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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52276 | not published | not published | $309.71 – $1,759.55 | 12 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $379.57 – $1,948.41 | 12 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $318.65 – $1,579.73 | 12 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $322.41 – $1,307.38 | 31 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $284.29 – $1,759.55 | 12 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $332.71 – $1,948.41 | 12 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $340.83 – $1,948.41 | 12 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $325.18 – $2,871.44 | 12 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $281.14 – $1,307.38 | 12 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $482.01 – $1,875.32 | 12 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $286.82 – $2,871.44 | 12 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $652.25 – $2,516.72 | 12 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $234.82 – $4,016.33 | 31 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $349.96 – $1,307.38 | 12 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $275.88 – $902.48 | 31 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $394.50 – $2,273.16 | 12 |
| Cystoscopy inject material CPT 52327 | not published | not published | $307.19 – $2,871.44 | 12 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $429.66 – $1,504.89 | 12 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $420.57 – $1,525.27 | 12 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $570.53 – $1,875.32 | 12 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $374.31 – $2,871.44 | 12 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $317.18 – $1,814.55 | 12 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $334.89 – $1,759.55 | 12 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $544.00 – $1,948.41 | 12 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $898.50 – $2,327.41 | 12 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $365.30 – $1,979.82 | 12 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $442.57 – $1,948.41 | 12 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $456.17 – $2,871.44 | 12 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $543.66 – $2,871.44 | 12 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $476.56 – $3,350.01 | 12 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $492.45 – $4,016.33 | 12 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $533.42 – $2,871.44 | 12 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $429.54 – $2,668.99 | 12 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $471.44 – $2,871.44 | 12 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $310.74 – $1,948.41 | 12 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $321.24 – $1,525.27 | 12 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $442.18 – $1,875.32 | 12 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $1,002.56 – $4,159.75 | 9 |
| Cystourethro w/implant CPT 52441 | not published | not published | $1,315.87 – $4,703.46 | 9 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $407.69 – $1,579.73 | 12 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $365.68 – $2,871.44 | 12 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $336.80 – $1,801.57 | 12 |
| Cytogenetics 25-99 CPT 88274 | $61.60 | $110.00 | $24.58 – $62.57 | 35 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $23.61 – $56.17 | 35 |
| Cytogenomic neo microra alys CPT 81277 | $1,299.20 | $2,320.00 | $1,275.07 – $1,503.36 | 4 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $425.01 – $1,242.00 | 35 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $75.60 | $135.00 | $8.35 – $24.75 | 35 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $74.48 | $133.00 | $9.77 – $23.89 | 35 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $7.78 – $21.56 | 35 |
| Cyto/molecular report CPT 88291 | $84.00 | $150.00 | $30.44 – $39.02 | 7 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $14.71 – $38.39 | 36 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $8.22 – $20.22 | 35 |
| Cytopath fl nongyn filter CPT 88106 | $43.68 | $78.00 | $13.91 – $70.59 | 35 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $31.36 | $56.00 | $25.12 – $72.24 | 35 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $30.80 | $55.00 | $15.43 – $47.37 | 36 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $33.04 | $59.00 | $11.75 – $36.42 | 36 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $76.16 | $136.00 | $16.05 – $64.41 | 35 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $81.76 | $146.00 | $16.05 – $57.41 | 35 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | not published | not published | $6.47 – $10.58 | 14 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $25.20 | $45.00 | $17.81 – $231.70 | 36 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $61.04 | $109.00 | $25.12 – $123.37 | 36 |
| Cytopath smear other source CPT 88160 | $30.24 | $54.00 | $6.68 – $66.47 | 35 |
| Cytopath smear other source CPT 88162 | not published | not published | $25.12 – $94.16 | 35 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $13.91 – $66.97 | 35 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $9.10 – $25.10 | 36 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $45.62 – $108.54 | 35 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $17.21 – $53.35 | 35 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $252.00 | $450.00 | $53.76 – $589.15 | 35 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $112.91 – $315.04 | 31 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $254.49 – $1,430.20 | 12 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $303.49 – $1,759.33 | 12 |
| Dch glucoscan CPT 82948 | not published | not published | $2.92 – $6.96 | 35 |
| Dch pulmonary stress test CPT 94621 | $966.00 | $1,725.00 | $105.59 – $421.04 | 25 |
| Dch validity tests CPT 81002 | $6.72 | $12.00 | $2.02 – $4.80 | 35 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $640.31 – $3,113.03 | 12 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $2,080.85 – $3,822.98 | 12 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $309.84 – $1,518.63 | 12 |
| D&c of cervical stump CPT 57558 | not published | not published | $148.13 – $1,759.33 | 12 |
| Deamidated gliadin antibody iga CPT 86258 | $21.28 | $38.00 | $6.99 – $16.63 | 26 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $847.61 – $2,731.85 | 9 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $40.17 – $827.65 | 31 |
| Debridement (>20 cm) charge pt CPT 97598 | $502.32 | $897.00 | $28.22 – $173.17 | 9 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,911.84 | $3,414.00 | $373.38 – $2,437.60 | 13 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $717.92 | $1,282.00 | $84.25 – $915.35 | 10 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,723.12 | $3,077.00 | $142.91 – $2,196.98 | 10 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $458.64 | $819.00 | $118.64 – $584.77 | 32 |
| Debride nail1-5 11720 CPT 11720 | $184.80 | $330.00 | $33.76 – $235.62 | 32 |
| Debride nail6 or more 11721 CPT 11721 | $196.56 | $351.00 | $29.42 – $250.61 | 32 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $120.07 – $951.32 | 31 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $743.91 – $1,701.89 | 12 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $694.85 – $2,243.31 | 9 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $948.28 – $3,034.36 | 9 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $358.96 | $641.00 | $48.15 – $457.67 | 10 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $61.98 – $268.66 | 31 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $399.83 – $951.32 | 31 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $24.10 – $81.65 | 9 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $869.68 | $1,553.00 | $225.48 – $1,108.84 | 32 |
| Decalcification CPT 88311 | $35.28 | $63.00 | $8.10 – $12.65 | 13 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $236.88 | $423.00 | $33.27 – $448.47 | 32 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $614.54 – $2,346.27 | 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.