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 |
|---|---|---|---|---|
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $323.87 – $1,139.52 | 21 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $1,170.01 – $1,255.38 | 4 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $364.45 – $391.04 | 4 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $82.78 – $291.27 | 21 |
| Pressure velocity wire add ves CPT 93572 | $1,957.55 | $4,165.00 | $174.25 – $186.97 | 4 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $18.38 – $319.01 | 23 |
| Pretreat rbc absorption reference CPT 86978 | $50.29 | $107.00 | $14.75 – $110.58 | 23 |
| Pretreat rbc density gradient separation reference CPT 86972 | $62.98 | $134.00 | $18.38 – $319.01 | 23 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $14.75 – $110.58 | 23 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $14.61 – $319.01 | 23 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $112.33 | $239.00 | $85.01 – $299.10 | 23 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $1,922.37 – $2,062.63 | 4 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $1,973.95 – $2,117.97 | 4 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $211.38 – $743.75 | 21 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $5,685.52 – $6,100.34 | 4 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $19.73 – $69.43 | 22 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $44.18 | $94.00 | $19.73 – $110.58 | 22 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $19.73 – $105.54 | 22 |
| Prgrmg eval implantable dfb CPT 93282 | $73.32 | $156.00 | $19.73 – $117.61 | 22 |
| Prgrmg eval implantable dfb CPT 93283 | $73.32 | $156.00 | $19.73 – $128.66 | 22 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $19.73 – $137.72 | 22 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,921.68 | $8,344.00 | $2,896.57 – $3,107.91 | 4 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $201.25 – $202.28 | 2 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $140.53 | $299.00 | $80.00 – $137.13 | 3 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $101.52 | $216.00 | $50.00 – $149.48 | 4 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $109.51 | $233.00 | $43.00 – $43.00 | 1 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $71.90 – $77.37 | 3 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $45.59 | $97.00 | $33.00 – $42.45 | 4 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $5,250.05 – $5,633.10 | 4 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $2,888.26 – $3,098.99 | 4 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $367.54 | $782.00 | $211.38 – $743.75 | 21 |
| Pr incision & drainage abscess simple/single CPT 10060 | not published | not published | $105.13 – $369.89 | 21 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $160.94 – $566.28 | 21 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | not published | not published | $211.38 – $743.75 | 21 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $68.18 – $239.89 | 17 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $68.18 – $239.89 | 17 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $240.17 | $511.00 | $126.60 – $135.83 | 4 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $3,626.44 – $3,891.03 | 4 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $158.16 – $556.49 | 21 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $1,644.66 – $1,764.66 | 4 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $3,352.21 – $3,596.80 | 4 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $1,644.66 – $1,764.66 | 4 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $90.04 | $191.56 | $166.65 – $166.65 | 1 |
| Procalcitonin CPT 84145 | $28.20 | $60.00 | $14.70 – $51.72 | 23 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $27.73 | $59.00 | $5.79 – $8.50 | 3 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $3.00 | $6.39 | $0.66 – $1.23 | 3 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $7,860.37 – $8,433.88 | 4 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $7,730.40 – $8,294.42 | 4 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $1,983.28 – $2,127.98 | 4 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $844.25 – $905.85 | 4 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $717.62 – $769.98 | 4 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $140.02 – $1,697.23 | 21 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $1,983.28 – $2,127.98 | 4 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,239.78 – $1,330.23 | 4 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,239.78 – $1,330.23 | 4 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $1,983.28 – $2,127.98 | 4 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,239.78 – $1,330.23 | 4 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $1,983.28 – $2,127.98 | 4 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $3,119.29 – $3,346.88 | 4 |
| Progesterone CPT 84144 | $25.85 | $55.00 | $11.26 – $39.63 | 23 |
| Prolactin CPT 84146 | $16.45 | $35.00 | $10.47 – $36.82 | 23 |
| Promethazine 25 mg tablet HCPCS Q0169 | $5.04 | $10.73 | $0.14 – $0.39 | 3 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $158.16 – $556.49 | 21 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $290.26 – $1,021.27 | 21 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $10,340.15 – $11,094.58 | 4 |
| Prophylactic tx radius CPT 25490 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,217.58 – $3,452.34 | 4 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $8,862.97 – $9,509.63 | 4 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $5.42 | $11.52 | $0.21 – $0.21 | 3 |
| _propoxygc/msur CPT 80367 | $18.94 | $40.30 | $0.01 – $22.43 | 2 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $12.53 | $26.66 | $8.43 – $11.52 | 3 |
| Prostate biopsy, any mthd HCPCS G0416 | $132.54 | $282.00 | $201.99 – $201.99 | 1 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $4,669.91 – $5,010.63 | 4 |
| Prostate laser enucleation CPT 52649 | not published | not published | $8,538.44 – $9,161.42 | 4 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $1,786.86 – $1,917.23 | 4 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $2,299.13 – $2,466.88 | 4 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $4.20 | $8.94 | $2.28 – $2.48 | 3 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $4,168.90 | $8,870.00 | $2,335.26 – $2,335.26 | 2 |
| Protein c activity CPT 85303 | $14.57 | $31.00 | $7.47 – $26.30 | 23 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $11.28 | $24.00 | $5.80 – $20.41 | 23 |
| Protein s total CPT 85305 | not published | not published | $6.27 – $22.06 | 23 |
| Protein total 24 hour urine CPT 84156 | $52.64 | $112.00 | $1.98 – $6.97 | 23 |
| Protein total body fluid CPT 84157 | $5.17 | $11.00 | $2.16 – $7.60 | 23 |
| Protein total serum plasma whole blood CPT 84155 | $5.17 | $11.00 | $1.98 – $6.97 | 19 |
| Prothrombin complex kcentra HCPCS J7168 | $713.15 | $1,517.35 | $3.92 – $6.86 | 3 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $4.95 | $10.54 | $2.13 – $7.49 | 23 |
| Proton treatment complex CPT 77525 | not published | not published | $758.90 – $1,890.16 | 6 |
| Proton trmt intermediate CPT 77523 | not published | not published | $712.61 – $1,814.37 | 6 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $600.89 – $1,814.37 | 6 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $306.06 – $1,467.03 | 23 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $5.26 – $18.51 | 23 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $1,783.96 – $1,914.12 | 4 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $4,661.68 – $5,001.80 | 4 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $48.94 – $172.20 | 17 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $18,738.65 – $20,105.85 | 4 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $20,594.57 – $22,097.17 | 4 |
| Prq cardiac angio addl art CPT 92921 | $6,346.88 | $13,504.00 | $747.51 – $802.05 | 4 |
| Prq card revasc chronic addl CPT 92944 | $9,642.05 | $20,515.00 | $488.21 – $523.83 | 4 |
| Prq card revasc mi 1 vsl CPT 92941 | $10,607.43 | $22,569.00 | $394.42 – $423.19 | 4 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $13,475.37 | $28,671.00 | $21,653.07 – $23,232.91 | 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.