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 |
|---|---|---|---|---|
| Partial removal of foot bone CPT 28288 | not published | not published | $682.55 – $2,011.09 | 12 |
| Partial removal of hand bone CPT 26230 | not published | not published | $580.42 – $2,011.09 | 12 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $2,475.58 – $7,776.62 | 9 |
| Partial removal of lip CPT 40530 | not published | not published | $634.47 – $1,939.59 | 12 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,851.76 – $5,727.39 | 9 |
| Partial removal of nose CPT 30150 | not published | not published | $905.78 – $3,363.27 | 12 |
| Partial removal of penis CPT 54120 | not published | not published | $733.13 – $2,871.44 | 12 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,666.23 – $3,923.82 | 12 |
| Partial removal of radius CPT 25151 | not published | not published | $703.82 – $2,681.45 | 12 |
| Partial removal of radius CPT 25230 | not published | not published | $500.72 – $2,346.27 | 12 |
| Partial removal of rib CPT 21600 | not published | not published | $677.84 – $4,371.82 | 12 |
| Partial removal of sternum CPT 21620 | not published | not published | $622.33 – $1,943.48 | 9 |
| Partial removal of thyroid CPT 60220 | not published | not published | $843.58 – $3,924.85 | 12 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,104.72 – $3,592.61 | 12 |
| Partial removal of tibia CPT 27640 | not published | not published | $991.24 – $2,733.70 | 12 |
| Partial removal of toe CPT 28160 | not published | not published | $472.22 – $2,011.09 | 12 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,233.51 – $3,014.52 | 12 |
| Partial removal of ulna CPT 25119 | not published | not published | $588.29 – $2,346.27 | 12 |
| Partial removal of ulna CPT 25150 | not published | not published | $664.64 – $2,346.27 | 12 |
| Partial removal of ulna CPT 25240 | not published | not published | $500.64 – $2,346.27 | 12 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $573.34 – $2,063.45 | 12 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,157.49 – $2,152.48 | 12 |
| Partial thyroid excision CPT 60210 | not published | not published | $843.22 – $4,065.01 | 12 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,207.88 – $3,924.85 | 12 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $5.60 | $10.00 | $2.90 – $5.18 | 7 |
| Part removal of metatarsal CPT 28110 | not published | not published | $516.18 – $2,011.09 | 12 |
| Part removal of metatarsal CPT 28113 | not published | not published | $667.13 – $2,011.09 | 12 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $552.70 – $2,011.09 | 12 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $97.38 – $231.70 | 26 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $55.50 – $231.70 | 26 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $25.96 – $72.24 | 26 |
| Patient recorded spirometry CPT 94014 | not published | not published | $31.38 – $539.54 | 31 |
| Patient recorded spirometry CPT 94015 | not published | not published | $26.15 – $421.04 | 31 |
| Pdgfra gene CPT 81314 | $369.04 | $659.00 | $191.12 – $454.72 | 35 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $112.91 – $268.66 | 31 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $742.30 – $1,938.77 | 12 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $68.25 – $211.55 | 22 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $68.08 – $211.55 | 31 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $742.30 – $1,938.77 | 12 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $860.72 | $1,537.00 | $101.16 – $516.90 | 34 |
| Pelvic CT scan (with contrast) CPT 72193 | $808.08 | $1,443.00 | $101.16 – $516.83 | 34 |
| Pelvic CT scan (without contrast) CPT 72192 | $730.24 | $1,304.00 | $59.17 – $268.55 | 34 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,434.72 | $2,562.00 | $202.95 – $993.00 | 34 |
| Pelvic MRI (with contrast) CPT 72196 | $1,259.44 | $2,249.00 | $202.95 – $792.20 | 34 |
| Pelvic MRI (without contrast) CPT 72195 | $1,126.72 | $2,012.00 | $137.36 – $678.90 | 34 |
| Pelvic Ultrasound (complete) CPT 76856 | $322.00 | $575.00 | $60.43 – $213.68 | 34 |
| Pelvic Ultrasound (limited) CPT 76857 | $190.96 | $341.00 | $23.68 – $143.78 | 34 |
| Penile injection CPT 54235 | not published | not published | $57.34 – $328.84 | 31 |
| Penile vascular study CPT 93980 | $707.28 | $1,263.00 | $13.05 – $145.72 | 32 |
