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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44364 | not published | not published | $1,263.17 – $1,355.34 | 4 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,263.17 – $1,355.34 | 4 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,263.17 – $1,355.34 | 4 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,263.17 – $1,355.34 | 4 |
| Small bowel endoscopy CPT 44382 | not published | not published | $496.04 – $2,034.96 | 21 |
| Small bowel endoscopy CPT 44384 | not published | not published | $2,441.58 – $2,619.72 | 4 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,263.17 – $1,355.34 | 4 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $496.04 – $1,745.34 | 21 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,082.71 – $1,161.71 | 4 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $4,507.56 – $4,836.44 | 4 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $605.62 | 21 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $14.10 | $30.00 | $2.91 – $10.24 | 23 |
| Smear gram stain CPT 87205 | $10.34 | $22.00 | $2.31 – $8.11 | 23 |
| Smear nasal eosinophil CPT 89190 | $16.92 | $36.00 | $3.13 – $11.00 | 23 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $45.75 | $97.34 | $3.23 – $11.38 | 23 |
| Smear wet mount CPT 87210 | $19.74 | $42.00 | $3.14 – $11.06 | 23 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $162.73 – $572.57 | 22 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $100.01 – $351.88 | 22 |
| Smpd1 gene common variants CPT 81330 | $22.09 | $47.00 | $25.38 – $89.30 | 23 |
| Snrpn/ube3a gene CPT 81331 | $23.97 | $51.00 | $27.58 – $97.03 | 23 |
| Sodium 24 hour urine CPT 84300 | $9.40 | $20.00 | $2.73 – $9.61 | 23 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $20.23 | $43.04 | $3.94 – $5.95 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $21.44 | $45.62 | $1.98 – $2.96 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $21.19 | $45.08 | $0.99 – $1.48 | 3 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $28.22 | $60.04 | $0.06 – $0.27 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $22.61 | $48.10 | $3.18 – $5.08 | 3 |
| Sodium serum/plasma/whole blood CPT 84295 | $8.46 | $18.00 | $2.60 – $9.14 | 19 |
| Somatosensory testing CPT 95927 | not published | not published | $164.75 – $579.69 | 21 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $484.31 – $2,272.79 | 21 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $734.32 – $787.90 | 4 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $799.13 – $857.43 | 4 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $362.82 – $389.29 | 4 |
| Special physics consult CPT 77370 | $174.37 | $371.00 | $70.25 – $398.09 | 23 |
| Special pump services CPT 99190 | not published | not published | $989.06 – $1,061.23 | 4 |
| Special pump services CPT 99191 | not published | not published | $938.63 – $1,007.11 | 4 |
| Special pump services CPT 99192 | not published | not published | $697.36 – $748.24 | 4 |
| Special radiation dosimetry CPT 77331 | $89.30 | $190.00 | $15.78 – $247.17 | 23 |
| Special radiation treatment CPT 77470 | $554.60 | $1,180.00 | $43.53 – $1,076.86 | 23 |
| Special supplies phys/qhp CPT 99070 | not published | not published | $117.08 – $125.63 | 4 |
| Special teletx port plan CPT 77321 | $288.58 | $614.00 | $42.45 – $681.47 | 23 |
| Specific gravity body fluid CPT 84315 | $8.46 | $18.00 | $1.77 – $6.23 | 23 |
| Specimen fat stain CPT 89125 | $2.82 | $6.00 | $3.18 – $11.17 | 23 |
| Speech audiometry complete CPT 92556 | not published | not published | $27.18 – $134.71 | 22 |
| Speech evaluation complex CPT 70371 | not published | not published | $44.67 – $449.98 | 23 |
| Speech recep thresh CPT 92555 | not published | not published | $27.18 – $110.58 | 22 |
| Sperm antibody test CPT 89325 | not published | not published | $5.76 – $20.27 | 23 |
| Sperm evaluation test CPT 89329 | not published | not published | $10.58 – $37.22 | 23 |
| Sperm identification CPT 89257 | not published | not published | $28.27 – $252.70 | 22 |
