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 |
|---|---|---|---|---|
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $667.98 – $1,811.61 | 12 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,260.08 – $2,733.70 | 12 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $669.56 – $2,011.09 | 12 |
| Decompress fingers/hand CPT 26035 | not published | not published | $765.47 – $2,011.09 | 12 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,260.08 – $2,733.70 | 12 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $922.27 – $2,513.88 | 12 |
| Decompression fasct forearm CPT 24495 | not published | not published | $775.92 – $4,371.82 | 12 |
| Decompression of leg CPT 27892 | not published | not published | $665.31 – $2,346.27 | 12 |
| Decompression of leg CPT 27893 | not published | not published | $709.20 – $4,371.82 | 12 |
| Decompression of leg CPT 27894 | not published | not published | $765.47 – $1,811.61 | 12 |
| Decompression of lower leg CPT 27600 | not published | not published | $502.43 – $2,011.09 | 12 |
| Decompression of lower leg CPT 27601 | not published | not published | $522.66 – $2,011.09 | 12 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $624.82 – $2,346.27 | 12 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $673.58 – $2,011.09 | 12 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $750.98 – $1,811.61 | 12 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $758.51 – $2,513.88 | 12 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $594.29 – $1,572.85 | 12 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $418.05 – $1,518.63 | 12 |
| Decompressive craniotomy CPT 61322 | not published | not published | $2,982.10 – $9,349.33 | 9 |
| Decompress optic nerve CPT 67570 | not published | not published | $1,320.44 – $2,152.48 | 12 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $2,024.89 – $7,374.56 | 12 |
| Decompress small bowel CPT 44021 | not published | not published | $1,172.81 – $3,775.87 | 9 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,820.08 – $9,941.25 | 12 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $2,191.35 – $5,166.41 | 12 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $401.85 – $1,661.04 | 9 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $324.21 – $1,701.89 | 12 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,105.74 – $7,245.30 | 12 |
| Delay flap arms/legs CPT 15610 | not published | not published | $403.46 – $2,233.26 | 12 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $531.75 – $1,485.22 | 12 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $505.87 – $1,642.55 | 12 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $375.96 – $2,233.26 | 12 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $146.03 – $1,759.33 | 12 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,829.58 – $3,635.34 | 9 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $2,144.32 – $4,988.55 | 9 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $831.98 – $2,659.57 | 9 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $386.96 | $691.00 | $19.03 – $275.01 | 31 |
| Denervation of hip joint CPT 27035 | not published | not published | $765.47 – $2,346.27 | 12 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $47.96 – $352.12 | 31 |
| Dermabrasion other than face CPT 15782 | not published | not published | $581.02 – $798.13 | 12 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $252.82 – $951.32 | 31 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $104.15 – $654.53 | 31 |
| Dermabrasion total face CPT 15780 | not published | not published | $658.68 – $1,122.75 | 12 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $794.95 – $2,233.26 | 12 |
| Dermagraft HCPCS Q4106 | $55.44 | $99.00 | $39.43 – $39.43 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $742.30 – $2,233.26 | 12 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $742.30 – $2,233.26 | 12 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $2,300.56 – $7,027.05 | 9 |
| Design custom breast implant CPT 19396 | not published | not published | $322.52 – $2,198.31 | 12 |
| Design mlc device for imrt CPT 77338 | $969.92 | $1,732.00 | $153.47 – $694.67 | 34 |
| Desoxycorticosterone CPT 82633 | not published | not published | $17.97 – $55.67 | 35 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $525.61 – $1,612.87 | 9 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,979.34 – $6,036.59 | 9 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,432.13 – $4,380.87 | 9 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $61.98 – $268.66 | 31 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $112.91 – $268.66 | 31 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $112.91 – $276.17 | 31 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $104.15 – $268.66 | 31 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $104.15 – $268.66 | 31 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $61.98 – $268.66 | 31 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $61.98 – $268.66 | 31 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $61.98 – $268.66 | 31 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $61.98 – $268.66 | 31 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $61.98 – $268.66 | 31 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $507.50 – $1,518.63 | 12 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $231.37 – $712.07 | 9 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $182.39 – $278.36 | 12 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $61.98 – $268.66 | 31 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $264.72 – $2,233.26 | 12 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $87.57 – $742.30 | 12 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $61.98 – $268.66 | 31 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $225.48 – $827.65 | 31 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $199.01 – $540.20 | 31 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $437.91 – $878.26 | 12 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $8.16 – $21.43 | 9 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $229.78 – $742.30 | 12 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $603.20 – $1,838.20 | 12 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $118.64 – $540.20 | 31 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $61.98 – $268.66 | 31 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $263.45 – $1,203.76 | 31 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $207.94 – $647.83 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $498.59 – $1,493.96 | 12 |
| Destruction ciliary body CPT 66700 | not published | not published | $494.10 – $1,613.12 | 12 |
| Destruction ciliary body CPT 66720 | not published | not published | $529.96 – $1,306.60 | 12 |
| Destruction ciliary body CPT 66740 | not published | not published | $471.30 – $1,578.81 | 12 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $104.15 – $311.39 | 31 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $521.06 – $1,659.80 | 12 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $108.34 – $737.01 | 12 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $118.64 – $540.20 | 31 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $178.77 – $540.20 | 31 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $118.64 – $540.20 | 31 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $174.72 – $540.20 | 31 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $61.98 – $540.20 | 31 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $252.50 – $1,485.22 | 12 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $118.64 – $540.20 | 31 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $807.93 – $2,144.56 | 12 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $227.40 – $1,430.20 | 12 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $79.02 – $978.98 | 12 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $89.38 – $742.30 | 12 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $17.42 – $41.44 | 35 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $25.33 – $72.09 | 35 |
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.