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 |
|---|---|---|---|---|
| Russell viper venom diluted CPT 85613 | $26.88 | $48.00 | $5.56 – $16.04 | 35 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $531.91 – $1,265.57 | 22 |
| Salivary gland function exam CPT 78232 | not published | not published | $78.27 – $543.31 | 34 |
| Salivary gland imaging CPT 78230 | not published | not published | $135.24 – $543.31 | 34 |
| Salivary glnd img serial img CPT 78231 | $243.60 | $435.00 | $92.52 – $543.31 | 34 |
| Salmonella antibody CPT 86768 | not published | not published | $7.65 – $23.71 | 35 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $978.98 – $2,063.45 | 12 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $46.69 – $298.05 | 31 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $19.35 – $70.97 | 32 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $20.49 – $56.54 | 33 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $40.77 – $97.00 | 32 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $521.51 – $2,891.13 | 12 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $146.01 – $172.15 | 3 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $74.70 – $88.07 | 3 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $97.83 – $115.34 | 3 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $47.99 – $56.58 | 3 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $342.16 | $611.00 | $80.78 – $380.59 | 32 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $168.00 | $300.00 | $60.43 – $206.70 | 32 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $400.40 | $715.00 | $80.78 – $326.83 | 32 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $241.92 | $432.00 | $60.43 – $193.00 | 32 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $502.32 | $897.00 | $60.43 – $490.25 | 32 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $627.76 | $1,121.00 | $60.43 – $298.05 | 32 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $851.20 | $1,520.00 | $80.78 – $1,588.59 | 32 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $671.44 | $1,199.00 | $60.43 – $603.64 | 32 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $532.00 | $950.00 | $60.43 – $199.18 | 26 |
| Scan proc cranial extra CPT 61782 | not published | not published | $239.84 – $678.62 | 9 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $297.68 – $931.59 | 9 |
| Scan proc spinal CPT 61783 | not published | not published | $297.68 – $914.19 | 9 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,842.96 | $3,291.00 | $478.70 – $2,349.77 | 13 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $286.39 – $2,011.09 | 12 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $30.80 | $55.00 | $19.32 – $47.37 | 13 |
| Screen cerv/vag thin layer HCPCS G0123 | $33.04 | $59.00 | $13.68 – $36.42 | 13 |
| Screening Mammogram CPT 77067 | $175.84 | $314.00 | $47.39 – $264.23 | 35 |
| Screen pap by tech w md supv HCPCS P3000 | $25.20 | $45.00 | $9.10 – $18.99 | 12 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $3.66 – $401.32 | 9 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $40.44 – $475.79 | 31 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $965.02 – $3,152.14 | 9 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $4,491.20 | $8,020.00 | $1,716.07 – $5,726.28 | 10 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $82.32 | $147.00 | $63.71 – $75.11 | 3 |
| Sedimentation rate erythrocyte automated CPT 85652 | $11.76 | $21.00 | $1.57 – $4.86 | 35 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,796.84 – $5,562.74 | 9 |
| Select picture audiometry CPT 92583 | not published | not published | $16.05 – $1,030.23 | 31 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $12.48 – $462.47 | 31 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $14.91 – $111.17 | 9 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $11.16 – $112.28 | 9 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $6.99 – $21.67 | 35 |
| Semen analysis w/count CPT 89310 | $20.72 | $37.00 | $4.99 – $15.48 | 35 |
| Sensorimotor examination CPT 92060 | not published | not published | $28.03 – $63,770.72 | 31 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $16.05 – $1,488.48 | 31 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $629.27 – $1,578.81 | 12 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $83.67 – $264.96 | 29 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $784.97 – $4,371.82 | 12 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $729.22 – $2,346.27 | 12 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $878.71 – $4,371.82 | 12 |
| Serial casting application 97139app CPT 97139 | not published | not published | $0.01 – $21.88 | 10 |
| Serpina1 gene CPT 81332 | not published | not published | $25.32 – $75.57 | 35 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $0.01 – $28.75 | 10 |
| Set radiation therapy field CPT 77280 | $542.64 | $969.00 | $75.45 – $686.67 | 34 |
| Set radiation therapy field CPT 77285 | $635.04 | $1,134.00 | $153.47 – $807.99 | 34 |
| Set radiation therapy field CPT 77290 | $913.36 | $1,631.00 | $153.47 – $1,145.45 | 34 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $38.36 – $405.51 | 25 |
| Sever cranial nerve CPT 64771 | not published | not published | $688.98 – $1,681.33 | 12 |
| Sex transformation f to m CPT 55980 | not published | not published | $1,180.08 – $5,038.85 | 12 |
| Sex transformation m to f CPT 55970 | not published | not published | $978.98 – $4,773.17 | 12 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $395.95 – $3,101.09 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $96.95 – $268.66 | 31 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $85.77 – $268.66 | 31 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $118.64 – $540.20 | 31 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $118.64 – $540.20 | 31 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $61.98 – $268.66 | 31 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $61.98 – $268.66 | 31 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $104.15 – $268.66 | 31 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $61.98 – $540.20 | 31 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $61.98 – $540.20 | 31 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $61.98 – $268.66 | 31 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $61.98 – $268.66 | 31 |
| Shigella antibody CPT 86771 | not published | not published | $14.20 – $33.78 | 35 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $552.66 – $2,346.27 | 12 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $1,091.32 – $4,783.24 | 12 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,256.97 – $4,913.84 | 12 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $99.87 – $2,982.21 | 12 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $69.73 – $2,346.27 | 12 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $173.88 – $2,982.21 | 12 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $57.71 – $3,313.57 | 12 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $57.71 – $2,982.21 | 12 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $92.14 – $5,079.95 | 12 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $69.73 – $3,926.69 | 12 |
| Shortening of hand tendon CPT 26479 | not published | not published | $714.27 – $1,530.07 | 12 |
| Shorten radius or ulna CPT 25390 | not published | not published | $917.57 – $4,371.82 | 12 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,215.31 – $2,733.70 | 12 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $543.35 – $4,749.96 | 12 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,591.68 | $4,628.00 | $202.95 – $1,219.63 | 34 |
| Shoulder MRI (with contrast) CPT 73222 | $2,495.36 | $4,456.00 | $238.97 – $1,068.23 | 34 |
| Shoulder MRI (without contrast) CPT 73221 | $2,312.80 | $4,130.00 | $137.36 – $571.73 | 34 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $743.91 – $1,985.53 | 12 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,502.29 – $4,939.03 | 9 |
| Shoulder X-ray CPT 73030 | $228.48 | $408.00 | $19.63 – $119.05 | 34 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $52.96 – $183.18 | 34 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $5.08 – $16.86 | 35 |
| Sialography s&i CPT 70390 | $356.16 | $636.00 | $74.95 – $326.83 | 34 |
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.