Supplies, drugs & other prices at Henry Ford St. John Hospital
Detroit, MI · every code in this section with a posted price and a Medicare benchmark.
57 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $33.60 | $60 | 0.9× |
| 2d tte w or w/o fol w/con,co (C8923) | $950.32 | $1,697 | 1.2× |
| 2d tte w or w/o fol w/con,fu (C8924) | $868.56 | $1,551 | 2.5× |
| Admin hepatitis b vaccine (G0010) | $26.32 | $47 | 0.6× |
| Admin influenza virus vac (G0008) | $24.08 | $43 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $24.08 | $43 | 0.5× |
| Covid-19 lab test non-cdc (U0002) | $39.20 | $70 | 0.8× |
| Drug test def 1-7 classes (G0480) range across 173 matching MRF lines |
$8.33–$196 | $9.35–$350 | varies |
| Drug test def 22+ classes (G0483) | $290.64 | $519 | 1.2× |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
$27.78–$187.60 | $49.60–$335 | varies |
| Elec stim other than wound (G0283) | $52.08 | $93 | 4.1× |
| Extrnl counterpulse, per tx (G0166) | $177.52 | $317 | 1.3× |
| Fecal blood scrn immunoassay (G0328) range across 2 matching MRF lines |
$17.92–$27.44 | $32–$49 | varies |
| Hbot, full body chamber, 30m (G0277) | $523.04 | $934 | 3.8× |
| Hospital outpt clinic visit (G0463) range across 38 matching MRF lines |
$50.96–$220.64 | $91–$394 | varies |
| Inj for sacroiliac jt anesth (G0260) | $1,044.40 | $1,865 | 1.5× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $39,688.32 | $70,872 | 1.3× |
| Mra w/cont, abd (C8900) | $1,148 | $2,050 | 3.3× |
| Mra w/cont, chest (C8909) | $1,148 | $2,050 | 3.3× |
| Mra w/cont, lwr ext (C8912) range across 2 matching MRF lines |
$1,202.32–$1,717.52 | $2,147–$3,067 | varies |
| Mra w/cont, pelvis (C8918) | $866.88 | $1,548 | 2.5× |
| Mra w/o cont, abd (C8901) | $983.92 | $1,757 | 4.1× |
| Mra w/o cont, chest (C8910) | $983.92 | $1,757 | 4.1× |
| Mra w/o cont, lwr ext (C8913) range across 2 matching MRF lines |
$983.92–$1,406.72 | $1,757–$2,512 | varies |
| Mra w/o cont, pelvis (C8919) | $838.88 | $1,498 | 3.5× |
| Mra w/o fol w/cont, abd (C8902) | $1,312.08 | $2,343 | 3.8× |
| Mra w/o fol w/cont, chest (C8911) | $1,312.08 | $2,343 | 3.8× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 3 matching MRF lines |
$1,421.28–$2,186.24 | $2,538–$3,904 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,009.68 | $1,803 | 2.9× |
| Mra, w/o&w/dye, spinal canal (C8933) | $880.32 | $1,572 | 2.5× |
| Mra, w/o&w/dye, upper extr (C8936) range across 2 matching MRF lines |
$880.32–$1,093.68 | $1,572–$1,953 | varies |
| Mri w/o fol w/cont, breast, (C8908) | $1,312.08 | $2,343 | 3.8× |
| Mri w/o fol w/cont, brst, un (C8905) | $874.72 | $1,562 | 2.5× |
| Perc d-e cor revasc chro sin (C9607) | $13,832 | $24,700 | 0.8× |
| Perc d-e cor revasc t cabg s (C9604) | $12,410.72 | $22,162 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $13,782.16 | $24,611 | 0.8× |
| Perc drug-el cor stent sing (C9600) | $9,253.44 | $16,524 | 0.8× |
| Place endorectal app (C9725) | $1,260.56 | $2,251 | 1.4× |
| Prolonged iv inf, req pump (C8957) range across 4 matching MRF lines |
$243.60–$268.24 | $435–$479 | varies |
| Prostate biopsy, any mthd (G0416) | $410.48 | $733 | 1.1× |
| Psa screening (G0103) | $47.60 | $85 | 2.5× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $715.68 | $1,278 | 1.1× |
| Tomosynthesis, mammo (G0279) | $20.72 | $37 | 1.6× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $5,891.76 | $10,521 | 1.0× |
| Transcatheter renal sympath denervation unilat (0338T) | $2,946.16 | $5,261 | 0.5× |
| Trauma respons w/hosp criti (G0390) range across 6 matching MRF lines |
$644–$6,440 | $1,150–$11,500 | varies |
| Trim nail(s) (G0127) | $77.84 | $139 | 1.3× |
| Trluml perip athrc abd aorta (0236T) | $15,938.16 | $28,461 | 1.4× |
| Trluml Perip Athrc Brchiocph (0237T) | $17,477.60 | $31,210 | 1.5× |
| Trluml Perip Athrc Iliac Art (0238T) | $17,477.60 | $31,210 | 1.0× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $17,477.60 | $31,210 | 1.5× |
| Tte w or w/o contr, cont ecg (C8930) | $785.68 | $1,403 | 1.0× |
| Tte w or w/o fol w/con,stres (C8928) | $546 | $975 | 0.7× |
| Tte w or w/o fol w/cont, com (C8921) | $868.56 | $1,551 | 1.1× |
| Tte w or w/o fol w/cont, f/u (C8922) | $868.56 | $1,551 | 1.1× |
| Tte w or wo fol wcon,doppler (C8929) | $2,445.52 | $4,367 | 3.1× |
| Unsched dialysis esrd pt hos (G0257) | $426.72 | $762 | 0.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.