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 |
|---|---|---|---|---|
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $118.03 – $364.50 | 35 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $392.37 – $1,215.00 | 35 |
| Pms2 known familial variants CPT 81318 | not published | not published | $185.62 – $456.78 | 35 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $166.52 – $835.95 | 31 |
| #pnh-flow cytometry interp CPT 88187 | $37.52 | $67.00 | $34.97 – $89.29 | 13 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $191.52 | $342.00 | $13.01 – $35.98 | 35 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $356.85 – $1,375.61 | 32 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $104.50 – $1,375.61 | 32 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $95.60 – $1,375.61 | 32 |
| Positional change of finger CPT 26555 | not published | not published | $1,260.08 – $4,371.82 | 12 |
| Positional nystagmus test CPT 92532 | not published | not published | $22.69 – $12,345.03 | 9 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $951.12 – $2,979.47 | 9 |
| Postpartum Care Only CPT 59430 | not published | not published | $314.74 – $710.74 | 9 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $951.08 – $2,991.50 | 9 |
| Potassium 24 hour urine CPT 84133 | $20.72 | $37.00 | $2.74 – $7.72 | 35 |
| Potassium hydroxide preps HCPCS Q0112 | $8.96 | $16.00 | $3.54 – $7.68 | 6 |
| Potassium serum/plasma/whole blood CPT 84132 | $9.52 | $17.00 | $0.94 – $8.26 | 29 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $75.54 – $432.03 | 12 |
| Pq dr cath chg w cont s&i CPT 75984 | $288.40 | $515.00 | $71.39 – $185.07 | 12 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $13,128.08 | $23,443.00 | $913.10 – $16,738.30 | 13 |
| Pq thr inj ext pse CPT 36002 | $873.60 | $1,560.00 | $190.77 – $1,113.84 | 32 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $701.36 – $3,637.99 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $701.36 – $2,597.68 | 12 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $1,260.08 – $2,597.68 | 12 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $740.77 – $2,011.09 | 12 |
| Pr application of long arm splint CPT 29105 | not published | not published | $62.72 – $466.99 | 31 |
| Pr application splint static short arm CPT 29125 | not published | not published | $47.96 – $466.99 | 31 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $5.75 – $515.97 | 31 |
| Pr biopsy skin punch single lesion CPT 11104 | $254.24 | $454.00 | $124.81 – $540.20 | 32 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $934.80 – $4,371.82 | 12 |
| Pr correction hammertoe CPT 28285 | not published | not published | $588.93 – $2,036.40 | 12 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $22.40 | $40.00 | $14.27 – $12,982.42 | 31 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $343.35 – $1,052.43 | 9 |
| Prcrd drg 6+yr without anomly CPT 33017 | $870.24 | $1,554.00 | $303.76 – $1,109.56 | 10 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $567.54 – $4,016.33 | 12 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $502.32 | $897.00 | $84.25 – $268.66 | 31 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $78.81 – $92.92 | 3 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $116.68 – $137.56 | 3 |
| Prealbumin CPT 84134 | $33.04 | $59.00 | $7.71 – $20.13 | 35 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $9.65 – $16.56 | 4 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $29.51 – $37.26 | 4 |
| Pregabalin - sendout CPT 80366 | not published | not published | $0.01 – $31.21 | 10 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $301.66 – $1,003.52 | 12 |
| Pregnancy associated plasma protein-a CPT 84163 | $43.12 | $77.00 | $7.66 – $20.77 | 35 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $291.76 | $521.00 | $60.43 – $257.55 | 34 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $194.88 | $348.00 | $60.43 – $206.05 | 34 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $148.74 – $12,982.42 | 9 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $900.34 – $1,061.53 | 3 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $1,300.12 – $1,532.90 | 3 |
| Preparation palate mold CPT 42280 | not published | not published | $130.02 – $688.55 | 31 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $30.36 – $284.26 | 30 |
| Prepare penis study CPT 54230 | not published | not published | $110.61 – $370.77 | 9 |
| Prep skin to 100cm2 other CPT 15004 | $869.68 | $1,553.00 | $225.48 – $1,108.84 | 32 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $869.68 | $1,553.00 | $396.85 – $1,108.84 | 13 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $87.43 – $337.79 | 9 |
| Pressure max expiratory/inspiratory CPT 94799 | not published | not published | $68.25 – $307.94 | 31 |
| Pressure velocity wire add ves CPT 93572 | $1,797.60 | $3,210.00 | $94.16 – $2,291.94 | 10 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $34.72 | $62.00 | $9.94 – $231.70 | 35 |
| Pretreat rbc absorption reference CPT 86978 | $92.40 | $165.00 | $6.68 – $80.32 | 35 |
| Pretreat rbc density gradient separation reference CPT 86972 | $80.08 | $143.00 | $9.94 – $231.70 | 35 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $22.40 | $40.00 | $7.97 – $80.32 | 35 |
| Pretreat rbc w enzyme reference CPT 86971 | $174.16 | $311.00 | $7.97 – $231.70 | 35 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $65.77 – $217.24 | 25 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $104.74 – $495.48 | 12 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,962.24 | $3,504.00 | $247.13 – $2,501.86 | 13 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $562.80 | $1,005.00 | $119.20 – $717.57 | 32 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,619.93 – $5,269.62 | 9 |
| Prgrmg dev eval impltbl sys CPT 93260 | $112.00 | $200.00 | $17.68 – $62.49 | 32 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $506.80 | $905.00 | $17.68 – $526.41 | 32 |
| Prgrmg dev eval scrms ip CPT 93285 | $198.80 | $355.00 | $17.68 – $169.62 | 32 |
| Prgrmg eval implantable dfb CPT 93282 | $267.12 | $477.00 | $17.68 – $14,553.23 | 32 |
| Prgrmg eval implantable dfb CPT 93283 | $267.12 | $477.00 | $17.68 – $14,553.23 | 32 |
| Prgrmg eval implantable dfb CPT 93284 | $267.12 | $477.00 | $17.68 – $169.62 | 32 |
| Prgr stim/pace a/iv drug CPT 93623 | $4,487.28 | $8,013.00 | $60.78 – $1,251.02 | 9 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $223.39 – $263.38 | 3 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $152.81 – $180.17 | 3 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $113.46 – $133.77 | 3 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $113.58 – $133.92 | 3 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $79.10 – $93.26 | 3 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $43.40 – $51.16 | 3 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $1,996.32 – $4,866.00 | 12 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $3,775.52 | $6,742.00 | $876.54 – $4,813.79 | 10 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $187.04 | $334.00 | $120.07 – $540.20 | 32 |
| Pr incision & drainage abscess simple/single CPT 10060 | $187.04 | $334.00 | $61.98 – $268.66 | 32 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $64.56 – $411.30 | 31 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $302.40 | $540.00 | $118.64 – $540.20 | 32 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $53.72 – $307.04 | 25 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $53.72 – $217.58 | 25 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $82.32 | $147.00 | $56.08 – $1,031.36 | 9 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $693.23 – $1,681.33 | 12 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $137.30 – $404.19 | 31 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $243.93 – $1,524.35 | 12 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $506.43 – $1,578.81 | 12 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $737.01 – $1,524.35 | 12 |
| Procalcitonin CPT 84145 | $100.80 | $180.00 | $15.79 – $48.13 | 35 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $2,242.59 – $7,285.39 | 9 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $2,199.09 – $7,164.91 | 9 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $272.38 – $1,838.20 | 12 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $273.32 – $782.49 | 12 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $395.95 – $1,232.36 | 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.