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 |
|---|---|---|---|---|
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,473.54 – $3,726.97 | 4 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,473.54 – $3,726.97 | 4 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,473.54 – $3,726.97 | 4 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $6,472.27 – $6,944.49 | 4 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $4,010.39 – $4,302.99 | 4 |
| Wrist X-ray CPT 73110 | $193.64 | $412.00 | $24.39 – $163.91 | 23 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $6,493.95 – $6,967.75 | 4 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $5,278.65 – $5,663.79 | 4 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $6,116.70 – $6,562.98 | 4 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $6,493.95 – $6,967.75 | 4 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $6,116.70 – $6,562.98 | 4 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $2,361.50 – $2,533.79 | 4 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $1,632.83 – $1,751.96 | 4 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $493.56 – $1,736.60 | 18 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $0.01 – $1,736.60 | 18 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $12.95 – $47.46 | 23 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $1,572.65 – $1,687.39 | 4 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $1,815.61 | $3,863.00 | $1,426.80 – $1,530.90 | 4 |
| X-ray abdomen 1 view CPT 74018 | $68.62 | $146.00 | $14.40 – $163.91 | 23 |
| X-ray abdomen 2 views CPT 74019 | $101.99 | $217.00 | $17.18 – $197.96 | 23 |
| X-ray abdomen >=3 views CPT 74021 | $131.13 | $279.00 | $19.97 – $197.96 | 23 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $177.19 | $377.00 | $27.72 – $197.96 | 23 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $192.23 | $409.00 | $24.66 – $163.91 | 23 |
| X-ray ankle 2 views (both sides) CPT 73600 | $137.71 | $293.00 | $17.72 – $163.91 | 23 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $474.70 | $1,010.00 | $68.29 – $664.83 | 23 |
| X-ray assay calculus CPT 82370 | not published | not published | $6.76 – $23.79 | 23 |
| X-ray bone age studies CPT 77072 | $119.38 | $254.00 | $11.89 – $197.96 | 23 |
| X-ray bone length studies CPT 77073 | $120.32 | $256.00 | $20.50 – $197.96 | 23 |
| X-ray bone survey complete CPT 77075 | $191.76 | $408.00 | $56.26 – $202.70 | 23 |
| X-ray bone survey infant CPT 77076 | $143.35 | $305.00 | $56.26 – $204.55 | 23 |
| X-ray cervical spine 2-3 views CPT 72040 | $149.93 | $319.00 | $23.84 – $163.91 | 23 |
| X-ray cervical spine 4-5 views CPT 72050 | $193.17 | $411.00 | $31.89 – $197.96 | 23 |
| X-ray cervical spine >= 6 views CPT 72052 | $236.41 | $503.00 | $42.18 – $197.96 | 23 |
| X-ray clavicle complete (both sides) CPT 73000 | $260.38 | $554.00 | $17.72 – $163.91 | 23 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $274.01 | $583.00 | $94.19 – $331.40 | 23 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $350.62 | $746.00 | $94.19 – $442.11 | 23 |
| X-ray consultation CPT 76140 | $27.73 | $59.00 | $15.27 – $95.22 | 2 |
| X-ray elbow 2 views (both sides) CPT 73070 | $161.21 | $343.00 | $17.72 – $163.91 | 23 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $260.38 | $554.00 | $21.61 – $163.91 | 23 |
| Xray endovasc thor ao repr CPT 75956 | $486.45 | $1,035.00 | $328.06 – $604.63 | 6 |
| Xray endovasc thor ao repr CPT 75957 | $364.25 | $775.00 | $280.36 – $518.29 | 6 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $224.66 | $478.00 | $57.46 – $331.40 | 23 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $250.04 | $532.00 | $39.08 – $197.96 | 23 |
| X-ray exam entire spi 6/> vw CPT 72084 | $278.24 | $592.00 | $46.88 – $217.39 | 23 |
| X-ray exam of arm infant CPT 73092 | $130.66 | $278.00 | $17.17 – $197.96 | 23 |
| X-ray exam of eye sockets CPT 70200 | $192.23 | $409.00 | $25.50 – $197.96 | 23 |
| X-ray exam of femur 1 CPT 73551 | $100.58 | $214.00 | $15.13 – $163.91 | 23 |
| X-ray exam of jaw joint CPT 70328 | $108.10 | $230.00 | $18.84 – $163.91 | 23 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $41.34 – $449.98 | 23 |
| X-ray exam of mastoids CPT 70120 | $151.34 | $322.00 | $23.00 – $197.96 | 23 |
| X-ray exam of middle ear CPT 70134 | $78.49 | $167.00 | $32.45 – $1,020.70 | 23 |
