Michigan / Henry Ford Health Rochester Hospital

CMS certification 230254 · Rochester, MI · 2 entries in CMS's price-transparency list

Henry Ford Health Rochester Hospital: charges and Medicare payments

Henry Ford Health Rochester Hospital reported 1,641 Medicare inpatient stays across 56 DRGs in 2024. Across them it charged 3.16 times what it was paid — mid-range in Michigan, number 35 of 76 hospitals with at least 100 stays (state median 3.09×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 208 stays at an average charge of $43,477, 52% below the national average. It also billed 1,305 outpatient services, charging 6.57 times what Medicare paid.

1Medicare inpatient stays 1,641
2Charge ÷ paid, inpatient 3.16×
3Rank in MI (highest ratio = 1) 35 of 76
4CMS price-transparency actions 2

Average charge per stay at Henry Ford Health Rochester Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 56 DRGs that can be compared with the national average, Henry Ford Health Rochester Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	208	$43,477	-52%	$15,286
291 Heart Failure and Shock with MCC	82	$35,292	-37%	$10,452
280 Acute Myocardial Infarction, Discharged Alive with MCC	75	$40,529	-47%	$12,873
177 Respiratory Infections and Inflammations with MCC	74	$32,786	-54%	$12,928
193 Simple Pneumonia and Pleurisy with MCC	62	$37,213	-38%	$11,012
689 Kidney and Urinary Tract Infections with MCC	52	$28,072	-45%	$9,494
470 Major Hip and Knee Joint Replacement or Reattachment of...	46	$56,342	-40%	$14,861
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	45	$23,074	-43%	$6,618
552 Medical Back Problems without MCC	42	$19,952	-59%	$7,604
309 Cardiac Arrhythmia and Conduction Disorders with CC	35	$24,170	-33%	$6,058
690 Kidney and Urinary Tract Infections without MCC	35	$21,796	-42%	$6,749
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	34	$28,038	-43%	$8,626
189 Pulmonary Edema and Respiratory Failure	33	$31,692	-45%	$10,052
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	30	$38,019	-62%	$15,223
682 Renal Failure with MCC	30	$40,258	-39%	$12,739
287 Circulatory Disorders except AMI, with Cardiac...	29	$35,977	-44%	$8,866
698 Other Kidney and Urinary Tract Diagnoses with MCC	29	$34,736	-53%	$12,564
312 Syncope and Collapse	28	$24,081	-47%	$7,330
603 Cellulitis without MCC	28	$19,280	-48%	$7,278
853 Infectious and Parasitic Diseases with O.R. Procedures with...	28	$96,231	-58%	$36,416
378 Gastrointestinal Hemorrhage with CC	27	$30,325	-38%	$8,279
481 Hip and Femur Procedures except Major Joint with CC	27	$57,928	-43%	$15,861
683 Renal Failure with CC	26	$22,394	-45%	$7,370
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	24	$25,997	-57%	$10,821
274 Percutaneous and Other Intracardiac Procedures without MCC	23	$119,295	-24%	$25,152
699 Other Kidney and Urinary Tract Diagnoses with CC	23	$24,888	-48%	$8,350
389 Gastrointestinal Obstruction with CC	21	$23,688	-39%	$6,840
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	21	$39,014	-36%	$10,677
190 Chronic Obstructive Pulmonary Disease with MCC	20	$28,394	-44%	$8,893
322 Percutaneous Cardiovascular Procedures with Intraluminal...	20	$70,203	-39%	$14,460
467 Revision of Hip or Knee Replacement with CC	20	$119,513	-24%	$26,738
638 Diabetes with CC	20	$27,055	-35%	$7,241
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	19	$31,468	-52%	$10,971
377 Gastrointestinal Hemorrhage with MCC	19	$50,826	-40%	$14,740
454 Combined Anterior and Posterior Spinal Fusion with CC	19	$113,919	-59%	$49,098
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	19	$19,186	-55%	$7,175
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	18	$19,514	-32%	$4,603
812 Red Blood Cell Disorders without MCC	18	$20,654	-53%	$8,050
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	16	$29,835	-46%	$8,382
811 Red Blood Cell Disorders with MCC	16	$44,898	-34%	$11,426
281 Acute Myocardial Infarction, Discharged Alive with CC	15	$21,642	-57%	$7,429
305 Hypertension without MCC	15	$20,954	-48%	$6,176
069 Transient Ischemia without Thrombolytic	14	$23,987	-52%	$6,547
551 Medical Back Problems with MCC	14	$33,132	-58%	$12,941
394 Other Digestive System Diagnoses with CC	13	$19,877	-58%	$7,750
468 Revision of Hip or Knee Replacement without CC/MCC	13	$108,118	-13%	$20,791
480 Hip and Femur Procedures except Major Joint with MCC	13	$78,199	-44%	$22,407
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	13	$17,279	-53%	$6,479
056 Degenerative Nervous System Disorders with MCC	12	$27,319	-72%	$14,908
460 Spinal Fusion except Cervical without MCC	12	$85,182	-50%	$25,429
085 Traumatic Stupor and Coma <1 Hour with MCC	11	$44,873	-59%	$17,851
091 Other Disorders of Nervous System with MCC	11	$24,890	-70%	$12,919
194 Simple Pneumonia and Pleurisy with CC	11	$22,315	-42%	$7,518
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	11	$47,099	-60%	$18,638
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	11	$41,077	-39%	$11,084
917 Poisoning and Toxic Effects of Drugs with MCC	11	$27,317	-64%	$12,448

