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 |
|---|---|---|---|---|
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | $661.68 | $1,650.00 | $276.26 – $3,183.83 | 20 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $594.49 | $7,942.00 | $248.15 – $5,321.14 | 21 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $659.24 | $11,654.00 | $275.41 – $7,808.18 | 21 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $585.71 | $12,161.00 | $245.38 – $8,147.87 | 21 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | $719.38 | $1,790.00 | $300.12 – $3,444.53 | 20 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $731.44 | $1,800.00 | $304.38 – $3,483.46 | 20 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | $382.36 | $950.00 | $159.75 – $1,838.97 | 20 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | $259.18 | $5,078.00 | $108.42 – $3,402.26 | 21 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $396.39 | $10,224.00 | $164.86 – $6,850.08 | 21 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $328.65 | $10,731.00 | $137.60 – $7,189.77 | 21 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | $689.75 | $1,690.00 | $287.98 – $3,218.12 | 20 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | $654.63 | $1,630.00 | $273.28 – $3,147.20 | 20 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | $330.04 | $820.00 | $137.81 – $1,573.60 | 20 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | $259.18 | $5,078.00 | $108.42 – $3,402.26 | 21 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $330.04 | $10,224.00 | $137.81 – $6,850.08 | 21 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $259.18 | $10,731.00 | $108.42 – $7,189.77 | 21 |
| Ecog impltd brn npgt <30 d CPT 95836 | $126.30 | $437.00 | $19.94 – $292.79 | 20 |
| E coli 0157 ag ia CPT 87335 | $17.47 | not published | $6.62 – $21.28 | 17 |
| Ecp ciliary body destruction CPT 66711 | $3,173.34 | $2,010.00 | $284.57 – $1,857.00 | 21 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $62.14 | $19,573.97 | $23.55 – $13,267.76 | 20 |
| Eculizumab injection HCPCS J1300 | not published | not published | $232.62 – $642.42 | 4 |
| Edetate calcium disodium inj HCPCS J0600 | $8,569.35 | not published | $193.33 – $14,282.26 | 20 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.54 – $2.29 | 6 |
| Ed svc ckd grp per session HCPCS G0421 | $38.28 | $71.00 | $14.51 – $59.92 | 20 |
| Ed svc ckd ind per session HCPCS G0420 | $158.98 | $190.00 | $60.25 – $248.83 | 20 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $43.95 | $80.00 | $5.92 – $31.00 | 14 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $296.91 | $182.00 | $37.28 – $947.30 | 20 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $513.11 | $146.00 | $24.50 – $1,077.33 | 20 |
| Eeg during surgery CPT 95955 | $192.92 | $171.00 | $33.87 – $419.58 | 20 |
| Eeg monitoring/function test CPT 95958 | $1,180.80 | $725.00 | $143.56 – $1,589.64 | 20 |
| Eeg monitoring/giving drugs CPT 95954 | $513.11 | $365.00 | $67.73 – $889.99 | 20 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $296.91 | $1,522.00 | $36.00 – $1,077.07 | 21 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $296.91 | $274.00 | $56.23 – $1,165.73 | 20 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | $252.50 | $657.00 | $112.68 – $256.16 | 20 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | $305.33 | $800.00 | $136.53 – $309.75 | 20 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | $306.08 | $816.00 | $137.17 – $310.52 | 20 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | $387.03 | $1,020.00 | $173.38 – $392.64 | 20 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | $351.71 | $928.00 | $157.41 – $356.80 | 20 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | $492.54 | $1,289.00 | $220.46 – $499.67 | 20 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $244.66 | $655.00 | $109.48 – $248.21 | 20 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | $127.22 | $321.00 | $56.87 – $129.07 | 20 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $159.14 | $423.00 | $71.14 – $161.45 | 20 |
| Eeg phys/qhp ea incr without vid CPT 95719 | $190.73 | $500.00 | $85.41 – $193.49 | 20 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $296.91 | $1,522.00 | $36.21 – $1,173.31 | 21 |
| Eeg recording awake and asleep CPT 95819 | $296.91 | $1,707.00 | $36.21 – $1,283.62 | 21 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $296.91 | $2,781.00 | $112.52 – $1,885.52 | 20 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $296.91 | $890.00 | $112.52 – $632.27 | 21 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $513.11 | $6,602.00 | $194.46 – $4,476.16 | 20 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $513.11 | $3,794.00 | $194.46 – $2,655.80 | 21 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $296.91 | $1,975.00 | $112.52 – $1,339.05 | 21 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $513.11 | $1,796.00 | $194.46 – $1,248.76 | 21 |
