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 |
|---|---|---|---|---|
| Adh-sendout CPT 84588 | not published | not published | $18.33 – $64.49 | 23 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $496.04 – $1,745.34 | 21 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $2,581.98 – $2,770.37 | 4 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,632.83 – $1,751.96 | 4 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $47.20 | $100.42 | $0.77 – $1.25 | 5 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | not published | not published | $37.65 – $132.49 | 22 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $37.65 – $231.89 | 22 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | not published | not published | $175.49 – $617.46 | 22 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | not published | not published | $175.49 – $617.46 | 22 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | not published | not published | $37.65 – $132.49 | 22 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | not published | not published | $37.65 – $261.03 | 22 |
| Administration immunization 1 vaccine CPT 90471 | not published | not published | $37.65 – $132.49 | 21 |
| Administration immunization each additional component CPT 90461 | not published | not published | $31.36 – $33.65 | 4 |
| Administration immunization each additional vaccine CPT 90472 | not published | not published | $39.26 – $42.13 | 4 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $58.98 – $63.28 | 4 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $37.65 – $132.49 | 21 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $32.12 – $34.47 | 4 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $61.50 – $65.99 | 4 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $61.50 – $65.99 | 4 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $326.52 – $1,020.89 | 6 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $5,086.23 – $5,457.32 | 4 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $133.97 – $579.69 | 21 |
| Aep neurodiagnostic i&r CPT 92653 | $502.90 | $1,070.00 | $129.29 – $579.69 | 21 |
| Aep thrshld est mlt freq i&r CPT 92652 | $502.90 | $1,070.00 | $164.75 – $579.69 | 21 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $10.83 – $38.09 | 23 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $3.95 – $13.89 | 23 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $62.29 – $219.18 | 23 |
| After cataract laser surgery CPT 66821 | not published | not published | $290.26 – $1,021.27 | 21 |
| Air conduction bilat CPT 92552 | not published | not published | $68.20 – $239.95 | 21 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $555.98 – $596.54 | 4 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $66.27 | $141.00 | $82.78 – $291.27 | 21 |
| Albumin body fluid quantitative each specimen CPT 82042 | $7.52 | $16.00 | $4.20 – $14.78 | 23 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $31.41 | $66.83 | $50.88 – $50.88 | 1 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $97.70 | $207.86 | $50.88 – $123.28 | 4 |
| Albumin ischemia modified CPT 82045 | not published | not published | $18.33 – $64.49 | 19 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $11.28 | $24.00 | $3.12 – $10.98 | 23 |
| Albumin serum plasma or whole blood CPT 82040 | $7.99 | $17.00 | $2.67 – $9.40 | 19 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $9.33 – $32.81 | 22 |
| Alkaline phosphatase CPT 84075 | $12.22 | $26.00 | $2.80 – $9.84 | 19 |
| Allergen alpha lactalbumin ige CPT 86008 | $12.69 | $27.00 | $7.00 – $34.07 | 23 |
| Allergen egg white ige CPT 86003 | $52.76 | $112.25 | $2.82 – $9.92 | 23 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $4.30 – $15.14 | 23 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $24.41 – $85.90 | 21 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $24.41 – $85.90 | 21 |
| Allergy Skin Testing CPT 95004 | not published | not published | $7.06 – $1,893.96 | 21 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $9.61 – $1,893.96 | 21 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $14,005.40 – $15,027.25 | 4 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $311.14 | $662.00 | $171.59 – $171.59 | 1 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $476.58 | $1,014.00 | $57.17 – $57.17 | 2 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $237.82 | $506.00 | $208.38 – $208.38 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $8,384.33 | $17,839.00 | $52.53 – $953.86 | 3 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $1,021.78 | $2,174.00 | $239.84 – $1,026.09 | 3 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $1,021.78 | $2,174.00 | $359.38 – $969.04 | 3 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $20.77 – $73.07 | 21 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $12.95 – $45.58 | 21 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $34.78 – $122.38 | 23 |
| Alpha-fetoprotein amniotic CPT 82106 | $24.91 | $53.00 | $9.18 – $32.30 | 23 |
| Alpha-fetoprotein tumor marker CPT 82105 | $29.61 | $63.00 | $9.06 – $31.86 | 23 |
| Alprostadil for injection HCPCS J0270 | $87.64 | $186.47 | $0.84 – $13.65 | 3 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $65.51 | $139.38 | $136.40 – $136.40 | 1 |
| Alt/sgpt CPT 84460 | $5.64 | $12.00 | $2.86 – $10.07 | 19 |
| Aluminum - quest CPT 82108 | $13.31 | $28.31 | $13.76 – $48.41 | 23 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $396.77 – $425.72 | 4 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $48.56 – $170.87 | 21 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $0.01 – $22.43 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $14.99 – $239.95 | 21 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $32.58 | $69.32 | $1.27 – $1.78 | 3 |
| Amino acid screen, urine CPT 82128 | not published | not published | $7.49 – $26.35 | 23 |
| Amino acid single qual CPT 82127 | not published | not published | $7.66 – $26.94 | 23 |
| Amino acids quant 2-5 CPT 82136 | $9.40 | $20.00 | $10.59 – $37.26 | 23 |
| Aminolevulinic acid delta CPT 82135 | $19.89 | $42.32 | $8.88 – $31.25 | 23 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $13.99 | $29.77 | $15.04 – $17.88 | 3 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $8.58 | $18.25 | $0.61 – $0.96 | 3 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $0.01 – $9.12 | 2 |
| Ammonia CPT 82140 | $41.36 | $88.00 | $7.87 – $27.68 | 23 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $460.69 – $1,620.95 | 21 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $160.94 – $566.28 | 21 |
| Amniotic fluid scan CPT 82143 | $4.23 | $9.00 | $5.05 – $17.76 | 23 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $2,169.82 – $2,328.13 | 4 |
| Amphetamine confirm urine -sendout CPT 80324 | $49.54 | $105.40 | $0.01 – $9.12 | 2 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $0.01 – $9.12 | 2 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $48.68 | $103.57 | $1.00 – $1.80 | 3 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $20.54 | $43.71 | $3.73 – $4.67 | 3 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $142.01 – $499.68 | 17 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $2,169.82 – $2,328.13 | 4 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $3,018.22 – $3,238.44 | 4 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,954.59 – $2,097.20 | 4 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $2,712.28 – $2,910.17 | 4 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $3,351.80 – $3,596.35 | 4 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $2,531.45 – $2,716.14 | 4 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $2,531.45 – $2,716.14 | 4 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $2,602.99 – $2,792.91 | 4 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,602.44 – $1,719.36 | 4 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $2,531.45 – $2,716.14 | 4 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $2,169.82 – $2,328.13 | 4 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $2,531.45 – $2,716.14 | 4 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $3,841.39 – $4,121.66 | 4 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $2,749.61 – $2,950.23 | 4 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Amputation of lower leg CPT 27882 | not published | not published | $2,512.77 – $2,696.10 | 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.