Visits & medical services prices at Henry Ford St. John Hospital
Detroit, MI · every code in this section with a posted price and a Medicare benchmark.
232 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $7,078.96 | $12,641 | 0.9× |
| Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) | $125.44 | $224 | 1.0× |
| Acoustic Reflex Testing (92568) | $47.60 | $85 | 1.3× |
| Airway Inhalation Treatment (94640) | $95.76 | $171 | 0.4× |
| Analyze neurostim complex (95972) | $162.40 | $290 | 1.7× |
| Analyze Neurostim Simple (95971) | $194.32 | $347 | 2.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $52.64 | $94 | 3.7× |
| Application Modality 1/> Areas Infrared (97026) | $52.08 | $93 | 7.8× |
| Assessment of aphasia per hr (96105) | $136.64 | $244 | 1.4× |
| Audiometry Air & Bone (92553) | $82.32 | $147 | 0.6× |
| Behavral qualit analys voice (92524) | $136.08 | $243 | 1.2× |
| Breath hydrogen/methane test (91065) | $180.88 | $323 | 0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $85.12 | $152 | 0.2× |
| C motor evoked uppr limbs (95928) | $837.76 | $1,496 | 1.0× |
| Canalith repositioning proc (95992) | $67.20 | $120 | 1.6× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,020.88 | $1,823 | 4.7× |
| Cardiopulmonary resuscitation (92950) | $895.44 | $1,599 | 4.2× |
| Cardioversion (92960) | $763.84 | $1,364 | 1.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $15,047.76 | $26,871 | 4.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $12,672.80 | $22,630 | 3.9× |
| Cbt 1st hour (94644) | $104.16 | $186 | 0.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $144.48 | $258 | 2.0× |
| Chemo Hormon Antineopl Sq/Im (96402) | $144.48 | $258 | 2.0× |
| Chemo Ia Push (96420) | $185.92 | $332 | 0.6× |
| Chemo IV infusion addl hr (96415) | $84 | $150 | 1.2× |
| Chemo IV push addl drug (96411) | $121.52 | $217 | 1.7× |
| Chemother Prolong Infuse W/Pump (96416) | $266.56 | $476 | 0.8× |
| Chemotherapy Into Cns (96450) | $593.60 | $1,060 | 1.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $127.12 | $227 | 1.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $248.08 | $443 | 0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $168 | $300 | 0.5× |
| Chest Wall Manipulation (94668) | $136.64 | $244 | 1.0× |
| Color/duplex Doppler, complete (93975) | $173.04 | $309 | 0.7× |
| Color/duplex Doppler, limited (93976) | $170.24 | $304 | 1.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $52.64 | $94 | 1.6× |
| Complex chronic care mgmt svc 1st 60 min cal mo (99487) | $103.04 | $184 | 0.6× |
| Comprehensive Hearing Test (92557) | $148.96 | $266 | 1.2× |
| Conditioning Play Audiometry (92582) | $88.48 | $158 | 0.7× |
| Continuous Pulse Ox (94762) | $154 | $275 | 1.2× |
| Coronary Art/Grft Angio S&I (93455) | $9,171.68 | $16,378 | 2.8× |
| Coronary Artery Angio S&I (93454) | $7,565.60 | $13,510 | 2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $266 | $475 | 1.2× |
| Cpt initial (94667) | $136.64 | $244 | 1.0× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$2,248.40–$2,473.52 | $4,015–$4,417 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $837.76 | $1,496 | 2.3× |
| Debridement Open Wound 20 Sq Cm< (97597) | $520.24 | $929 | 2.6× |
| Developmental tst admin phys/qhp 1st hour (96112) | $155.12 | $277 | 1.2× |
| Distrt prod evokd otoacoustic emsns comp/dx eval (92588) | $90.16 | $161 | 0.2× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $147.28 | $263 | 1.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $949.76 | $1,696 | 4.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $297.92 | $532 | 2.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $489.44 | $874 | 2.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $343.28 | $613 | 3.3× |
| Duplex Scan Hemodialysis Access (93990) | $183.12 | $327 | 1.8× |
| Duplex up extrem art bilat (93930) | $908.88 | $1,623 | 3.8× |
| Duplex up extrem art unilat/ltd (93931) | $402.64 | $719 | 3.9× |
| ECG/monitoring and analysis (93271) | $191.52 | $342 | 2.0× |
| Echo Congenital Complete (93303) | $748.72 | $1,337 | 1.4× |
| Echo Heart Xthoracic,Limited (93308) range across 4 matching MRF lines |
$300.16–$344.96 | $536–$616 | varies |