| X-ray exam of penis CPT 74445 | not published | not published | $36.58 – $197.96 | 23 |
| X-ray exam of perineum CPT 74775 | not published | not published | $46.18 – $449.98 | 23 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $26.33 – $163.91 | 23 |
| X-ray exam of sinuses CPT 70210 | $90.71 | $193.00 | $19.39 – $163.91 | 23 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $31.08 – $449.98 | 23 |
| X-ray exam of teeth CPT 70300 | not published | not published | $7.72 – $163.91 | 19 |
| X-ray exam of teeth CPT 70310 | not published | not published | $24.95 – $449.98 | 19 |
| X-ray exam si joints CPT 72200 | not published | not published | $18.27 – $197.96 | 23 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $28.56 – $197.96 | 23 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $135.83 | $289.00 | $17.44 – $163.91 | 23 |
| X-ray facial bones complete > 3 views CPT 70150 | $222.78 | $474.00 | $25.50 – $197.96 | 23 |
| X-ray fallopian tube CPT 74742 | not published | not published | $48.12 – $315.52 | 6 |
| X-ray femur >=2 views (both sides) CPT 73552 | $149.93 | $319.00 | $17.91 – $163.91 | 23 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $159.33 | $339.00 | $22.17 – $163.91 | 23 |
| X-ray foot 2 views (both sides) CPT 73620 | $162.15 | $345.00 | $16.88 – $163.91 | 23 |
| X-ray forearm 2 views (both sides) CPT 73090 | $260.38 | $554.00 | $16.88 – $163.91 | 23 |
| X-ray hand 2 views (both sides) CPT 73120 | $161.68 | $344.00 | $16.88 – $197.96 | 23 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $10.22 – $163.91 | 23 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $150.87 | $321.00 | $17.44 – $163.91 | 23 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $81.31 | $173.00 | $29.05 – $197.96 | 23 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $147.11 | $313.00 | $22.09 – $197.96 | 23 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $157.92 | $336.00 | $26.27 – $197.96 | 23 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $169.20 | $360.00 | $31.56 – $197.96 | 23 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $100.58 | $214.00 | $15.97 – $163.91 | 23 |
| X-ray humerus >= 2 views left CPT 73060 | $231.24 | $492.00 | $17.72 – $163.91 | 23 |
| X-ray joint survey 1 view CPT 77077 | $93.53 | $199.00 | $21.33 – $197.96 | 23 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $180.95 | $385.00 | $18.55 – $163.91 | 23 |
| X-ray knee 3 views (both sides) CPT 73562 | $320.07 | $681.00 | $23.28 – $163.91 | 23 |
| X-ray knee ap standing bilateral CPT 73565 | $92.59 | $197.00 | $21.89 – $163.91 | 23 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $260.38 | $554.00 | $20.50 – $163.91 | 23 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $198.81 | $423.00 | $27.17 – $197.96 | 23 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $200.22 | $426.00 | $29.39 – $197.96 | 23 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $222.78 | $474.00 | $41.34 – $197.96 | 23 |
| X-ray male genital tract CPT 74440 | not published | not published | $54.12 – $449.98 | 23 |
| X-ray mandible complete > 4 views CPT 70110 | $192.23 | $409.00 | $23.28 – $197.96 | 23 |
| X-ray mandible ltd <4 views CPT 70100 | $76.61 | $163.00 | $21.61 – $163.91 | 23 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $18.27 – $39.52 | 2 |
| X-ray nasal bones complete > 3 views CPT 70160 | $130.66 | $278.00 | $21.05 – $163.91 | 23 |
| X-ray neck soft tissue CPT 70360 | $129.72 | $276.00 | $16.05 – $163.91 | 23 |
| X-ray nose to rectum for foreign body child CPT 76010 | $77.55 | $165.00 | $15.50 – $163.91 | 23 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $53.01 – $449.98 | 23 |
| X-ray optic foramina CPT 70190 | not published | not published | $21.61 – $163.91 | 23 |
| X-ray pelvis 1-2 views CPT 72170 | $92.59 | $197.00 | $14.94 – $197.96 | 23 |
| X-ray pelvis complete > 3 views CPT 72190 | $192.23 | $409.00 | $26.89 – $197.96 | 23 |
| Xray place dist ext thor ao CPT 75959 | $418.30 | $890.00 | $124.81 – $300.94 | 6 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $117.12 – $343.51 | 6 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $202.57 | $431.00 | $86.58 – $664.83 | 23 |
| X-ray ribs 2 views left CPT 71100 | $134.42 | $286.00 | $18.55 – $163.91 | 23 |
| X-ray ribs 3 views bilateral CPT 71110 | $192.23 | $409.00 | $23.28 – $197.96 | 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.