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 |
|---|---|---|---|---|
| Dronabinol 2.5mg oral HCPCS Q0167 | $7.81 | $16.63 | $0.77 – $0.98 | 3 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $22.40 | $47.67 | $11.80 – $22.29 | 3 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $31.96 | $68.00 | $2.37 – $2.37 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $24.44 | $52.00 | $15.91 – $15.91 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $57.34 | $122.00 | $64.77 – $64.77 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | $654.71 | $1,393.00 | $267.94 – $347.21 | 4 |
| Drug assay caffeine CPT 80155 | $18.33 | $39.00 | $11.80 – $73.28 | 23 |
| Drug assay posaconazole CPT 80187 | not published | not published | $14.64 – $51.51 | 22 |
| Drug assay rufinamide CPT 80210 | not published | not published | $14.64 – $51.51 | 22 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $20.83 – $73.28 | 22 |
| Drug assay voriconazole CPT 80285 | not published | not published | $14.64 – $51.51 | 22 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $10.07 – $35.42 | 22 |
| Drug of abuse screen urine CPT 80305 | $6.11 | $13.00 | $6.80 – $23.94 | 23 |
| Drug screen quant tiagabine CPT 80199 | $12.69 | $27.00 | $14.49 – $51.51 | 23 |
| Drug test def 1-7 classes HCPCS G0480 | $124.08 | $264.00 | $135.89 – $135.89 | 1 |
| Drug test prsmv instrmnt CPT 80306 | $7.99 | $17.00 | $9.26 – $32.57 | 23 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $70.50 | $150.00 | $33.56 – $118.07 | 23 |
| Drvvt confirm - quest CPT 85597 | $18.80 | $40.00 | $7.37 – $34.16 | 23 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $2,322.36 – $2,491.80 | 4 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $211.38 – $743.75 | 21 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $210.05 – $743.75 | 21 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $232.28 – $1,139.52 | 21 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $272.99 – $1,139.52 | 21 |
| Ductogram sgl duct CPT 77053 | not published | not published | $38.28 – $449.98 | 23 |
| Duodenal motility study CPT 91022 | not published | not published | $280.73 – $987.75 | 21 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $127.89 – $635.30 | 22 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $56.26 – $369.93 | 22 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $298.45 | $635.00 | $56.26 – $373.95 | 22 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $147.11 | $313.00 | $82.78 – $412.15 | 22 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $320.54 | $682.00 | $127.89 – $484.52 | 22 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $32.06 – $197.96 | 23 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $82.78 – $291.27 | 21 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,918.39 – $2,058.35 | 4 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,992.07 – $2,137.42 | 4 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $2,924.27 – $3,137.63 | 4 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $104.00 – $742.84 | 21 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $496.04 – $1,745.34 | 21 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $496.04 – $1,745.34 | 21 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $164.75 – $579.69 | 21 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $82.78 – $291.27 | 21 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $205.45 – $722.87 | 21 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $2,049.30 – $2,198.82 | 4 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $95.01 – $452.75 | 21 |
| Dynamic surface emg CPT 96002 | not published | not published | $17.80 – $579.69 | 21 |
| Ear and throat examination CPT 92502 | not published | not published | $269.43 – $948.00 | 21 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $162.84 – $174.72 | 4 |
| Ear cartilage graft CPT 21235 | not published | not published | $6,243.94 – $6,699.51 | 4 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $31.43 – $118.83 | 21 |
| Ear protector evaluation CPT 92596 | not published | not published | $20.77 – $231.20 | 21 |
