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 |
|---|---|---|---|---|
| Pt evaluation moderate complexity patient/family CPT 97162 | $147.28 | $263.00 | $54.55 – $129.80 | 32 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $13.27 – $57.82 | 31 |
| Pt re-evaluation patient/family CPT 97164 | $91.28 | $163.00 | $37.42 – $89.04 | 32 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $23.11 – $463.75 | 31 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $81.20 | $145.00 | $14.90 – $17.56 | 9 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $62.72 | $112.00 | $16.01 – $39.76 | 32 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $16.36 – $38.92 | 32 |
| Pt wheelchair management each 15 minutes CPT 97542 | $62.72 | $112.00 | $17.09 – $42.97 | 32 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $169.39 – $5,019.28 | 12 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $169.39 – $476.64 | 9 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $5,209.48 – $16,333.55 | 9 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,238.42 – $3,845.46 | 9 |
| Pulmonary vent imaging CPT 78579 | $316.40 | $565.00 | $135.30 – $543.31 | 34 |
| Pulse ox continuous overnight monitoring CPT 94762 | $235.20 | $420.00 | $17.15 – $211.55 | 25 |
| Pulse ox multiple CPT 94761 | $57.68 | $103.00 | $5.53 – $58.93 | 9 |
| Pulse ox single CPT 94760 | $21.84 | $39.00 | $3.66 – $58.93 | 9 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $100.58 – $936.36 | 31 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $19.60 | $35.00 | $24.99 – $7,483.63 | 32 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $514.64 | $919.00 | $102.49 – $656.17 | 32 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $94.60 – $2,713.08 | 12 |
| Puncture spinal lumbar diagnostic CPT 62270 | $537.04 | $959.00 | $179.39 – $936.36 | 32 |
| Puraply 1 sq cm HCPCS Q4195 | $137.76 | $246.00 | $83.87 – $117.03 | 9 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $93.17 – $3,442.57 | 9 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $132.31 – $4,679.52 | 31 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $115.20 – $3,442.57 | 31 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,112.48 – $3,605.88 | 9 |
| Pyruvate CPT 84210 | $13.44 | $24.00 | $8.40 – $19.98 | 35 |
| Pyruvate kinase CPT 84220 | not published | not published | $5.48 – $16.96 | 35 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $73.25 – $174.28 | 22 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $496.16 | $886.00 | $232.16 – $742.20 | 34 |
| Quant diff pulm perf w/imaging CPT 78597 | $316.40 | $565.00 | $145.00 – $543.31 | 34 |
| Quest t3 uptake CPT 84479 | $21.28 | $38.00 | $3.75 – $11.64 | 35 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $133.05 – $479.30 | 31 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $139.87 – $1,107.29 | 31 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $150.40 – $434.43 | 31 |
| Rabies vaccine id CPT 90676 | not published | not published | $90.63 – $364.97 | 25 |
| Radiation handling CPT 77790 | not published | not published | $6.05 – $42.08 | 12 |
| Radiation physics consult CPT 77336 | $174.72 | $312.00 | $41.75 – $226.43 | 32 |
| Radiation therapy dose plan CPT 77300 | $178.64 | $319.00 | $33.26 – $179.52 | 34 |
| Radiation treatment aid(s) CPT 77332 | $218.40 | $390.00 | $44.33 – $179.52 | 34 |
| Radiation treatment aid(s) CPT 77333 | $218.40 | $390.00 | $12.06 – $261.38 | 34 |
| Radiation treatment aid(s) CPT 77334 | $222.32 | $397.00 | $72.10 – $494.96 | 34 |
| Radiation treatment delivery CPT 77401 | $133.84 | $239.00 | $19.92 – $148.06 | 34 |
| Radiation treatment delivery CPT 77402 | $133.84 | $239.00 | $58.04 – $237.50 | 34 |
| Radiation treatment delivery CPT 77412 | $286.16 | $511.00 | $97.26 – $435.51 | 34 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,121.01 – $7,120.75 | 9 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,260.08 – $4,371.82 | 12 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,509.41 – $4,686.02 | 9 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $743.91 – $1,701.89 | 12 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $743.91 – $2,018.24 | 12 |
| Radiology port images(s) CPT 77417 | $73.36 | $131.00 | $11.22 – $32.50 | 12 |
| Radiotherapy dose plan imrt CPT 77301 | $2,750.16 | $4,911.00 | $540.10 – $4,136.93 | 15 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $131.04 | $234.00 | $59.07 – $202.25 | 11 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $661.92 | $1,182.00 | $232.16 – $773.67 | 15 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $802.48 | $1,433.00 | $481.44 – $1,204.62 | 15 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,076.88 | $1,923.00 | $558.85 – $1,757.22 | 10 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,136.24 | $2,029.00 | $232.16 – $661.74 | 15 |
| Radphm lcl tumor plr sgl day CPT 78800 | $253.12 | $452.00 | $143.72 – $543.31 | 34 |
| Radphm quant measure sgl area add-on CPT 78835 | $1,076.88 | $1,923.00 | $72.25 – $226.07 | 10 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,260.08 – $5,166.41 | 12 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $743.91 – $1,701.89 | 12 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $743.91 – $1,985.53 | 12 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $743.91 – $1,701.89 | 12 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $743.91 – $1,701.89 | 12 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $743.91 – $1,985.53 | 12 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $743.91 – $1,701.89 | 12 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $743.91 – $1,985.53 | 12 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $1,260.08 – $4,371.82 | 12 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $743.91 – $1,701.89 | 12 |
| Rapid desensitization CPT 95180 | not published | not published | $47.96 – $539.54 | 25 |
| Rapid Strep Test CPT 87880 | $30.80 | $55.00 | $9.59 – $22.81 | 35 |
| Rbc count only automated CPT 85041 | $9.52 | $17.00 | $1.75 – $5.41 | 35 |
| Rbc deglycerolized each unit HCPCS P9039 | $403.76 | $721.00 | $200.05 – $626.36 | 12 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $54.63 – $591.11 | 31 |
| Rbc irradiated each unit HCPCS P9038 | $171.36 | $306.00 | $108.26 – $280.60 | 6 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $7.97 – $539.54 | 35 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,080.85 – $4,087.31 | 12 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $850.49 – $2,124.67 | 12 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,038.68 – $3,923.82 | 12 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,206.58 – $3,923.82 | 12 |
| Realignment of knee CPT 27457 | not published | not published | $1,138.95 – $3,642.02 | 9 |
| Realignment of tendons CPT 26437 | not published | not published | $708.71 – $2,011.09 | 12 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,266.76 – $3,923.82 | 12 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,224.28 – $3,923.82 | 12 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,618.95 – $4,204.10 | 12 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,271.71 – $3,923.82 | 12 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,795.33 – $3,923.82 | 12 |
| Rechanneling of artery CPT 35361 | not published | not published | $2,005.03 – $5,977.68 | 9 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,592.99 – $4,830.59 | 9 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,779.42 – $5,376.70 | 9 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,651.80 – $5,052.78 | 9 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,887.06 – $5,695.26 | 9 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,269.20 – $3,850.82 | 9 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,601.24 – $4,868.07 | 9 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,713.98 – $5,746.12 | 9 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,617.28 – $5,719.36 | 9 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,566.02 – $4,087.31 | 12 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,572.37 – $4,087.31 | 12 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,661.76 – $5,448.98 | 9 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,426.22 – $3,975.30 | 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.