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 |
|---|---|---|---|---|
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $676.90 – $3,923.82 | 12 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $863.57 – $3,363.27 | 12 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $773.36 – $2,610.06 | 9 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,276.10 – $11,805.70 | 12 |
| Optx post ankle fx CPT 27769 | not published | not published | $856.68 – $3,416.62 | 12 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $1,042.39 – $7,454.33 | 12 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,479.24 – $18,729.18 | 12 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $781.87 – $4,371.82 | 12 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $735.02 – $4,371.82 | 12 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $706.51 – $2,346.27 | 12 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $922.84 – $4,371.82 | 12 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $1,132.10 – $5,100.45 | 12 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $1,054.51 – $5,825.62 | 12 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $784.99 – $5,915.67 | 12 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,158.43 – $5,825.62 | 12 |
| Optx sho dislc fx CPT 23670 | not published | not published | $1,025.52 – $5,915.67 | 12 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,092.99 – $8,214.64 | 12 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $729.57 – $4,371.82 | 12 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $661.74 – $4,371.82 | 12 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,102.46 – $3,562.60 | 12 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $765.47 – $2,346.27 | 12 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $728.17 – $4,371.82 | 12 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $724.76 – $4,371.82 | 12 |
| Orchiectomy partial CPT 54522 | not published | not published | $679.88 – $2,273.16 | 12 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $822.01 – $2,832.48 | 12 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $555.99 – $2,798.95 | 12 |
| Organic acids total quant ea spec CPT 83918 | $47.04 | $84.00 | $13.69 – $32.57 | 35 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $130.92 – $362.75 | 12 |
| Orthopantogram CPT 70355 | not published | not published | $9.80 – $119.05 | 34 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $33.76 – $80.32 | 22 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $38.74 – $275.01 | 31 |
| Osmolality blood CPT 83930 | $22.96 | $41.00 | $3.83 – $11.88 | 35 |
| Osmolality urine CPT 83935 | $22.40 | $40.00 | $3.96 – $12.24 | 35 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $571.86 – $2,011.09 | 12 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $664.35 – $2,346.27 | 12 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,622.74 – $12,725.44 | 12 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $1,153.68 – $6,252.48 | 12 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,441.34 – $4,783.24 | 12 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $12.07 – $131.18 | 31 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $12.07 – $133.40 | 31 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $12.07 – $121.16 | 31 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,166.37 – $4,371.82 | 12 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $966.62 – $4,371.82 | 12 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $734.31 – $4,441.59 | 12 |
| Ot evaluation high complexity patient/family CPT 97167 | $128.24 | $229.00 | $55.92 – $133.06 | 32 |
| Ot evaluation low complexity patient/family CPT 97165 | $128.24 | $229.00 | $55.92 – $133.06 | 32 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $128.24 | $229.00 | $55.92 – $133.06 | 32 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $13.42 – $35.90 | 35 |
| Oth resp proc, group HCPCS G0239 | $168.56 | $301.00 | $14.15 – $16.69 | 6 |
| Oth resp proc, indiv HCPCS G0238 | $150.08 | $268.00 | $12.29 – $29.42 | 12 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $30.24 | $54.00 | $27.34 – $110.34 | 31 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $63.84 | $114.00 | $25.15 – $100.56 | 31 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $62.72 | $112.00 | $15.13 – $37.44 | 32 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $34.38 – $2,096.46 | 9 |
| Otoplasty 69300 CPT 69300 | not published | not published | $829.69 – $1,810.28 | 12 |
| Ot re-evaluation patient/family CPT 97168 | $79.52 | $142.00 | $38.49 – $91.59 | 32 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $60.48 | $108.00 | $19.07 – $51.65 | 32 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $52.08 | $93.00 | $11.79 – $45.39 | 32 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $52.08 | $93.00 | $12.34 – $46.78 | 32 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $62.16 | $111.00 | $16.01 – $40.08 | 32 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $61.04 | $109.00 | $17.81 – $46.17 | 32 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $54.32 | $97.00 | $17.72 – $44.35 | 32 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,997.93 – $6,130.26 | 9 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $890.55 – $3,770.60 | 12 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $310.94 – $933.57 | 32 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $174.78 – $415.86 | 32 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $417.52 – $2,637.82 | 31 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $3,699.61 – $12,015.61 | 9 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,862.58 – $6,064.67 | 9 |
| Parathormone (pth) intact CPT 83970 | $55.44 | $99.00 | $23.94 – $74.18 | 35 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,673.55 – $5,344.56 | 9 |
| Parathyrd planar w/spect&ct CPT 78072 | $685.44 | $1,224.00 | $70.78 – $1,099.45 | 34 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $291.85 – $940.96 | 9 |
| Parathyroid planar imaging CPT 78070 | $607.04 | $1,084.00 | $109.48 – $722.17 | 34 |
| Parathyroid planar img w/tomo spect CPT 78071 | $685.44 | $1,224.00 | $174.97 – $830.98 | 34 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $974.65 – $3,770.60 | 12 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $1,060.63 – $3,725.65 | 12 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $239.12 | $427.00 | $55.57 – $304.88 | 32 |
| Parotid duct diversion CPT 42507 | not published | not published | $607.61 – $3,363.27 | 12 |
| Parotid duct diversion CPT 42509 | not published | not published | $1,050.74 – $3,923.82 | 12 |
| Parotid duct diversion CPT 42510 | not published | not published | $745.30 – $2,713.08 | 12 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $1,129.90 – $2,412.58 | 12 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $223.68 – $1,759.33 | 12 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,483.26 – $4,902.88 | 9 |
| Partial exc bone humerus CPT 24140 | not published | not published | $827.77 – $2,597.68 | 12 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $685.84 – $2,346.27 | 12 |
| Partial excision of lip CPT 40500 | not published | not published | $586.66 – $1,551.66 | 12 |
| Partial hip replacement CPT 27125 | not published | not published | $1,342.05 – $20,087.97 | 9 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,150.51 – $3,663.43 | 9 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $1,313.68 – $4,343.39 | 9 |
| Partial removal finger bone CPT 26235 | not published | not published | $573.20 – $1,530.07 | 12 |
| Partial removal finger bone CPT 26236 | not published | not published | $512.03 – $1,482.24 | 12 |
| Partial removal foot fascia CPT 28060 | not published | not published | $574.98 – $2,011.09 | 12 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $1,003.50 – $2,681.45 | 12 |
| Partial removal of bladder CPT 51550 | not published | not published | $1,133.97 – $3,731.71 | 9 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $3,041.23 – $9,584.91 | 9 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $3,109.88 – $9,950.32 | 9 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $565.18 – $1,881.97 | 12 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $618.41 – $2,150.83 | 12 |
| Partial removal of fibula CPT 27641 | not published | not published | $790.08 – $2,597.68 | 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.