| Ecg 12 lead tracing only CPT 93005 | $80.37 | $171.00 | $10.09 – $110.58 | 23 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $13.86 – $13.86 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $10.99 – $110.58 | 22 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $48.56 – $430.23 | 22 |
| Ecg external < 48 hours recording CPT 93225 | $116.56 | $248.00 | $37.38 – $239.95 | 22 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $139.59 | $297.00 | $31.43 – $110.58 | 22 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $20.77 – $73.07 | 22 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $20.77 – $73.07 | 22 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,009.56 | $2,148.00 | $253.06 – $1,020.70 | 22 |
| Echocardiography doppler color flow mapping CPT 93325 | $317.25 | $675.00 | $41.19 – $61.32 | 5 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,009.56 | $2,148.00 | $1,341.95 – $1,439.86 | 4 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $538.15 | $1,145.00 | $127.89 – $449.98 | 22 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $538.15 | $1,145.00 | $644.55 – $691.58 | 4 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $306.91 | $653.00 | $36.69 – $54.28 | 5 |
| Echo exam of eye CPT 76516 | not published | not published | $37.73 – $197.96 | 23 |
| Echo exam of eye CPT 76519 | not published | not published | $41.90 – $197.96 | 23 |
| Echo exam of eye CPT 76529 | not published | not published | $36.89 – $163.91 | 23 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $4.38 – $45.58 | 23 |
| Echo exam of fetal heart CPT 76825 | $561.18 | $1,194.00 | $116.36 – $1,020.70 | 23 |
| Echo exam of fetal heart CPT 76826 | $435.22 | $926.00 | $74.40 – $449.98 | 23 |
| Echo exam of fetal heart CPT 76827 | $132.07 | $281.00 | $30.23 – $197.96 | 23 |
| Echo exam of fetal heart CPT 76828 | $132.07 | $281.00 | $16.61 – $197.96 | 23 |
| Echo exam uterus 76831- CPT 76831 | $152.75 | $325.00 | $77.46 – $449.98 | 23 |
| Echograp trans r pros study CPT 76873 | not published | not published | $56.26 – $276.09 | 23 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $30.50 – $76.14 | 6 |
| Echo guide for amniocentesis CPT 76946 | $152.75 | $325.00 | $13.83 – $42.19 | 6 |
| Echo guide for artery repair CPT 76936 | not published | not published | $164.75 – $579.69 | 23 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $48.68 – $164.19 | 6 |
| Echo guide for transfusion CPT 76941 | not published | not published | $47.85 – $146.77 | 6 |
| Echo guide villus sampling CPT 76945 | $105.28 | $224.00 | $51.39 – $152.26 | 6 |
| Echo stress CPT 93350 | $924.02 | $1,966.00 | $232.47 – $1,020.70 | 22 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $10.31 – $1,020.70 | 22 |
| Echo tee guidance CPT 93355 | $1,217.30 | $2,590.00 | $148.96 – $159.83 | 4 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $908.98 | $1,934.00 | $264.01 – $1,020.70 | 22 |
| Echo transesophageal CPT 93313 | $574.81 | $1,223.00 | $4.68 – $1,020.70 | 22 |
| Echo transesophageal CPT 93314 | not published | not published | $280.75 – $419.17 | 5 |
| Echo transesophageal CPT 93315 | $825.79 | $1,757.00 | $290.09 – $1,020.70 | 22 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $290.09 – $1,020.70 | 22 |
| Echo transthoracic CPT 93303 | $880.78 | $1,874.00 | $290.09 – $1,020.70 | 22 |
| Echo transthoracic CPT 93304 | $648.13 | $1,379.00 | $239.55 – $1,020.70 | 22 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $874.67 | $1,861.00 | $127.89 – $449.98 | 22 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $1,347.44 – $1,445.74 | 4 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $1,375.21 – $1,475.55 | 4 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $12,263.71 | $26,093.00 | $1,973.64 – $2,117.64 | 4 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $1,310.83 | $2,789.00 | $1,777.47 – $1,907.16 | 4 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $4,831.06 – $5,183.54 | 4 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $4,811.21 – $5,162.24 | 4 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $2,758.34 – $2,959.60 | 4 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $2,469.01 – $2,649.15 | 4 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $2,758.34 – $2,959.60 | 4 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $1,819.84 | $3,872.00 | $2,469.01 – $2,649.15 | 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.