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 |
|---|---|---|---|---|
| Revision of urethra CPT 53450 | not published | not published | $472.80 – $2,040.90 | 12 |
| Revision of urethra CPT 53460 | not published | not published | $528.69 – $1,724.00 | 12 |
| Revision of urethra CPT 57220 | not published | not published | $380.16 – $3,458.41 | 12 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $734.90 – $3,498.99 | 12 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,005.77 – $3,580.40 | 12 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $877.96 – $4,371.82 | 12 |
| Revision tips CPT 37183 | $6,099.52 | $10,892.00 | $2,415.47 – $7,776.89 | 13 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,948.69 – $7,571.90 | 12 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $2,107.85 – $20,294.01 | 9 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,625.45 – $3,882.83 | 12 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,563.04 – $3,882.83 | 12 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,230.71 – $3,923.82 | 12 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,311.83 – $3,923.82 | 12 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,651.11 – $6,678.12 | 12 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,281.16 – $3,923.82 | 12 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $434.57 – $2,398.89 | 12 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $307.19 – $2,398.89 | 12 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $300.88 – $2,798.70 | 12 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $914.97 – $1,078.79 | 3 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $4,503.91 – $14,726.03 | 9 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $565.70 – $666.98 | 3 |
| Rheumatoid factor qualitative CPT 86430 | $34.72 | $62.00 | $3.56 – $10.21 | 35 |
| Rheumatoid factor quantitative CPT 86431 | $14.56 | $26.00 | $3.29 – $10.21 | 35 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $850.49 – $2,050.12 | 12 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $67.96 – $124.04 | 9 |
| Rib cartilage graft CPT 21230 | not published | not published | $925.78 – $3,363.27 | 12 |
| Right ventric recording CPT 93603 | $4,487.28 | $8,013.00 | $78.98 – $7,508.70 | 12 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $1,377.57 – $4,308.58 | 9 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $93.00 – $951.32 | 31 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $781.94 – $5,291.83 | 9 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $488.83 – $1,560.00 | 12 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $635.78 – $1,701.89 | 12 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $371.74 – $1,264.01 | 12 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $171.10 – $274.75 | 12 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $770.52 – $908.47 | 3 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $147.26 – $452.72 | 9 |
| Rmvl icd by tv extr CPT 33244 | $4,717.44 | $8,424.00 | $286.39 – $6,014.74 | 13 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $24,864.00 | $44,400.00 | $192.88 – $37,253.82 | 13 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $26,283.04 | $46,934.00 | $192.88 – $43,031.24 | 13 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $23,507.68 | $41,978.00 | $286.39 – $36,886.41 | 13 |
| Rmvl icd pulse gen only CPT 33241 | $3,360.56 | $6,001.00 | $271.93 – $4,284.71 | 13 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $98.16 – $1,936.79 | 9 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $2,953.91 – $9,117.78 | 9 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,020.88 | $1,823.00 | $230.55 – $1,301.62 | 32 |
| Rmvl perm pm pulse gen CPT 33233 | $3,059.28 | $5,463.00 | $48.06 – $3,900.58 | 13 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $195.93 – $601.19 | 9 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $16,381.68 | $29,253.00 | $447.40 – $20,886.64 | 13 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $13,916.00 | $24,850.00 | $411.72 – $17,742.90 | 13 |
| Rmvl pq iabp CPT 33968 | $163.52 | $292.00 | $42.63 – $208.49 | 10 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | not published | not published | $256.02 – $781.69 | 9 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $707.64 – $2,346.27 | 12 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $247.15 – $2,532.54 | 12 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,052.24 | $1,879.00 | $122.30 – $1,341.61 | 32 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $541.23 – $1,985.53 | 12 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $47.96 – $539.54 | 31 |
| Rmvl tv pm lead dual CPT 33235 | $3,059.28 | $5,463.00 | $48.06 – $3,900.58 | 13 |
| Rmvl tv pm lead sgl CPT 33234 | $2,712.08 | $4,843.00 | $48.06 – $3,457.90 | 13 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $476.77 – $562.13 | 3 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $546.03 – $643.79 | 3 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $333.06 – $1,066.77 | 9 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $95.87 – $975.97 | 12 |
| Rotavirus antibody CPT 86759 | not published | not published | $10.57 – $25.16 | 35 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $701.78 – $827.43 | 3 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $1,335.24 – $10,975.40 | 12 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $246.32 – $711.66 | 12 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $681.52 | $1,217.00 | $174.97 – $695.48 | 34 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,076.88 | $1,923.00 | $376.20 – $1,187.63 | 4 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $1,076.88 | $1,923.00 | $737.22 – $1,391.38 | 4 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | not published | not published | $232.13 – $662.79 | 12 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $1,182.10 – $1,899.66 | 12 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $1,355.04 – $5,938.12 | 12 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $865.23 – $1,899.66 | 12 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $1,252.02 – $3,882.83 | 12 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $1,203.96 – $3,882.83 | 12 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $795.29 – $3,363.27 | 12 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $1,052.84 – $3,923.82 | 12 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,348.59 – $4,285.84 | 9 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $1,140.19 – $3,658.08 | 9 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $1,024.53 – $3,287.32 | 9 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $750.08 – $2,798.95 | 12 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $918.66 – $2,800.39 | 12 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,148.29 – $2,871.44 | 12 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $657.71 – $2,435.53 | 12 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $718.88 – $2,399.11 | 12 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $483.26 – $2,609.88 | 12 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $717.30 – $2,798.95 | 12 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $482.81 – $2,417.53 | 12 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $1,138.51 – $2,832.48 | 12 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $148.10 – $3,793.82 | 9 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $13.77 – $913.10 | 31 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $683.31 – $2,798.95 | 12 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $422.18 – $4,371.82 | 12 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $127.37 – $303.05 | 22 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,102.55 – $2,876.44 | 12 |
| Rsv assay w/optic CPT 87807 | not published | not published | $7.60 – $21.56 | 35 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $21.71 – $174.24 | 25 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $21.19 – $72.28 | 25 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $21.19 – $72.28 | 25 |
| Rubella antibody igg CPT 86762 | $32.48 | $58.00 | $8.35 – $24.75 | 35 |
| Rubeola antibody igg CPT 86765 | $24.64 | $44.00 | $7.47 – $23.17 | 35 |
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.