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 |
|---|---|---|---|---|
| Optx palatal/max fx comp CPT 21423 | $8,139.99 | $2,520.00 | $460.29 – $4,841.84 | 20 |
| Optx partclr fx&/dslc elbw w CPT 24587 | $17,653.66 | $3,610.00 | $637.30 – $18,771.84 | 20 |
| Optx post ankle fx CPT 27769 | $9,977.57 | $2,410.00 | $430.90 – $5,432.64 | 20 |
| Optx prox humrl fx w/int fix CPT 23615 | $17,653.66 | $2,920.00 | $525.26 – $12,737.83 | 20 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | $24,109.66 | $4,110.00 | $715.25 – $29,780.64 | 20 |
| Optx radial shaft fracture CPT 25515 | $9,977.57 | $2,200.00 | $404.27 – $6,951.49 | 20 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $9,977.57 | $2,060.00 | $379.57 – $6,951.49 | 20 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | $9,977.57 | $1,980.00 | $369.98 – $3,730.73 | 20 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $9,977.57 | $2,590.00 | $469.88 – $6,951.49 | 20 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | $9,977.57 | $3,150.00 | $570.84 – $8,110.05 | 20 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $9,977.57 | $2,970.00 | $539.32 – $11,683.03 | 20 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $9,977.57 | $2,220.00 | $408.75 – $9,406.30 | 20 |
| Optx scapular fx w/int fixj CPT 23585 | $9,977.57 | $3,240.00 | $571.05 – $9,263.12 | 20 |
| Optx sho dislc fx CPT 23670 | $9,977.57 | $2,890.00 | $521.42 – $9,406.30 | 20 |
| Optx sho dislc neck fx fixj CPT 23680 | $17,653.66 | $3,070.00 | $551.67 – $13,061.83 | 20 |
| Optx strclv dslc aq/chrn grf CPT 23532 | $9,977.57 | $2,020.00 | $380.84 – $6,951.49 | 20 |
| Optx strnclav dislc aqt/chrn CPT 23530 | $9,977.57 | $1,870.00 | $350.17 – $6,951.49 | 20 |
| Optx thigh fx CPT 27269 | $9,977.57 | $4,140.00 | $715.04 – $7,629.90 | 20 |
| Optx tmprmand dislocation CPT 21490 | $4,558.89 | $2,920.00 | $454.97 – $5,664.78 | 20 |
| Optx trns-scphprlnr fx dislc CPT 25685 | $9,977.57 | $2,430.00 | $440.91 – $3,730.73 | 20 |
| Optx ulnar shft fx int fixj CPT 25545 | $9,977.57 | $2,040.00 | $379.35 – $6,951.49 | 20 |
| Optx ulnar styloid fracture CPT 25652 | $9,977.57 | $2,040.00 | $376.80 – $6,951.49 | 20 |
| Oral aprepitant HCPCS J8501 | $3.82 | $765.63 | $1.56 – $179.91 | 13 |
| Oral busulfan HCPCS J8510 | $13.97 | not published | $0.02 – $23.28 | 17 |
| Oral everolimus HCPCS J7527 | $1.62 | $133.09 | $0.66 – $5.25 | 13 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | $16.53 | not published | $6.27 – $25.88 | 16 |
| Oral methotrexate (jylamvo) HCPCS J8611 | $25.72 | not published | $9.75 – $42.87 | 18 |
| Oral methotrexate (xatmep) HCPCS J8612 | $30.96 | not published | $11.73 – $51.60 | 18 |
| Oral netupitant, palonosetro HCPCS J8655 | $524.66 | not published | $198.84 – $874.43 | 19 |
| Orbitocranial approach/skull CPT 61584 | $4,306.44 | $10,110.00 | $1,805.60 – $17,639.20 | 20 |
| Orbitocranial approach/skull CPT 61585 | $4,984.23 | $11,600.00 | $2,075.90 – $19,688.74 | 20 |
| Orbitocranial approach/skull CPT 61592 | $4,643.15 | $11,190.00 | $1,934.47 – $19,722.84 | 20 |
| Orchiectomy partial CPT 54522 | $4,846.99 | $1,920.00 | $341.23 – $3,614.48 | 20 |
| Orchiopexy (fowler-stephens) CPT 54650 | $4,923.19 | $2,320.00 | $413.22 – $4,503.83 | 20 |
| Orchiopexy ingun/scrot appr CPT 54640 | $4,923.19 | $1,560.00 | $251.13 – $6,233.44 | 20 |
| Organic acids total quant ea spec CPT 83918 | $32.57 | not published | $19.26 – $55.14 | 16 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $59.42 | not published | $22.52 – $99.04 | 19 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $39.29 | $3,591.90 | $14.89 – $2,431.92 | 21 |
| Oropharyngeal biopsy 42800 CPT 42800 | $2,133.48 | $360.00 | $67.73 – $231.97 | 21 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $8.82 | $51.80 | $3.61 – $27.47 | 13 |
| Ortho dvc repair per 15 min HCPCS L4205 | $41.29 | not published | $25.17 – $59.15 | 16 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $445.70 | not published | $297.13 – $642.91 | 16 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $771.92 | not published | $514.61 – $1,113.45 | 16 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $1,979.13 | not published | $1,319.42 – $2,854.80 | 15 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $1,155.05 | not published | $770.03 – $1,666.11 | 15 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $418.00 | not published | $278.67 – $602.95 | 15 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $495.81 | not published | $330.54 – $715.19 | 15 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $162.99 | not published | $108.66 – $235.10 | 16 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $418.00 | not published | $268.65 – $602.95 | 16 |
