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 |
|---|---|---|---|---|
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $1,778.29 – $4,016.33 | 12 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $2,080.85 – $2,454.60 | 6 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $2,080.85 – $2,527.63 | 6 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $1,814.01 – $2,138.79 | 6 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $1,905.62 – $2,246.80 | 6 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $1,972.75 – $2,325.96 | 6 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $2,075.12 – $2,446.65 | 6 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $131.96 – $1,166.16 | 25 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $2,080.85 – $3,316.46 | 6 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $1,857.16 – $2,189.66 | 6 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,695.12 – $2,080.85 | 6 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $2,027.15 – $2,390.09 | 6 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $362.75 – $1,328.33 | 6 |
| In-111 autol wbc diag per dose HCPCS A9570 | $2,262.40 | $4,040.00 | $314.10 – $407.69 | 6 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $349.44 | $624.00 | $567.73 – $606.80 | 3 |
| In-111 pentetreotide HCPCS A9572 | $4,193.28 | $7,488.00 | $3,280.09 – $3,786.23 | 6 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $702.21 – $4,371.82 | 12 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $589.61 – $2,011.09 | 12 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,781.23 – $5,778.26 | 9 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $530.09 – $1,518.63 | 12 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $83.97 – $1,309.56 | 31 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $394.04 – $1,540.44 | 12 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $447.24 – $1,434.43 | 12 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $617.90 – $1,681.33 | 12 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $676.63 – $4,195.69 | 12 |
| Incise inner ear CPT 69801 | not published | not published | $144.46 – $362.75 | 12 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,820.06 – $3,822.98 | 12 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $220.31 – $741.76 | 31 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $510.66 – $1,613.12 | 12 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $689.97 – $1,881.97 | 12 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $715.72 – $1,881.97 | 12 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $717.16 – $2,885.87 | 12 |
| Incise inner eye strands CPT 67030 | not published | not published | $571.86 – $1,613.12 | 12 |
| Incise nerve back of head CPT 64744 | not published | not published | $591.84 – $1,518.63 | 12 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $307.87 – $1,338.81 | 12 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $1,577.70 – $4,108.01 | 12 |
| Incise skull for treatment CPT 61770 | not published | not published | $1,786.71 – $3,631.86 | 12 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $487.92 – $1,111.26 | 12 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $82.17 – $404.19 | 31 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $918.18 – $3,152.32 | 12 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $559.42 – $2,011.09 | 12 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $534.51 – $2,346.27 | 12 |
| Incision anal septum infant CPT 46070 | not published | not published | $266.16 – $1,838.20 | 12 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,135.68 | $2,028.00 | $128.67 – $1,447.99 | 13 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $1,134.87 – $3,688.86 | 9 |
| Incision of achilles tendon CPT 27605 | $1,795.92 | $3,207.00 | $392.39 – $2,289.80 | 13 |
| Incision of achilles tendon CPT 27606 | not published | not published | $337.76 – $2,011.09 | 12 |
| Incision of anal sphincter CPT 46080 | not published | not published | $284.31 – $1,838.20 | 12 |
| Incision of ankle bone CPT 28302 | not published | not published | $831.81 – $4,371.82 | 12 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $1,600.63 – $5,196.01 | 9 |
| Incision of breast lesion CPT 19020 | not published | not published | $534.41 – $1,271.57 | 12 |
| Incision of brow nerve CPT 64732 | not published | not published | $532.32 – $1,301.67 | 12 |
