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 |
|---|---|---|---|---|
| Radical resection sternum 21630 CPT 21630 | not published | not published | $5,055.87 – $5,424.75 | 4 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,836.21 – $1,970.18 | 4 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,142.23 – $2,298.53 | 4 |
| Radiesse injection HCPCS Q2026 | $1,470.16 | $3,128.00 | $38.11 – $38.11 | 2 |
| Radiology port images(s) CPT 77417 | $30.08 | $64.00 | $11.89 – $41.28 | 6 |
| Radiotherapy dose plan imrt CPT 77301 | $1,856.50 | $3,950.00 | $1,303.48 – $4,092.31 | 6 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $716.75 | $1,525.00 | $238.50 – $674.17 | 6 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,263.36 | $2,688.00 | $441.49 – $1,485.93 | 6 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,054.34 – $1,561.16 | 5 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,304.72 | $2,776.00 | $247.66 – $820.01 | 6 |
| Radphm lcl tumor plr sgl day CPT 78800 | $539.56 | $1,148.00 | $131.80 – $748.03 | 23 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $135.65 – $188.03 | 5 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $5,574.15 – $5,980.85 | 4 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,836.21 – $1,970.18 | 4 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,142.23 – $2,298.53 | 4 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,836.21 – $1,970.18 | 4 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,836.21 – $1,970.18 | 4 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,142.23 – $2,298.53 | 4 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,836.21 – $1,970.18 | 4 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,142.23 – $2,298.53 | 4 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,836.21 – $1,970.18 | 4 |
| Rapid desensitization CPT 95180 | not published | not published | $193.00 – $742.84 | 21 |
| Rapid Strep Test CPT 87880 | $19.74 | $42.00 | $8.93 – $31.41 | 23 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $641.25 | $1,364.36 | $497.18 – $862.31 | 3 |
| Rbc count only automated CPT 85041 | $2.82 | $6.00 | $1.63 – $5.74 | 23 |
| Rbc deglycerolized each unit HCPCS P9039 | $508.07 | $1,081.00 | $450.05 – $587.19 | 5 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $231.30 – $813.85 | 21 |
| Rbc irradiated each unit HCPCS P9038 | $365.19 | $777.00 | $201.61 – $409.04 | 5 |
| Rbc serum pretx incubj drugs CPT 86975 | $62.98 | $134.00 | $14.75 – $742.84 | 23 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $4,409.89 – $4,731.64 | 4 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $2,292.36 – $2,459.61 | 4 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Realignment of knee CPT 27457 | not published | not published | $3,929.47 – $4,216.17 | 4 |
| Realignment of tendons CPT 26437 | not published | not published | $2,169.82 – $2,328.13 | 4 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $5,479.16 – $5,878.93 | 4 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $6,339.03 – $6,801.53 | 4 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $4,535.90 – $4,866.85 | 4 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Rechanneling of artery CPT 35361 | not published | not published | $6,449.46 – $6,920.02 | 4 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $5,211.85 – $5,592.11 | 4 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $5,801.05 – $6,224.30 | 4 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | $3,627.46 | $7,718.00 | $5,451.57 – $5,849.33 | 4 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $6,144.76 – $6,593.09 | 4 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $4,154.75 – $4,457.89 | 4 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $5,252.28 – $5,635.49 | 4 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $6,199.63 – $6,651.96 | 4 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $6,170.76 – $6,620.98 | 4 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $4,409.89 – $4,731.64 | 4 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $4,409.89 – $4,731.64 | 4 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $5,879.03 – $6,307.97 | 4 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $4,289.06 – $4,602.00 | 4 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $26,486.74 – $28,419.25 | 4 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $5,574.15 – $5,980.85 | 4 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $3,616.50 – $3,880.37 | 4 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $22,265.51 – $23,890.03 | 4 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $12,701.32 – $13,628.03 | 4 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $5,502.99 – $5,904.50 | 4 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $8,862.97 – $9,509.63 | 4 |
| Reconstruct extra finger CPT 26587 | not published | not published | $2,169.82 – $2,328.13 | 4 |
| Reconstruct finger joint CPT 26545 | not published | not published | $2,712.28 – $2,910.17 | 4 |
| Reconstruct finger joint CPT 26548 | not published | not published | $2,802.70 – $3,007.19 | 4 |
| Reconstruct head of radius CPT 24365 | not published | not published | $12,941.50 – $13,885.73 | 4 |
| Reconstruct head of radius CPT 24366 | not published | not published | $15,118.49 – $16,221.56 | 4 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $4,609.65 – $4,945.98 | 4 |
| Reconstruction knee CPT 27427 | not published | not published | $8,000.52 – $8,584.25 | 4 |
| Reconstruction knee CPT 27428 | not published | not published | $11,003.47 – $11,806.30 | 4 |
| Reconstruction knee CPT 27429 | not published | not published | $8,862.97 – $9,509.63 | 4 |
| Reconstruction of anus CPT 46753 | not published | not published | $2,313.82 – $2,482.64 | 4 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $6,596.77 – $7,078.08 | 4 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $1,879.64 – $2,016.79 | 4 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $1,986.50 – $2,131.43 | 4 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $2,322.36 – $2,491.80 | 4 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $1,820.89 – $1,953.75 | 4 |
| Reconstruction of jaw CPT 21249 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $11,736.42 – $12,592.73 | 4 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $20,157.81 – $21,628.55 | 4 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Reconstruction of mouth CPT 40840 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Reconstruction of mouth CPT 40842 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Reconstruction of mouth CPT 40843 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Reconstruction of mouth CPT 40844 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Reconstruction of mouth CPT 40845 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $255.11 – $273.72 | 4 |
| Reconstruction of nose CPT 30410 | not published | not published | $4,535.90 – $4,866.85 | 4 |
| Reconstruction of nose CPT 30420 | not published | not published | $7,119.30 – $7,638.73 | 4 |
| Reconstruction of orbit CPT 21256 | not published | not published | $4,409.89 – $4,731.64 | 4 |
| Reconstruction of throat CPT 42950 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Reconstruction of urethra CPT 53410 | not published | not published | $8,660.08 – $9,291.93 | 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.