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 |
|---|---|---|---|---|
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $606.58 – $1,613.89 | 12 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $645.33 – $1,613.89 | 12 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $612.43 – $1,369.38 | 12 |
| Exchange biliary drg cath CPT 47536 | $4,258.80 | $7,605.00 | $893.46 – $5,429.97 | 13 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $123.03 – $4,016.33 | 31 |
| Exchange drainage catheter CPT 49423 | not published | not published | $635.28 – $1,366.61 | 12 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $918.24 – $2,150.83 | 12 |
| Exchange nephrostomy cath CPT 50435 | $3,937.92 | $7,032.00 | $275.88 – $5,020.85 | 13 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $422.78 – $1,701.89 | 12 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $581.24 – $1,985.53 | 12 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $466.42 – $1,701.89 | 12 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $715.10 – $1,701.89 | 12 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $743.91 – $1,985.53 | 12 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $61.98 – $268.66 | 31 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $61.98 – $473.57 | 31 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $21.02 – $540.20 | 31 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $743.91 – $1,701.89 | 12 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $568.07 – $1,701.89 | 12 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $743.91 – $1,985.53 | 12 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $2,624.39 – $8,151.37 | 9 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,124.32 – $2,317.32 | 12 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $743.91 – $2,258.25 | 12 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $743.91 – $2,342.23 | 12 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $1,068.50 – $2,233.26 | 12 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $1,124.32 – $2,233.26 | 12 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $232.38 – $1,264.01 | 12 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $1,182.44 – $2,982.21 | 12 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $615.45 – $2,346.27 | 12 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $531.19 – $1,530.07 | 12 |
| Excise inferior turbinate CPT 30130 | not published | not published | $438.74 – $1,939.59 | 12 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $1,012.58 – $3,303.39 | 9 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $2,085.78 – $6,530.47 | 9 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $1,709.39 – $5,343.24 | 9 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $1,816.52 – $5,457.01 | 9 |
| Excise lesion testis CPT 54512 | not published | not published | $625.87 – $1,861.91 | 12 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $352.02 – $1,453.73 | 12 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $1,512.69 – $3,923.82 | 12 |
| Excise mandible lesion CPT 21040 | not published | not published | $591.58 – $1,615.25 | 12 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $416.70 – $850.49 | 12 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,547.06 – $3,923.82 | 12 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $164.60 – $688.55 | 31 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $741.83 – $3,288.57 | 12 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,260.51 – $3,923.82 | 12 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,419.80 – $4,204.10 | 12 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $996.50 – $3,923.82 | 12 |
| Excise pharynx lesion CPT 42808 | not published | not published | $267.20 – $1,810.28 | 12 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $253.71 – $850.49 | 12 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $2,626.89 – $8,610.48 | 9 |
| Excise sublingual gland CPT 42450 | not published | not published | $530.70 – $3,923.82 | 12 |
| Excise submaxillary gland CPT 42440 | not published | not published | $492.75 – $3,363.27 | 12 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $500.50 – $1,298.18 | 12 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $622.95 – $2,011.09 | 12 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $443.52 – $2,346.27 | 12 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $180.69 – $626.39 | 10 |
| Excision aural polyp CPT 69540 | not published | not published | $202.70 – $850.49 | 12 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $135.88 – $951.32 | 31 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $137.69 – $495.48 | 12 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,076.88 | $1,923.00 | $136.78 – $1,373.02 | 32 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $2,872.24 | $5,129.00 | $356.95 – $3,662.11 | 13 |
| Excision breast lesion CPT 19125 | not published | not published | $509.85 – $2,145.05 | 13 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $381.54 – $1,810.28 | 12 |
| Excision graft extremity CPT 35903 | not published | not published | $722.68 – $2,335.66 | 12 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $2,212.74 – $6,944.07 | 9 |
| Excision gum each quadrant CPT 41820 | not published | not published | $300.31 – $1,318.92 | 12 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $765.47 – $1,811.61 | 12 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $246.04 – $850.49 | 12 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $533.00 – $3,014.52 | 12 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $207.22 – $362.75 | 12 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $299.77 – $1,838.20 | 12 |
| Excision of gum flap CPT 41821 | not published | not published | $67.57 – $926.01 | 12 |
| Excision of gum lesion CPT 41822 | not published | not published | $284.41 – $387.84 | 12 |
| Excision of gum lesion CPT 41823 | not published | not published | $402.25 – $2,080.85 | 12 |
| Excision of gum lesion CPT 41826 | not published | not published | $287.58 – $850.49 | 12 |
| Excision of gum lesion CPT 41827 | not published | not published | $501.27 – $3,363.27 | 12 |
| Excision of gum lesion CPT 41828 | not published | not published | $237.91 – $850.49 | 12 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $203.62 – $850.49 | 12 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $1,000.82 – $3,241.83 | 9 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $681.09 – $2,050.12 | 12 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $906.38 – $2,964.76 | 9 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $465.41 – $1,551.66 | 12 |
| Excision of neck cyst CPT 42815 | not published | not published | $661.62 – $3,363.27 | 12 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $455.40 – $1,810.28 | 12 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $208.69 – $1,485.22 | 12 |
| Excision of rectal lesion CPT 45160 | not published | not published | $873.95 – $2,144.56 | 12 |
| Excision of rectal stricture CPT 45150 | not published | not published | $454.83 – $1,378.92 | 12 |
| Excision of salivary cyst CPT 42408 | not published | not published | $532.15 – $2,004.23 | 12 |
| Excision of skull tumor CPT 61563 | not published | not published | $2,492.86 – $7,751.17 | 9 |
| Excision of stomach lesion CPT 43610 | not published | not published | $1,171.52 – $3,798.63 | 9 |
| Excision of tongue lesion CPT 41112 | not published | not published | $384.27 – $1,551.66 | 12 |
| Excision of tongue lesion CPT 41114 | not published | not published | $745.65 – $2,004.23 | 12 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $419.06 – $1,551.66 | 12 |
| Excision of tonsil tags CPT 42860 | not published | not published | $223.36 – $3,206.36 | 12 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $691.24 – $2,399.11 | 12 |
| Excision of uvula CPT 42140 | not published | not published | $296.67 – $1,810.28 | 12 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $211.17 – $1,430.20 | 12 |
| Excision olecranon bursa CPT 24105 | not published | not published | $267.77 – $2,011.09 | 12 |
| Excision radial head CPT 24130 | not published | not published | $591.83 – $2,346.27 | 12 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $195.49 – $850.49 | 12 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $561.45 – $1,613.89 | 12 |
| Excis partial tal calc CPT 28120 | $3,627.12 | $6,477.00 | $764.30 – $4,624.58 | 13 |
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.