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 |
|---|---|---|---|---|
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $743.91 – $1,701.89 | 12 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $743.91 – $1,985.53 | 12 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $1,097.43 – $3,379.68 | 9 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $1,412.29 – $4,398.27 | 9 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $765.47 – $2,011.09 | 12 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $743.91 – $1,985.53 | 12 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $1,303.27 – $4,351.42 | 9 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $1,673.67 – $5,608.25 | 9 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | $3,627.12 | $6,477.00 | $441.45 – $4,624.58 | 13 |
| Resect phalanx of toe tumor CPT 28175 | not published | not published | $555.06 – $1,560.00 | 12 |
| Resect prox finger tumor CPT 26260 | not published | not published | $921.28 – $2,011.09 | 12 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $1,260.08 – $5,166.41 | 12 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $765.47 – $2,346.27 | 12 |
| Resect tarsal tumor CPT 28171 | not published | not published | $765.47 – $2,011.09 | 12 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $743.91 – $1,701.89 | 12 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $743.91 – $2,204.89 | 12 |
| Respirator motion mgmt simul CPT 77293 | not published | not published | $356.95 – $952.95 | 12 |
| #resp virpnl dfa-adenovirus CPT 87260 | $36.96 | $66.00 | $8.37 – $21.56 | 35 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $39.20 | $70.00 | $9.53 – $22.67 | 35 |
| Resp virus 6-11 targets CPT 87632 | $495.04 | $884.00 | $126.47 – $342.54 | 35 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $3,777.10 – $4,453.35 | 3 |
| Resuscitation cardiopulmonary CPT 92950 | $1,124.48 | $2,008.00 | $115.90 – $1,226.70 | 31 |
| Resuscitation delivery/birthing room CPT 99465 | not published | not published | $165.54 – $884.79 | 25 |
| Reticulated platelet assay CPT 85055 | not published | not published | $18.54 – $49.32 | 35 |
| Reticulocyte automated CPT 85045 | $25.20 | $45.00 | $2.31 – $7.20 | 35 |
| Reticulocyte direct measurement automated CPT 85046 | not published | not published | $3.23 – $7.69 | 35 |
| Retrieval of oocyte CPT 58970 | not published | not published | $244.26 – $1,177.32 | 31 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $11.36 – $33.63 | 35 |
| Revasc intra lithotrip-ather HCPCS C9766 | $18,706.80 | $33,405.00 | $17.49 – $17.49 | 6 |
| Revasc intra lithotrip-stent HCPCS C9765 | $18,706.80 | $33,405.00 | $15.12 – $15.12 | 6 |
| Revasc intravasc lithotripsy HCPCS C9764 | $9,136.40 | $16,315.00 | $20.55 – $20.55 | 6 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $32,397.12 | $57,852.00 | $19.35 – $19.35 | 6 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $756.31 – $2,399.11 | 12 |
| Revise additional leg tendon CPT 27692 | not published | not published | $128.58 – $405.57 | 9 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $875.54 – $2,150.83 | 12 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $578.29 – $1,572.85 | 12 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $925.30 – $3,725.65 | 12 |
| Revise circulation to head CPT 61708 | not published | not published | $2,375.13 – $9,089.65 | 9 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,623.99 – $5,183.95 | 9 |
| Revise eye CPT 65091 | not published | not published | $744.90 – $2,152.48 | 12 |
| Revise eyelashes CPT 67825 | not published | not published | $94.81 – $404.19 | 31 |
| Revise eyelashes CPT 67835 | not published | not published | $523.49 – $1,524.35 | 12 |
| Revise eyelid defect CPT 67909 | not published | not published | $626.44 – $1,306.60 | 12 |
| Revise eyelid defect CPT 67911 | not published | not published | $664.67 – $1,524.35 | 12 |
| Revise eyelid lining CPT 68330 | not published | not published | $700.29 – $1,881.97 | 12 |
| Revise eyelid lining CPT 68360 | not published | not published | $616.26 – $2,152.48 | 12 |
| Revise eyelid lining CPT 68362 | not published | not published | $737.01 – $1,742.14 | 12 |
| Revise eye muscle CPT 67311 | not published | not published | $696.90 – $1,742.14 | 12 |
| Revise eye muscle CPT 67314 | not published | not published | $737.01 – $1,841.18 | 12 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $737.01 – $1,841.18 | 12 |
| Revise eye socket implant CPT 67560 | not published | not published | $1,115.02 – $2,152.48 | 12 |
| Revise eye sockets CPT 21260 | not published | not published | $1,397.31 – $3,923.82 | 12 |