| E equine encephalitis igg CPT 86652 | $18.20 | not published | $6.90 – $24.34 | 17 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $44.47 | $18,947.60 | $16.85 – $12,843.08 | 21 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $2,638.57 | $2,407.00 | $130.14 – $1,861.60 | 21 |
| Egd control bleeding any CPT 43255 | $2,638.57 | $2,148.00 | $112.89 – $2,148.00 | 21 |
| Egd dilate stricture CPT 43245 | $2,638.57 | $2,148.00 | $100.11 – $2,148.00 | 21 |
| Egd endo mucosal resection CPT 43254 | $2,638.57 | $2,016.00 | $151.02 – $2,016.00 | 21 |
| Egd endoscopic stent place CPT 43266 | $8,347.72 | $4,879.00 | $122.69 – $4,879.00 | 21 |
| Egd esophagogastrc fndoplsty CPT 43210 | $14,616.42 | $6,111.00 | $241.97 – $4,094.37 | 20 |
| Egd flx trnsorl dplmnt balo CPT 43290 | $2,638.57 | not published | $168.71 – $4,397.62 | 18 |
| Egd flx trnsorl rmvl balo CPT 43291 | $1,247.13 | not published | $150.46 – $2,078.56 | 18 |
| Egd guide wire insertion CPT 43248 | $1,247.13 | $2,148.00 | $94.36 – $1,439.16 | 21 |
| Egd injection varices CPT 43243 | $2,638.57 | $2,016.00 | $133.34 – $1,595.65 | 21 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $2,638.57 | $2,148.00 | $80.94 – $1,595.65 | 21 |
| Egd lesion ablation CPT 43270 | $2,638.57 | $2,148.00 | $126.10 – $2,148.00 | 21 |
| Egd optical endomicroscopy CPT 43252 | $2,638.57 | $560.00 | $95.64 – $219.14 | 19 |
| Egd remove foreign body CPT 43247 | $1,247.13 | $2,148.00 | $100.32 – $2,148.00 | 21 |
| Egd remove lesion snare CPT 43251 | $2,638.57 | $2,148.00 | $110.33 – $2,148.00 | 21 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $2,638.57 | $2,016.00 | $97.34 – $1,595.65 | 21 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $2,638.57 | $2,148.00 | $126.74 – $2,148.00 | 21 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $2,638.57 | $2,148.00 | $130.36 – $2,148.00 | 21 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $2,638.57 | $2,927.00 | $146.54 – $2,927.00 | 21 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $2,638.57 | $2,218.00 | $146.76 – $1,861.60 | 21 |
| Egd varices ligation CPT 43244 | $2,638.57 | $2,148.00 | $137.39 – $2,148.00 | 21 |
| Egd w/thrml txmnt gerd CPT 43257 | $5,301.42 | $780.00 | $130.36 – $297.96 | 19 |
| Egd w/transmural drain cyst CPT 43240 | $8,347.72 | $3,187.00 | $218.11 – $2,419.85 | 21 |
| Egfr gene com variants CPT 81235 | $447.92 | $1,629.00 | $169.76 – $1,104.46 | 20 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $48.42 | not published | $18.35 – $57.20 | 16 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | $27.01 | not published | $10.24 – $42.27 | 16 |
| EKG (Electrocardiogram) CPT 93000 | $21.40 | not published | $13.14 – $60.83 | 7 |
| EKG for initial prevent exam g0403 HCPCS G0403 | $21.40 | $28.00 | $11.17 – $25.95 | 17 |
| EKG interpret & report preve g0405 HCPCS G0405 | $11.73 | $14.00 | $6.24 – $11.16 | 16 |
| EKG tracing for initial prev HCPCS G0404 | $39.77 | $40.00 | $5.41 – $53.03 | 18 |
| EKG (Tracing Only) CPT 93005 | $81.12 | $110.00 | $4.77 – $135.19 | 21 |
| Elb disart prosth tiss shap HCPCS L6450 | $6,043.24 | not published | $4,028.83 – $8,717.10 | 16 |
| Elb mold sock flex hinge pad HCPCS L6100 | $4,274.49 | not published | $2,849.66 – $6,165.78 | 16 |
| Elbow arthroscopy CPT 29830 | $4,499.12 | $1,490.00 | $280.10 – $4,009.35 | 20 |
| Elbow arthroscopy/surgery CPT 29834 | $4,499.12 | $1,580.00 | $298.84 – $4,009.35 | 20 |
| Elbow arthroscopy/surgery CPT 29835 | $4,499.12 | $1,650.00 | $310.55 – $4,671.38 | 20 |
| Elbow arthroscopy/surgery CPT 29836 | $9,977.57 | $1,860.00 | $349.53 – $7,470.65 | 20 |
| Elbow arthroscopy/surgery CPT 29837 | $4,499.12 | $1,720.00 | $323.12 – $4,009.35 | 20 |
| Elbow arthroscopy/surgery CPT 29838 | $4,499.12 | $1,930.00 | $356.14 – $4,009.35 | 20 |
| Elbow inter loc elbow forarm HCPCS L6250 | $5,468.57 | not published | $3,645.71 – $7,888.16 | 16 |
| Elbow mold doub splt soc ste HCPCS L6120 | $5,114.56 | not published | $3,409.70 – $7,377.52 | 16 |
| Elbow mold outsid lock hinge HCPCS L6200 | $5,558.47 | not published | $3,705.65 – $8,017.85 | 16 |
| Elbow mold sock suspension t HCPCS L6110 | $4,522.14 | not published | $3,014.76 – $6,522.98 | 16 |
| Elbow socket ins use without lck HCPCS L6695 | $1,112.96 | not published | $741.97 – $1,605.40 | 15 |
| Elbow socket ins use w/lock HCPCS L6694 | $1,335.59 | not published | $890.39 – $1,926.52 | 15 |
| Elbow stump activated lock h HCPCS L6130 | $5,395.97 | not published | $3,597.31 – $7,783.44 | 16 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $119.66 | $254.00 | $5.11 – $136.68 | 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.