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 |
|---|---|---|---|---|
| Establish access to artery CPT 36100 | not published | not published | $615.56 – $1,816.34 | 9 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,311.56 – $4,087.76 | 9 |
| Established Patient Office Visit (level 1) CPT 99211 | not published | not published | $22.00 – $3,478.45 | 10 |
| Established Patient Office Visit (level 2) CPT 99212 | $40.88 | $73.00 | $22.00 – $177.87 | 10 |
| Established Patient Office Visit (level 3) CPT 99213 | $75.60 | $135.00 | $72.85 – $316.83 | 10 |
| Established Patient Office Visit (level 4) CPT 99214 | $111.44 | $199.00 | $72.85 – $492.47 | 10 |
| Established Patient Office Visit (level 5) CPT 99215 | $165.76 | $296.00 | $42.25 – $198.19 | 9 |
| Estradiol total CPT 82670 | $71.12 | $127.00 | $16.21 – $50.23 | 35 |
| Estrogens total-sendout CPT 82672 | $23.52 | $42.00 | $12.59 – $38.99 | 35 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $850.49 – $1,810.28 | 12 |
| Ethylene glycol -sendout CPT 82693 | $35.28 | $63.00 | $8.64 – $26.77 | 35 |
| Euglobulin lysis CPT 85360 | not published | not published | $4.88 – $15.11 | 35 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $587.45 – $1,759.33 | 12 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $68.25 – $1,562.70 | 31 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $67.20 – $886.72 | 31 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $119.28 | $213.00 | $56.90 – $135.39 | 35 |
| Evaluation heart device CPT 93640 | $3,459.12 | $6,177.00 | $29.47 – $396.47 | 9 |
| Evaluation of speech fluency 92521 CPT 92521 | $145.60 | $260.00 | $73.03 – $7,295.23 | 32 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $65.77 – $217.24 | 25 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $13,124.72 | $23,437.00 | $603.37 – $16,734.02 | 10 |
| Evasc prlng admn rx agnt add CPT 61651 | $10,768.24 | $19,229.00 | $256.26 – $13,729.51 | 10 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,569.89 – $1,850.96 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,513.74 – $4,781.08 | 9 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $2,259.22 – $7,142.16 | 9 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,834.76 – $8,933.07 | 9 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $565.23 – $666.43 | 3 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,716.98 – $5,387.42 | 9 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,851.52 – $8,961.17 | 9 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $1,412.53 – $4,458.50 | 9 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $7,101.36 | $12,681.00 | $2,273.66 – $9,054.23 | 10 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $1,168.50 – $1,377.70 | 3 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $929.75 – $1,096.21 | 3 |
| Event monitor CPT 93270 | $280.56 | $501.00 | $13.77 – $103.33 | 32 |
| Evoked auditory tst complete CPT 92588 | $127.68 | $228.00 | $16.41 – $1,817.18 | 31 |
| Evoked oa emissions ltd CPT 92587 | $90.72 | $162.00 | $11.54 – $1,817.18 | 31 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $1,562.70 – $1,562.70 | 6 |
| Evoked potentials upper limbs CPT 95925 | $381.36 | $681.00 | $115.90 – $421.04 | 31 |
| Evoked potential visual not glaucoma CPT 95930 | $374.08 | $668.00 | $115.90 – $421.04 | 31 |
| Evok oa screening qual CPT 92558 | not published | not published | $10.79 – $117.83 | 9 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $68.16 – $411.30 | 31 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $127.90 – $1,759.33 | 12 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $635.50 – $1,701.89 | 12 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $743.91 – $1,985.53 | 12 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $516.41 – $1,985.53 | 12 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $652.64 – $1,701.89 | 12 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $743.91 – $1,985.53 | 12 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,421.11 – $4,643.21 | 9 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $2,085.35 – $6,827.63 | 9 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $483.51 – $1,985.53 | 12 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $564.98 – $1,418.27 | 12 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $1,221.49 – $3,923.82 | 12 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,846.97 – $4,204.10 | 12 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $549.55 – $1,369.38 | 12 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $743.91 – $1,985.53 | 12 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $356.68 – $1,759.33 | 12 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $323.02 – $1,003.60 | 12 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $446.88 – $1,701.89 | 12 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $265.89 – $1,173.75 | 12 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $976.08 | $1,743.00 | $112.41 – $1,244.50 | 32 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $118.74 – $951.32 | 31 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $148.52 – $951.32 | 31 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $164.78 – $495.48 | 12 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $125.05 – $951.32 | 31 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $150.34 – $495.48 | 12 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $382.45 – $1,701.89 | 12 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $1,025.92 | $1,832.00 | $124.59 – $1,308.05 | 32 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,911.84 | $3,414.00 | $148.52 – $2,437.60 | 32 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $521.87 – $1,937.47 | 12 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,744.24 – $5,379.38 | 9 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $673.83 – $3,458.41 | 12 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $987.28 – $3,182.91 | 9 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $720.08 – $3,770.60 | 12 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $341.13 – $2,185.99 | 9 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $742.30 – $2,233.26 | 12 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $723.85 – $1,701.89 | 12 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $874.75 – $2,011.09 | 12 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $616.16 – $2,011.09 | 12 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $864.18 – $4,371.82 | 12 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $1,015.70 – $4,371.82 | 12 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $722.62 – $2,346.27 | 12 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $758.86 – $4,371.82 | 12 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $494.17 – $4,371.82 | 12 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $685.92 – $2,346.27 | 12 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $1,812.11 – $5,945.56 | 9 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $743.91 – $2,342.23 | 12 |
| Exc excessive skin hip CPT 15834 | not published | not published | $743.91 – $2,342.23 | 12 |
| Exc excessive skin leg CPT 15833 | not published | not published | $743.91 – $2,342.23 | 12 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $743.91 – $2,342.23 | 12 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $743.91 – $1,701.89 | 12 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $669.40 – $1,701.89 | 12 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $530.91 – $1,701.89 | 12 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $381.49 – $717.09 | 12 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $614.62 – $1,446.60 | 12 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $192.32 – $951.32 | 31 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $232.05 – $495.48 | 12 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $542.19 – $1,701.89 | 12 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $439.15 – $1,173.75 | 12 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $505.91 – $1,565.01 | 12 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $607.25 – $1,369.38 | 12 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $629.42 – $1,985.53 | 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.