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 |
|---|---|---|---|---|
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $2,815.86 – $3,021.31 | 4 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,019.85 – $3,240.18 | 4 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $4,446.93 – $4,771.39 | 4 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,056.03 – $3,279.00 | 4 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $2,749.68 – $2,950.30 | 4 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $3,392.63 – $3,640.16 | 4 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $7,237.98 – $7,766.07 | 4 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $31.43 – $110.58 | 17 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,019.85 – $3,240.18 | 4 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $9,893.69 – $10,615.55 | 4 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $8,657.54 – $9,289.21 | 4 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $8,193.98 – $8,791.82 | 4 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $7,571.56 – $8,123.99 | 4 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $7,964.34 – $8,545.43 | 4 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $10,560.89 – $11,331.42 | 4 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $10,376.03 – $11,133.08 | 4 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $10,328.39 – $11,081.96 | 4 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $9,433.04 – $10,121.29 | 4 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $9,727.62 – $10,437.36 | 4 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $118.58 – $417.24 | 17 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $3,103.47 – $3,329.91 | 4 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $8,586.76 – $9,213.26 | 4 |
| Rsv assay w/optic CPT 87807 | not published | not published | $7.07 – $24.89 | 23 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $606.25 – $650.48 | 4 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $54.34 – $239.89 | 21 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $19.73 – $69.43 | 17 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $19.73 – $141.75 | 21 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $19.73 – $141.75 | 21 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $80.56 – $86.44 | 4 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $51.52 – $55.29 | 4 |
| Rubella antibody igg CPT 86762 | $15.04 | $32.00 | $7.77 – $27.34 | 23 |
| Rubeola ag if CPT 87283 | $28.67 | $61.00 | $15.49 – $115.52 | 23 |
| Rubeola antibody igg CPT 86765 | $49.82 | $106.00 | $6.96 – $24.47 | 23 |
| Runx1 gene targeted seq alys CPT 81334 | $155.10 | $330.00 | $177.94 – $626.07 | 19 |
| Russell viper venom diluted CPT 85613 | $9.87 | $21.00 | $5.17 – $18.20 | 23 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $495.22 – $1,742.45 | 21 |
| Salivary gland function exam CPT 78232 | not published | not published | $71.78 – $748.03 | 23 |
| Salivary gland imaging CPT 78230 | not published | not published | $124.02 – $748.03 | 23 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $84.84 – $748.03 | 23 |
| Salmonella antibody CPT 86768 | not published | not published | $7.12 – $25.06 | 23 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $2,226.30 – $2,388.73 | 4 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $68.18 – $239.89 | 21 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $24.08 – $97.72 | 22 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $296.22 – $317.83 | 4 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $19.08 – $67.13 | 22 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $37.96 – $133.55 | 22 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $3,119.29 – $3,346.88 | 4 |
| Sbrt management CPT 77435 | $851.17 | $1,811.00 | $518.05 – $1,757.44 | 6 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $48.94 – $172.20 | 24 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $399.97 | $851.00 | $127.89 – $634.30 | 22 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $283.41 | $603.00 | $56.26 – $365.91 | 22 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $399.97 | $851.00 | $127.89 – $449.98 | 22 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $283.41 | $603.00 | $56.26 – $285.49 | 22 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $306.91 | $653.00 | $56.26 – $305.59 | 22 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $352.50 | $750.00 | $56.26 – $296.55 | 23 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $426.76 | $908.00 | $127.89 – $613.20 | 22 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $307.85 | $655.00 | $56.26 – $365.91 | 22 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $282.00 | $600.00 | $56.26 – $303.59 | 22 |
| Scan proc cranial extra CPT 61782 | not published | not published | $732.19 – $785.62 | 4 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,005.13 – $1,078.46 | 4 |
| Scan proc spinal CPT 61783 | not published | not published | $986.34 – $1,058.31 | 4 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,616.47 – $2,023.91 | 4 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $2,977.33 – $3,194.56 | 4 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $6,486.00 | $13,800.00 | $0.02 – $0.02 | 4 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $827.67 | $1,761.00 | $1,231.34 – $1,321.18 | 4 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $827.67 | $1,761.00 | $1,231.34 – $1,321.18 | 4 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $10.34 | $22.00 | $21.44 – $21.44 | 1 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $43.24 | $92.00 | $55.04 – $55.04 | 1 |
| Screening Mammogram CPT 77067 | $186.12 | $396.00 | $44.12 – $254.08 | 23 |
| Screening prostate cancer PSA HCPCS G0103 | $26.32 | $56.00 | $22.93 – $23.77 | 2 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $8.43 – $9.05 | 4 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $37.65 – $219.74 | 21 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $3,400.91 – $3,649.05 | 4 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $5,468.91 – $5,867.92 | 4 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $189.41 | $403.00 | $163.65 – $175.58 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | not published | not published | $1.46 – $5.13 | 23 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $6,001.78 – $6,439.68 | 4 |
| Select picture audiometry CPT 92583 | not published | not published | $31.43 – $170.89 | 21 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $12.95 – $45.58 | 21 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $26.32 – $28.23 | 4 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $19.37 – $20.78 | 4 |
| Semen analysis presence/motility CPT 89321 | $10.34 | $22.00 | $6.51 – $22.89 | 23 |
| Semen analysis w/count CPT 89310 | not published | not published | $4.65 – $16.36 | 23 |
| Sensorimotor examination CPT 92060 | not published | not published | $31.43 – $110.58 | 21 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $20.77 – $221.15 | 21 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $1,703.41 – $1,827.70 | 4 |
| Sept9 promoter methylation analysis CPT 81327 | $90.24 | $192.00 | $103.68 – $364.80 | 19 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $2,531.45 – $2,716.14 | 4 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $4,716.87 – $5,061.01 | 4 |
| Serial casting application 97139app CPT 97139 | not published | not published | $0.01 – $27.18 | 6 |
| Serpina1 gene CPT 81332 | not published | not published | $23.57 – $82.93 | 23 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $0.01 – $9.12 | 2 |
| Set radiation therapy field CPT 77280 | $173.43 | $369.00 | $70.25 – $638.40 | 23 |
| Set radiation therapy field CPT 77285 | not published | not published | $193.68 – $1,058.50 | 23 |
| Set radiation therapy field CPT 77290 | $529.69 | $1,127.00 | $193.68 – $1,007.13 | 23 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $158.68 – $558.32 | 21 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,814.02 – $1,946.37 | 4 |
| Sex chromatin identification CPT 88130 | not published | not published | $9.71 – $34.16 | 23 |
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.