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 |
|---|---|---|---|---|
| Ghs o2 uptake rest & indirect CPT 94690 | $81.12 | $1,459.00 | $2.34 – $977.53 | 21 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $64.39 | not published | $10.87 – $138.32 | 19 |
| Ghs opcc repair cvp without subq port CPT 36575 | $862.57 | $120.00 | $18.96 – $969.91 | 20 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,164.52 | $2,404.00 | $108.84 – $1,610.68 | 20 |
| Ghs optokenetic CPT 92544 | $176.93 | not published | $3.45 – $294.88 | 20 |
| Ghs oscillating trac CPT 92545 | $296.91 | not published | $3.45 – $494.85 | 20 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $29.68 | $113.00 | $11.25 – $32.63 | 20 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $42.03 | $88.00 | $11.25 – $44.22 | 20 |
| Ghs ot dds rom CPT 95851 | $9.48 | not published | $3.59 – $59.52 | 18 |
| Ghs ot group caregiver training CPT 97552 | $13.15 | $124.00 | $6.47 – $163.00 | 18 |
| Ghs ot prosthetic training/15 min CPT 97761 | $54.97 | $118.00 | $20.83 – $163.00 | 21 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $82.05 | not published | $40.43 – $128.43 | 17 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | $228.00 | $43.53 – $163.00 | 12 |
| Ghs pacing - transcutaneous CPT 92953 | $908.83 | $494.00 | $0.64 – $330.98 | 21 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $72.86 | $324.00 | $32.59 – $324.00 | 21 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $64.29 | $324.00 | $28.76 – $324.00 | 21 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $32.76 | $131.00 | $11.78 – $45.97 | 20 |
| Ghs peritonsillar abscess i andd CPT 42700 | $325.68 | $440.00 | $81.79 – $280.00 | 21 |
| Ghs phenylketonurid CPT 84030 | $7.59 | $107.00 | $2.88 – $71.69 | 20 |
| Ghs picc line insert < 5 CPT 36568 | $2,164.52 | $1,865.00 | $53.46 – $1,249.55 | 21 |
| Ghs plngl fx pm cl CPT 26725 | $458.19 | $970.00 | $131.80 – $452.24 | 21 |
| Ghs plt ct-manual CPT 85032 | $5.95 | not published | $2.25 – $9.13 | 17 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $1,180.80 | $3,497.00 | $77.11 – $2,761.87 | 21 |
| Ghs pos nystagmus CPT 92542 | $182.95 | not published | $3.74 – $304.91 | 20 |
| Ghs ppd (tb intradermal) CPT 86580 | $39.77 | $86.00 | $6.91 – $57.62 | 21 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $13.33 | $7.16 | $2.86 – $15.75 | 20 |
| Ghs protein, misc fluid CPT 84160 | $7.74 | not published | $2.93 – $9.14 | 17 |
| Ghs protoporphyrins fract CPT 84202 | $19.80 | not published | $7.51 – $29.75 | 17 |
| Ghs pr without cont pulse ox CPT 94625 | $81.12 | $242.00 | $11.84 – $164.08 | 20 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $16.91 | not published | $6.41 – $19.97 | 17 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | $455.00 | $86.86 – $323.05 | 12 |
| Ghs quinidine CPT 80194 | $20.15 | $11.57 | $4.63 – $23.80 | 20 |
| Ghs refill of implantable pump CPT 95990 | $454.19 | $282.00 | $60.13 – $296.02 | 20 |
| Ghs removal intranasal foreign body CPT 30300 | $182.95 | $350.00 | $71.09 – $163.25 | 21 |
| Ghs removal pharyngeal foreign body CPT 42809 | $614.27 | $423.00 | $74.55 – $414.76 | 21 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,211.05 | $4,794.00 | $381.70 – $3,211.98 | 21 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $4,499.12 | $4,114.00 | $300.33 – $4,114.00 | 21 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $21.93 | not published | $8.31 – $25.90 | 17 |
| Ghs reticulocyte count CPT 85044 | $5.95 | $15.00 | $2.25 – $10.05 | 20 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $19.20 | $80.00 | $7.27 – $53.60 | 20 |
| Ghs sedimentation rate CPT 85651 | $5.89 | $23.00 | $2.23 – $15.41 | 20 |
| Ghs semen analysis fert CPT 89320 | $16.99 | not published | $6.44 – $41.19 | 17 |
| Ghs semen analysis, post-vas CPT 89300 | $13.58 | not published | $5.15 – $16.04 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | $10.32 | $48.00 | $3.91 – $32.16 | 20 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $558.97 | $336.00 | $57.30 – $336.00 | 21 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $558.97 | $420.00 | $77.96 – $247.23 | 21 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $558.97 | $388.00 | $69.65 – $388.00 | 21 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $558.97 | $500.00 | $98.41 – $414.87 | 21 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $275.88 | $269.00 | $46.01 – $269.00 | 21 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $275.88 | $250.00 | $46.01 – $250.00 | 21 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $275.88 | $310.00 | $57.51 – $302.00 | 21 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $275.88 | $606.00 | $85.41 – $406.02 | 21 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $275.88 | $570.00 | $107.20 – $315.57 | 21 |
