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 |
|---|---|---|---|---|
| Infuse radioactive materials CPT 77750 | not published | not published | $85.40 – $489.55 | 23 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $179.88 – $193.01 | 4 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $259.99 – $987.75 | 21 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $107.61 – $383.55 | 21 |
| Initiation & management bipap/cpap initial day CPT 94660 | $268.84 | $572.00 | $104.93 – $378.63 | 21 |
| Inj, bupivacaine liposome HCPCS J0666 | $3.24 | $6.90 | $3.33 – $3.33 | 2 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $9.79 | $20.82 | $1.08 – $2.21 | 3 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $709.23 | $1,509.00 | $497.74 – $534.05 | 4 |
| Inj daptomycin (xellia) HCPCS J0873 | $0.57 | $1.21 | $0.09 – $0.09 | 2 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $1,358.91 – $1,458.06 | 4 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $66.23 – $549.52 | 21 |
| Inj dx for sinogram CPT 20501 | not published | not published | $483.78 – $519.07 | 4 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $366.40 – $1,289.19 | 17 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,023.19 | $2,177.00 | $676.16 – $725.50 | 4 |
| Injection, cangrelor HCPCS C9460 | $454.15 | $966.27 | $41.46 – $41.46 | 2 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $156.18 – $549.52 | 21 |
| Injection during cath supravalvular aortography CPT 93567 | $560.71 | $1,193.00 | $628.97 – $674.86 | 4 |
| Injection epidural blood patch or clot CPT 62273 | $732.26 | $1,558.00 | $366.40 – $1,289.19 | 21 |
| Injection eye drug CPT 67028 | not published | not published | $175.49 – $617.46 | 21 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $458.71 – $492.17 | 4 |
| Injection for bladder x-ray CPT 51600 | not published | not published | $859.69 – $922.41 | 4 |
| Injection for hip x-ray CPT 27095 | not published | not published | $2,460.06 – $2,639.54 | 4 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | not published | not published | $497.67 – $533.98 | 4 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $566.10 – $607.41 | 4 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $252.71 – $271.15 | 4 |
| Injection for ureter x-ray CPT 50684 | $593.14 | $1,262.00 | $437.57 – $469.50 | 4 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $407.24 – $436.96 | 4 |
| Injection into brain canal CPT 61026 | not published | not published | $366.40 – $1,289.19 | 21 |
| Injection into brain canal CPT 61055 | not published | not published | $156.18 – $609.04 | 21 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $201.37 – $1,697.23 | 21 |
| Injection into spinal artery CPT 62294 | not published | not published | $471.04 – $1,657.35 | 21 |
| Injection into vocal cord CPT 31513 | not published | not published | $205.45 – $830.64 | 21 |
| Injection jugular CPT 36299 | $527.34 | $1,122.00 | $970.51 – $1,041.31 | 4 |
| Injection of sinus tract CPT 20500 | not published | not published | $83.05 – $89.10 | 4 |
| Injection,onabotulinumtoxina HCPCS J0585 | $5.68 | $12.09 | $9.55 – $9.55 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $128.68 – $452.75 | 21 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $167.58 – $748.03 | 21 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $868.09 | $1,847.00 | $935.29 – $1,003.54 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $131.05 – $1,289.19 | 21 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $732.26 | $1,558.00 | $366.40 – $1,289.19 | 21 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $934.83 | $1,989.00 | $471.04 – $1,657.35 | 21 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $382.69 – $410.61 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $471.04 – $1,742.85 | 21 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $352.36 – $378.07 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $471.04 – $1,657.35 | 21 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $825.32 | $1,756.00 | $366.40 – $1,289.19 | 21 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $825.32 | $1,756.00 | $366.40 – $1,289.19 | 21 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $156.18 – $549.52 | 21 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $156.18 – $549.52 | 21 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $156.18 – $549.52 | 21 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $104.81 | $223.00 | $24.41 – $85.90 | 21 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $104.81 | $223.00 | $21.43 – $27.76 | 4 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $111.86 | $238.00 | $103.06 – $392.22 | 21 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $83.19 | $177.00 | $27.00 – $132.49 | 21 |
| Injection treatment of eye CPT 66020 | not published | not published | $1,740.44 – $1,867.42 | 4 |
| Injection treatment of eye CPT 66030 | not published | not published | $1,740.44 – $1,867.42 | 4 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,638.48 – $1,758.03 | 4 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,638.48 – $1,758.03 | 4 |
| Injection treatment of nerve CPT 64681 | not published | not published | $471.04 – $1,657.35 | 21 |
| Injection treatment of nose CPT 30200 | not published | not published | $124.84 – $948.00 | 21 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $879.67 – $943.85 | 4 |
| Inject/treat eye socket CPT 67500 | not published | not published | $158.16 – $556.49 | 21 |
| Inject/treat eye socket CPT 67505 | not published | not published | $62.42 – $556.49 | 21 |
| Inject/treat eye socket CPT 67515 | not published | not published | $158.16 – $556.49 | 21 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $366.40 – $1,289.19 | 21 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $471.04 – $1,657.35 | 21 |
| Inj for ext venography CPT 36005 | not published | not published | $2,984.73 – $3,202.51 | 4 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $929.34 – $997.15 | 4 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $560.71 | $1,193.00 | $695.27 – $746.00 | 4 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $32.79 – $35.18 | 4 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $32.79 – $35.18 | 4 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $15.92 – $17.08 | 4 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $560.71 | $1,193.00 | $15.92 – $17.08 | 4 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $471.04 – $1,657.35 | 21 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $105.13 – $369.89 | 21 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $105.13 – $369.89 | 21 |
| Inj ivig privigen 500 mg HCPCS J1459 | $74.71 | $158.96 | $69.60 – $114.45 | 3 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $21.02 | $44.72 | $4.56 – $8.09 | 3 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | not published | not published | $353.14 – $1,242.54 | 21 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,819.68 – $2,278.33 | 4 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,819.68 – $2,278.33 | 4 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $192.05 – $206.06 | 4 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $680.15 – $729.77 | 4 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $492.69 – $528.63 | 4 |
| Inj proc for lymphang CPT 38790 | not published | not published | $346.58 – $371.87 | 4 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $1,351.69 – $1,450.31 | 4 |
| Inj proc myelogram lumbar CPT 62284 | $1,331.98 | $2,834.00 | $1,205.78 – $1,293.76 | 4 |
| Inj proc sialogram CPT 42550 | $675.39 | $1,437.00 | $766.90 – $822.85 | 4 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $778.54 – $835.35 | 4 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $211.38 – $743.75 | 21 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $156.84 – $743.75 | 21 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $163.46 – $743.75 | 21 |
| Inj testosterone cypionate HCPCS J1071 | $27.26 | $58.00 | $0.04 – $0.07 | 3 |
| Inj w/fluor eval cv device CPT 36598 | $237.35 | $505.00 | $111.47 – $392.22 | 21 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $2,519.99 – $2,703.85 | 4 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $2,519.99 – $2,703.85 | 4 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $2,519.99 – $2,703.85 | 4 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $3,144.30 – $3,373.72 | 4 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $160.94 – $566.28 | 21 |
| Insemination of oocytes CPT 89268 | not published | not published | $90.67 – $369.44 | 22 |
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.