Henry Ford Rochester Hospital
1101 W. University Dr, Rochester, MI · Henry Ford Health · · NPI 1437176203
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $15.81 – $55.63 | 23 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $12.32 – $43.34 | 23 |
| 17-ketosteroids CPT 83586 | not published | not published | $6.91 – $24.32 | 23 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $65.58 – $239.89 | 21 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $62.76 – $239.95 | 21 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $908.98 | $1,934.00 | $1,341.95 – $1,439.86 | 4 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $874.67 | $1,861.00 | $1,341.95 – $1,439.86 | 4 |
| 2nd order venous cath CPT 36012 | not published | not published | $4,212.04 – $4,519.36 | 4 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $49.95 – $112.59 | 5 |
| 3-d radiotherapy plan CPT 77295 | $1,395.90 | $2,970.00 | $225.38 – $714.18 | 6 |
| 3d recon without postprocess indpndt CPT 76376 | $174.84 | $372.00 | $23.05 – $46.62 | 6 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $6.02 – $21.18 | 23 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $14.10 | $30.00 | $27.75 – $57.15 | 6 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $157.40 – $168.89 | 4 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $161.15 – $172.90 | 4 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $119.60 – $128.32 | 4 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $139.60 – $149.78 | 4 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $144.28 – $154.80 | 4 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $104.56 – $112.19 | 4 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $110.03 – $118.05 | 4 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $127.80 – $137.12 | 4 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $13,218.07 – $14,182.48 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $14.06 | $29.91 | $6.49 – $22.82 | 23 |
| Abd aorta w/runoff s&i CPT 75630 | $1,013.79 | $2,157.00 | $109.41 – $177.94 | 6 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $5,006.78 – $5,372.08 | 4 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $7,311.99 – $7,845.49 | 4 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $5,443.31 – $5,840.46 | 4 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $7,218.18 – $7,744.83 | 4 |
| Abd/low ext cath addl CPT 36248 | $349.68 | $744.00 | $625.32 – $670.94 | 4 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,220.59 | $2,597.00 | $94.19 – $560.44 | 23 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,135.05 | $2,415.00 | $94.19 – $494.39 | 23 |
| Abdominal CT scan (without contrast) CPT 74150 | $770.33 | $1,639.00 | $56.26 – $232.07 | 23 |
| Abdominal MRI (with and without contrast) CPT 74183 | $420.18 | $894.00 | $188.95 – $674.17 | 23 |
| Abdominal MRI (with contrast) CPT 74182 | $349.21 | $743.00 | $188.95 – $664.83 | 23 |
| Abdominal MRI (without contrast) CPT 74181 | $277.30 | $590.00 | $127.89 – $449.98 | 23 |
| Abdominal paracentesis w/image guidance CPT 49083 | not published | not published | $496.04 – $1,745.34 | 21 |
| Abdominal Ultrasound (complete) CPT 76700 | $405.14 | $862.00 | $56.26 – $216.46 | 23 |
| Abdominal Ultrasound (limited) CPT 76705 | $184.24 | $392.00 | $56.26 – $197.96 | 23 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $9,040.73 – $9,700.36 | 4 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | not published | not published | $496.04 – $1,745.34 | 21 |
| Abl1 gene CPT 81170 | not published | not published | $162.00 – $570.00 | 23 |
| Ablate arrhythmia add on CPT 93655 | $536.27 | $1,141.00 | $206.11 – $221.15 | 4 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $5,686.97 – $6,101.90 | 4 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $8,143.43 – $8,737.59 | 4 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $2,738.05 – $2,937.82 | 4 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $7,736.18 – $8,300.62 | 4 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $6,786.80 | $14,440.00 | $6,472.27 – $6,944.49 | 4 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Ablate heart dysrhythm focus CPT 93650 | $5,658.33 | $12,039.00 | $415.96 – $446.31 | 4 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,332.12 – $1,429.31 | 4 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $999.09 – $1,071.98 | 4 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $4,574.58 – $5,727.62 | 4 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $4,688.32 – $5,030.38 | 4 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $1,122.83 | $2,389.00 | $82.78 – $291.27 | 21 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $496.04 – $1,745.34 | 21 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $4,482.68 – $4,809.74 | 4 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $126.92 – $446.56 | 21 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $5,030.38 – $6,298.31 | 4 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $231.30 – $813.85 | 21 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $126.92 – $446.56 | 21 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $156.18 – $549.52 | 21 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $5,436.26 – $5,832.90 | 4 |
| Abortion CPT 59850 | not published | not published | $1,587.11 – $1,702.91 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $160.94 – $566.28 | 21 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $202.17 – $216.92 | 4 |
| Abrasion lesion single CPT 15786 | not published | not published | $105.13 – $369.89 | 21 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $1,986.88 – $2,131.85 | 4 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $576.22 | $1,226.00 | $540.09 – $579.50 | 4 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $1,250.60 – $1,341.84 | 4 |
| Acetaminophen level CPT 80143 | not published | not published | $10.07 – $35.42 | 22 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $44.18 | $94.01 | $34.84 – $54.91 | 3 |
| Acetone qualitative CPT 82009 | $21.62 | $46.00 | $2.44 – $8.59 | 23 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $6.51 – $22.89 | 21 |
| Acetylcholinesterase assay CPT 82013 | $107.63 | $229.00 | $6.64 – $23.35 | 23 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $135.30 | $287.86 | $1.05 – $1.30 | 3 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $280.73 – $987.75 | 21 |
| Acne surgery 10040 CPT 10040 | not published | not published | $97.02 – $369.89 | 21 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $48.94 – $172.20 | 17 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $85.01 – $299.10 | 17 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $68.18 – $441.29 | 21 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $8.55 – $30.08 | 21 |
| Acoustic immitance testing CPT 92570 | not published | not published | $36.54 – $291.27 | 21 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $14.05 – $73.07 | 21 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,217.58 – $3,452.34 | 4 |
| Actigraphy testing CPT 95803 | not published | not published | $31.43 – $157.18 | 18 |
| Actinotherapy uv light CPT 96900 | not published | not published | $20.77 – $74.38 | 21 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $12.95 – $113.83 | 21 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $12.95 – $96.26 | 21 |
| Acute hepatitis panel CPT 80074 | $89.30 | $190.00 | $25.72 – $90.50 | 23 |
| Acute venous thrombus image CPT 78456 | not published | not published | $274.90 – $667.75 | 6 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $0.99 | $2.11 | $0.04 – $0.05 | 3 |
| #acylcarnitineprfl CPT 82017 | $40.19 | $85.50 | $9.11 – $32.05 | 23 |
| Acylcarnitines qual CPT 82016 | not published | not published | $8.90 – $31.33 | 23 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $85.01 – $299.10 | 17 |
| Adding walker to prev cast CPT 29440 | not published | not published | $39.69 – $293.74 | 21 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $119.26 | $253.75 | $0.70 – $0.91 | 3 |
| Adenovirus ag ia CPT 87301 | not published | not published | $6.47 – $22.76 | 23 |
| Adenovirus antibody,serum - quest CPT 86603 | $37.13 | $79.00 | $6.95 – $24.45 | 23 |
| Adenovirus assay w/optic CPT 87809 | $10.34 | $22.00 | $11.75 – $41.34 | 23 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $3,639.21 – $3,904.73 | 4 |
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.