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 |
|---|---|---|---|---|
| Urinary reflex study CPT 51792 | not published | not published | $31.43 – $110.58 | 21 |
| Urine Culture Test CPT 87086 | not published | not published | $4.36 – $15.33 | 23 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $68.20 – $239.95 | 21 |
| Urine pregnancy test CPT 81025 | $9.40 | $20.00 | $4.65 – $16.36 | 23 |
| Urography, antegrade CPT 74425 | $381.64 | $812.00 | $40.68 – $664.83 | 23 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $75.23 – $331.40 | 23 |
| Use 1st target lesion CPT 76982 | $129.72 | $276.00 | $53.38 – $197.96 | 23 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $296.43 – $318.06 | 4 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $269.66 – $289.34 | 4 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $285.87 – $306.73 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $160.95 – $172.69 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $120.20 – $128.97 | 4 |
| Vaccine dtap < 7 years im CPT 90700 | $31.83 | $67.71 | $62.74 – $67.31 | 4 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $203.48 – $218.33 | 4 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $133.93 – $143.70 | 4 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $326.02 – $349.81 | 4 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $249.67 – $267.89 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $63.65 – $68.29 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $27.77 – $29.79 | 4 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $172.96 – $185.57 | 4 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $263.29 – $282.50 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $80.92 – $86.83 | 4 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $143.57 – $154.05 | 4 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $145.00 – $155.58 | 4 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $308.63 – $331.14 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $59.15 – $63.46 | 4 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $642.79 – $689.69 | 4 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $340.28 – $365.11 | 4 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $153.09 – $164.26 | 4 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $153.09 – $164.26 | 4 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $44.87 – $48.14 | 4 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $44.87 – $48.14 | 4 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $45.80 – $49.15 | 4 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $164.35 – $176.34 | 4 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $46.85 – $50.26 | 4 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $28.35 | $60.31 | $48.12 – $51.63 | 4 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $22.90 – $24.57 | 4 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $50.95 – $54.66 | 4 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $156.41 – $167.82 | 4 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $67.56 – $72.49 | 4 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $44.87 – $48.14 | 4 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $467.47 – $501.58 | 4 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $431.82 – $463.33 | 4 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $359.25 – $385.46 | 4 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $328.66 – $352.64 | 4 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $198.22 – $212.68 | 4 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $580.43 – $622.78 | 4 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $489.50 – $525.22 | 4 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $573.61 – $615.47 | 4 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $493.84 – $529.87 | 4 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $1,093.22 – $1,172.99 | 4 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $93.24 – $100.05 | 4 |
| Vaccine rabies im CPT 90675 | not published | not published | $171.54 – $1,011.94 | 21 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $641.36 – $688.16 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $1,115.36 – $1,196.74 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $1,115.36 – $1,196.74 | 4 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $614.59 – $659.44 | 4 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $289.76 – $310.90 | 4 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $206.31 – $221.36 | 4 |
| Vaccine tdap >=7 years im CPT 90715 | $72.03 | $153.25 | $102.06 – $109.51 | 4 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $94.50 – $101.39 | 4 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $306.39 – $328.75 | 4 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $382.28 – $410.17 | 4 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $468.20 – $502.36 | 4 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 17 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,068.19 – $4,365.01 | 4 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,068.19 – $4,365.01 | 4 |
| Vag hyst including t/o CPT 58262 | not published | not published | $7,700.82 – $8,262.68 | 4 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $6,262.17 – $6,719.07 | 4 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,068.19 – $4,365.01 | 4 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $4,068.19 – $4,365.01 | 4 |
| Vaginal bx CPT 58999 | not published | not published | $106.43 – $374.49 | 21 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $2,226.30 – $2,388.73 | 4 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $8,705.19 – $9,340.33 | 4 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,587.54 – $5,995.21 | 4 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $2,226.30 – $2,388.73 | 4 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $473.66 – $508.22 | 4 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $4,931.68 – $5,291.51 | 4 |
| Valproic acid total therapeutic drug level CPT 80164 | $21.62 | $46.00 | $7.31 – $25.73 | 23 |
| Valvuloplasty aortic CPT 92986 | $5,596.29 | $11,907.00 | $6,732.09 – $7,223.26 | 4 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $1,076.47 – $1,155.02 | 4 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $906.90 – $973.07 | 4 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $12,955.23 – $13,900.46 | 4 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $10,235.95 – $10,982.78 | 4 |
| Vancomycin peak therapeutic drug level CPT 80202 | $18.33 | $39.00 | $7.31 – $25.73 | 23 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $18.95 – $66.67 | 23 |
| Varicella zoster antibody igg CPT 86787 | $13.63 | $29.00 | $6.96 – $24.47 | 23 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $4,562.67 – $4,895.57 | 4 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,217.58 – $3,452.34 | 4 |
| Vasectomy CPT 55250 | not published | not published | $1,565.73 – $1,679.97 | 4 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $9,162.95 – $9,831.50 | 4 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $4,778.61 – $5,127.26 | 4 |
| Veeg cont 2-12 hrs CPT 95713 | $446.03 | $949.00 | $280.73 – $987.75 | 21 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $538.28 – $1,893.96 | 21 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $164.75 – $579.69 | 21 |
| Veeg unmon 12-26 hrs CPT 95714 | $892.53 | $1,899.00 | $280.73 – $987.75 | 21 |
| Veeg unmon 2-12 hrs CPT 95711 | $389.16 | $828.00 | $164.75 – $579.69 | 21 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $6,136.08 – $6,583.78 | 4 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $7,113.76 – $7,632.79 | 4 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $7,082.00 – $7,598.72 | 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.