| Sperm isolation complex CPT 89261 | not published | not published | $21.60 – $99.47 | 22 |
| Sperm isolation simple CPT 89260 | not published | not published | $21.60 – $99.47 | 22 |
| Sperm washing 58323 CPT 58323 | not published | not published | $9.77 – $374.49 | 22 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $3,628.71 – $3,893.46 | 4 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,561.71 – $2,748.62 | 4 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $38,500.86 – $41,309.94 | 4 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $424.43 – $455.40 | 4 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $760.93 | $1,619.00 | $366.40 – $1,289.19 | 21 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $98.37 – $579.69 | 21 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $139.59 | $297.00 | $81.51 – $579.69 | 21 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $59.97 – $291.27 | 21 |
| Spleen imaging CPT 78185 | not published | not published | $157.92 – $748.03 | 23 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $4,826.28 – $5,178.41 | 4 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $9,014.25 – $9,671.94 | 4 |
| Splicing of ureters CPT 50770 | not published | not published | $4,901.38 – $5,258.99 | 4 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $5,484.64 – $5,884.80 | 4 |
| Split blood or products CPT 86985 | $32.90 | $70.00 | $16.17 – $319.01 | 23 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,420.57 – $1,524.22 | 4 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $55.64 – $59.70 | 4 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $82.64 – $617.46 | 21 |
| Sputum specimen collection CPT 89220 | not published | not published | $15.48 – $319.01 | 23 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $5,864.58 – $6,292.47 | 4 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $4,307.82 – $4,622.12 | 4 |
| Srs cran les complex addl CPT 61799 | not published | not published | $1,302.62 – $1,397.66 | 4 |
| Srs cran les simple addl CPT 61797 | not published | not published | $941.58 – $1,010.28 | 4 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $94.72 – $333.26 | 18 |
| Srs linear based CPT 77372 | not published | not published | $684.90 – $2,622.39 | 6 |
| Srs multisource CPT 77371 | not published | not published | $1,144.75 – $12,778.10 | 6 |
| Srs spinal lesion CPT 63620 | not published | not published | $4,748.27 – $5,094.71 | 4 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $1,070.10 – $1,148.17 | 4 |
| Staggered spondaic word test CPT 92572 | not published | not published | $82.78 – $291.27 | 21 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $215.73 | $459.00 | $27.18 – $275.39 | 23 |
| Staph a dna amp probe CPT 87640 | $66.74 | $142.00 | $18.95 – $66.67 | 23 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $146.17 | $311.00 | $51.88 – $256.97 | 21 |
| Stem cells total count CPT 86367 | $36.66 | $78.00 | $42.00 – $147.78 | 23 |
| Stenger test pure tone CPT 92565 | not published | not published | $31.43 – $110.58 | 21 |
| Stenger test speech CPT 92577 | not published | not published | $60.90 – $987.75 | 21 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $17,850.79 – $19,153.20 | 4 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $9,777.46 – $10,490.84 | 4 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $10,423.70 – $11,184.23 | 4 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $4,638.54 – $4,976.97 | 4 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $15,021.60 – $16,117.60 | 4 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $5,967.13 – $6,402.50 | 4 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $340.24 – $749.96 | 2 |
| Sterile gauze <= 16 sq in HCPCS A6402 | $0.47 | $1.00 | $0.26 – $0.28 | 4 |
| Sterile water/saline, 500 ml HCPCS A4217 | $22.09 | $47.00 | $7.53 – $8.08 | 4 |
| Sternal debridement CPT 21627 | not published | not published | $2,244.18 – $2,407.92 | 4 |
| St evaluate speech sound production CPT 92522 | $204.45 | $435.00 | $56.73 – $279.57 | 22 |
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.