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 |
|---|---|---|---|---|
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $211.38 – $743.75 | 21 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $2,212.49 – $2,373.92 | 4 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $23.11 – $24.80 | 4 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $276.26 – $296.42 | 4 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $3,306.10 – $3,547.32 | 4 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $211.38 – $743.75 | 21 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $105.13 – $369.89 | 21 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $471.04 – $1,657.35 | 21 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $698.95 – $749.95 | 4 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $1,764.32 – $1,893.05 | 4 |
| Destruction ciliary body CPT 66700 | not published | not published | $1,740.44 – $1,867.42 | 4 |
| Destruction ciliary body CPT 66720 | not published | not published | $1,409.73 – $1,512.58 | 4 |
| Destruction ciliary body CPT 66740 | not published | not published | $1,703.41 – $1,827.70 | 4 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $105.13 – $369.89 | 21 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $1,790.80 – $1,921.46 | 4 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $130.26 – $139.76 | 4 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $189.95 – $743.75 | 21 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $211.38 – $743.75 | 21 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $191.06 – $743.75 | 21 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $210.05 – $743.75 | 21 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $211.38 – $743.75 | 21 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,602.44 – $1,719.36 | 4 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $186.81 – $743.75 | 21 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,313.82 – $2,482.64 | 4 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,543.08 – $1,655.66 | 4 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $95.01 – $101.94 | 4 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $107.45 – $115.29 | 4 |
| Detect agent nos dna dir CPT 87797 | $14.10 | $30.00 | $16.22 – $57.06 | 23 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $23.58 – $82.97 | 23 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $9.75 – $29.29 | 5 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $82.78 – $291.27 | 17 |
| Device ablt adv novasure HCPCS C1886 | $3,572.00 | $7,600.00 | $0.02 – $0.02 | 4 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $103.87 | $221.00 | $14.94 – $163.91 | 23 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.52 | $9.62 | $0.09 – $0.10 | 3 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $3.82 | $8.14 | $0.18 – $0.25 | 3 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $21.71 | $46.18 | $1.57 – $2.64 | 3 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $21.58 | $45.93 | $8.28 – $10.51 | 3 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $24.29 | $51.68 | $2.76 – $4.22 | 5 |
| Dextrose 5 % IV bolus HCPCS J7070 | $13.99 | $29.76 | $5.54 – $8.46 | 3 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $30.55 | $65.00 | $12.00 – $42.24 | 23 |
| Diabetes (HbA1c) Test CPT 83036 | $10.34 | $22.00 | $5.24 – $18.45 | 23 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,013.33 – $1,087.26 | 4 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $4,734.21 – $5,079.63 | 4 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $58.23 – $742.84 | 21 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $984.96 – $1,056.82 | 4 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $68.20 – $239.95 | 21 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $73.20 – $191.72 | 6 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $67.09 – $149.96 | 6 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $102.71 – $361.40 | 21 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $102.71 – $361.40 | 21 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $204.45 | $435.00 | $53.40 – $308.19 | 23 |
| Diagnostic Mammogram (one breast) CPT 77065 | $146.64 | $312.00 | $41.94 – $240.32 | 23 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $46.59 – $243.07 | 18 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $7,988.90 – $8,571.79 | 4 |
| Dialysis one evaluation CPT 90945 | not published | not published | $132.08 – $792.70 | 18 |
| Diathermy eg microwave CPT 97024 | not published | not published | $3.64 – $27.18 | 23 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.54 | $1.15 | $0.12 – $0.16 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $16.93 | $36.03 | $10.34 – $13.54 | 3 |
| Dicyclomine injection HCPCS J0500 | $63.89 | $135.93 | $36.86 – $40.29 | 3 |
| Diffusing capacity CPT 94729 | $83.66 | $178.00 | $134.90 – $144.74 | 4 |
| Digital analysis of eeg CPT 95957 | $576.69 | $1,227.00 | $544.32 – $584.04 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $19.56 | $41.62 | $24.73 – $36.49 | 3 |
| Digoxin total therapeutic drug level CPT 80162 | $27.73 | $59.00 | $7.17 – $25.23 | 23 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $103.46 | $220.13 | $88.08 – $111.65 | 3 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $2,029.83 – $2,541.45 | 4 |
| Dilate esophagus CPT 43453 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $496.04 – $1,745.34 | 21 |
| Dilate tear duct opening CPT 68801 | not published | not published | $211.12 – $742.84 | 21 |
| Dilate urethra stricture CPT 53600 | not published | not published | $56.44 – $452.75 | 21 |
| Dilate urethra stricture CPT 53601 | not published | not published | $68.20 – $239.95 | 21 |
| Dilate urethra stricture CPT 53605 | not published | not published | $1,410.56 – $1,513.48 | 4 |
| Dilate urethra stricture CPT 53621 | not published | not published | $87.94 – $452.75 | 21 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $66.23 – $291.27 | 21 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,239.78 – $1,330.23 | 4 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $46.14 – $49.50 | 4 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,239.78 – $1,330.23 | 4 |
| Dilation of salivary duct CPT 42660 | not published | not published | $121.02 – $948.00 | 21 |
| Dilation of urethra CPT 53661 | not published | not published | $68.20 – $239.95 | 21 |
| Dilation of urethra CPT 53665 | not published | not published | $1,410.56 – $1,513.48 | 4 |
| Dilation of vagina CPT 57400 | not published | not published | $1,898.19 – $2,036.69 | 4 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $82.48 – $88.50 | 4 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $83.05 – $1,242.54 | 21 |
| Dilat xst trc ndurlgc px CPT 50436 | $3,704.54 | $7,882.00 | $2,191.78 – $2,351.70 | 4 |
| Dilat xst trc new access rcs CPT 50437 | $3,704.54 | $7,882.00 | $3,818.42 – $4,097.01 | 4 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $5.95 | $12.66 | $1.25 – $1.73 | 3 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $167.86 – $180.10 | 4 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $20.77 – $73.07 | 17 |
| Disability dlco CPT 94727 | $66.27 | $141.00 | $82.78 – $291.27 | 21 |
| Disaccharidases CPT 82657 | $137.24 | $292.00 | $11.97 – $42.12 | 23 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,774.14 – $1,903.58 | 4 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $6,267.51 – $6,724.79 | 4 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $818.82 – $878.56 | 4 |
| Discography cerv/thor spine CPT 72285 | $576.22 | $1,226.00 | $62.74 – $211.88 | 6 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $117.08 – $125.62 | 4 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $222.98 – $239.25 | 4 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $4,189.27 – $4,494.93 | 4 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $1,347.36 – $1,445.66 | 4 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.01 – $22.43 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $1,341.84 – $1,680.06 | 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.