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 |
|---|---|---|---|---|
| Revision of iris CPT 66761 | not published | not published | $290.26 – $1,021.27 | 21 |
| Revision of iris CPT 66762 | not published | not published | $290.26 – $1,021.27 | 21 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $999.09 – $1,071.98 | 4 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $1,674.13 – $1,796.28 | 4 |
| Revision of knee joint CPT 27440 | not published | not published | $20,126.87 – $21,595.35 | 4 |
| Revision of knee joint CPT 27441 | not published | not published | $20,126.87 – $21,595.35 | 4 |
| Revision of knee joint CPT 27442 | not published | not published | $20,126.87 – $21,595.35 | 4 |
| Revision of knee joint CPT 27443 | not published | not published | $20,126.87 – $21,595.35 | 4 |
| Revision of knee joint CPT 27446 | not published | not published | $20,126.87 – $21,595.35 | 4 |
| Revision of larynx CPT 31400 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $2,012.31 – $2,159.14 | 4 |
| Revision of neck muscle CPT 21700 | not published | not published | $2,169.82 – $2,328.13 | 4 |
| Revision of neck muscle CPT 21720 | not published | not published | $2,169.82 – $2,328.13 | 4 |
| Revision of neck muscle CPT 21725 | not published | not published | $372.25 – $1,309.78 | 21 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $2,300.49 – $2,468.33 | 4 |
| Revision of nose CPT 30120 | not published | not published | $1,953.15 – $2,095.66 | 4 |
| Revision of nose CPT 30430 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Revision of nose CPT 30435 | not published | not published | $4,535.90 – $4,866.85 | 4 |
| Revision of nose CPT 30450 | not published | not published | $4,535.90 – $4,866.85 | 4 |
| Revision of nose CPT 30460 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Revision of nose CPT 30462 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Revision of penis CPT 54300 | not published | not published | $3,055.25 – $3,278.16 | 4 |
| Revision of penis CPT 54304 | not published | not published | $3,013.30 – $3,233.15 | 4 |
| Revision of penis CPT 54420 | not published | not published | $2,023.33 – $2,170.95 | 4 |
| Revision of penis CPT 54430 | not published | not published | $2,665.85 – $2,860.35 | 4 |
| Revision of penis CPT 54435 | not published | not published | $1,957.75 – $2,100.59 | 4 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $4,535.90 – $4,866.85 | 4 |
| Revision of radius CPT 25350 | not published | not published | $6,617.34 – $7,100.15 | 4 |
| Revision of radius CPT 25355 | not published | not published | $3,217.58 – $3,452.34 | 4 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,696.99 – $1,820.80 | 4 |
| Revision of scrotum CPT 55175 | not published | not published | $2,627.75 – $2,819.47 | 4 |
| Revision of scrotum CPT 55180 | not published | not published | $3,098.06 – $3,324.10 | 4 |
| Revision of spinal shunt CPT 63744 | not published | not published | $2,816.22 – $3,021.70 | 4 |
| Revision of testis CPT 54660 | not published | not published | $3,098.06 – $3,324.10 | 4 |
| Revision of thigh muscles CPT 27430 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Revision of toe CPT 28312 | not published | not published | $2,169.82 – $2,328.13 | 4 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $10,178.19 – $10,920.81 | 4 |
| Revision of ulna CPT 25360 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Revision of urethra CPT 53450 | not published | not published | $2,877.87 – $3,087.85 | 4 |
| Revision of urethra CPT 53460 | not published | not published | $1,860.06 – $1,995.77 | 4 |
| Revision of urethra CPT 57220 | not published | not published | $3,731.37 – $4,003.61 | 4 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $6,625.14 – $7,108.52 | 4 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $3,862.99 – $4,144.84 | 4 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Revision tips CPT 37183 | not published | not published | $5,151.03 – $5,526.86 | 4 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $8,169.51 – $8,765.57 | 4 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $21,895.70 – $23,493.24 | 4 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $4,189.27 – $4,494.93 | 4 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $4,189.27 – $4,494.93 | 4 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $7,205.19 – $7,730.89 | 4 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $4,233.49 – $4,542.37 | 4 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $2,588.21 – $2,777.05 | 4 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $2,588.21 – $2,777.05 | 4 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,019.58 – $3,239.89 | 4 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $21,375.85 – $22,935.46 | 4 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $15,255.77 – $16,368.85 | 4 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $15,888.26 – $17,047.49 | 4 |
| Rheumatoid factor qualitative CPT 86430 | $14.57 | $31.00 | $3.32 – $11.67 | 23 |
| Rheumatoid factor quantitative CPT 86431 | not published | not published | $3.06 – $10.77 | 23 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $2,211.92 – $2,373.30 | 4 |
| Rho d immune globulin inj HCPCS J2790 | $129.72 | $276.00 | $121.28 – $121.28 | 1 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $531.12 – $569.88 | 4 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $5,461.40 – $5,859.87 | 4 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $5,461.40 – $5,859.87 | 4 |
| Rib cartilage graft CPT 21230 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Right ventric recording CPT 93603 | $3,921.68 | $8,344.00 | $1,994.68 – $2,140.22 | 4 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | $9.40 | $20.00 | $12.23 – $13.11 | 4 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $48.54 | $103.28 | $82.95 – $100.59 | 3 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $5,461.40 – $5,859.87 | 4 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $5,461.40 – $5,859.87 | 4 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $4,648.64 – $4,987.81 | 4 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $372.25 – $1,309.78 | 21 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $5,709.48 – $6,126.05 | 4 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $4,416.45 – $4,738.68 | 4 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $1,836.21 – $1,970.18 | 4 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $2,454.79 – $2,633.89 | 4 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $205.70 – $220.71 | 4 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $4,707.98 – $5,051.48 | 4 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $670.24 – $719.14 | 4 |
| Rmvl icd by tv extr CPT 33244 | $4,296.27 | $9,141.00 | $3,749.31 – $4,022.86 | 4 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $57,441.05 | $122,215.00 | $55,152.48 – $59,176.48 | 4 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $57,441.05 | $122,215.00 | $63,705.65 – $68,353.70 | 4 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $57,441.05 | $122,215.00 | $44,855.28 – $48,127.98 | 4 |
| Rmvl icd pulse gen only CPT 33241 | $3,521.71 | $7,493.00 | $3,941.82 – $4,229.41 | 4 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $2,867.33 – $3,076.54 | 4 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $9,837.40 – $10,555.15 | 4 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $327.11 – $1,150.94 | 21 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $731.26 – $784.61 | 4 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $11,582.49 – $12,427.56 | 4 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $648.65 – $695.98 | 4 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $18,704.94 – $20,069.67 | 4 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $11,738.86 – $12,595.34 | 4 |
| Rmvl pq iabp CPT 33968 | not published | not published | $141.53 – $151.86 | 4 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $843.38 – $904.91 | 4 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $2,531.45 – $2,716.14 | 4 |
| Rmvl sq defib electrode CPT 33272 | $3,845.07 | $8,181.00 | $3,749.31 – $4,022.86 | 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.