 | $1,150.00 | $208.53 – $2,878.46 | 20 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $8,139.99 | $1,850.00 | $351.88 – $5,347.81 | 20 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | $8,139.99 | $1,560.00 | $304.16 – $5,347.81 | 20 |
| Sinus X-ray (complete) CPT 70220 | $119.66 | $312.00 | $6.60 – $175.54 | 21 |
| Sinus X-ray (limited) CPT 70210 | $119.66 | $272.00 | $5.33 – $148.74 | 21 |
| Sio flex pelvisacral custom HCPCS L0622 | $453.30 | not published | $302.20 – $653.87 | 15 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $160.65 | not published | $33.42 – $230.15 | 16 |
| Sipuleucel-t - su HCPCS Q2043 | $75,077.67 | $187,857.50 | $28,453.35 – $138,098.08 | 21 |
| Sirolimus, oral HCPCS J7520 | $1.34 | $1,810.22 | $0.55 – $9.15 | 13 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | $120.21 | $25,813.10 | $45.56 – $17,467.38 | 21 |
| Six volt bat otto bock/eq ea HCPCS L7360 | $449.55 | not published | $299.70 – $648.45 | 16 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $0.02 – $105.13 | 4 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $0.02 – $220.77 | 3 |
| Skin and muscle repair face CPT 15845 | $4,872.75 | $3,220.00 | $617.06 – $4,142.86 | 20 |
| Skin barrier with flange HCPCS A4373 | $12.34 | not published | $4.89 – $17.79 | 16 |
| Skin Biopsy CPT 11102 | $558.97 | $201.00 | $19.17 – $142.60 | 21 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,837.09 | $2,200.00 | $385.96 – $1,765.00 | 21 |
| Skin full graft add-on 15241 CPT 15241 | $131.76 | $370.00 | $57.08 – $342.00 | 21 |
| Skin pedicle flap arms/legs CPT 15572 | $4,872.75 | $2,430.00 | $427.28 – $1,765.00 | 21 |
| Skin pedicle flap trunk CPT 15570 | $2,837.09 | $2,400.00 | $428.98 – $1,765.00 | 21 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $149.22 | $370.00 | $64.11 – $342.00 | 21 |
| Skin test unlisted antigen ea CPT 86486 | $39.77 | not published | $5.80 – $66.29 | 18 |
| Skull base/brainstem surgery CPT 61575 | $3,770.91 | $9,060.00 | $1,538.71 – $15,534.33 | 20 |
| Skull base/brainstem surgery CPT 61576 | $6,428.85 | $14,610.00 | $2,674.85 – $20,995.53 | 20 |
| Skull X-ray (1 to 3 views) CPT 70250 | $143.75 | $301.00 | $5.54 – $168.17 | 21 |
| Skull X-ray (complete) CPT 70260 | $143.75 | $414.00 | $8.31 – $243.88 | 21 |
| Skyla, 13.5 mg HCPCS J7301 | $1,049.00 | $3,035.64 | $579.50 – $2,171.47 | 12 |
| Slco1b1 gene com variants CPT 81328 | $241.24 | $864.00 | $91.43 – $585.79 | 19 |
| Sleep study attended CPT 95807 | $513.11 | $2,497.00 | $37.91 – $1,672.99 | 21 |
| Sleep Study (Polysomnography) CPT 95810 | $1,180.80 | $3,173.00 | $76.25 – $2,125.91 | 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.