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 |
|---|---|---|---|---|
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $137.30 – $404.19 | 31 |
| Ghs fat & muscle CPT 89160 | $11.76 | $21.00 | $2.81 – $6.69 | 35 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,002.56 | $3,576.00 | $531.59 – $2,553.26 | 13 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $550.22 – $1,985.53 | 12 |
| Ghs fb removal - incisional CPT 10121 | $507.92 | $907.00 | $309.72 – $1,173.75 | 13 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $163.89 – $495.48 | 12 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $8.40 | $15.00 | $4.05 – $12.55 | 35 |
| Ghs fish cytogen CPT 88271 | $83.44 | $149.00 | $12.42 – $29.56 | 35 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $214.48 | $383.00 | $29.69 – $72.18 | 35 |
| Ghs flow volume loop CPT 94375 | not published | not published | $27.27 – $421.04 | 31 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $23.34 – $421.04 | 31 |
| Ghs hcv amplificaiton CPT 87521 | $53.76 | $96.00 | $20.35 – $63.09 | 35 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $13.32 – $31.70 | 35 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $35.28 | $63.00 | $8.98 – $27.84 | 35 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $5.49 – $13.07 | 35 |
| Ghs histoplasma antigen CPT 87385 | $45.78 | $81.75 | $7.69 – $21.56 | 35 |
| Ghs HIV antibody CPT 86703 | $51.52 | $92.00 | $7.95 – $23.89 | 35 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $61.56 – $146.47 | 35 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $248.77 – $1,579.73 | 12 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $607.00 – $1,149.08 | 12 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $215.79 – $951.32 | 31 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $187.04 | $334.00 | $120.07 – $951.32 | 32 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $17.35 – $42.51 | 35 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $108.68 – $328.84 | 31 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $74.33 – $291.53 | 31 |
| Ghs inf midline insertion CPT 36140 | $1,109.92 | $1,982.00 | $105.94 – $1,604.85 | 10 |
| Ghs inhibitor screen CPT 85335 | $60.48 | $108.00 | $7.46 – $23.14 | 35 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $61.98 – $268.66 | 31 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $256.40 – $1,203.76 | 31 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $109.25 – $1,203.76 | 31 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $40.17 – $399.12 | 31 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $142.71 – $426.96 | 9 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $294.81 – $4,679.52 | 31 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $47.96 – $539.54 | 31 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $118.64 – $540.20 | 31 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $225.48 – $827.65 | 31 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $546.69 – $2,233.26 | 12 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $279.44 | $499.00 | $29.35 – $356.29 | 10 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $108.68 – $328.84 | 31 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $22.59 – $592.54 | 31 |
| Ghs IV thrombolytics - cerebral CPT 37195 | not published | not published | $105.09 – $1,359.77 | 31 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $47.96 – $539.54 | 31 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $193.20 | $345.00 | $118.64 – $540.20 | 32 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $61.98 – $540.20 | 31 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $104.15 – $540.20 | 31 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $118.64 – $540.20 | 31 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $118.64 – $540.20 | 31 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $118.64 – $540.20 | 31 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $118.64 – $540.20 | 31 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $118.64 – $827.65 | 31 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $61.98 – $540.20 | 31 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $118.64 – $827.65 | 31 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $118.64 – $626.14 | 31 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $118.64 – $827.65 | 31 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $61.98 – $723.02 | 31 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $225.48 – $1,273.04 | 12 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $118.64 – $828.14 | 31 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $34.72 | $62.00 | $4.99 – $15.47 | 35 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $0.01 – $16.36 | 10 |
| Ghs mbp CPT 83873 | $7.84 | $14.00 | $9.98 – $25.27 | 35 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $82.32 | $147.00 | $84.76 – $484.70 | 9 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | not published | not published | $104.86 – $438.01 | 9 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | not published | not published | $85.97 – $1,031.36 | 9 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $82.32 | $147.00 | $12.09 – $15.57 | 9 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | not published | not published | $65.10 – $115.61 | 9 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $44.52 – $121.16 | 9 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $42.26 – $219.01 | 9 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $45.26 – $53.37 | 9 |
| Ghs myocardial strain img spckl track CPT 93356 | $371.84 | $664.00 | $45.06 – $1,137.72 | 9 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $225.48 – $827.65 | 31 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $201.36 – $1,203.76 | 31 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $142.11 – $936.36 | 31 |
| Ghs nerve block axillary nerve CPT 64417 | $801.92 | $1,432.00 | $149.67 – $1,203.76 | 32 |
| Ghs nerve block brachial plexus CPT 64415 | $680.40 | $1,215.00 | $139.93 – $1,203.76 | 32 |
| Ghs nerve block celiac plexus CPT 64530 | $1,076.32 | $1,922.00 | $225.86 – $1,372.31 | 32 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $151.64 – $1,203.76 | 31 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,145.20 | $2,045.00 | $220.88 – $1,460.13 | 32 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,198.96 | $2,141.00 | $99.77 – $1,528.67 | 32 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $120.08 – $936.36 | 31 |
| Ghs ng placement w fluoro guidance CPT 43752 | $226.24 | $404.00 | $46.89 – $539.54 | 32 |
| Ghs o2 saturation CPT 82810 | $15.68 | $28.00 | $5.67 – $15.69 | 35 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $52.01 – $223.45 | 31 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $16.05 – $244.57 | 31 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $1.11 – $62.39 | 31 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $186.89 – $835.95 | 31 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $438.48 – $711.66 | 12 |
| Ghs optokenetic CPT 92544 | $76.72 | $137.00 | $18.65 – $6,646.59 | 31 |
| Ghs oscillating trac CPT 92545 | $76.72 | $137.00 | $17.90 – $3,998.15 | 31 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $12.07 – $56.71 | 31 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $12.07 – $112.28 | 31 |
| Ghs ot dds rom CPT 95851 | not published | not published | $12.79 – $126.74 | 31 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $12.05 – $28.68 | 22 |
| Ghs ot prosthetic training/15 min CPT 97761 | $62.72 | $112.00 | $22.25 – $85.20 | 31 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $31.38 – $78.07 | 26 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $50.16 – $68.42 | 4 |
| Ghs pacing - transcutaneous CPT 92953 | $1,243.76 | $2,221.00 | $12.27 – $2,534.28 | 31 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $112.21 – $356.05 | 9 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $101.97 – $327.92 | 9 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $22.16 – $39.02 | 14 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $131.96 – $313.98 | 31 |
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.