| Ghs sleep study unattended CPT 95800 | $296.91 | $1,052.00 | $24.71 – $678.04 | 21 |
| Ghs somatosensory testing lower extremit CPT 95926 | $296.91 | $846.00 | $16.61 – $566.82 | 21 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,180.80 | $2,148.00 | $28.76 – $1,439.16 | 21 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $64.74 | $177.00 | $31.89 – $163.00 | 21 |
| Ghs sphenopalatine ganglion block CPT 64505 | $422.07 | $439.00 | $62.20 – $294.13 | 21 |
| Ghs spont nystagmus CPT 92541 | $182.95 | not published | $4.03 – $304.91 | 20 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $139.31 | not published | $68.64 – $337.39 | 18 |
| Ghs st - eval for alt comm CPT 92567 | $51.36 | not published | $9.71 – $85.61 | 20 |
| Ghs strapping shoulder - 29240 CPT 29240 | $182.95 | $163.00 | $9.80 – $109.21 | 21 |
| Ghs st - re-eval for alt comm CPT 92597 | $97.39 | $491.00 | $47.98 – $328.97 | 21 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $64.39 | $124.00 | $10.86 – $83.08 | 21 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $292.48 | $703.00 | $92.44 – $471.01 | 21 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,016.25 | $896.00 | $113.96 – $896.00 | 21 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $558.97 | $941.00 | $85.84 – $630.47 | 21 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,133.48 | $1,080.00 | $177.64 – $1,472.41 | 20 |
| Ghs trypsin (fecal) CPT 84488 | $10.07 | not published | $3.82 – $11.90 | 17 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $426.23 | $870.00 | $131.80 – $432.40 | 21 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $390.35 | $780.00 | $125.82 – $396.00 | 21 |
| Ghs urine, hydroxproline total CPT 83505 | $33.53 | not published | $12.71 – $60.14 | 17 |
| Ghs urine, porphyrins quant CPT 84120 | $20.30 | not published | $7.69 – $23.98 | 17 |
| Ghs vaginal delivery only CPT 59409 | $4,451.18 | $3,250.00 | $239.20 – $1,134.20 | 21 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $513.11 | $4,092.00 | $194.46 – $2,864.40 | 21 |
| Ghs windowing of cast CPT 29730 | $223.45 | $165.00 | $24.71 – $110.55 | 21 |
| Giardia ag if CPT 87269 | $18.78 | not published | $7.12 – $22.18 | 16 |
| Giardia lamblia antibody CPT 86674 | $20.31 | not published | $7.70 – $27.29 | 17 |
| Gi endoscopic ultrasound CPT 76975 | $328.08 | $153.00 | $27.26 – $370.92 | 20 |
| Gi inhouse confirmation CPT 87045 | $13.03 | $64.00 | $4.94 – $42.88 | 20 |
| Gingivoplasty each quadrant CPT 41872 | $4,558.89 | $860.00 | $190.64 – $595.94 | 20 |
| Gi protein loss CPT 78282 | $549.70 | not published | $69.77 – $916.16 | 20 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,247.13 | $1,250.00 | $75.19 – $1,902.16 | 20 |
| Gi trc img intral colon i&r CPT 91113 | $1,278.72 | $363.00 | $81.15 – $178.47 | 19 |
| Gi trc img intral esophagus CPT 91111 | $1,247.13 | $192.00 | $30.46 – $67.31 | 19 |
| Gi wireless capsule measure CPT 91112 | $1,247.13 | $1,375.00 | $70.72 – $921.25 | 20 |
| Gjb2 gene full sequence CPT 81252 | $139.55 | not published | $52.89 – $218.42 | 16 |
| Gjb2 gene known fam variants CPT 81253 | $84.90 | not published | $32.17 – $132.88 | 15 |
| Gjb6 gene com variants CPT 81254 | $48.30 | not published | $18.31 – $75.60 | 16 |
| Glassia injection HCPCS J0257 | $7.86 | not published | $2.98 – $13.09 | 19 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | $87.22 | $198.00 | $15.07 – $153.56 | 20 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | $54.43 | $151.00 | $19.47 – $114.64 | 20 |
| Glaucoma surgery CPT 66150 | $5,683.61 | $2,740.00 | $485.43 – $4,588.71 | 20 |
| Glaucoma surgery CPT 66155 | $5,683.61 | $2,730.00 | $485.21 – $4,588.71 | 20 |
| Glaucoma surgery CPT 66160 | $3,173.34 | $3,090.00 | $541.02 – $3,419.95 | 20 |
| Glaucoma surgery CPT 66170 | $3,173.34 | $3,420.00 | $598.32 – $3,419.95 | 20 |
| Glove finger flexion right lg xl HCPCS L3912 | $162.62 | not published | $108.41 – $234.57 | 16 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $227.51 | not published | $86.22 – $379.18 | 20 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $197.69 | $763.04 | $74.92 – $329.48 | 21 |
| Glucagon plasma - sendout CPT 82943 | $19.72 | not published | $7.47 – $30.63 | 17 |
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.