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 |
|---|---|---|---|---|
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $90.65 – $324.34 | 31 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $90.65 – $349.19 | 31 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | not published | not published | $504.84 – $842.57 | 12 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $90.65 – $324.34 | 31 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $487.05 – $842.57 | 12 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $576.73 – $1,147.55 | 12 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $457.06 – $1,338.81 | 12 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $411.96 – $2,011.09 | 12 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $68.01 – $324.34 | 31 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $85.77 – $324.34 | 31 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $124.92 – $427.49 | 31 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | not published | not published | $562.78 – $1,147.55 | 12 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $90.65 – $348.41 | 31 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $124.92 – $419.30 | 31 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $90.65 – $411.83 | 31 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $90.65 – $407.82 | 31 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $124.92 – $646.42 | 31 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $124.92 – $432.19 | 31 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $90.65 – $389.91 | 31 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $124.92 – $751.91 | 31 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $540.63 – $1,147.55 | 12 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $433.58 – $1,147.55 | 12 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $90.65 – $430.83 | 31 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $576.73 – $1,147.55 | 12 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $124.92 – $453.95 | 31 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $554.89 – $1,147.55 | 12 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,029.71 – $3,363.27 | 12 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $850.49 – $1,234.66 | 12 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $569.28 – $850.49 | 12 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $910.94 – $3,932.25 | 12 |
| Cltx post ankle fx CPT 27767 | not published | not published | $124.92 – $377.54 | 31 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $503.82 – $1,147.55 | 12 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $457.52 – $1,147.55 | 12 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $90.65 – $506.43 | 31 |
| Cltx thigh fx CPT 27267 | not published | not published | $505.85 – $2,011.09 | 12 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $362.75 – $1,080.32 | 12 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $993.71 – $2,964.35 | 12 |
| C motor evoked lwr limbs CPT 95929 | $921.76 | $1,646.00 | $202.49 – $717.42 | 31 |
| C motor evoked uppr limbs CPT 95928 | $921.76 | $1,646.00 | $197.99 – $1,375.61 | 31 |
| C motor evoked upr&lwr limbs CPT 95939 | $1,333.36 | $2,381.00 | $340.17 – $1,375.61 | 31 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $18.65 – $4,098.17 | 31 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $18.27 – $4,098.17 | 31 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $8.16 – $19.42 | 35 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $5.10 – $14.86 | 35 |
| #cmvcul-virus inoculation shell CPT 87254 | $146.16 | $261.00 | $11.34 – $35.15 | 35 |
| Cmv pcr-sendout CPT 87496 | $71.12 | $127.00 | $20.35 – $63.09 | 35 |
| Co2 monitor per day CPT 94681 | not published | not published | $49.38 – $421.04 | 31 |
| Coagulation time activated teg CPT 85347 | $29.12 | $52.00 | $2.48 – $7.65 | 35 |
| Coagulation time otr method CPT 85348 | not published | not published | $2.60 – $6.70 | 35 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $68.25 – $4,671.40 | 31 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $68.25 – $5,785.14 | 31 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $4.68 – $11.14 | 35 |
| Cold agglutinin titer CPT 86157 | $12.32 | $22.00 | $4.67 – $12.55 | 35 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,988.58 – $6,460.88 | 9 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $2,224.75 – $7,253.27 | 9 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $2,468.30 – $8,089.81 | 9 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,601.98 – $5,204.04 | 9 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $2,310.83 – $7,541.05 | 9 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,982.11 – $6,436.80 | 9 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $2,516.13 – $8,235.71 | 9 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,481.97 – $4,817.22 | 9 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $2,171.02 – $7,085.95 | 9 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $2,113.32 – $6,866.43 | 9 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | not published | not published | $22.35 – $174.28 | 32 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | not published | not published | $24.94 – $174.28 | 32 |
| Collection of venous blood by venipuncture CPT 36415 | $17.92 | $32.00 | $1.82 – $12.54 | 35 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $108.68 – $23,436.39 | 31 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $395.95 – $3,101.09 | 31 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $300.60 – $8,310.23 | 12 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $395.95 – $3,101.09 | 12 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $395.95 – $912.91 | 12 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $395.95 – $1,232.73 | 31 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $395.95 – $912.91 | 12 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $133.30 – $912.91 | 12 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $395.95 – $912.91 | 12 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $395.95 – $912.91 | 12 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $395.95 – $1,232.73 | 31 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $395.95 – $3,101.09 | 12 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $395.95 – $918.31 | 12 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $241.02 – $8,310.23 | 12 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $395.95 – $912.91 | 12 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $276.57 – $1,232.73 | 31 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $395.95 – $912.91 | 12 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $351.15 – $912.91 | 12 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $454.30 – $1,149.08 | 12 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $364.63 – $9,133.30 | 12 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $395.95 – $912.91 | 12 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $395.95 – $912.91 | 12 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $395.95 – $912.91 | 12 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $395.95 – $854.89 | 12 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $395.95 – $912.91 | 12 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $395.95 – $853.38 | 12 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $327.89 – $912.91 | 12 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $191.83 – $9,133.30 | 12 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $285.62 – $5,174.49 | 12 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $273.75 – $912.91 | 12 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $1,433.78 – $4,660.62 | 9 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $1,180.39 – $3,812.01 | 9 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $112.42 – $1,759.33 | 12 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $610.26 – $3,898.65 | 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.