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 |
|---|---|---|---|---|
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $850.49 – $3,363.27 | 12 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $1,190.12 – $3,923.82 | 12 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,152.24 – $24,549.22 | 9 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $1,269.52 – $5,166.41 | 12 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $1,014.61 – $3,923.82 | 12 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $1,030.08 – $3,351.94 | 12 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $1,331.26 – $3,923.82 | 12 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $815.79 – $3,363.27 | 12 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $603.37 – $3,363.27 | 12 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $1,053.00 – $3,363.27 | 12 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $1,058.93 – $4,371.82 | 12 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $1,188.48 – $20,636.77 | 12 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $1,253.08 – $11,772.21 | 12 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $1,297.93 – $5,100.45 | 12 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $1,292.69 – $8,214.64 | 12 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,107.56 – $2,011.09 | 12 |
| Reconstruct finger joint CPT 26545 | not published | not published | $796.20 – $2,513.88 | 12 |
| Reconstruct finger joint CPT 26548 | not published | not published | $878.17 – $2,597.68 | 12 |
| Reconstruct head of radius CPT 24365 | not published | not published | $749.48 – $11,994.83 | 12 |
| Reconstruct head of radius CPT 24366 | not published | not published | $800.13 – $14,012.57 | 12 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,347.39 – $4,272.46 | 9 |
| Reconstruction knee CPT 27427 | not published | not published | $845.67 – $5,464.75 | 12 |
| Reconstruction knee CPT 27428 | not published | not published | $1,314.47 – $10,198.56 | 12 |
| Reconstruction knee CPT 27429 | not published | not published | $1,474.95 – $8,214.64 | 12 |
| Reconstruction of anus CPT 46753 | not published | not published | $682.80 – $2,144.56 | 12 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,887.22 – $6,114.21 | 9 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $737.01 – $1,742.14 | 12 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $737.01 – $1,841.18 | 12 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $1,120.19 – $2,152.48 | 12 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $737.01 – $1,687.69 | 12 |
| Reconstruction of jaw CPT 21245 | not published | not published | $1,303.78 – $2,080.85 | 6 |
| Reconstruction of jaw CPT 21246 | not published | not published | $970.40 – $2,080.85 | 6 |
| Reconstruction of jaw CPT 21248 | not published | not published | $1,248.66 – $2,080.85 | 6 |
| Reconstruction of jaw CPT 21249 | not published | not published | $1,714.86 – $3,363.27 | 12 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,268.67 – $3,923.82 | 12 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $1,164.77 – $3,923.82 | 12 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $1,934.18 – $18,683.26 | 12 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $1,237.84 – $3,923.82 | 12 |
| Reconstruction of mouth CPT 40840 | not published | not published | $850.49 – $3,363.27 | 12 |
| Reconstruction of mouth CPT 40842 | not published | not published | $922.07 – $3,363.27 | 12 |
| Reconstruction of mouth CPT 40843 | not published | not published | $850.49 – $3,363.27 | 12 |
| Reconstruction of mouth CPT 40844 | not published | not published | $1,618.66 – $3,923.82 | 12 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,707.05 – $3,923.82 | 12 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $212.18 – $742.30 | 12 |
| Reconstruction of nose CPT 30410 | not published | not published | $1,488.52 – $4,204.10 | 12 |
| Reconstruction of nose CPT 30420 | not published | not published | $1,602.87 – $4,204.10 | 12 |
| Reconstruction of orbit CPT 21256 | not published | not published | $1,388.16 – $4,087.31 | 12 |
| Reconstruction of throat CPT 42950 | not published | not published | $936.30 – $3,923.82 | 12 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,134.25 – $3,180.40 | 12 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,313.85 – $4,370.14 | 9 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,129.79 – $3,350.01 | 12 |
| Reconstruction of urethra CPT 54308 | not published | not published | $853.02 – $3,350.01 | 12 |
| Reconstruction of urethra CPT 54312 | not published | not published | $951.48 – $2,620.47 | 12 |
| Reconstruction of urethra CPT 54316 | not published | not published | $1,189.82 – $3,350.01 | 12 |
| Reconstruction of urethra CPT 54318 | not published | not published | $803.54 – $2,435.53 | 12 |
| Reconstruction of urethra CPT 54322 | not published | not published | $908.74 – $2,560.11 | 12 |
| Reconstruction of urethra CPT 54324 | not published | not published | $1,126.93 – $3,103.19 | 12 |
| Reconstruction of urethra CPT 54326 | not published | not published | $1,089.43 – $3,350.01 | 12 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $397.93 – $2,713.08 | 12 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $739.01 – $3,923.82 | 12 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $663.14 – $2,004.23 | 12 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,614.48 – $5,349.93 | 9 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $2,080.85 – $4,087.31 | 12 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $1,433.75 – $12,078.21 | 12 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,777.76 – $19,639.37 | 9 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $1,037.11 – $4,371.82 | 12 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,416.04 – $3,923.82 | 12 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,337.81 – $3,350.01 | 12 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $963.91 – $3,350.01 | 12 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,088.31 – $3,350.01 | 12 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,923.59 – $6,008.47 | 9 |
| Rectal sensation test CPT 91120 | not published | not published | $68.25 – $13,392.40 | 31 |
| Red blood cells each unit HCPCS P9021 | $194.32 | $347.00 | $76.69 – $203.27 | 6 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $261.52 | $467.00 | $96.96 – $255.76 | 6 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $226.80 | $405.00 | $140.77 – $371.88 | 6 |
| Red blood cells washed each unit HCPCS P9022 | $258.16 | $461.00 | $161.72 – $432.43 | 12 |
| Red cell mass multiple CPT 78121 | not published | not published | $75.55 – $727.80 | 34 |
| Red cell mass single CPT 78120 | not published | not published | $70.10 – $543.31 | 34 |
| Red cell sequestration CPT 78140 | not published | not published | $96.15 – $543.31 | 34 |
| Red cell survival study CPT 78130 | not published | not published | $114.27 – $543.31 | 34 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $1,182.10 – $2,363.92 | 12 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $1,116.08 – $3,623.30 | 9 |
| Reduce testis torsion CPT 54600 | not published | not published | $523.45 – $1,724.00 | 12 |
| Reduction of facial bones CPT 21209 | not published | not published | $971.52 – $3,363.27 | 12 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $237.23 – $1,232.73 | 31 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $1,085.15 – $3,375.67 | 9 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $445.10 – $1,367.25 | 9 |
| Re-explore parathyroids CPT 60502 | not published | not published | $1,530.13 – $4,087.31 | 12 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $91.09 – $399.12 | 31 |
| Refill/maint pump/resvr syst CPT 96522 | $191.52 | $342.00 | $91.09 – $284.87 | 32 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $192.66 – $579.57 | 9 |
| Reinforce clavicle CPT 23490 | not published | not published | $1,045.38 – $5,100.45 | 12 |
| Reinforce eye wall CPT 67250 | not published | not published | $737.01 – $1,687.69 | 12 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $918.24 – $1,881.97 | 12 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $1,197.96 – $8,214.64 | 12 |
| Reinforce thigh CPT 27495 | not published | not published | $1,338.20 – $4,338.02 | 9 |
| Reinforce tibia CPT 27745 | not published | not published | $892.22 – $7,864.59 | 12 |
| Reinnervate larynx CPT 31590 | not published | not published | $1,037.04 – $3,923.82 | 12 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $1,589.99 – $5,052.78 | 9 |
| Reinsert ocular implant CPT 65155 | not published | not published | $997.78 – $2,690.60 | 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.