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 |
|---|---|---|---|---|
| Cholesterol body fluid CPT 84999 | not published | not published | $16.00 – $775.69 | 5 |
| Cholesterol (Lipid) Test CPT 80061 | $48.88 | $104.00 | $7.23 – $25.44 | 23 |
| Cholinesterase CPT 82480 | not published | not published | $4.25 – $14.95 | 23 |
| Cholinesterase challenge CPT 95857 | not published | not published | $125.54 – $579.69 | 21 |
| Chorion biopsy CPT 59015 | not published | not published | $460.69 – $1,620.95 | 21 |
| Chrom analysis CPT 88273 | not published | not published | $18.80 – $66.14 | 23 |
| Chromatogram assay sugars CPT 84375 | $18.33 | $39.00 | $9.11 – $74.10 | 23 |
| Chromatography CPT 83021 | $18.80 | $40.00 | $9.75 – $34.31 | 23 |
| Chromogenic substrate assay CPT 85130 | $6.21 | $13.21 | $5.23 – $22.59 | 23 |
| Chromo high res and frag x - sendout CPT 81243 | $61.57 | $131.00 | $30.80 – $131.00 | 23 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $93.78 – $329.95 | 23 |
| Chromosome analysis 100 CPT 88249 | $90.24 | $192.00 | $93.51 – $329.02 | 23 |
| Chromosome analysis 15-20 cell count CPT 88262 | $176.72 | $376.00 | $67.76 – $238.43 | 23 |
| Chromosome analysis 20-25 CPT 88245 | $90.24 | $192.00 | $93.51 – $329.02 | 23 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $81.16 – $285.55 | 23 |
| Chromosome analysis 5 CPT 88261 | $124.08 | $264.00 | $142.74 – $502.25 | 23 |
| Chromosome analysis 50-100 CPT 88248 | $90.24 | $192.00 | $93.51 – $329.02 | 23 |
| Chromosome analys placenta CPT 88267 | $131.13 | $279.00 | $101.83 – $358.28 | 23 |
| Chromosome banding study CPT 88283 | not published | not published | $37.04 – $130.34 | 23 |
| Chromosome count additional CPT 88285 | $79.90 | $170.00 | $14.53 – $51.13 | 23 |
| Chromosome karyotype study CPT 88280 | $43.71 | $93.00 | $18.07 – $63.59 | 23 |
| Chromosome study additional CPT 88289 | not published | not published | $18.59 – $65.42 | 23 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $6.73 – $23.67 | 19 |
| Chylomicron screen, bf - sendout CPT 82664 | $29.14 | $62.00 | $33.21 – $116.85 | 23 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $1,644.66 – $1,764.66 | 4 |
| Cine/video x-rays CPT 76120 | not published | not published | $48.56 – $272.42 | 23 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $26.91 – $48.81 | 2 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $11.36 | $24.16 | $1.44 – $4.31 | 3 |
| Circum 28 days or older CPT 54161 | not published | not published | $3,405.41 – $3,653.88 | 4 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $353.14 – $1,828.75 | 21 |
| Circumcision (newborn) CPT 54150 | not published | not published | $1,235.80 – $1,325.97 | 4 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $4.63 | $9.86 | $2.98 – $5.40 | 3 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $155.10 | $330.00 | $177.94 – $626.07 | 23 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $12,032.00 | $25,600.00 | $0.02 – $0.02 | 4 |
| Claviculectomy partial CPT 23120 | not published | not published | $2,531.45 – $2,716.14 | 4 |
| Claviculectomy total CPT 23125 | not published | not published | $2,712.28 – $2,910.17 | 4 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $247.50 – $948.00 | 21 |
| Clearance of airways CPT 31720 | not published | not published | $107.61 – $378.63 | 21 |
| Clearance of tear duct CPT 68530 | not published | not published | $158.16 – $556.49 | 21 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $68.20 – $239.95 | 17 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $68.20 – $239.95 | 17 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $68.20 – $239.95 | 17 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $20.77 – $73.07 | 17 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $2,214.56 – $2,376.14 | 4 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $11,669.98 – $12,521.44 | 4 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $126.92 – $446.56 | 21 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $909.07 – $975.39 | 4 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $3,109.20 – $3,336.06 | 4 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $126.92 – $446.56 | 21 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $1,844.03 – $1,978.57 | 4 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $126.92 – $446.56 | 21 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $909.07 – $975.39 | 4 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $126.92 – $446.56 | 21 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $2,729.61 – $2,928.77 | 4 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $269.43 – $948.00 | 21 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $999.09 – $1,071.98 | 4 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $1,444.47 – $1,549.86 | 4 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $1,674.13 – $1,796.28 | 4 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $113.45 – $446.56 | 21 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $126.92 – $446.56 | 21 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $1,238.11 – $1,328.44 | 4 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $122.86 – $432.29 | 21 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,165.58 – $1,250.62 | 4 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $2,850.72 – $3,058.71 | 4 |
| Close tear duct opening CPT 68760 | not published | not published | $158.16 – $556.49 | 21 |
| Close tear duct opening CPT 68761 | not published | not published | $158.16 – $556.49 | 21 |
| Close tear system fistula CPT 68770 | not published | not published | $1,409.73 – $1,512.58 | 4 |
| Clostridium toxin a w/optic CPT 87803 | $7.52 | $16.00 | $8.64 – $30.40 | 23 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $1,340.58 – $1,438.39 | 4 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $3,633.41 – $3,898.51 | 4 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $6,715.18 – $7,205.13 | 4 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $4,257.29 – $4,567.91 | 4 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $5,873.26 – $6,301.78 | 4 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $269.43 – $948.00 | 21 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $512.44 – $1,803.02 | 21 |
| Closure of salivary fistula CPT 42600 | not published | not published | $1,674.13 – $1,796.28 | 4 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $1,953.15 – $2,095.66 | 4 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $327.11 – $1,150.94 | 21 |
| Clot factor fletcher fact CPT 85292 | $9.87 | $21.00 | $10.22 – $35.97 | 23 |
| Clot factor viii reltd antgn CPT 85244 | $30.08 | $64.00 | $11.03 – $38.80 | 23 |
| Clot factor wght kininogen CPT 85293 | $9.87 | $21.00 | $10.22 – $35.97 | 23 |
| Clot factor xii hageman CPT 85280 | $24.04 | $51.15 | $10.45 – $36.77 | 23 |
| Clot factor xiii fibrin scrn CPT 85291 | $4.70 | $10.00 | $4.92 – $17.31 | 23 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $8.82 – $31.05 | 23 |
| Clotting assay whole blood CPT 85396 | not published | not published | $18.50 – $39.21 | 6 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $126.92 – $446.56 | 21 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $126.92 – $446.56 | 21 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $126.92 – $446.56 | 21 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $1,238.11 – $1,328.44 | 4 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $126.92 – $446.56 | 21 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $1,238.11 – $1,328.44 | 4 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $126.92 – $446.56 | 21 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $126.92 – $446.56 | 21 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $126.92 – $446.56 | 21 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $126.92 – $567.77 | 21 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $126.92 – $446.56 | 21 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $126.92 – $446.56 | 21 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $1,238.11 – $1,328.44 | 4 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,650.83 – $1,771.27 | 4 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $126.92 – $446.56 | 21 |
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.