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 |
|---|---|---|---|---|
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $4,579.93 – $4,914.08 | 4 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $902.06 – $967.87 | 4 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $496.04 – $1,745.34 | 21 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $195.95 – $1,745.34 | 21 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $992.23 – $1,064.62 | 4 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $2,357.37 – $2,529.37 | 4 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,625.52 – $1,744.12 | 4 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,263.17 – $1,355.34 | 4 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $2,020.62 – $2,168.05 | 4 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $2,020.62 – $2,168.05 | 4 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,263.17 – $1,355.34 | 4 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,263.17 – $1,355.34 | 4 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,263.17 – $1,355.34 | 4 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Esophagus motility study CPT 91010 | $446.50 | $950.00 | $280.73 – $987.75 | 21 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $280.73 – $1,411.35 | 21 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,263.17 – $1,355.34 | 4 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $3,431.23 – $3,681.58 | 4 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $4,723.72 – $5,068.37 | 4 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $45.91 – $49.26 | 4 |
| Esoph imped function test CPT 91037 | $308.32 | $656.00 | $164.75 – $579.69 | 21 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $280.73 – $1,050.48 | 21 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $15,018.91 – $16,114.71 | 4 |
| Essure 58565 CPT 58565 | not published | not published | $5,039.14 – $5,406.80 | 4 |
| Establish access to aorta CPT 36160 | not published | not published | $2,011.66 – $2,158.43 | 4 |
| Establish access to artery CPT 36100 | not published | not published | $1,959.69 – $2,102.67 | 4 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $4,410.37 – $4,732.16 | 4 |
| Established Patient Office Visit (level 1) CPT 99211 | $81.31 | $173.00 | $9.17 – $33.62 | 9 |
| Established Patient Office Visit (level 2) CPT 99212 | $110.92 | $236.00 | $25.73 – $60.40 | 9 |
| Established Patient Office Visit (level 3) CPT 99213 | $137.71 | $293.00 | $34.00 – $81.37 | 9 |
| Established Patient Office Visit (level 4) CPT 99214 | $180.48 | $384.00 | $38.00 – $111.30 | 9 |
| Established Patient Office Visit (level 5) CPT 99215 | $250.04 | $532.00 | $61.00 – $145.51 | 10 |
| Estradiol total CPT 82670 | $29.14 | $62.00 | $15.09 – $53.09 | 23 |
| Estrogens total-sendout CPT 82672 | $37.13 | $79.00 | $11.72 – $41.23 | 23 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,953.15 – $2,095.66 | 4 |
| Ethylene glycol -sendout CPT 82693 | $51.23 | $109.00 | $8.05 – $28.31 | 23 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $2.92 | $6.20 | $1.19 – $3.12 | 3 |
| Euglobulin lysis CPT 85360 | not published | not published | $4.54 – $15.98 | 23 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $1,898.19 – $2,036.69 | 4 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $82.78 – $291.27 | 22 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $164.03 | $349.00 | $62.57 – $311.38 | 22 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $60.16 | $128.00 | $52.98 – $186.41 | 23 |
| Evaluation heart device CPT 93640 | not published | not published | $721.39 – $774.02 | 4 |
| Evaluation of speech fluency 92521 CPT 92521 | $251.92 | $536.00 | $68.00 – $333.98 | 22 |
| Evaluation psychiatric diagnostic CPT 90791 | $161.68 | $344.00 | $85.01 – $299.10 | 24 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $2,412.56 – $3,020.65 | 4 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $1,025.75 – $1,284.30 | 4 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $5,534.78 – $6,929.84 | 4 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $8,268.08 – $10,352.08 | 4 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $10,341.31 – $12,947.88 | 4 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $6,236.71 – $7,808.70 | 4 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $10,373.84 – $12,988.61 | 4 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $5,161.34 – $6,462.28 | 4 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $8,306.84 – $10,400.61 | 4 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $3,719.27 – $3,990.63 | 4 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $2,959.23 – $3,175.14 | 4 |
| Event monitor CPT 93270 | $70.50 | $150.00 | $16.79 – $69.43 | 22 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $14.05 – $579.69 | 21 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $10.31 – $579.69 | 21 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $50.59 – $54.28 | 4 |
| Evoked potentials upper limbs CPT 95925 | $589.38 | $1,254.00 | $164.75 – $579.69 | 21 |
| Evoked potential visual not glaucoma CPT 95930 | $468.12 | $996.00 | $138.65 – $579.69 | 21 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $81.94 – $566.28 | 21 |
| Exam pelvic add-on CPT 99459 | not published | not published | $63.71 – $68.36 | 4 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $3,228.25 – $3,463.78 | 4 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $1,836.21 – $1,970.18 | 4 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,142.23 – $2,298.53 | 4 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $3,027.06 – $3,247.91 | 4 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $1,836.21 – $1,970.18 | 4 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $2,142.23 – $2,298.53 | 4 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $5,009.68 – $5,375.19 | 4 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $7,366.50 – $7,903.97 | 4 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $2,730.05 – $2,929.24 | 4 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,530.22 – $1,641.87 | 4 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $4,535.90 – $4,866.85 | 4 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $2,929.19 – $3,142.91 | 4 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $3,074.09 – $3,298.38 | 4 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $3,444.85 – $3,696.19 | 4 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $1,082.81 – $1,161.82 | 4 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $1,836.21 – $1,970.18 | 4 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $2,632.52 – $2,824.59 | 4 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $372.25 – $1,309.78 | 21 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $372.25 – $1,309.78 | 21 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $372.25 – $1,309.78 | 21 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $1,922.37 – $2,062.63 | 4 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $372.25 – $1,309.78 | 21 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $1,922.37 – $2,062.63 | 4 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $2,926.74 – $3,140.28 | 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.