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 |
|---|---|---|---|---|
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $779.39 – $4,154.76 | 12 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $226.92 – $733.50 | 9 |
| Lap myotomy heller CPT 43279 | not published | not published | $1,556.43 – $5,009.95 | 9 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $1,875.01 – $5,873.03 | 12 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $2,108.61 – $6,741.96 | 9 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $2,101.21 – $6,799.51 | 9 |
| Lap place gastr adj device CPT 43770 | not published | not published | $1,332.63 – $7,354.14 | 12 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $1,817.31 – $5,897.36 | 9 |
| Lap radical hyst CPT 58548 | not published | not published | $2,169.28 – $7,289.02 | 9 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $2,355.41 – $7,673.53 | 9 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $1,517.18 – $4,957.45 | 9 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $292.87 – $938.28 | 9 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $1,669.10 – $4,423.97 | 12 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $504.44 – $3,364.13 | 12 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $1,148.78 – $3,725.00 | 9 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $1,142.03 – $3,683.52 | 9 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $928.08 – $8,501.77 | 9 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $771.80 – $909.98 | 3 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $1,547.27 – $4,284.49 | 9 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $1,391.27 – $6,480.29 | 9 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $2,016.18 – $6,677.56 | 9 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $2,207.04 – $7,176.95 | 9 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $2,138.18 – $6,914.65 | 9 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $1,116.76 – $3,730.36 | 9 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $776.53 – $4,485.54 | 12 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $970.77 – $4,205.17 | 12 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $228.27 – $734.85 | 9 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $552.20 – $2,900.99 | 9 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $1,126.06 – $1,477.38 | 9 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $326.73 – $1,844.24 | 12 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $197.32 – $525.03 | 31 |
| Largsc w/ther injection CPT 31573 | not published | not published | $296.54 – $1,477.38 | 9 |
| Laryngeal function studies CPT 92520 | not published | not published | $47.96 – $3,649.89 | 31 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $1,173.52 – $4,087.31 | 9 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $1,766.82 – $4,087.31 | 9 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $1,626.93 – $3,923.82 | 9 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $1,641.07 – $3,923.82 | 9 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $1,788.41 – $3,923.82 | 9 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $1,879.68 – $3,923.82 | 9 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $1,422.24 – $3,923.82 | 12 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $1,186.00 – $3,923.82 | 9 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $399.36 – $1,844.24 | 12 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $79.49 – $384.51 | 31 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $373.96 – $2,821.11 | 12 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $297.32 – $1,844.24 | 12 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $172.30 – $1,844.24 | 12 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $192.27 – $1,844.24 | 12 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $293.83 – $1,174.00 | 12 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $231.38 – $1,844.24 | 12 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $145.89 – $525.03 | 31 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $225.76 – $1,844.24 | 12 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $251.26 – $1,844.24 | 12 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $288.79 – $1,844.24 | 12 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $252.76 – $1,844.24 | 12 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $235.98 – $1,095.74 | 12 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $260.60 – $1,174.00 | 12 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $246.20 – $1,844.24 | 12 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $197.32 – $525.03 | 31 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $408.57 – $2,821.11 | 12 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $316.00 – $2,151.59 | 12 |
| Laser surgery eye strands CPT 67031 | not published | not published | $231.64 – $741.76 | 31 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $170.27 – $1,759.33 | 12 |
| Laser surgery of prostate CPT 52647 | not published | not published | $1,785.10 – $3,517.05 | 12 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,785.10 – $3,355.84 | 12 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $155.97 – $1,485.22 | 12 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,454.87 – $3,487.09 | 12 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,624.66 – $3,727.59 | 12 |
| Lateral canthopexy CPT 21282 | not published | not published | $442.57 – $1,551.66 | 12 |
| Lat retinacular release open CPT 27425 | not published | not published | $519.97 – $2,346.27 | 12 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $120.45 – $313.98 | 31 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $1,368.26 – $6,305.83 | 12 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $743.91 – $1,701.89 | 12 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,560.32 | $4,572.00 | $0.26 – $0.26 | 6 |
| Lead capillary CPT 83655 | $21.28 | $38.00 | $7.02 – $21.76 | 35 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,650.41 – $5,200.02 | 9 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,684.34 – $5,451.65 | 9 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,874.15 – $6,495.68 | 9 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,756.97 – $5,664.48 | 9 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $1,877.14 – $4,204.10 | 12 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $1,182.10 – $2,335.66 | 12 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $906.08 | $1,618.00 | $80.78 – $326.83 | 32 |
| Leishmania antibody CPT 86717 | not published | not published | $7.11 – $22.02 | 35 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $713.46 – $2,011.09 | 12 |
| Lengthening of palate CPT 42227 | not published | not published | $1,007.11 – $3,923.82 | 12 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $1,064.00 – $3,923.82 | 12 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $595.55 – $2,346.27 | 12 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $764.01 – $4,371.82 | 12 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,033.68 – $2,982.21 | 12 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,260.23 – $4,050.24 | 9 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $1,032.06 – $6,260.64 | 12 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,192.68 – $11,271.85 | 12 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,260.08 – $2,982.21 | 12 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,170.40 | $2,090.00 | $111.89 – $131.92 | 3 |
| Leukacyte transfusion CPT 86950 | not published | not published | $4.89 – $231.70 | 35 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $6.03 – $14.35 | 29 |
| Levetiracetam therapeutic drug level CPT 80177 | $24.08 | $43.00 | $7.69 – $22.95 | 35 |
| Lidocaine therapeutic drug level CPT 80176 | $8.40 | $15.00 | $8.52 – $26.39 | 35 |
| Ligate leg veins open CPT 37761 | not published | not published | $465.31 – $1,182.10 | 12 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $784.77 – $2,455.56 | 12 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $93.48 – $293.15 | 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.