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 |
|---|---|---|---|---|
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $44.18 | $94.00 | $41.16 – $44.16 | 4 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $38.54 | $82.00 | $33.97 – $36.44 | 4 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $33.84 | $72.00 | $41.16 – $44.16 | 4 |
| Ghs musc test done w/n test comp CPT 95886 | $115.15 | $245.00 | $146.16 – $156.82 | 4 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $105.75 | $225.00 | $122.73 – $131.68 | 4 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $131.16 – $140.73 | 4 |
| Ghs myocardial strain img spckl track CPT 93356 | $331.35 | $705.00 | $79.63 – $85.44 | 4 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $323.87 – $1,139.52 | 21 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $471.04 – $1,657.35 | 21 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $366.40 – $1,289.19 | 21 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $471.04 – $1,657.35 | 21 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $471.04 – $1,657.35 | 21 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $471.04 – $1,657.35 | 21 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $471.04 – $1,657.35 | 21 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $471.04 – $1,657.35 | 21 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $119.95 – $1,289.19 | 21 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $144.36 – $1,289.19 | 21 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $211.12 – $742.84 | 21 |
| Ghs o2 saturation CPT 82810 | $9.40 | $20.00 | $5.28 – $18.56 | 23 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $82.78 – $291.27 | 21 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $31.43 – $135.71 | 21 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $24.41 – $103.17 | 21 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $327.11 – $1,150.94 | 21 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $767.83 – $823.86 | 4 |
| Ghs optokenetic CPT 92544 | $125.49 | $267.00 | $10.31 – $291.27 | 21 |
| Ghs oscillating trac CPT 92545 | $125.49 | $267.00 | $10.31 – $579.69 | 21 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $13.39 – $47.10 | 21 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $13.39 – $47.10 | 21 |
| Ghs ot dds rom CPT 95851 | not published | not published | $11.91 – $54.41 | 21 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $11.22 – $43.23 | 21 |
| Ghs ot prosthetic training/15 min CPT 97761 | $46.53 | $99.00 | $20.71 – $104.64 | 22 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $27.18 – $107.48 | 19 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $50.68 – $52.55 | 2 |
| Ghs pacing - transcutaneous CPT 92953 | $421.12 | $896.00 | $0.93 – $1,218.18 | 21 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $384.14 – $412.17 | 4 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $353.80 – $379.61 | 4 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $24.76 – $49.53 | 6 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $122.86 – $944.12 | 21 |
| Ghs phenylketonurid CPT 84030 | $56.87 | $121.00 | $2.97 – $10.45 | 23 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $767.83 – $823.86 | 4 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $126.92 – $467.31 | 21 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $2.33 – $8.19 | 23 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $538.28 – $2,588.47 | 22 |
| Ghs pos nystagmus CPT 92542 | $125.49 | $267.00 | $68.20 – $239.95 | 21 |
| Ghs ppd (tb intradermal) CPT 86580 | $11.28 | $24.00 | $7.55 – $45.58 | 23 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $5.22 – $18.35 | 23 |
| Ghs protein, misc fluid CPT 84160 | $5.64 | $12.00 | $3.03 – $10.66 | 23 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $7.75 – $27.26 | 23 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $31.43 – $182.95 | 21 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $6.62 – $23.27 | 23 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $126.98 – $131.93 | 2 |
| Ghs quinidine CPT 80194 | not published | not published | $7.88 – $27.74 | 23 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $175.49 – $617.46 | 21 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $68.20 – $239.95 | 21 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $211.12 – $742.84 | 21 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $2,169.82 – $2,328.13 | 4 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $2,802.70 – $3,007.19 | 4 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $8.58 – $30.19 | 23 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $2.33 – $8.19 | 23 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $28.20 | $60.00 | $7.51 – $26.43 | 23 |
| Ghs sedimentation rate CPT 85651 | $8.46 | $18.00 | $2.31 – $8.11 | 23 |
| Ghs semen analysis fert CPT 89320 | $31.49 | $67.00 | $6.65 – $23.39 | 23 |
| Ghs semen analysis, post-vas CPT 89300 | $4.70 | $10.00 | $5.31 – $18.70 | 23 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $4.04 – $14.21 | 23 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $211.38 – $743.75 | 21 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $147.31 – $743.75 | 21 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $211.38 – $743.75 | 21 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $211.38 – $743.75 | 21 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $105.13 – $422.90 | 21 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $105.13 – $369.89 | 21 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $105.13 – $370.85 | 21 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $105.13 – $369.89 | 21 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $105.13 – $369.89 | 21 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $82.78 – $293.53 | 22 |
| Ghs somatosensory testing lower extremit CPT 95926 | $589.38 | $1,254.00 | $164.75 – $579.69 | 21 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $280.73 – $997.19 | 21 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $31.96 | $68.00 | $24.57 – $122.21 | 22 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $80.34 – $549.52 | 21 |
| Ghs spont nystagmus CPT 92541 | $57.34 | $122.00 | $68.20 – $239.95 | 21 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $27.18 – $311.62 | 22 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $20.77 – $73.07 | 21 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $66.53 – $239.95 | 21 |
| Ghs st - re-eval for alt comm CPT 92597 | $146.17 | $311.00 | $37.15 – $218.13 | 22 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $24.41 – $85.90 | 21 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $111.47 – $514.76 | 21 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $323.87 – $1,139.52 | 21 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $211.38 – $743.75 | 21 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $999.09 – $1,071.98 | 4 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $3.94 – $13.87 | 23 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $126.92 – $446.56 | 21 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $126.92 – $446.56 | 21 |
| Ghs urine, hydroxproline total CPT 83505 | $58.28 | $124.00 | $13.12 – $46.17 | 23 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $7.94 – $27.95 | 23 |
| Ghs vaginal delivery only CPT 59409 | $3,026.80 | $6,440.00 | $2,226.30 – $2,388.73 | 4 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $280.73 – $987.75 | 21 |
| Ghs windowing of cast CPT 29730 | not published | not published | $60.17 – $293.74 | 21 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $7.95 – $27.97 | 23 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $52.78 – $449.98 | 23 |
| Gi inhouse confirmation CPT 87045 | $25.85 | $55.00 | $5.10 – $17.94 | 23 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $404.37 – $433.87 | 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.