Henry Ford Providence Novi Hospital
47601 Grand River Ave, Novi, MI · Henry Ford Health · · NPI 1144210253
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 |
|---|---|---|---|---|
| Ciliary transsleral therapy CPT 66710 | not published | not published | $519.58 – $1,524.35 | 12 |
| Cine/video x-rays CPT 76120 | not published | not published | $52.96 – $269.00 | 34 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $29.35 – $81.35 | 6 |
| Circum 28 days or older CPT 54161 | not published | not published | $228.98 – $1,814.55 | 12 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $254.97 – $1,579.73 | 31 |
| Circumcision (newborn) CPT 54150 | $82.32 | $147.00 | $104.96 – $1,579.73 | 13 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $369.04 | $659.00 | $191.12 – $454.72 | 35 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $2,353.12 | $4,202.00 | $54.10 – $54.10 | 6 |
| Claviculectomy partial CPT 23120 | not published | not published | $684.02 – $2,346.27 | 12 |
| Claviculectomy total CPT 23125 | not published | not published | $829.82 – $2,513.88 | 12 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $205.86 – $688.55 | 31 |
| Clearance of airways CPT 31720 | $96.32 | $172.00 | $58.88 – $275.01 | 32 |
| Clearance of tear duct CPT 68530 | not published | not published | $137.30 – $580.76 | 31 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $47.96 – $1,842.17 | 31 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $47.96 – $3,450.54 | 31 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $29.42 – $3,489.51 | 31 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $16.05 – $1,402.24 | 31 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $978.98 – $2,052.57 | 12 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $3,490.72 – $10,816.31 | 9 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $124.92 – $490.59 | 31 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $486.30 – $842.57 | 12 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $906.52 – $2,881.76 | 9 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $124.92 – $729.61 | 31 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $536.41 – $1,709.14 | 12 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $90.65 – $437.06 | 31 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $576.64 – $842.57 | 12 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $90.65 – $324.34 | 31 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $362.75 – $2,529.93 | 12 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $218.40 – $688.55 | 31 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $362.75 – $926.01 | 12 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $576.73 – $1,338.81 | 12 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $468.42 – $1,551.66 | 12 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $90.65 – $324.34 | 31 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $90.65 – $324.34 | 31 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $576.73 – $1,229.81 | 12 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $131.96 – $356.94 | 31 |
| Close mastoid fistula CPT 69700 | not published | not published | $362.75 – $1,080.32 | 12 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $857.26 – $2,642.19 | 9 |
| Close tear duct opening CPT 68760 | not published | not published | $137.30 – $404.19 | 31 |
| Close tear duct opening CPT 68761 | not published | not published | $120.54 – $404.19 | 31 |
| Close tear system fistula CPT 68770 | not published | not published | $737.01 – $1,306.60 | 12 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $9.28 – $22.08 | 35 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $321.28 – $1,242.51 | 12 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,031.15 – $3,367.63 | 9 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,923.71 – $6,223.97 | 9 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,215.05 – $3,945.86 | 9 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,678.51 – $5,443.63 | 9 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $289.39 – $688.55 | 31 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $194.67 – $1,309.56 | 31 |
| Closure of salivary fistula CPT 42600 | not published | not published | $565.53 – $1,551.66 | 12 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $509.82 – $1,810.28 | 12 |
| Closure paravalvlr leak pq CPT 33999 | $962.64 | $1,719.00 | $253.97 – $2,794.18 | 31 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $10.98 – $26.26 | 35 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $11.84 – $36.69 | 35 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $10.98 – $26.26 | 35 |
| Clot factor xii hageman CPT 85280 | $33.04 | $59.00 | $11.22 – $27.43 | 35 |
| Clot factor xiii fibrin scrn CPT 85291 | $34.72 | $62.00 | $5.28 – $12.69 | 35 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $9.48 – $27.43 | 35 |
| Clotting assay whole blood CPT 85396 | not published | not published | $20.29 – $28.70 | 13 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $90.65 – $416.16 | 31 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $90.65 – $448.94 | 31 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $124.92 – $447.81 | 31 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $261.52 – $1,147.55 | 12 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $90.65 – $324.34 | 31 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $400.37 – $1,147.55 | 12 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $90.65 – $324.34 | 31 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $90.65 – $324.34 | 31 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $90.65 – $324.34 | 31 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $124.92 – $575.55 | 31 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $124.92 – $423.68 | 31 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $86.69 – $324.34 | 31 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $576.73 – $1,147.55 | 12 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $565.92 – $1,530.07 | 12 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $90.65 – $362.14 | 31 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $90.65 – $324.34 | 31 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $201.04 | $359.00 | $124.92 – $324.34 | 32 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $124.92 – $428.15 | 31 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | not published | not published | $576.73 – $846.92 | 12 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $90.65 – $367.58 | 31 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | not published | not published | $576.73 – $1,147.55 | 12 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $124.92 – $362.62 | 31 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $124.92 – $547.65 | 31 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $124.92 – $511.25 | 31 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $124.92 – $479.06 | 31 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $109.34 – $516.54 | 31 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $164.60 – $808.14 | 31 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $124.92 – $324.34 | 31 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $90.65 – $390.99 | 31 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $124.92 – $432.59 | 31 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $528.96 – $2,011.09 | 12 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $90.65 – $347.36 | 31 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $90.65 – $324.34 | 31 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $296.33 – $1,551.66 | 12 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $68.01 – $178.18 | 12 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $334.67 – $1,147.55 | 12 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $90.65 – $512.30 | 31 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $90.65 – $435.82 | 31 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $133.15 – $324.34 | 31 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $136.32 – $405.35 | 31 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $490.88 – $1,147.55 | 12 |
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.