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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $48.42 | $237.00 | $4.85 – $57.20 | 20 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $70.81 | $200.00 | $26.84 – $110.83 | 20 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $196.83 | $278.00 | $74.60 – $308.08 | 20 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $196.83 | $610.00 | $74.60 – $413.58 | 20 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $48.42 | $105.00 | $18.35 – $70.35 | 20 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $48.42 | $149.00 | $12.00 – $57.20 | 20 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $96.85 | not published | $36.70 – $114.39 | 15 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $105.94 | $310.00 | $40.15 – $210.18 | 20 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $938.08 | not published | $355.52 – $1,108.03 | 14 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $575.16 | $400.00 | $160.00 – $679.35 | 19 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $177.04 | $864.00 | $67.10 – $585.79 | 20 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $362.93 | not published | $137.54 – $428.67 | 16 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $59.12 | $291.73 | $22.41 – $69.83 | 20 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $59.12 | not published | $22.41 – $69.83 | 17 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $59.12 | $288.00 | $22.41 – $69.83 | 20 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $117.44 | $572.00 | $28.50 – $142.71 | 20 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $196.83 | $864.00 | $74.60 – $585.79 | 20 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $44.74 | $3,553.46 | $16.96 – $2,347.32 | 21 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $32.86 | $1,550.00 | $12.45 – $1,017.00 | 21 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $33.42 | $2,888.84 | $12.67 – $1,924.73 | 21 |
| Influenza dna amp prob addl CPT 87503 | $40.32 | not published | $15.28 – $47.63 | 16 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $135.46 | not published | $55.44 – $273.13 | 12 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | $81.32 | $16.26 – $55.77 | 17 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | $98.35 | $661.00 | $43.45 – $448.16 | 20 |
| Infratemporal approach/skull CPT 61591 | $4,149.01 | $10,390.00 | $1,772.37 – $18,969.38 | 20 |
| Infratemporal approach/skull CPT 61590 | $3,928.68 | $10,210.00 | $1,699.95 – $18,720.34 | 20 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $108.15 | $661.00 | $47.71 – $448.16 | 20 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $102.80 | $661.00 | $45.37 – $448.16 | 20 |
| Infuse radioactive materials CPT 77750 | $530.35 | $955.00 | $118.82 – $343.33 | 20 |
| Ingest challenge ea addl 60 min CPT 95079 | $80.40 | $216.00 | $36.64 – $158.15 | 21 |
| Ingest challenge ini 120 min CPT 95076 | $513.11 | $423.00 | $39.83 – $283.41 | 21 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $473.00 | $930.00 | $18.04 – $623.10 | 21 |
| Init ak ischal plstr direct HCPCS L5505 | $3,525.04 | not published | $2,350.03 – $5,084.71 | 16 |
| Init bk ptb plaster direct HCPCS L5500 | $2,505.85 | not published | $1,670.56 – $3,614.58 | 16 |
| Initial care training 30 m HCPCS G0539 | $54.88 | not published | $18.76 – $85.90 | 16 |
| Initial custom socket insert HCPCS L5683 | $2,235.24 | not published | $1,490.16 – $3,224.23 | 16 |
| Initial foot exam pt lops HCPCS G0245 | $183.07 | $161.00 | $21.60 – $429.82 | 20 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $418.79 | $1,095.00 | $257.95 – $424.86 | 19 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $169.70 | $407.00 | $76.47 – $172.16 | 19 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $230.79 | $521.00 | $104.16 – $234.14 | 19 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $100.15 | $283.00 | $45.37 – $101.60 | 19 |
| Initial observation care CPT 99218 | not published | not published | $134.91 – $144.21 | 2 |
| Initial observation care CPT 99219 | not published | not published | $198.55 – $205.56 | 2 |
| Initial observation care CPT 99220 | not published | not published | $272.81 – $285.30 | 2 |
| Init nb em per day non-fac CPT 99461 | $75.09 | $283.00 | $33.87 – $76.17 | 19 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $182.00 | $310.00 | $46.00 – $209.55 | 17 |
| Init/sub psych care m 1st 30 HCPCS G2214 | $139.68 | $105.00 | $16.80 – $186.24 | 20 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $8.31 | not published | $3.15 – $13.85 | 19 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $10.04 | $6,539.99 | $3.80 – $4,434.11 | 21 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | $0.13 | not published | $0.04 – $0.26 | 16 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $0.07 | $29.30 | $0.03 – $15.90 | 13 |
