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 |
|---|---|---|---|---|
| Gi protein loss CPT 78282 | not published | not published | $47.56 – $748.03 | 23 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $496.04 – $1,869.74 | 21 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $482.37 – $1,697.23 | 17 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $496.04 – $1,745.34 | 17 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $496.04 – $1,745.34 | 17 |
| Gjb2 gene full sequence CPT 81252 | $47.47 | $101.00 | $54.60 – $192.13 | 23 |
| Gjb2 gene known fam variants CPT 81253 | $29.14 | $62.00 | $33.22 – $116.89 | 23 |
| Gjb6 gene com variants CPT 81254 | $16.45 | $35.00 | $18.90 – $66.50 | 23 |
| Glaucoma surgery CPT 66150 | not published | not published | $3,113.63 – $3,340.80 | 4 |
| Glaucoma surgery CPT 66155 | not published | not published | $3,113.63 – $3,340.80 | 4 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,320.58 – $2,489.89 | 4 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,320.58 – $2,489.89 | 4 |
| Glucagon plasma - sendout CPT 82943 | $8.74 | $18.60 | $7.72 – $27.15 | 23 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $2.57 – $9.03 | 23 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $3.27 – $11.49 | 23 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $2.82 | $6.00 | $1.77 – $6.23 | 23 |
| Glucose blood quantitative CPT 82947 | $7.05 | $15.00 | $2.12 – $7.47 | 19 |
| Glucose body fluid CPT 82945 | $18.33 | $39.00 | $2.12 – $7.47 | 23 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $31.43 – $193.01 | 21 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $24.91 | $53.00 | $6.95 – $24.45 | 23 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $6.11 | $13.00 | $2.12 – $7.45 | 23 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $33.84 | $72.00 | $10.03 – $35.30 | 23 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $37.60 | $80.00 | $10.00 – $35.19 | 23 |
| Gonioscopy CPT 92020 | not published | not published | $30.06 – $239.95 | 21 |
| Goniotomy CPT 65820 | not published | not published | $2,659.77 – $2,853.83 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $70.97 | $151.00 | $46.99 – $46.99 | 1 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $131.13 | $279.00 | $221.15 – $245.66 | 3 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,712.28 – $2,910.17 | 4 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $75.67 | $161.00 | $37.34 – $37.34 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $85.07 | $181.00 | $62.31 – $62.31 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $486.45 | $1,035.00 | $167.37 – $224.53 | 3 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $4,544.67 – $4,876.26 | 4 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $576.69 | $1,227.00 | $202.46 – $566.00 | 3 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $679.62 | $1,446.00 | $71.14 – $79.12 | 3 |
| Granulocyte pheresis ea unit HCPCS P9050 | $967.73 | $2,059.00 | $1,782.55 – $1,782.55 | 1 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $126.92 – $446.56 | 21 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,225.08 – $2,387.43 | 4 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $7,136.95 – $7,657.67 | 4 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,005.34 – $1,078.69 | 4 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $4,082.40 – $4,380.26 | 4 |
| Growth hormone antibody CPT 86277 | not published | not published | $8.50 – $29.91 | 23 |
| Growth stimulation gene 2 CPT 83006 | $35.72 | $76.00 | $26.74 – $143.64 | 19 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $8,046.67 – $8,633.77 | 4 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,424.97 – $1,528.94 | 4 |
| G-tube reposition CPT 43761 | not published | not published | $128.68 – $656.44 | 21 |
| Gu dilat ureter/urethra s&i CPT 74485 | $305.03 | $649.00 | $66.35 – $222.89 | 6 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $372.25 – $1,309.78 | 21 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $29.93 – $194.78 | 6 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $6,150.00 – $6,598.71 | 4 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $323.87 – $1,139.52 | 21 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $211.38 – $743.75 | 21 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $211.38 – $743.75 | 21 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $23.04 | $49.02 | $11.98 – $15.73 | 3 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $20.30 | $43.19 | $1.94 – $2.37 | 3 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $16.29 – $17.48 | 4 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $2,802.70 – $3,007.19 | 4 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $2,712.28 – $2,910.17 | 4 |
| Hand X-ray CPT 73130 | $154.16 | $328.00 | $20.22 – $163.91 | 23 |
| Haptoglobin quantitative CPT 83010 | $34.31 | $73.00 | $6.79 – $23.90 | 23 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $346.58 – $371.87 | 4 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,743.27 – $1,870.46 | 4 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,373.52 – $1,473.74 | 4 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $1,644.66 – $1,764.66 | 4 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $1,464.34 – $1,571.18 | 4 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $231.30 – $813.85 | 21 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $1,351.69 – $1,450.31 | 4 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $68.20 – $239.95 | 21 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $68.20 – $239.95 | 21 |
| Hba1/hba2 full gene sequence CPT 81259 | $282.00 | $600.00 | $324.00 – $1,140.00 | 23 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $94.94 | $202.00 | $109.30 – $384.56 | 23 |
| Hba1/hba2 gene fam vrnt CPT 81258 | $176.25 | $375.00 | $202.64 – $712.98 | 23 |
| Hbb full gene sequence CPT 81364 | $152.75 | $325.00 | $175.27 – $616.70 | 19 |
| Hbb gene com variants CPT 81361 | $82.25 | $175.00 | $94.40 – $332.14 | 19 |
| Hbb gene dup/del variants CPT 81363 | $94.94 | $202.00 | $109.30 – $384.56 | 19 |
| Hbb gene known fam variant CPT 81362 | $176.25 | $375.00 | $202.64 – $712.98 | 19 |
| Hbot, full body chamber, 30m HCPCS G0277 | $285.76 | $608.00 | $195.13 – $209.37 | 4 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $156.04 | $332.00 | $94.19 – $846.62 | 23 |
| Hcg free betachain test CPT 84704 | $7.99 | $17.00 | $7.22 – $63.72 | 23 |
| Hcg qualitative CPT 84703 | $12.69 | $27.00 | $4.06 – $14.29 | 23 |
| Hcg quantitative CPT 84702 | $18.80 | $40.00 | $7.22 – $28.59 | 23 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,238.11 – $1,328.44 | 4 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $323.87 – $1,139.52 | 21 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $897.99 – $963.51 | 4 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $323.87 – $1,139.52 | 21 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $329.25 – $353.27 | 4 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $902.63 – $968.49 | 4 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $125.81 – $1,002.04 | 23 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $212.60 – $748.03 | 17 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $159.58 – $748.03 | 23 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $165.13 – $1,002.04 | 23 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $1,720.20 | $3,660.00 | $300.15 – $2,330.02 | 6 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $509.31 – $546.47 | 4 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $173.32 – $1,291.58 | 23 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $315.65 – $1,291.58 | 23 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $367.08 – $1,291.58 | 23 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $133.97 – $489.55 | 23 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $139.14 – $489.55 | 23 |
| Head CT scan (with and without contrast) CPT 70470 | $1,316.47 | $2,801.00 | $94.19 – $331.40 | 23 |
| Head CT scan (with contrast) CPT 70460 | $1,183.93 | $2,519.00 | $94.19 – $331.40 | 23 |
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.