| Revise eye sockets CPT 21261 | not published | not published | $2,080.85 – $4,087.31 | 12 |
| Revise eye sockets CPT 21263 | not published | not published | $2,080.85 – $4,087.31 | 12 |
| Revise eye sockets CPT 21267 | not published | not published | $1,845.18 – $4,204.10 | 12 |
| Revise eye with implant CPT 65093 | not published | not published | $738.61 – $2,690.60 | 12 |
| Revise finger joint each CPT 26135 | not published | not published | $641.42 – $2,346.27 | 12 |
| Revise finger joint each CPT 26140 | not published | not published | $587.09 – $1,530.07 | 12 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $422.78 – $2,233.26 | 12 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $737.01 – $1,841.18 | 12 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $785.08 – $2,152.48 | 12 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $768.57 – $2,152.48 | 12 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $737.01 – $1,841.18 | 12 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $771.10 – $2,152.48 | 12 |
| Revise graft w/vein CPT 35879 | not published | not published | $1,201.28 – $3,882.83 | 12 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $1,329.05 – $3,882.83 | 12 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $962.75 – $4,371.82 | 12 |
| Revise head/neck of femur CPT 27179 | not published | not published | $1,151.02 – $5,166.41 | 12 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $637.41 – $2,798.95 | 12 |
| Revise hip joint replacement CPT 27134 | not published | not published | $2,296.93 – $7,407.18 | 9 |
| Revise hip joint replacement CPT 27138 | not published | not published | $1,831.06 – $5,912.12 | 9 |
| Revise/implant finger joint CPT 26536 | not published | not published | $800.03 – $4,371.82 | 12 |
| Revise kneecap CPT 27437 | not published | not published | $776.53 – $5,100.45 | 12 |
| Revise kneecap with implant CPT 27438 | not published | not published | $992.77 – $10,837.96 | 12 |
| Revise knuckle joint CPT 26530 | not published | not published | $623.86 – $2,681.45 | 12 |
| Revise knuckle with implant CPT 26531 | not published | not published | $723.94 – $6,074.96 | 12 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $732.49 – $1,572.85 | 12 |
| Revise lower leg tendon CPT 27690 | not published | not published | $735.00 – $5,100.45 | 12 |
| Revise lower leg tendon CPT 27691 | not published | not published | $880.97 – $4,371.82 | 12 |
| Revise lower leg tendons CPT 27686 | not published | not published | $651.72 – $2,346.27 | 12 |
| Revise middle ear bone CPT 69660 | not published | not published | $1,091.96 – $3,923.82 | 12 |
| Revise middle ear bone CPT 69661 | not published | not published | $1,420.43 – $3,923.82 | 12 |
| Revise middle ear bone CPT 69662 | not published | not published | $1,362.34 – $3,923.82 | 12 |
| Revise middle ear & mastoid CPT 69641 | not published | not published | $1,225.46 – $3,923.82 | 12 |
| Revise middle ear & mastoid CPT 69642 | not published | not published | $1,573.17 – $4,204.10 | 12 |
| Revise middle ear & mastoid CPT 69643 | not published | not published | $1,438.80 – $4,063.95 | 12 |
| Revise middle ear & mastoid CPT 69644 | not published | not published | $1,738.18 – $4,204.10 | 12 |
| Revise middle ear & mastoid CPT 69646 | not published | not published | $1,810.50 – $3,836.65 | 12 |
| Revise middle ear & mastoid 69645 CPT 69645 | not published | not published | $1,706.69 – $3,923.82 | 12 |
| Revise ocular implant CPT 65125 | not published | not published | $519.50 – $1,578.81 | 12 |
| Revise ocular implant CPT 65150 | not published | not published | $624.06 – $2,152.48 | 12 |
| Revise palsy hand tendon(s) CPT 25315 | not published | not published | $923.93 – $4,371.82 | 12 |
| Revise palsy hand tendon(s) CPT 25316 | not published | not published | $1,029.58 – $5,100.45 | 12 |
| Revise penis/urethra CPT 54328 | not published | not published | $1,088.86 – $2,792.88 | 12 |
| Revise penis/urethra CPT 54332 | not published | not published | $1,178.97 – $1,627.30 | 12 |
| Revise penis/urethra CPT 54336 | not published | not published | $1,180.08 – $2,515.69 | 12 |
| Revise prosth vag graft lap CPT 57426 | not published | not published | $1,022.74 – $4,293.32 | 12 |
| Revise radius or ulna CPT 25370 | not published | not published | $1,096.05 – $2,982.21 | 12 |
| Revise radius & ulna CPT 25365 | not published | not published | $1,093.18 – $8,214.64 | 12 |
| Revise radius & ulna CPT 25375 | not published | not published | $901.38 – $2,982.21 | 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.