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 |
|---|---|---|---|---|
| Ophthalmic biometry CPT 92136 | not published | not published | $48.73 – $239.95 | 21 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $20.77 – $73.07 | 17 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $56.69 – $239.95 | 23 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $47.18 – $197.96 | 23 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $37.23 – $197.96 | 23 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $1,133.66 – $1,216.37 | 4 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $26,978.18 – $28,946.54 | 4 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $30,642.97 – $32,878.73 | 4 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $25,479.84 – $27,338.89 | 4 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $14,151.90 – $15,184.45 | 4 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $46,793.12 – $50,207.21 | 4 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $4,409.89 – $4,731.64 | 4 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $4,707.84 – $5,051.33 | 4 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $5,051.55 – $5,420.12 | 4 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $4,729.51 – $5,074.58 | 4 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $4,409.89 – $4,731.64 | 4 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $4,409.89 – $4,731.64 | 4 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $4,409.89 – $4,731.64 | 4 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $4,409.89 – $4,731.64 | 4 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $4,409.89 – $4,731.64 | 4 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $4,409.89 – $4,731.64 | 4 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $14.04 – $110.58 | 21 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $23.64 – $110.58 | 21 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $5,502.99 – $5,904.50 | 4 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $5,502.99 – $5,904.50 | 4 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $7,368.30 – $7,905.91 | 4 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $4,409.89 – $4,731.64 | 4 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $4,122.38 – $4,423.15 | 4 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $6,137.07 – $6,584.83 | 4 |
| Optx lunate dislocation CPT 25695 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Optx medial ankle fx CPT 27766 | not published | not published | $6,615.28 – $7,097.94 | 4 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $4,242.60 – $4,552.15 | 4 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $2,816.04 – $3,021.51 | 4 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $12,737.45 – $13,666.79 | 4 |
| Optx post ankle fx CPT 27769 | not published | not published | $3,686.27 – $3,955.22 | 4 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $8,643.13 – $9,273.74 | 4 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $20,207.36 – $21,681.72 | 4 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $2,531.45 – $2,716.14 | 4 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $5,502.99 – $5,904.50 | 4 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $7,927.41 – $8,505.80 | 4 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $6,382.55 – $6,848.23 | 4 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $6,285.40 – $6,743.99 | 4 |
| Optx sho dislc fx CPT 23670 | not published | not published | $6,382.55 – $6,848.23 | 4 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $8,862.97 – $9,509.63 | 4 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $3,843.78 – $4,124.23 | 4 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $2,531.45 – $2,716.14 | 4 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Orchiectomy partial CPT 54522 | not published | not published | $2,452.57 – $2,631.51 | 4 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,056.03 – $3,279.00 | 4 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $4,229.64 – $4,538.24 | 4 |
| Organic acids total quant ea spec CPT 83918 | $35.96 | $76.50 | $12.74 – $44.84 | 23 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $157.40 – $168.88 | 4 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $27.66 | $58.85 | $7.13 – $26.51 | 3 |
| Orthopantogram CPT 70355 | not published | not published | $9.10 – $163.91 | 23 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $31.43 – $110.58 | 21 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $107.61 – $378.63 | 21 |
| Osmolality blood CPT 83930 | $19.74 | $42.00 | $3.57 – $12.56 | 23 |
| Osmolality urine CPT 83935 | $19.74 | $42.00 | $3.68 – $12.96 | 23 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,169.82 – $2,328.13 | 4 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $2,531.45 – $2,716.14 | 4 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $15,231.56 – $16,342.88 | 4 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $6,745.96 – $7,238.16 | 4 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $5,160.76 – $5,537.30 | 4 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $13.39 – $50.55 | 21 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $13.39 – $58.63 | 21 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $13.39 – $66.70 | 21 |
| Osteoplasty humerus CPT 24420 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $4,792.14 – $5,141.78 | 4 |
| Ot evaluation high complexity patient/family CPT 97167 | $65.33 | $139.00 | $52.07 – $183.20 | 22 |
| Ot evaluation low complexity patient/family CPT 97165 | $65.33 | $139.00 | $52.07 – $183.20 | 22 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $65.33 | $139.00 | $52.07 – $183.20 | 22 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $12.49 – $43.95 | 23 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $53.58 | $114.00 | $25.46 – $131.42 | 21 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $48.41 | $103.00 | $23.42 – $119.69 | 22 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $46.53 | $99.00 | $14.08 – $49.55 | 23 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $64.28 – $68.96 | 4 |
| Otoplasty 69300 CPT 69300 | not published | not published | $1,953.15 – $2,095.66 | 4 |
| Ot re-evaluation patient/family CPT 97168 | $44.18 | $94.00 | $35.84 – $126.10 | 22 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $46.53 | $99.00 | $17.76 – $62.47 | 23 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $57.34 | $122.00 | $10.98 – $53.58 | 22 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $51.70 | $110.00 | $11.49 – $56.07 | 22 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $46.53 | $99.00 | $14.91 – $52.46 | 23 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $46.53 | $99.00 | $16.58 – $58.33 | 23 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $46.53 | $99.00 | $16.50 – $58.05 | 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.