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	274	$10,588	$2,433
Level 5 Musculoskeletal Procedures	190	$50,278	$11,556
Level 1 Endovascular Procedures	133	$20,671	$2,887
Level 4 Musculoskeletal Procedures	75	$35,603	$6,241
Level 4 Urology and Related Services	66	$22,617	$3,086
Level 2 Excision/ Biopsy/ Incision and Drainage	54	$4,990	$1,445
Level 3 Endovascular Procedures	46	$56,551	$9,194
Level 1 Laparoscopy and Related Services	44	$31,374	$5,049
Level 5 Urology and Related Services	42	$24,604	$4,612
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	39	$20,603	$3,084
Level 3 Vascular Procedures	38	$20,885	$2,841
Level 3 Electrophysiologic Procedures	27	$135,853	$21,114
Level 3 Musculoskeletal Procedures	26	$24,148	$2,885
Level 6 Musculoskeletal Procedures	26	$65,344	$16,575
Level 3 Urology and Related Services	23	$16,992	$1,815
Level 2 Laparoscopy and Related Services	20	$50,373	$9,170
Level 4 Endovascular Procedures	18	$67,034	$11,265
Level 3 Pacemaker and Similar Procedures	18	$56,064	$9,511
Level 4 Vascular Procedures	16	$32,226	$4,898
Level 2 Musculoskeletal Procedures	15	$10,199	$1,432
Level 3 Airway Endoscopy	15	$5,389	$1,513
Level 3 Excision/ Biopsy/ Incision and Drainage	14	$16,037	$2,388
Level 2 Upper GI Procedures	14	$9,902	$1,696
Level 3 Lower GI Procedures	13	$17,237	$2,502
Level 2 Vascular Procedures	12	$13,025	$1,427

Against the Michigan average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Henry Ford Health Rochester Hospital charged $43,477 on average, 20% less than the Michigan average of $54,260, and was paid $15,286 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Henry Ford Health Rochester Hospital charged $35,292 on average, 1% less than the Michigan average of $35,827, and was paid $10,452 against a state average of $11,565. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Henry Ford Health Rochester Hospital charged $40,529 on average, 15% less than the Michigan average of $47,816, and was paid $12,873 against a state average of $13,931. For Respiratory Infections and Inflammations with MCC (DRG 177), Henry Ford Health Rochester Hospital charged $32,786 on average, 25% less than the Michigan average of $44,001, and was paid $12,928 against a state average of $14,283. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,588 was 31% below the state average of $15,355. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $50,278 was 4% above the state average of $48,446. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $20,671 was 20% above the state average of $17,272. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $35,603 was 11% above the state average of $32,152.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Henry Ford Health Rochester Hospital in Rochester, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Met Requirements — 2025-04-11 (CMS case 3719)
Met Requirements — 2025-06-17 (CMS case 5198)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.