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 |
|---|---|---|---|---|
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $155.10 | $330.00 | $22.45 – $197.96 | 23 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $209.15 | $445.00 | $31.62 – $197.96 | 23 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $121.73 | $259.00 | $21.61 – $197.96 | 23 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $109.04 | $232.00 | $17.44 – $163.91 | 23 |
| X-ray scapula complete (both sides) CPT 73010 | $193.64 | $412.00 | $18.84 – $197.96 | 23 |
| X-ray sella turcica CPT 70240 | $46.06 | $98.00 | $17.44 – $163.91 | 23 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $146.17 | $311.00 | $14.11 – $163.91 | 23 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $159.80 | $340.00 | $23.00 – $163.91 | 23 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $188.00 | $400.00 | $29.39 – $1,020.70 | 23 |
| X-ray skull < 4 views CPT 70250 | $118.44 | $252.00 | $21.33 – $197.96 | 23 |
| X-ray skull > 4 views complete CPT 70260 | $184.71 | $393.00 | $26.05 – $197.96 | 23 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $260.85 | $555.00 | $56.26 – $197.96 | 23 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $257.09 | $547.00 | $71.63 – $331.40 | 23 |
| X-ray small intestine follow-through study CPT 74248 | $85.54 | $182.00 | $85.83 – $136.67 | 5 |
| X-ray spine single view CPT 72020 | $94.47 | $201.00 | $13.83 – $163.91 | 23 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $126.90 | $270.00 | $22.45 – $163.91 | 23 |
| X-ray sternum > 2 views CPT 71120 | $116.09 | $247.00 | $18.55 – $163.91 | 23 |
| X-ray surgical specimen CPT 76098 | $42.77 | $91.00 | $9.10 – $1,020.70 | 23 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $291.40 | $620.00 | $55.79 – $331.40 | 23 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $205.86 | $438.00 | $30.78 – $163.91 | 23 |
| X-ray thoracic spine 2 views CPT 72070 | $134.42 | $286.00 | $19.39 – $197.96 | 23 |
| X-ray thoracic spine 3 views CPT 72072 | $148.05 | $315.00 | $22.72 – $197.96 | 23 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $108.10 | $230.00 | $21.33 – $163.91 | 23 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $140.06 | $298.00 | $19.87 – $163.91 | 23 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $195.05 | $415.00 | $36.03 – $197.96 | 23 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $260.38 | $554.00 | $16.34 – $163.91 | 23 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $159.80 | $340.00 | $19.94 – $163.91 | 23 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $317.25 | $675.00 | $79.68 – $331.40 | 23 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $267.43 | $569.00 | $67.74 – $331.40 | 23 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $72.73 – $72.73 | 1 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $112.75 – $112.75 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $180.95 | $385.00 | $19.39 – $163.91 | 23 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $150.40 | $320.00 | $51.90 – $331.40 | 23 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $214.14 – $571.54 | 5 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $151.29 – $174.91 | 5 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $6.97 – $24.53 | 23 |
| Yersinia antibody CPT 86793 | not published | not published | $7.12 – $25.06 | 23 |
| Zika virus dna/rna amp probe CPT 87662 | $26.80 | $57.02 | $27.71 – $97.49 | 23 |
| Zika virus igm antibody CPT 86794 | $8.93 | $19.00 | $9.10 – $32.02 | 23 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $24.12 | $51.32 | $17.26 – $19.34 | 3 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $39.13 | $83.25 | $10.26 – $15.02 | 3 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $469.53 – $503.79 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $104.36 – $367.17 | 18 |
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.