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 |
|---|---|---|---|---|
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $1,441.12 – $4,087.31 | 12 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $743.91 – $1,985.53 | 12 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $572.52 – $1,701.89 | 12 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $199.10 – $737.01 | 12 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $344.69 – $1,524.35 | 12 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $580.74 – $1,524.35 | 12 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $198.64 – $850.49 | 12 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $1,270.34 – $1,497.78 | 3 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $159.48 – $188.03 | 3 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $170.21 – $951.32 | 31 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $211.74 – $951.32 | 31 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $455.53 – $1,134.63 | 12 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $597.98 – $1,985.53 | 12 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $163.43 – $495.48 | 12 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $186.90 – $951.32 | 31 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $223.47 – $495.48 | 12 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $162.52 – $951.32 | 31 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $186.00 – $951.32 | 31 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $199.01 – $540.20 | 31 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $216.71 – $951.32 | 31 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $358.99 – $951.32 | 31 |
| Exc mandible 21025 CPT 21025 | not published | not published | $1,019.89 – $3,923.82 | 12 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $623.84 – $1,701.89 | 12 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $743.91 – $1,985.53 | 12 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $701.44 – $3,363.27 | 12 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,285.18 – $4,222.93 | 9 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $935.85 – $3,219.06 | 9 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $488.29 – $2,199.18 | 12 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $313.66 – $1,985.53 | 12 |
| Exc prtl bn phlnx toe CPT 28124 | $3,627.12 | $6,477.00 | $378.77 – $4,624.58 | 13 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $968.50 – $2,896.38 | 12 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $712.42 – $1,838.20 | 12 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $743.91 – $2,342.23 | 12 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $1,124.32 – $2,233.26 | 12 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $743.91 – $2,015.13 | 12 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $742.30 – $2,605.46 | 12 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $639.76 – $1,701.89 | 12 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $550.23 – $1,701.89 | 12 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | not published | not published | $428.34 – $1,701.89 | 12 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $557.13 – $1,701.89 | 12 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $203.62 – $951.32 | 31 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | $388.65 – $1,173.75 | 12 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | $471.61 – $1,701.89 | 12 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $509.34 – $1,418.27 | 12 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $531.18 – $1,985.53 | 12 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $483.05 – $1,344.54 | 12 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $600.85 – $1,701.89 | 12 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $557.05 – $1,298.18 | 12 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $495.74 – $1,985.53 | 12 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $497.70 – $1,613.89 | 12 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $500.32 – $1,985.53 | 12 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | not published | not published | $493.21 – $1,613.89 | 12 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $561.83 – $1,985.53 | 12 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $651.70 – $1,530.07 | 12 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $520.36 – $1,467.19 | 12 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $721.10 – $1,701.89 | 12 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $743.91 – $1,985.53 | 12 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | not published | not published | $149.43 – $873.95 | 12 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | not published | not published | $508.60 – $1,173.75 | 12 |
| Exc torus mandibularis 21031 CPT 21031 | not published | not published | $340.40 – $850.49 | 12 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | not published | not published | $743.91 – $2,342.23 | 12 |
| Exc trchntr pr ulc flp clsr CPT 15952 | not published | not published | $742.30 – $2,233.26 | 12 |
| Exc trchntr pr ulc flp ostc CPT 15953 | not published | not published | $1,124.32 – $2,233.26 | 12 |
| Exc trchntr pr ulc prep flap CPT 15956 | not published | not published | $742.30 – $1,629.98 | 12 |
| Exc trchntr pr ulc prep ostc CPT 15958 | not published | not published | $742.30 – $2,233.26 | 12 |
| Exc trchntr pr ulc prim sutr CPT 15950 | not published | not published | $688.52 – $1,923.22 | 12 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | $514.39 – $1,173.75 | 12 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $226.65 – $1,759.33 | 12 |
| Exercise tst brncspsm w/ecg CPT 94617 | $142.80 | $255.00 | $51.13 – $174.28 | 31 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $33.76 – $80.32 | 31 |
| Exercise w/hemodynamic meas CPT 93464 | not published | not published | $151.54 – $225.26 | 9 |
| Exome sequence analysis CPT 81415 | not published | not published | $890.63 – $6,070.98 | 11 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | not published | not published | $193.22 – $850.49 | 12 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $1,700.16 | $3,036.00 | $826.87 – $974.92 | 3 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | not published | $917.64 – $2,983.49 | 9 |
| Exploration carotid artery 35701 CPT 35701 | not published | not published | $699.81 – $2,204.49 | 9 |
| Exploration for testis CPT 54550 | not published | not published | $568.74 – $2,798.95 | 12 |
| Exploration for testis CPT 54560 | not published | not published | $792.38 – $1,814.55 | 12 |
| Exploration maxillary sinus CPT 31030 | not published | not published | $790.54 – $3,363.27 | 12 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $233.63 – $2,151.59 | 12 |
| Exploration of ankle joint CPT 27612 | not published | not published | $648.70 – $2,346.27 | 12 |
| Exploration of chest 39000 CPT 39000 | not published | not published | $609.90 – $1,920.73 | 9 |
| Exploration of chest 39010 CPT 39010 | not published | not published | $988.55 – $3,051.76 | 9 |
| Exploration of foot joint CPT 28020 | not published | not published | $596.01 – $2,011.09 | 12 |
| Exploration of foot joint CPT 28022 | not published | not published | $539.46 – $2,011.09 | 12 |
| Exploration of frontal sinus CPT 31070 | not published | not published | $509.01 – $3,562.60 | 12 |
| Exploration of frontal sinus CPT 31075 | not published | not published | $909.73 – $3,363.27 | 12 |
| Exploration of knee joint CPT 27310 | not published | not published | $859.56 – $2,513.88 | 12 |
| Exploration of middle ear CPT 69440 | not published | not published | $807.93 – $3,576.31 | 12 |
| Exploration of sinuses CPT 31090 | not published | not published | $1,182.25 – $3,923.82 | 12 |
| Exploration of spinal fusion CPT 22830 | not published | not published | $980.07 – $3,157.50 | 9 |
| Exploration of toe joint CPT 28024 | not published | not published | $507.45 – $2,011.09 | 12 |
| Exploration/repair of rectum 45563 CPT 45563 | not published | not published | $1,957.71 – $6,360.50 | 9 |
| Exploration retroperitoneal area 49010 CPT 49010 | not published | not published | $1,126.14 – $3,621.95 | 9 |
| Exploratory heart surgery 33310 CPT 33310 | not published | not published | $1,453.06 – $4,580.29 | 9 |
| Exploratory heart surgery 33315 CPT 33315 | not published | not published | $2,405.24 – $7,428.61 | 9 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | not published | not published | $1,251.47 – $4,119.86 | 9 |
| Explore/biopsy eye socket CPT 67400 | not published | not published | $1,091.32 – $2,152.48 | 12 |
| Explore/biopsy eye socket CPT 67450 | not published | not published | $1,320.44 – $3,125.09 | 12 |
| Explore chest vessels 35820 CPT 35820 | not published | not published | $2,532.02 – $7,828.82 | 9 |
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.