| Echo r-t 2d w/probe placement only (93313) | $2,931.60 | $5,235 | 5.4× |
| Echo transesophag congen probe plcmt only (93316) | $748.72 | $1,337 | 1.4× |
| Echo transesophag montr cardiac pump functj (93318) | $908.88 | $1,623 | 1.7× |
| Echo transesophageal (93312) | $2,931.60 | $5,235 | 5.4× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 3 matching MRF lines |
$185.36–$1,277.92 | $331–$2,282 | varies |
| EEG awake and asleep (95819) | $470.96 | $841 | 2.2× |
| EEG cerebral death evaluation (95824) | $449.12 | $802 | 1.2× |
| EEG extended monitoring 61-119 minutes (95813) | $864.08 | $1,543 | 4.0× |
| Eeg Sleep Only (95822) | $718.48 | $1,283 | 3.3× |
| Electrical Stimulation Ea 15 Min (97032) | $50.40 | $90 | 3.4× |
| Electrocardiogram Tracing (93005) | $46.48 | $83 | 0.8× |
| Electroconvulsive Therapy (90870) | $320.32 | $572 | 0.4× |
| Electrophysiology Evaluation (93642) | $5,787.60 | $10,335 | 4.8× |
| Emergency Dept Visit Level 2 (99282) range across 7 matching MRF lines |
$288.96–$318.08 | $516–$568 | varies |
| Emergency Dept Visit Level 3 (99283) range across 7 matching MRF lines |
$517.44–$568.96 | $924–$1,016 | varies |
| Emergency Dept Visit Level 4 (99284) range across 7 matching MRF lines |
$907.20–$997.92 | $1,620–$1,782 | varies |
| Emg 3 Extremities (95863) | $258.16 | $461 | 2.0× |
| Emg 4 Extremities (95864) | $310.24 | $554 | 2.4× |
| Endomyocardial Biopsy (93505) | $2,506 | $4,475 | 0.8× |
| Ep & ablate supravent arrhyt (93653) | $14,771.68 | $26,378 | 0.6× |
| Ep & ablate ventric tachy (93654) | $18,018.56 | $32,176 | 0.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $10,218.88 | $18,248 | 1.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $8,682.80 | $15,505 | 1.1× |
| Ep Esophageal Recording Atria+Pacing (93616) | $8,682.80 | $15,505 | 7.2× |
| Er level 1 (99281) range across 7 matching MRF lines |
$100.80–$110.88 | $180–$198 | varies |
| Er level v (99285) range across 7 matching MRF lines |
$1,001.28–$1,761.76 | $1,788–$3,146 | varies |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $541.52 | $967 | 1.5× |
| Evaluate pt use of inhaler (94664) | $91.28 | $163 | 0.4× |
| Evaluate Speech Production (92522) | $130.48 | $233 | 1.2× |
| Evaluate Swallowing Function (92610) | $137.76 | $246 | 1.6× |
| Evaluation of speech fluency (92521) | $148.40 | $265 | 1.1× |
| Evoked Auditory Test,Limited (92587) | $77.28 | $138 | 0.4× |
| External Ecg Scanning Analysis Report (93226) | $191.52 | $342 | 3.3× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$505.68–$565.04 | $903–$1,009 | varies |
| Extracranial Uni/Ltd Study (93882) | $454.16 | $811 | 4.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $635.04 | $1,134 | 1.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $278.32 | $497 | 1.4× |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $921.76 | $1,646 | 1.1× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $551.60 | $985 | 1.5× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $260.40 | $465 | 1.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $483.84 | $864 | 0.6× |
| Group Therapeutic Procedures (97150) | $31.36 | $56 | 1.7× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $16,438.80 | $29,355 | 5.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $445.76 | $796 | 0.7× |
| Holter monitor recording (93225) | $141.12 | $252 | 1.1× |
| Icd Device Interrogate (93289) | $124.32 | $222 | 3.3× |
| Icd device progr eval dual (93283) | $166.88 | $298 | 4.5× |
| Icm Device Eval (93290) | $50.96 | $91 | 1.4× |
| Immunization administration (90471) range across 4 matching MRF lines |
$76.16–$84 | $136–$150 | varies |
| Insert/Place Heart Catheter (93503) | $2,073.68 | $3,703 | 1.3× |
| Interrogate Subq Defib (93261) | $112.56 | $201 | 3.0× |
| Interrogation eval in person wr defibrillator (93292) | $47.60 | $85 | 1.3× |
| Intracranial Complete Study (93886) | $544.88 | $973 | 2.3× |
| Intraventricular pacing (93612) | $4,309.20 | $7,695 | 0.6× |
| Iontophoresis 15 min (97033) | $50.40 | $90 | 2.6× |
| IV infusion hydration each additional hour (96361) range across 5 matching MRF lines |