| Inj acetaminophen -fresenius HCPCS J0134 | $0.08 | $33.80 | $0.03 – $22.92 | 13 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $0.07 | $41.00 | $0.03 – $22.17 | 13 |
| Inj. acthar gel to 40 units HCPCS J0801 | $5,758.09 | not published | $2,182.23 – $9,053.04 | 16 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | $10,433.93 | $269.25 – $7,074.20 | 10 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $13.23 – $43.46 | 4 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | $88,699.21 | $45,685.00 | $16,945.43 – $147,832.02 | 21 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $5.50 – $17.14 | 4 |
| Inj, adzynma, 10 iu HCPCS J7171 | $48.96 | not published | $18.55 – $81.60 | 19 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | $1,195.36 | not published | $453.02 – $1,879.37 | 16 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | $423.64 | not published | $160.55 – $706.07 | 19 |
| Inj, afstyla, 1 i.u HCPCS J7210 | $2.18 | not published | $0.82 – $3.63 | 19 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $2.66 – $5.70 | 5 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $6.08 | not published | $2.30 – $10.13 | 19 |
| Inj, alyglo, 500 mg HCPCS J1552 | $170.90 | not published | $64.77 – $284.83 | 19 |
| Inj alymsys 10 mg HCPCS Q5126 | $45.56 | not published | $17.27 – $75.93 | 19 |
| Inj, amisulpride, 1 mg HCPCS J0184 | $13.22 | not published | $5.01 – $22.03 | 18 |
| Inj andexxa, 10 mg HCPCS J7169 | $181.29 | not published | $68.71 – $302.16 | 18 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $25.31 | $16,326.92 | $9.59 – $11,066.26 | 21 |
| Inj. (ani), up to 40 units HCPCS J0802 | $4,901.40 | not published | $1,857.56 – $7,706.13 | 16 |
| Inj, aponvie, 1 mg HCPCS C9145 | $2.70 | not published | $1.02 – $4.50 | 18 |
| Inj., aristada initio, 1 mg HCPCS J1943 | $4.48 | not published | $1.70 – $7.46 | 19 |
| Inj, artesunate, 1mg HCPCS J0391 | $71.52 | $16,140.50 | $27.11 – $10,939.87 | 20 |
| Inj. asceniv HCPCS J1554 | $676.83 | not published | $256.51 – $1,128.05 | 19 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $77.52 | not published | $29.38 – $129.20 | 19 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | $44.30 | $34,818.08 | $16.79 – $23,572.76 | 20 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | $142.03 | $6,305.00 | $53.83 – $4,271.40 | 21 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $112.19 | $6,084.38 | $42.52 – $4,121.82 | 21 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $45.02 – $117.89 | 3 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $226.27 | $17,546.15 | $85.75 – $11,896.29 | 21 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $40.83 – $111.19 | 4 |
| Inj, betibeglogene autotemce HCPCS J3393 | $4,057,157.07 | not published | $1,537,603.73 – $6,761,928.44 | 18 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $54.96 | not published | $20.83 – $91.60 | 19 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | $295.17 | not published | $111.86 – $491.95 | 19 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | $0.22 | not published | $0.09 – $0.47 | 9 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | $35.37 | not published | $13.41 – $55.60 | 16 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | $4.77 | $800.00 | $1.81 – $508.50 | 20 |
| Inj, bortezomib freseniuskab HCPCS J9048 | $9.62 | not published | $3.65 – $16.03 | 18 |
| Inj, bortezomib, hospira HCPCS J9049 | $2.01 | not published | $0.82 – $4.15 | 9 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $75.99 – $199.00 | 3 |
| Inj, brixadi, 7 days or less HCPCS J0577 | $579.67 | $1,286.00 | $219.69 – $966.12 | 21 |
| Inj brixadi, more than 7 day HCPCS J0578 | $2,318.69 | not published | $878.75 – $3,864.49 | 19 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | $486.88 | not published | $184.52 – $811.47 | 19 |
| Inj bulking agent anal canal HCPCS L8605 | $1,217.08 | not published | $811.38 – $1,190.62 | 14 |
| Inj, bupivacaine liposome HCPCS J0666 | $1.98 | $1,260.86 | $0.75 – $515.31 | 21 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.49 – $1.28 | 5 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | $83.10 | not published | $31.49 – $429.78 | 19 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | not published | $34.85 | $0.89 – $23.35 | 12 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $212.95 – $654.44 | 5 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $1.76 | $66.60 | $0.72 – $18.92 | 13 |
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.