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 |
|---|---|---|---|---|
| Sialolithotomy 42330 CPT 42330 | not published | not published | $184.64 – $850.49 | 12 |
| Sickling rbc CPT 85660 | $21.28 | $38.00 | $3.20 – $9.91 | 35 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $193.68 – $1,232.73 | 31 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $169.83 – $1,232.73 | 31 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $194.47 – $782.49 | 12 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $259.03 – $1,232.73 | 31 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $361.99 – $7,483.63 | 12 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $338.52 – $782.49 | 12 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $183.88 – $4,470.35 | 12 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $236.53 – $3,101.09 | 12 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $371.71 – $945.51 | 12 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $186.30 – $1,232.73 | 31 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $285.20 – $1,149.08 | 12 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $259.03 – $1,232.73 | 31 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $338.24 | $604.00 | $22.77 – $526.41 | 32 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $395.95 – $912.91 | 12 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $108.68 – $328.84 | 31 |
| Sinus CT scan (with and without contrast) CPT 70488 | $794.64 | $1,419.00 | $101.16 – $414.88 | 34 |
| Sinus CT scan (with contrast) CPT 70487 | $743.12 | $1,327.00 | $101.16 – $326.07 | 34 |
| Sinus CT scan (without contrast) CPT 70486 | $677.04 | $1,209.00 | $59.17 – $285.70 | 34 |
| Sinus/juglr venogram s&i CPT 75860 | $1,363.60 | $2,435.00 | $88.12 – $1,430.10 | 15 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $556.12 – $1,810.28 | 12 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $663.58 – $3,363.27 | 12 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $563.68 – $3,363.27 | 12 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,124.32 – $2,605.46 | 12 |
| Skin Biopsy CPT 11102 | $266.00 | $475.00 | $91.02 – $339.15 | 32 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $960.43 – $2,233.26 | 12 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $214.87 – $704.16 | 9 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,026.78 – $2,233.26 | 12 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,065.50 – $2,378.95 | 12 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $216.66 – $1,511.42 | 9 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $5.17 – $33.11 | 28 |
| Sleep study attended CPT 95807 | not published | not published | $73.37 – $717.42 | 32 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $82.27 – $1,375.61 | 32 |
| Sleep study unattended CPT 95806 | not published | not published | $68.25 – $211.55 | 32 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $87.36 | $156.00 | $5.24 – $6.18 | 3 |
| Slitting of prepuce CPT 54000 | not published | not published | $171.14 – $1,307.38 | 12 |
| Slitting of prepuce CPT 54001 | not published | not published | $214.96 – $1,579.73 | 12 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $36.82 – $4,194.28 | 9 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $102.60 – $3,256.69 | 9 |
| Slp pure tone screening CPT 92551 | $59.92 | $107.00 | $13.41 – $4,913.04 | 9 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $33.76 – $80.32 | 32 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $91.18 – $107.50 | 3 |
| Small bowel endoscopy CPT 44360 | not published | not published | $187.06 – $1,003.52 | 12 |
| Small bowel endoscopy CPT 44364 | not published | not published | $262.87 – $1,170.77 | 12 |
| Small bowel endoscopy CPT 44366 | not published | not published | $308.83 – $1,170.77 | 12 |
| Small bowel endoscopy CPT 44369 | not published | not published | $315.86 – $1,170.77 | 12 |
| Small bowel endoscopy CPT 44376 | not published | not published | $363.49 – $1,003.52 | 12 |
| Small bowel endoscopy CPT 44378 | not published | not published | $491.14 – $1,170.77 | 12 |
| Small bowel endoscopy CPT 44382 | not published | not published | $97.94 – $1,267.67 | 31 |
| Small bowel endoscopy CPT 44384 | not published | not published | $173.00 – $2,262.98 | 12 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $246.55 – $1,003.52 | 12 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $235.57 – $1,003.52 | 12 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $205.53 – $1,003.52 | 12 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $382.97 – $1,170.77 | 12 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $80.47 – $1,267.67 | 31 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $392.06 – $1,286.27 | 12 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $340.25 – $4,177.84 | 12 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.01 | 22 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $29.12 | $52.00 | $3.13 – $9.65 | 35 |
| Smear gram stain CPT 87205 | $26.32 | $47.00 | $2.48 – $7.68 | 35 |
| Smear nasal eosinophil CPT 89190 | $26.32 | $47.00 | $3.36 – $8.55 | 35 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $33.60 | $60.00 | $3.47 – $19.67 | 35 |
| Smear wet mount CPT 87210 | not published | not published | $3.38 – $8.03 | 35 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $174.78 – $415.86 | 32 |
| Smpd1 gene common variants CPT 81330 | $36.40 | $65.00 | $16.13 – $143.66 | 35 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $29.62 – $79.38 | 35 |
| Sodium 24 hour urine CPT 84300 | $9.52 | $17.00 | $2.93 – $8.36 | 35 |
| Sodium serum/plasma/whole blood CPT 84295 | $9.52 | $17.00 | $0.94 – $8.36 | 29 |
| Somatosensory testing CPT 95927 | not published | not published | $115.90 – $542.49 | 31 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $520.18 – $1,237.68 | 22 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $142.46 – $336.28 | 9 |
| Special physics consult CPT 77370 | $185.92 | $332.00 | $75.45 – $250.41 | 32 |
| Special radiation dosimetry CPT 77331 | $361.20 | $645.00 | $17.21 – $179.52 | 34 |
| Special radiation treatment CPT 77470 | $791.28 | $1,413.00 | $39.35 – $782.14 | 34 |
| Special teletx port plan CPT 77321 | $296.80 | $530.00 | $44.33 – $494.96 | 34 |
| Specific gravity body fluid CPT 84315 | $11.76 | $21.00 | $1.90 – $4.53 | 35 |
| Specimen fat stain CPT 89125 | not published | not published | $3.41 – $8.11 | 35 |
| Speech audiometry complete CPT 92556 | not published | not published | $16.05 – $1,122.15 | 31 |
| Speech evaluation complex CPT 70371 | not published | not published | $48.25 – $326.83 | 34 |
| Speech recep thresh CPT 92555 | $41.44 | $74.00 | $16.05 – $9,726.18 | 31 |
| Sperm antibody test CPT 89325 | not published | not published | $6.19 – $19.18 | 35 |
| Sperm identification CPT 89257 | not published | not published | $15.81 – $252.70 | 33 |
| Sperm isolation complex CPT 89261 | not published | not published | $11.68 – $106.91 | 33 |
| Sperm isolation simple CPT 89260 | not published | not published | $12.62 – $111.17 | 33 |
| Sperm washing 58323 CPT 58323 | not published | not published | $8.13 – $272.00 | 31 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $747.93 – $3,363.27 | 12 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $892.76 – $2,374.32 | 12 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $140.96 – $35,684.51 | 9 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $150.53 – $393.39 | 9 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $815.36 | $1,456.00 | $297.96 – $1,039.58 | 32 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $115.90 – $421.04 | 31 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $341.60 | $610.00 | $53.51 – $421.04 | 31 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $68.25 – $211.55 | 31 |
| Spleen imaging CPT 78185 | not published | not published | $172.21 – $543.31 | 34 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,375.25 – $4,473.24 | 9 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,339.44 | $7,749.00 | $1,007.43 – $5,532.79 | 13 |
| Split blood or products CPT 86985 | $72.80 | $130.00 | $7.97 – $231.70 | 35 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $188.49 – $448.47 | 22 |
| Sputum specimen collection CPT 89220 | not published | not published | $16.09 – $231.70 | 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.