$75.04–$82.32 | $134–$147 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 5 matching MRF lines |
$143.92–$158.48 | $257–$283 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 5 matching MRF lines |
$82.88–$91.28 | $148–$163 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 7 matching MRF lines |
$86.24–$94.64 | $154–$169 | varies |
| IV push initial (96374) range across 5 matching MRF lines |
$81.20–$89.60 | $145–$160 | varies |
| L Hrt Art/Grft Angio (93459) | $14,295.68 | $25,528 | 4.4× |
| Liver Elastography W/O Imag W/I&R (91200) | $219.52 | $392 | 1.7× |
| Low frequency non-thermal us (97610) | $162.40 | $290 | 0.8× |
| Motility study esophagus (91010) | $1,077.44 | $1,924 | 2.9× |
| Motion Fluoroscopy/Swallow (92611) | $278.32 | $497 | 3.0× |
| Muscle Test 2 Limbs (95861) | $207.20 | $370 | 1.6× |
| Muscle Test Nonparaspinal (95870) | $158.48 | $283 | 1.2× |
| Muscle Test One Limb (95860) | $162.96 | $291 | 1.2× |
| Needle Electromyography Cranial Nrv Muscle Bi (95868) | $296.24 | $529 | 1.4× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $198.24 | $354 | 0.9× |
| Needle electromyography larynx (95865) | $138.88 | $248 | 1.0× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $198.24 | $354 | 0.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $282.24 | $504 | 0.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $313.04 | $559 | 0.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $147.84 | $264 | 0.7× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $178.08 | $318 | 0.4× |
| Neurobehavioral Status Exam (96116) | $136.64 | $244 | 0.6× |
| Neuromuscular Reeducation (97112) | $51.52 | $92 | 1.6× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $94.64 | $169 | 3.8× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $75.60 | $135 | 5.5× |
| Oral Function Therapy (92526) | $113.68 | $203 | 1.4× |
| Oral Speech Device Eval (92597) | $170.80 | $305 | 2.4× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $34.72 | $62 | 0.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $50.40 | $90 | 1.1× |
| Ot eval high complexity (97167) | $165.76 | $296 | 1.6× |
| Ot Eval Low Complex (97165) | $165.76 | $296 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $165.76 | $296 | 1.6× |
| Ot manual therapy 15 min (97140) | $52.64 | $94 | 1.9× |
| Ot paraffin bath (97018) | $69.44 | $124 | 11.6× |
| Ot Prosthetic Training, Each 15 Min (97761) | $52.64 | $94 | 1.3× |
| Ot Re-Eval Est Plan Care (97168) | $103.04 | $184 | 1.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $412.72 | $737 | 1.9× |
| Perq Transcath Cls Aortic (93591) | $23,378.88 | $41,748 | 1.3× |
| Perq Transcath Cls Mitral (93590) | $23,378.88 | $41,748 | 1.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $5,857.04 | $10,459 | 1.0× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $13,832 | $24,700 | 1.2× |
| Phlebotomy therapeutic (99195) | $734.16 | $1,311 | 5.5× |
| Physical Performance Test (97750) | $52.64 | $94 | 1.6× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$120.40–$124.32 | $215–$222 | varies |
| Pm device progr eval dual (93280) | $159.60 | $285 | 4.3× |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$120.40–$133.84 | $215–$239 | varies |
| Pm/Icd Remote Tech Serv (93296) | $70.56 | $126 | 1.9× |
| Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) | $112.56 | $201 | 3.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $166.88 | $298 | 4.5× |
| Prq Card Angio/Athrect 1 Art (92924) | $13,768.72 | $24,587 | 1.2× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $9,253.44 | $16,524 | 0.8× |
| Prq Card Stent/Ath/Angio (92933) | $13,782.16 | $24,611 | 0.8× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $12,410.72 | $22,162 | 1.1× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $32,629.52 | $58,267 | 1.8× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $19,921.44 | $35,574 | 1.7× |
| Pt Eval High Complex (97163) | $173.04 | $309 | 1.8× |
| Pt eval low complex 20 min (97161) | $173.04 | $309 | 1.8× |
| Pt Eval Mod Complex (97162) | $173.04 | $309 | 1.8× |
| Pt gait training 15 min (97116) | $52.64 | $94 | 1.8× |
| Pt mechanical traction (97012) | $52.08 | $93 | 3.6× |
