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 |
|---|---|---|---|---|
| Lengthening of thigh tendon CPT 27393 | not published | not published | $2,531.45 – $2,716.14 | 4 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $3,217.58 – $3,452.34 | 4 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $4,369.90 – $4,688.74 | 4 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $6,754.77 – $7,247.61 | 4 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $12,161.46 – $13,048.78 | 4 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $3,217.58 – $3,452.34 | 4 |
| Leukacyte transfusion CPT 86950 | not published | not published | $9.04 – $319.01 | 23 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $5.61 – $19.74 | 19 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $6.33 | $13.47 | $0.11 – $0.14 | 3 |
| Levetiracetam therapeutic drug level CPT 80177 | $13.63 | $29.00 | $7.16 – $25.17 | 23 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $20.19 | $42.96 | $1.33 – $2.67 | 3 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $5,461.40 – $5,859.87 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $7.93 – $27.91 | 23 |
| Ligate leg veins open CPT 37761 | not published | not published | $559.41 – $600.23 | 4 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $2,649.36 – $2,842.66 | 4 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $316.29 – $339.36 | 4 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $2,649.36 – $2,842.66 | 4 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $2,270.90 – $2,436.59 | 4 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $2,451.84 – $2,630.73 | 4 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $3,237.87 – $3,474.11 | 4 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $2,270.90 – $2,436.59 | 4 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $2,519.99 – $2,703.85 | 4 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $2,519.99 – $2,703.85 | 4 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $730.31 – $783.59 | 4 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $1,608.76 – $1,726.14 | 4 |
| Ligation major artery neck CPT 37615 | not published | not published | $730.31 – $783.59 | 4 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $2,649.36 – $2,842.66 | 4 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $5,629.20 – $6,039.92 | 4 |
| Ligation of femoral vein CPT 37650 | not published | not published | $2,270.90 – $2,436.59 | 4 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $4,189.27 – $4,494.93 | 4 |
| Ligation of neck artery CPT 37606 | not published | not published | $2,519.99 – $2,703.85 | 4 |
| Ligation of salivary duct CPT 42665 | not published | not published | $2,927.22 – $3,140.79 | 4 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $2,649.36 – $2,842.66 | 4 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $2,270.90 – $2,436.59 | 4 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $2,270.90 – $2,436.59 | 4 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,649.36 – $2,842.66 | 4 |
| Limb exercise test CPT 95875 | not published | not published | $82.78 – $291.27 | 21 |
| Limited visual field xm CPT 92081 | not published | not published | $31.43 – $110.58 | 21 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $24.66 | $52.47 | $7.13 – $9.07 | 3 |
| Lipase CPT 83690 | $43.24 | $92.00 | $3.72 – $13.09 | 23 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,953.15 – $2,095.66 | 4 |
| Lipoprotein blood high res frac & quant CPT 83701 | $25.85 | $55.00 | $18.28 – $64.33 | 19 |
| Lipoprotein blood quant CPT 83704 | $25.85 | $55.00 | $18.46 – $64.96 | 19 |
| Lipoprotein direct measurement hdl CPT 83718 | $7.05 | $15.00 | $4.42 – $15.56 | 23 |
| Lipoprotein direct measurement ldl CPT 83721 | $13.40 | $28.52 | $5.67 – $19.95 | 23 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $16.45 | $35.00 | $18.46 – $64.96 | 19 |
| Lip surgery procedure CPT 40799 | not published | not published | $122.86 – $432.29 | 21 |
| Listeria monocytogenes CPT 86723 | not published | not published | $7.12 – $25.06 | 23 |
| Lithium therapeutic drug level CPT 80178 | $44.18 | $94.00 | $3.57 – $12.56 | 23 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $5,042.90 – $5,410.83 | 4 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $95.14 – $334.76 | 17 |
| Liver elastography 91200 CPT 91200 | not published | not published | $57.15 – $291.27 | 21 |
| Liver Function Test CPT 80076 | $15.04 | $32.00 | $4.41 – $15.52 | 23 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $6,069.65 – $6,512.50 | 4 |
| Liver imaging CPT 78201 | $593.14 | $1,262.00 | $137.35 – $1,002.04 | 23 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $152.91 – $1,002.04 | 23 |
| Liver/spleen imag static only CPT 78215 | $397.62 | $846.00 | $142.36 – $748.03 | 23 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $82.34 – $748.03 | 23 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,600.61 – $2,790.35 | 4 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $5,318.07 – $5,706.08 | 4 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $7.99 | $17.00 | $1.26 – $2.78 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $21.72 | $46.22 | $1.13 – $3.37 | 3 |
| Loudness balance test CPT 92562 | not published | not published | $134.90 – $579.69 | 21 |
| Low back disk surgery CPT 63030 | not published | not published | $8,496.77 – $9,116.70 | 4 |
| Low cost skin substitute app HCPCS C5271 | $1,558.05 | $3,315.00 | $697.75 – $904.19 | 4 |
| Low cost skin substitute app HCPCS C5275 | $1,558.05 | $3,315.00 | $697.75 – $904.19 | 4 |
| Low cost skin substitute app HCPCS C5277 | $694.19 | $1,477.00 | $697.75 – $904.19 | 4 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,210.72 | $2,576.00 | $94.19 – $395.33 | 23 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,100.27 | $2,341.00 | $188.95 – $664.83 | 23 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $877.96 | $1,868.00 | $56.26 – $235.73 | 23 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $360.49 | $767.00 | $188.95 – $664.83 | 23 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $287.17 | $611.00 | $188.95 – $664.83 | 23 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $233.59 | $497.00 | $127.89 – $449.98 | 23 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $124.55 | $265.00 | $21.61 – $197.96 | 23 |
| Lower jaw bone graft CPT 21215 | not published | not published | $3,252.44 – $3,489.74 | 4 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $27.18 – $369.89 | 18 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $4,451.47 – $4,776.26 | 4 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $6,803.27 – $7,299.64 | 4 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $9,696.12 – $10,403.57 | 4 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $6,803.27 – $7,299.64 | 4 |
| L/s ratio fetal lung CPT 83661 | $71.44 | $152.00 | $11.87 – $41.78 | 23 |
| Lumbar diskogram s&i CPT 72295 | $836.60 | $1,780.00 | $63.01 – $199.03 | 6 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $25,247.24 – $27,089.32 | 4 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $31.43 – $110.58 | 21 |
| Lung Function Test (Spirometry) CPT 94010 | $50.29 | $107.00 | $54.34 – $291.27 | 21 |
| Lung perfusion imaging CPT 78580 | $354.38 | $754.00 | $155.69 – $748.03 | 23 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $6,154.86 – $6,603.93 | 4 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $12.95 – $45.58 | 21 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $2,941.66 – $3,156.29 | 4 |
| Lymphatics/lymph node imaging CPT 78195 | $782.55 | $1,665.00 | $250.72 – $1,002.04 | 23 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $19.74 – $72.91 | 23 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $26.48 – $93.16 | 23 |
| Lymphocytotoxicity assay CPT 86805 | $89.30 | $190.00 | $67.53 – $360.07 | 23 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $184.72 – $1,150.94 | 23 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $176.44 – $2,627.96 | 6 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $194.59 – $5,230.34 | 6 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $198.48 – $5,230.34 | 6 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $269.43 – $948.00 | 21 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,898.19 – $2,036.69 | 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.