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Ascension Providence Rochester Hospital

1101 W University Drive, Rochester, MI 48307 · (248) 652-5000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Detroit, MI metroPart of Henry Ford Health System · 8 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-01-01

8,085 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 3 lines · metro median $20

$13
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 6 lines · metro median $1,188

$1,135
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 3 lines · metro median $753

$817
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 6 lines · metro median $854

$1,135
cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 12 lines · metro median $35

$24
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 3 lines · metro median $569

$968
cash
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 9 lines · metro median $22

$11
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 6 lines · metro median $27

$20
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 3 lines · metro median $254

$204
cash
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Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 51 lines · metro median $160

$104
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 3 lines · metro median $124

$114
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 6 lines · metro median $138

$82
cash
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Gonorrhea test (DNA)

CPT 87591 · lowest of 9 lines · metro median $35

$24
cash
Group psychotherapy

CPT 90853 · lowest of 6 lines · metro median $58

$31
cash
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Left heart catheterization

CPT 93452 · lowest of 3 lines · metro median $5,385

$5,711
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 15 lines · metro median $17

$9
cash
Liver function panel

CPT 80076 · lowest of 3 lines · metro median $26

$15
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 3 lines · metro median $1,500

$360
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 21 lines · metro median $652

$234
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 3 lines · metro median $1,134

$234
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 3 lines · metro median $1,132

$360
cash
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Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 3 lines · metro median $395

$935
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 24 lines · metro median $95

$89
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 21 lines · metro median $159

$159
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 24 lines · metro median $210

$165
cash
PSA test (prostate)

CPT 84153 · lowest of 9 lines · metro median $48

$13
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 12 lines · metro median $8

$5
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 33 lines · metro median $40

$47
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 6 lines · metro median $292

$340
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 15 lines · metro median $11

$5
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 6 lines · metro median $96

$41
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 9 lines · metro median $127

$62
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 6 lines · metro median $187

$92
cash
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Screening mammogram (both breasts)

CPT 77067 · lowest of 12 lines · metro median $199

$131
cash
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Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 3 lines · metro median $424

$825
cash
TSH test (thyroid)

CPT 84443 · lowest of 12 lines · metro median $45

$22
cash
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Transvaginal ultrasound

CPT 76830 · lowest of 3 lines · metro median $242

$356
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 3 lines · metro median $390

$405
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Urinalysis with microscope

CPT 81001 · lowest of 6 lines · metro median $11

$9
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 3 lines · metro median $200

$200
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.