| Orthopantogram CPT 70355 | $119.66 | $102.00 | $6.31 – $68.34 | 21 |
| Orthopedic shoe add rub insl HCPCS L3510 | $49.58 | not published | $33.06 – $71.53 | 16 |
| Orthop traing pfrmd phys/qhp CPT 92065 | $37.92 | $110.00 | $17.47 – $110.00 | 21 |
| Orthop traing supvj phys/qhp CPT 92066 | $81.12 | not published | $23.69 – $135.19 | 19 |
| Ortho shoe add full sole HCPCS L3540 | $86.28 | not published | $34.09 – $124.44 | 16 |
| Ortho shoe add half sole HCPCS L3530 | $53.93 | not published | $24.98 – $77.78 | 16 |
| Ortho shoe add leather insol HCPCS L3500 | $49.58 | not published | $24.98 – $71.53 | 16 |
| Ortho shoe add march bar HCPCS L3595 | $71.13 | not published | $47.42 – $102.60 | 16 |
| Ortho sidebar disconnect HCPCS L2768 | $220.95 | not published | $147.30 – $318.71 | 15 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $686.63 | not published | $457.76 – $990.43 | 16 |
| Orthovisc inj per dose HCPCS J7324 | $153.54 | $1,439.00 | $58.19 – $964.13 | 20 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $549.83 | not published | $366.56 – $793.11 | 15 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $1,530.64 | not published | $1,020.43 – $2,207.88 | 15 |
| Oscillation chest wall mechanical per session CPT 94669 | $301.10 | $325.00 | $17.20 – $501.84 | 21 |
| O shoe add felt w leath insl HCPCS L3520 | $53.93 | not published | $35.95 – $99.95 | 16 |
| O shoe add horseshoe toe tap HCPCS L3560 | $38.79 | not published | $8.38 – $55.96 | 16 |
| O shoe add instep extension HCPCS L3570 | $144.54 | not published | $83.30 – $208.50 | 16 |
| O shoe add instep velcro clo HCPCS L3580 | $109.99 | not published | $51.12 – $158.66 | 16 |
| O shoe add standard toe tap HCPCS L3550 | $15.17 | not published | $8.33 – $21.87 | 16 |
| O shoe convert to sof counte HCPCS L3590 | $90.61 | not published | $58.30 – $130.70 | 16 |
| Osmolality blood CPT 83930 | $9.12 | $45.00 | $3.46 – $30.15 | 20 |
| Osmolality urine CPT 83935 | $9.41 | $46.00 | $3.57 – $30.82 | 20 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $4,499.12 | $1,040.00 | $192.77 – $3,197.77 | 20 |
| Ostectomy scapula partial CPT 23190 | $4,499.12 | $1,880.00 | $349.75 – $3,730.73 | 20 |
| Osteoart algrft w/surf & b1 CPT 20932 | $973.99 | $2,370.00 | $413.65 – $4,367.72 | 20 |
| Osteochondral knee allograft CPT 27415 | $17,653.66 | $4,480.00 | $802.58 – $22,447.55 | 20 |
| Osteochondral knee autograft CPT 27416 | $9,977.57 | $3,210.00 | $575.53 – $9,941.87 | 20 |
| Osteochondral talus autogrft CPT 28446 | $9,977.57 | $4,040.00 | $717.81 – $7,605.68 | 20 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $56.88 | $108.00 | $11.25 – $55.08 | 20 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $70.95 | $127.00 | $11.25 – $63.80 | 20 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $83.79 | $129.00 | $11.25 – $72.49 | 20 |
| Osteoplasty humerus CPT 24420 | $9,977.57 | $3,270.00 | $638.79 – $6,951.49 | 20 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | $9,977.57 | $5,580.00 | $994.07 – $9,870.95 | 20 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | $493.65 | $1,260.00 | $203.84 – $2,249.59 | 20 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | $9,977.57 | $5,360.00 | $944.02 – $11,249.46 | 20 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | $9,977.57 | $6,020.00 | $1,131.46 – $9,247.39 | 20 |
| Osteot humerus w/wo int fixj CPT 24400 | $9,977.57 | $2,720.00 | $494.16 – $6,951.49 | 20 |
| Osteot mlt relignmt imed rod CPT 27712 | $17,653.66 | $3,630.00 | $648.37 – $6,782.85 | 20 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | $9,977.57 | $2,140.00 | $398.74 – $7,062.43 | 20 |
| Ostomy clamp, replacement HCPCS A4363 | $4.66 | not published | $2.57 – $6.72 | 15 |
| Ostomy irrigation set HCPCS A4400 | $81.70 | not published | $43.11 – $117.84 | 16 |
| Ost pch drain 2 piece system HCPCS A4426 | $5.37 | not published | $2.00 – $7.74 | 16 |
| Ost pch drain for barrier fl HCPCS A4425 | $7.04 | not published | $2.98 – $10.15 | 16 |
| Ost pch drain w bar & filter HCPCS A4424 | $9.36 | not published | $3.94 – $13.50 | 16 |
| Ost pch for bar w flange/flt HCPCS A4419 | $3.39 | not published | $1.44 – $4.89 | 16 |
| Ost skn barr extnd >4 sq HCPCS A4410 | $17.77 | not published | $7.04 – $25.64 | 16 |
| Ost urine pch w b/bltin conv HCPCS A4430 | $16.75 | not published | $7.09 – $24.16 | 16 |
| Other bone graft microvasc CPT 20962 | $9,977.57 | $8,900.00 | $1,548.51 – $13,199.61 | 20 |
| Other immunoelectrophoresis CPT 86325 | $31.92 | $151.00 | $12.10 – $101.17 | 20 |
| Oth resp proc, group HCPCS G0239 | $51.36 | $181.00 | $9.58 – $122.72 | 21 |
| Oth resp proc, indiv HCPCS G0238 | $39.77 | not published | $9.32 – $92.05 | 20 |
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.