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 |
|---|---|---|---|---|
| Strapping of knee CPT 29530 | not published | not published | $66.53 – $239.95 | 21 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $31.43 – $110.58 | 21 |
| Strep a ag ia CPT 87430 | $7.99 | $17.00 | $9.08 – $31.94 | 23 |
| Strep a dna dir probe CPT 87650 | not published | not published | $10.83 – $38.09 | 23 |
| Strep b assay w/optic CPT 87802 | not published | not published | $6.87 – $24.19 | 23 |
| Strep b dna amp probe CPT 87653 | not published | not published | $18.95 – $66.67 | 23 |
| Streptokinase antibody CPT 86590 | $6.11 | $13.00 | $6.84 – $24.05 | 23 |
| Stress test pulmonary CPT 94618 | $132.54 | $282.00 | $34.67 – $239.95 | 21 |
| Stress tte complete CPT 93351 | $1,170.30 | $2,490.00 | $290.09 – $1,020.70 | 22 |
| Str markers spec anal addl CPT 81266 | $143.35 | $305.00 | $164.60 – $579.14 | 23 |
| Str markers specimen anal CPT 81265 | not published | not published | $125.86 – $442.83 | 23 |
| St treatment speech individual CPT 92507 | $156.51 | $333.00 | $27.18 – $191.69 | 23 |
| St treatment swallow dysfunction/oral CPT 92526 | $156.51 | $333.00 | $27.18 – $212.61 | 22 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $366.40 – $1,289.19 | 21 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $66.78 – $369.89 | 21 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $86.83 – $1,139.52 | 21 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,473.54 – $3,726.97 | 4 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $3,473.54 – $3,726.97 | 4 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,473.54 – $3,726.97 | 4 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $12,161.38 – $13,048.69 | 4 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $9.87 | $21.00 | $1.57 – $2.51 | 3 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $2,409.51 – $2,585.31 | 4 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,811.10 – $3,016.20 | 4 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,811.10 – $3,016.20 | 4 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,851.95 – $1,987.07 | 4 |
| Sugars multiple quant CPT 84379 | not published | not published | $6.23 – $21.91 | 23 |
| Sugars single quant CPT 84378 | $56.09 | $119.35 | $6.23 – $21.91 | 23 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $0.01 – $22.43 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $32.32 | $68.77 | $11.40 – $36.00 | 3 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $24.41 – $85.90 | 21 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $3,255.53 – $3,493.05 | 4 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $3,299.83 – $3,540.59 | 4 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $3,309.93 – $3,551.43 | 4 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,098.06 – $3,324.10 | 4 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $2,780.62 – $2,983.50 | 4 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $2,602.99 – $2,792.91 | 4 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $2,879.94 – $3,090.06 | 4 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $2,602.99 – $2,792.91 | 4 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $3,098.06 – $3,324.10 | 4 |
| Surgical opening of stomach CPT 43510 | not published | not published | $496.04 – $1,745.34 | 21 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $3,286.81 – $3,526.62 | 4 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,165.58 – $1,250.62 | 4 |
| Surgical pathology level 1 gross examination only CPT 88300 | $31.96 | $68.00 | $12.95 – $45.58 | 23 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $141.94 | $302.00 | $20.77 – $73.07 | 23 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $141.94 | $302.00 | $28.27 – $99.47 | 23 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $46.53 | $99.00 | $28.27 – $99.47 | 23 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $340.75 | $725.00 | $190.32 – $669.65 | 23 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $693.25 | $1,475.00 | $334.08 – $1,520.72 | 23 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $5,633.51 – $6,044.54 | 4 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $6,297.84 – $6,757.34 | 4 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,983.28 – $2,127.98 | 4 |
| Susceptibility agar dilution per agent CPT 87181 | $2.35 | $5.00 | $2.57 – $9.03 | 23 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $2.35 | $5.00 | $2.57 – $9.03 | 23 |
| Susceptibility mic per plate CPT 87186 | $36.66 | $78.00 | $4.67 – $16.43 | 23 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $3.59 – $12.62 | 23 |
| Suspension of testis CPT 54620 | not published | not published | $2,102.18 – $2,255.56 | 4 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $1,808.05 – $1,939.96 | 4 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $4,430.56 – $4,753.82 | 4 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $5,738.95 – $6,157.67 | 4 |
| Svc venogram s&i CPT 75827 | $1,204.61 | $2,563.00 | $105.81 – $181.61 | 6 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.67 – $99.47 | 23 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,814.02 – $1,946.37 | 4 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,814.02 – $1,946.37 | 4 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,954.59 – $2,097.20 | 4 |
| Synthetic sentence id test CPT 92576 | not published | not published | $20.77 – $127.66 | 21 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $10.34 | $22.01 | $2.38 – $8.36 | 23 |
| System cardiomems hosp electronics HCPCS C2624 | $41,360.00 | $88,000.00 | $0.02 – $0.02 | 4 |
| T3 (triiodothyronine) free CPT 84481 | $16.92 | $36.00 | $9.15 – $32.19 | 23 |
| T3 (triiodothyronine) total CPT 84480 | $57.34 | $122.00 | $7.66 – $26.94 | 23 |
| T4 (thyroxine) free CPT 84439 | $13.63 | $29.00 | $4.87 – $17.14 | 23 |
| T4 (thyroxine) total CPT 84436 | $82.25 | $175.00 | $3.71 – $13.05 | 23 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $10.76 | $22.90 | $0.57 – $0.69 | 3 |
| Tacrolimus therapeutic drug level CPT 80197 | $14.57 | $31.00 | $7.41 – $26.09 | 23 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $9,204.85 – $9,876.45 | 4 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $8,472.67 – $9,090.84 | 4 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $5,132.43 – $5,506.90 | 4 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1,002.66 – $1,075.82 | 4 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $756.96 – $812.19 | 4 |
| Target gsa panel hmtlmph neop CPT 81450 | $357.20 | $760.00 | $410.15 – $1,443.11 | 23 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $3,467.03 – $3,771.10 | 5 |
| Target gsa panel organ neop CPT 81445 | $281.02 | $597.91 | $322.87 – $1,136.03 | 23 |
| Tas congenital car anomal CPT 33741 | not published | not published | $3,055.18 – $3,278.09 | 4 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $182.91 – $1,139.52 | 21 |
| Tavr perq femoral CPT 33361 | not published | not published | $5,717.31 – $6,134.45 | 4 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1.13 | $2.39 | $0.68 – $0.87 | 3 |
| Tbs techl calculation only CPT 77091 | $78.49 | $167.00 | $46.59 – $163.91 | 18 |
| Tbs techl prep&transmis data CPT 77090 | $78.49 | $167.00 | $4.02 – $163.91 | 18 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $47.00 | $100.00 | $54.00 – $190.00 | 23 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $33.47 – $117.76 | 23 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $323.87 – $1,139.52 | 21 |
| Tcd emboli detect w/inj CPT 93893 | $253.80 | $540.00 | $56.26 – $1,038.41 | 22 |
| Tcd emboli detect without inj CPT 93892 | $226.54 | $482.00 | $56.26 – $812.23 | 22 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $231.30 – $813.85 | 21 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $25.37 – $89.26 | 23 |
| T cells absolute cd 4 count CPT 86361 | $28.20 | $60.00 | $14.46 – $50.88 | 23 |
| T cells total count CPT 86359 | not published | not published | $20.37 – $71.69 | 23 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $164.75 – $579.69 | 17 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $164.75 – $579.69 | 17 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $164.75 – $579.69 | 17 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $4,378.61 – $4,698.08 | 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.