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 |
|---|---|---|---|---|
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $496.04 – $1,745.34 | 21 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $1,072.99 – $1,151.28 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $496.04 – $2,372.67 | 21 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $2,815.86 – $3,021.31 | 4 |
| Urea nitrogen CPT 84520 | $10.81 | $23.00 | $2.13 – $7.50 | 19 |
| Urea nitrogen 24 hour urine CPT 84540 | $10.34 | $22.00 | $3.00 – $10.56 | 23 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $3.89 – $13.68 | 23 |
| Urea nitrogen semi-quant CPT 84525 | $2.35 | $5.00 | $2.77 – $9.75 | 19 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $8,512.91 – $10,658.63 | 4 |
| Ureteral reflux study CPT 78740 | $473.29 | $1,007.00 | $169.31 – $748.03 | 23 |
| Ureter endoscopy CPT 50970 | not published | not published | $616.65 – $661.64 | 4 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $3,098.06 – $3,324.10 | 4 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $3,098.06 – $3,324.10 | 4 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $704.76 – $756.18 | 4 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $3,098.06 – $3,324.10 | 4 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $3,098.06 – $3,324.10 | 4 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $3,098.06 – $3,324.10 | 4 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $3,098.06 – $3,324.10 | 4 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $4,622.64 – $4,959.92 | 4 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $4,696.32 – $5,038.97 | 4 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $122.20 | $260.00 | $47.29 – $449.98 | 23 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,714.24 – $2,912.28 | 4 |
| Urethrocystography void s&i CPT 74455 | $171.55 | $365.00 | $60.80 – $449.98 | 23 |
| Uric acid blood CPT 84550 | $14.10 | $30.00 | $2.44 – $8.59 | 19 |
| Uric acid urine CPT 84560 | $12.22 | $26.00 | $2.74 – $9.65 | 23 |
| Urinalysis glass test CPT 81020 | not published | not published | $2.54 – $8.93 | 23 |
| Urinalysis microscopic only CPT 81015 | $2.82 | $6.00 | $1.65 – $5.79 | 23 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $10.81 | $23.00 | $1.17 – $4.12 | 23 |
| Urinalysis (with microscopy) CPT 81001 | $8.93 | $19.00 | $1.71 – $6.02 | 23 |
| Urinalysis (without microscopy) CPT 81003 | $8.93 | $19.00 | $1.22 – $4.27 | 23 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $57.46 – $167.86 | 6 |
| 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 |
| Urine screen for bacteria CPT 81007 | $14.10 | $30.00 | $2.81 – $56.96 | 23 |
| Urine shunt to intestine CPT 50815 | not published | not published | $5,115.10 – $5,488.30 | 4 |
| 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 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $112.33 | $239.00 | $101.60 – $109.02 | 4 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,068.19 – $4,365.01 | 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.