Henry Ford Rochester Hospital — price list
← Hospital overviewVerified from Henry Ford Rochester Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
676 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACT-ACTIVATED COAG TIME Outpatient | 615085347 CDM | $21.00 | $9.87 | $7.35 – $18.06 | — | |
| ACT-ACTIVATED COAG TIME Inpatient & outpatient | 615085347 CDM | $21.00 | $9.87 | $7.35 – $18.06 | — | |
| ADDITIONAL SURGICAL PROCEDURE Outpatient | 618111129 CDM | $700 | $329 | $245 – $700 | — | |
| ADDITIONAL SURGICAL PROCEDURE Inpatient & outpatient | 618111129 CDM | $700 | $329 | $245 – $700 | — | |
| ADMIN OF HEPATITIS B VAC-MBU Outpatient | 618000010 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF HEPATITIS B VAC-MBU Inpatient & outpatient | 618000010 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF HEPATITIS B VAC-MBU Outpatient | 618111120 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF HEPATITIS B VAC-MBU Inpatient & outpatient | 618111120 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF INFLUENZA VACCINE Outpatient | 615010008 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF INFLUENZA VACCINE Inpatient & outpatient | 615010008 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF INFLUENZA VACCINE Outpatient | 618000008 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF INFLUENZA VACCINE Inpatient & outpatient | 618000008 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF INFLUENZA VACCINE Outpatient | 618111118 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF INFLUENZA VACCINE Inpatient & outpatient | 618111118 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF PNEUMOCOCCAL VACCINE Outpatient | 615010009 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF PNEUMOCOCCAL VACCINE Inpatient & outpatient | 615010009 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF PNEUMOCOCCAL VACCINE Outpatient | 618010009 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF PNEUMOCOCCAL VACCINE Inpatient & outpatient | 618010009 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF PNEUMOCOCCAL VACCINE Outpatient | 618111119 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF PNEUMOCOCCAL VACCINE Inpatient & outpatient | 618111119 CDM | $46.00 | $21.62 | $16.10 – $39.56 | — | |
| ADMIN OF VACCINE-ADULT Outpatient | 618090471 CDM | $49.00 | $23.03 | $17.15 – $42.14 | — | |
| ADMIN OF VACCINE-ADULT Inpatient & outpatient | 618090471 CDM | $49.00 | $23.03 | $17.15 – $42.14 | — | |
| ADMIN OF VACCINE, 1ST VACCINE Outpatient | 615090471 CDM | $49.00 | $23.03 | $17.15 – $42.14 | — | |
| ADMIN OF VACCINE, 1ST VACCINE Inpatient & outpatient | 615090471 CDM | $49.00 | $23.03 | $17.15 – $42.14 | — | |
| ADMIN OF VACCINE, EA ADDTL VACCIN Outpatient | 615090472 CDM | $35.00 | $16.45 | $12.25 – $30.10 | — | |
| ADMIN OF VACCINE, EA ADDTL VACCIN Inpatient & outpatient | 615090472 CDM | $35.00 | $16.45 | $12.25 – $30.10 | — | |
| ADMIN OF VACCINE,EA ADDTL VACCINE Outpatient | 618090472 CDM | $35.00 | $16.45 | $12.25 – $30.10 | — | |
| ADMIN OF VACCINE,EA ADDTL VACCINE Inpatient & outpatient | 618090472 CDM | $35.00 | $16.45 | $12.25 – $30.10 | — | |
| ADMIN VACCINE ORAL/NASAL 1ST VAC Outpatient | 618090473 CDM | $34.00 | $15.98 | $11.90 – $29.24 | — | |
| ADMIN VACCINE ORAL/NASAL 1ST VAC Inpatient & outpatient | 618090473 CDM | $34.00 | $15.98 | $11.90 – $29.24 | — |