| Pt Re-Eval Est Plan Care (97164) | $77.84 | $139 | 1.2× |
| Pure Tone Audiometry Air (92552) | $53.76 | $96 | 0.4× |
| R Hrt Art/Grft Angio (93457) | $9,440.48 | $16,858 | 2.9× |
| R hrt coronary artery angio (93456) | $7,544.88 | $13,473 | 2.3× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $10,362.80 | $18,505 | 3.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $99.68 | $178 | 2.7× |
| Remote 30 Day Ecg Tech Supp (93229) | $226.24 | $404 | 0.6× |
| Right Heart Cath (93451) | $4,397.68 | $7,853 | 1.4× |
| Right ventricular recording (93603) | $3,965.36 | $7,081 | 3.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $257.04 | $459 | 1.3× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $170.80 | $305 | 1.4× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $45.36 | $81 | 0.9× |
| Self Care Mngment Training (97535) | $67.20 | $120 | 2.1× |
| Short-latency somatosens ep std upr limbs (95925) | $336 | $600 | 1.6× |
| Somatosensory Testing (95938) | $604.24 | $1,079 | 0.7× |
| Speech Audiometry Complete (92556) | $70.56 | $126 | 1.2× |
| Speech audiometry threshold (92555) | $47.60 | $85 | 0.8× |
| Speech sound lang comprehen (92523) | $233.52 | $417 | 1.0× |
| Spirometry (94010) range across 2 matching MRF lines |
$85.12–$198.24 | $152–$354 | varies |
| Ssep lower limbs (95926) | $336 | $600 | 1.6× |
| Stenger Test, Pure Tone (92565) | $26.32 | $47 | 0.4× |
| Stress Tte Only (93350) | $185.36 | $331 | 0.3× |
| Surfactant Admin Thru Tube (94610) | $327.60 | $585 | 1.5× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $173.04 | $309 | 1.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $70 | $125 | 2.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $120.40 | $215 | 1.2× |
| Ther/Proph/Diag Inj Ia (96373) range across 3 matching MRF lines |
$76.16–$84 | $136–$150 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 8 matching MRF lines |
$40.88–$44.80 | $73–$80 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 7 matching MRF lines |
$155.68–$171.36 | $278–$306 | varies |
| Therapeutic Activities (97530) | $51.52 | $92 | 1.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,516.48 | $2,708 | 4.1× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $28 | $50 | 0.8× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $22.40 | $40 | 0.6× |
| Transcath Closure of Asd (93580) | $32,629.52 | $58,267 | 1.8× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $173.04 | $309 | 1.7× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $364.56 | $651 | 3.5× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$370.72–$2,445.52 | $662–$4,367 | varies |
| Tte W/O Doppler Complete (93307) | $999.60 | $1,785 | 4.2× |
| Tx atrial fib pulm vein isol (93656) | $21,589.68 | $38,553 | 0.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $83.44 | $149 | 1.1× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $53.20 | $95 | 2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$81.20–$89.60 | $145–$160 | varies |
| Tympanometry (92567) | $66.64 | $119 | 1.8× |
| Tympanometry and reflex threshold measurements (92550) | $114.24 | $204 | 0.5× |
| Unlisted cardiovascular service/procedure (93799) | $260.96 | $466 | 2.0× |
| Unlisted otorhinolaryngological service (92700) | $49.84 | $89 | 1.7× |
| Upr/L Xtremity Art 2 Levels (93922) | $681.52 | $1,217 | 5.1× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $735.84 | $1,314 | 3.4× |
| Valvuloplasty aortic valve (92986) | $6,429.92 | $11,482 | 1.1× |
| Valvuloplasty mitral valve (92987) | $10,505.04 | $18,759 | 0.9× |
| Vasopneumatic device (97016) | $52.08 | $93 | 4.3× |
| Vent Mgmt Inpat Init Day (94002) range across 4 matching MRF lines |
$1,188.32–$1,572.48 | $2,122–$2,808 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 4 matching MRF lines |
$1,178.80–$1,562.96 | $2,105–$2,791 | varies |
| Visual Evoked Potential Test (95930) | $470.96 | $841 | 2.2× |
| Visual reinforcement audiometry (vra) (92579) | $88.48 | $158 | 0.4× |
| Vital capacity, total (94150) | $76.16 | $136 | 0.6× |
| Wheelchair Mgmt Ea 15 Min (97542) | $52.64 | $94 | 1.7× |
| Whirlpool Therapy (97022) | $66.64 | $119 | 4.2× |
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.