| Incision of burn scab initi CPT 16035 | not published | not published | $225.48 – $540.20 | 31 |
| Incision of cheek nerve CPT 64734 | not published | not published | $512.82 – $1,518.63 | 12 |
| Incision of chin nerve CPT 64736 | not published | not published | $574.10 – $1,518.63 | 12 |
| Incision of eardrum CPT 69420 | not published | not published | $120.45 – $313.98 | 31 |
| Incision of eardrum CPT 69421 | not published | not published | $176.00 – $1,551.66 | 12 |
| Incision of esophagus CPT 43020 | not published | not published | $362.75 – $1,027.59 | 12 |
| Incision of eye CPT 65850 | not published | not published | $918.24 – $1,881.97 | 12 |
| Incision of eye CPT 66172 | not published | not published | $918.24 – $2,150.83 | 12 |
| Incision of eyelid CPT 67710 | not published | not published | $232.05 – $1,309.56 | 31 |
| Incision of facial nerve CPT 64742 | not published | not published | $538.40 – $1,518.63 | 12 |
| Incision of fibula CPT 27707 | not published | not published | $469.26 – $2,346.27 | 12 |
| Incision of finger tendon CPT 26455 | not published | not published | $460.97 – $1,530.07 | 12 |
| Incision of foot fascia CPT 28008 | not published | not published | $483.92 – $2,011.09 | 12 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $460.12 – $1,530.07 | 12 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $1,031.89 – $3,394.39 | 9 |
| Incision of heel bone CPT 28300 | not published | not published | $774.11 – $5,109.09 | 12 |
| Incision of hip bones CPT 27151 | not published | not published | $1,871.88 – $6,150.35 | 9 |
| Incision of hip tendon CPT 27000 | not published | not published | $510.80 – $2,011.09 | 12 |
| Incision of hip tendon CPT 27001 | not published | not published | $635.07 – $2,346.27 | 12 |
| Incision of hip tendon CPT 27003 | not published | not published | $694.95 – $4,371.82 | 12 |
| Incision of hip tendons CPT 27006 | not published | not published | $866.68 – $2,412.58 | 12 |
| Incision of iris CPT 66500 | not published | not published | $381.33 – $1,613.12 | 12 |
| Incision of iris CPT 66505 | not published | not published | $418.17 – $1,613.12 | 12 |
| Incision of jaw joint CPT 21010 | not published | not published | $853.62 – $3,946.30 | 12 |
| Incision of jaw nerve CPT 64738 | not published | not published | $621.33 – $1,518.63 | 12 |
| Incision of knee joint CPT 27435 | not published | not published | $949.74 – $2,597.68 | 12 |
| Incision of lymph channels CPT 38308 | not published | not published | $536.01 – $1,937.47 | 12 |
| Incision of metatarsal CPT 28306 | not published | not published | $699.17 – $3,195.06 | 12 |
| Incision of metatarsal CPT 28307 | not published | not published | $807.39 – $2,346.27 | 12 |
| Incision of metatarsal CPT 28308 | not published | not published | $630.23 – $2,011.09 | 12 |
| Incision of metatarsals CPT 28309 | not published | not published | $1,037.75 – $5,100.45 | 12 |
| Incision of midfoot bones CPT 28304 | not published | not published | $919.56 – $4,441.59 | 12 |
| Incision of palm tendon CPT 26450 | not published | not published | $461.05 – $2,011.09 | 12 |
| Incision of prostate CPT 52450 | not published | not published | $543.13 – $1,948.41 | 12 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $833.19 – $2,662.24 | 9 |
| Incision of rectal abscess CPT 46060 | not published | not published | $550.40 – $1,838.20 | 12 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $1,034.13 – $3,347.55 | 9 |
| Incision of sperm duct CPT 55200 | not published | not published | $515.15 – $1,875.32 | 12 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $693.03 – $1,681.33 | 12 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $739.25 – $4,371.82 | 12 |
| Incision of tendon sheath CPT 25000 | not published | not published | $392.44 – $1,540.44 | 12 |
| Incision of thigh tendon CPT 27306 | not published | not published | $418.42 – $1,530.07 | 12 |
| Incision of thigh tendon CPT 27390 | not published | not published | $520.84 – $2,011.09 | 12 |
| Incision of thigh tendons CPT 27307 | not published | not published | $556.99 – $2,346.27 | 12 |
| Incision of thigh tendons CPT 27391 | not published | not published | $673.73 – $2,346.27 | 12 |
| Incision of thigh tendons CPT 27392 | not published | not published | $832.82 – $2,346.27 | 12 |
| Incision of tibia CPT 27705 | not published | not published | $899.21 – $4,371.82 | 12 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $1,388.39 – $4,854.70 | 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.