| Penile vascular study CPT 93981 | not published | not published | $60.43 – $3,006.99 | 32 |
| Penile venous occlusion CPT 37790 | not published | not published | $558.63 – $2,273.16 | 12 |
| Penis plastic surgery CPT 54360 | not published | not published | $838.60 – $2,702.37 | 12 |
| Penis study CPT 54240 | not published | not published | $39.26 – $4,400.67 | 31 |
| Perc cryo ablate renal tum CPT 50593 | $8,506.40 | $15,190.00 | $2,166.19 – $10,845.66 | 13 |
| Perc d-e cor revasc chro add HCPCS C9608 | $1,637.44 | $2,924.00 | $9.18 – $9.18 | 6 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $14,285.04 | $25,509.00 | $101.84 – $14,625.99 | 9 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $4,919.60 | $8,785.00 | $13.41 – $13.41 | 6 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $9,548.00 | $17,050.00 | $8.97 – $9,649.41 | 9 |
| Perc d-e cor stent ather br HCPCS C9603 | $4,919.60 | $8,785.00 | $7.79 – $7.79 | 6 |
| Perc d-e cor stent ather s HCPCS C9602 | $14,018.48 | $25,033.00 | $5.19 – $14,625.99 | 9 |
| Perc drug-el cor stent bran HCPCS C9601 | $4,919.60 | $8,785.00 | $0.53 – $0.53 | 6 |
| Perc drug-el cor stent sing HCPCS C9600 | $8,709.68 | $15,553.00 | $13.37 – $9,649.41 | 9 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $2,166.19 – $4,345.37 | 12 |
| Percut ablate liver rf CPT 47382 | not published | not published | $2,166.19 – $6,428.77 | 12 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $54.32 | $97.00 | $45.66 – $45.66 | 3 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $280.48 – $854.70 | 9 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $3,053.65 – $9,592.93 | 9 |
| Pericardiocentesis wwo imaging CPT 33016 | $562.80 | $1,005.00 | $130.01 – $717.57 | 10 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $1,093.19 – $3,411.82 | 9 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $939.19 – $2,496.76 | 12 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $309.91 – $1,759.33 | 12 |
| Peripheral vascular rehab CPT 93668 | $76.16 | $136.00 | $21.27 – $80.32 | 31 |
| Peri-proc device eval icd CPT 93287 | $267.12 | $477.00 | $14.53 – $81.78 | 10 |
| Peri-proc device eval pm CPT 93286 | $267.12 | $477.00 | $13.03 – $81.78 | 10 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $520.80 – $2,409.03 | 12 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $32.99 – $1,319.90 | 34 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $174.97 – $589.63 | 34 |
| Perq art m-thrombect &/nfs CPT 61645 | $4,995.20 | $8,920.00 | $908.67 – $6,368.88 | 10 |
| Perq clsr tcat l atr apndge CPT 33340 | $3,928.40 | $7,015.00 | $956.51 – $5,008.71 | 10 |
| Perq dev breast 1st mr guide CPT 19287 | $2,032.24 | $3,629.00 | $132.87 – $2,591.11 | 33 |
| Perq dev breast 1st strtctc CPT 19283 | $3,077.76 | $5,496.00 | $106.15 – $3,924.14 | 33 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,484.22 – $5,982.93 | 12 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $7,430.08 | $13,268.00 | $1,010.51 – $9,473.35 | 13 |
| Perq plmt bile duct stent CPT 47538 | $7,922.32 | $14,147.00 | $2,166.19 – $10,100.96 | 13 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $2,166.19 – $6,321.21 | 12 |
| Perq plmt bile duct stent CPT 47540 | $12,232.08 | $21,843.00 | $2,166.19 – $15,595.90 | 13 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $138.21 – $4,016.33 | 31 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $615.59 – $2,011.09 | 12 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $563.09 – $2,346.27 | 12 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $260.74 – $781.99 | 12 |
| Perq transcath closure each CPT 93592 | not published | not published | $526.60 – $5,763.33 | 9 |
| Perq transcath closure pda CPT 93582 | $30,556.96 | $54,566.00 | $169.39 – $38,960.12 | 13 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $1,193.96 – $4,199.03 | 9 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $1,438.61 – $4,199.03 | 9 |
| Perq transcath septal reduxn CPT 93583 | $3,629.36 | $6,481.00 | $906.84 – $4,627.43 | 10 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $692.62 – $816.63 | 3 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $483.38 – $2,346.27 | 12 |
| Perq tx malar fracture CPT 21355 | not published | not published | $502.90 – $3,014.52 | 12 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $690.29 – $3,363.27 | 12 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $952.04 – $3,288.57 | 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.