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 |
|---|---|---|---|---|
| Ligate/strip long leg vein CPT 37722 | not published | not published | $608.69 – $2,455.56 | 12 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $547.42 – $2,104.78 | 12 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $437.18 – $2,272.47 | 12 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $368.47 – $1,173.75 | 12 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $315.02 – $2,104.78 | 12 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $880.32 – $2,335.66 | 12 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $1,023.02 – $2,335.66 | 12 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $607.47 – $1,182.10 | 12 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $477.26 – $1,491.09 | 9 |
| Ligation major artery neck CPT 37615 | not published | not published | $607.47 – $1,996.32 | 12 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $673.78 – $2,455.56 | 12 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,638.82 – $5,217.42 | 9 |
| Ligation of femoral vein CPT 37650 | not published | not published | $666.92 – $2,104.78 | 12 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,996.32 – $3,882.83 | 12 |
| Ligation of neck artery CPT 37606 | not published | not published | $690.53 – $2,335.66 | 12 |
| Ligation of salivary duct CPT 42665 | not published | not published | $367.66 – $2,713.08 | 12 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $973.59 – $2,455.56 | 12 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $432.16 – $2,104.78 | 12 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $473.09 – $2,104.78 | 12 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $791.71 – $2,455.56 | 12 |
| Limb exercise test CPT 95875 | not published | not published | $62.13 – $211.55 | 31 |
| Limited visual field xm CPT 92081 | not published | not published | $27.15 – $4,335.18 | 31 |
| Lipase CPT 83690 | $21.28 | $38.00 | $4.00 – $12.38 | 35 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $562.32 – $1,810.28 | 12 |
| Lipoprotein blood high res frac & quant CPT 83701 | $70.00 | $125.00 | $19.64 – $46.73 | 29 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $19.83 – $47.18 | 29 |
| Lipoprotein direct measurement hdl CPT 83718 | $24.64 | $44.00 | $4.75 – $14.71 | 35 |
| Lipoprotein direct measurement ldl CPT 83721 | $17.92 | $32.00 | $6.09 – $17.14 | 35 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $19.83 – $47.18 | 27 |
| Lip surgery procedure CPT 40799 | not published | not published | $68.01 – $313.98 | 28 |
| Listeria monocytogenes CPT 86723 | not published | not published | $7.65 – $23.71 | 35 |
| Lithium therapeutic drug level CPT 80178 | $15.68 | $28.00 | $3.83 – $11.88 | 35 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,423.50 – $4,674.01 | 9 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $102.19 – $243.14 | 22 |
| Liver elastography 91200 CPT 91200 | not published | not published | $18.29 – $4,557.78 | 31 |
| Liver Function Test CPT 80076 | $26.32 | $47.00 | $4.74 – $11.27 | 35 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,720.08 – $5,625.65 | 9 |
| Liver imaging CPT 78201 | $383.04 | $684.00 | $149.78 – $727.80 | 34 |
| Liver imag w/vasclr flow CPT 78202 | $322.00 | $575.00 | $166.75 – $727.80 | 34 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $155.24 – $543.31 | 34 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $642.88 | $1,148.00 | $89.79 – $543.31 | 34 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $75.81 – $68,979.80 | 12 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $746.44 – $2,346.27 | 12 |
| Loudness balance test CPT 92562 | not published | not published | $43.01 – $421.04 | 31 |
| Low back disk surgery CPT 63030 | not published | not published | $1,184.64 – $7,875.22 | 12 |
| Low cost skin substitute app HCPCS C5271 | $869.12 | $1,552.00 | $9.61 – $471.30 | 9 |
| Low cost skin substitute app HCPCS C5273 | $4,339.44 | $7,749.00 | $3.08 – $1,485.22 | 9 |
| Low cost skin substitute app HCPCS C5275 | $869.12 | $1,552.00 | $57.75 – $471.30 | 10 |
| Low cost skin substitute app HCPCS C5277 | $2,865.52 | $5,117.00 | $41.91 – $742.30 | 9 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $820.40 | $1,465.00 | $101.16 – $454.25 | 34 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $716.24 | $1,279.00 | $167.51 – $482.88 | 34 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $651.28 | $1,163.00 | $59.17 – $269.55 | 34 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,562.00 | $4,575.00 | $202.95 – $891.98 | 34 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,624.56 | $2,901.00 | $202.95 – $782.35 | 34 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,347.36 | $2,406.00 | $137.36 – $506.35 | 34 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $153.44 | $274.00 | $23.56 – $143.78 | 34 |
| Lower jaw bone graft CPT 21215 | not published | not published | $2,080.85 – $5,284.51 | 12 |
| Low frequency non-thermal Ultrasound CPT 97610 | $187.04 | $334.00 | $61.98 – $268.66 | 31 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,035.41 – $4,125.85 | 12 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $1,177.72 – $6,305.60 | 12 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $1,158.01 – $6,305.83 | 12 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $1,275.52 – $6,305.60 | 12 |
| L/s ratio fetal lung CPT 83661 | $49.28 | $88.00 | $12.75 – $39.51 | 35 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $54.66 – $1,430.10 | 15 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,946.35 – $23,400.38 | 12 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $22.03 – $117.83 | 31 |
| Lung Function Test (Spirometry) CPT 94010 | $152.88 | $273.00 | $31.02 – $211.55 | 31 |
| Lung perfusion imaging CPT 78580 | $528.64 | $944.00 | $169.78 – $565.77 | 34 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,838.33 – $5,704.62 | 9 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $13.91 – $71.63 | 31 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $826.54 – $2,726.49 | 9 |
| Lymphatics/lymph node imaging CPT 78195 | $759.92 | $1,357.00 | $174.97 – $837.65 | 34 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $21.20 – $101.48 | 35 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $28.44 – $88.11 | 35 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $71.73 – $261.52 | 35 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $100.98 – $1,480.10 | 34 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $192.41 – $3,843.20 | 15 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $212.19 – $7,820.77 | 15 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $216.44 – $7,820.77 | 15 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $164.60 – $688.55 | 31 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $169.48 – $1,759.33 | 12 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $300.26 – $1,579.73 | 12 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $6.15 – $11.65 | 13 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $2.48 – $7.68 | 35 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $2.50 – $7.68 | 35 |
| Magnesium CPT 83735 | $26.32 | $47.00 | $3.89 – $12.04 | 35 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $137.36 – $813.15 | 34 |
| Malaria antibody CPT 86750 | not published | not published | $7.65 – $23.71 | 35 |
| Male sling procedure CPT 53440 | not published | not published | $888.21 – $11,930.36 | 12 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $3,600.89 – $11,773.30 | 9 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $378.12 – $1,147.55 | 12 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $471.57 – $1,147.55 | 12 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $111.44 | $199.00 | $26.52 – $174.28 | 25 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $141.12 | $252.00 | $26.90 – $174.28 | 31 |
| Manipulation of hip joint CPT 27275 | not published | not published | $208.36 – $1,147.55 | 12 |
| Manipulation of spine CPT 22505 | not published | not published | $139.51 – $576.73 | 6 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $78.10 – $324.34 | 31 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $2.94 – $7.00 | 35 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $210.56 | $376.00 | $82.37 – $225.67 | 9 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $164.04 – $536.73 | 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.