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 iris CPT 66762 | not published | not published | $231.64 – $741.76 | 31 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $214.91 – $926.01 | 12 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $493.08 – $1,551.66 | 12 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,343.67 – $4,481.25 | 9 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $1,620.82 – $5,408.81 | 9 |
| Revision of knee joint CPT 27440 | not published | not published | $930.74 – $19,588.89 | 12 |
| Revision of knee joint CPT 27441 | not published | not published | $961.53 – $19,588.89 | 12 |
| Revision of knee joint CPT 27442 | not published | not published | $1,026.09 – $19,588.89 | 12 |
| Revision of knee joint CPT 27443 | not published | not published | $961.61 – $19,588.89 | 12 |
| Revision of knee joint CPT 27446 | not published | not published | $1,314.39 – $19,588.89 | 12 |
| Revision of knee joint CPT 27445 | not published | not published | $1,487.95 – $19,588.89 | 9 |
| Revision of larynx CPT 31400 | not published | not published | $1,165.86 – $3,923.82 | 12 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $321.22 – $1,865.12 | 12 |
| Revision of lung CPT 32940 | not published | not published | $1,537.43 – $4,797.16 | 9 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,745.77 – $5,675.17 | 9 |
| Revision of mitral valve CPT 33422 | not published | not published | $2,138.00 – $6,490.32 | 9 |
| Revision of neck muscle CPT 21700 | not published | not published | $476.85 – $2,011.09 | 12 |
| Revision of neck muscle CPT 21720 | not published | not published | $618.56 – $2,011.09 | 12 |
| Revision of neck muscle CPT 21725 | not published | not published | $120.07 – $951.32 | 31 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $760.77 – $2,132.21 | 9 |
| Revision of nose CPT 30120 | not published | not published | $603.92 – $1,810.28 | 12 |
| Revision of nose CPT 30430 | not published | not published | $850.49 – $3,363.27 | 12 |
| Revision of nose CPT 30435 | not published | not published | $1,315.74 – $4,204.10 | 12 |
| Revision of nose CPT 30450 | not published | not published | $1,764.78 – $4,204.10 | 12 |
| Revision of nose CPT 30460 | not published | not published | $903.73 – $3,363.27 | 12 |
| Revision of nose CPT 30462 | not published | not published | $1,867.61 – $3,923.82 | 12 |
| Revision of pelvis CPT 27158 | not published | not published | $1,657.18 – $5,415.52 | 9 |
| Revision of penis CPT 54300 | not published | not published | $745.86 – $2,620.47 | 12 |
| Revision of penis CPT 54304 | not published | not published | $871.60 – $2,792.88 | 12 |
| Revision of penis CPT 54420 | not published | not published | $792.38 – $1,875.32 | 12 |
| Revision of penis CPT 54430 | not published | not published | $743.33 – $2,470.83 | 9 |
| Revision of penis CPT 54435 | not published | not published | $482.18 – $1,814.55 | 12 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $2,080.85 – $4,204.10 | 12 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,790.35 – $9,273.05 | 9 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,956.89 – $6,286.88 | 9 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,710.66 – $8,498.05 | 9 |
| Revision of radius CPT 25350 | not published | not published | $804.85 – $6,133.27 | 12 |
| Revision of radius CPT 25355 | not published | not published | $917.82 – $2,982.21 | 12 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $652.50 – $1,572.85 | 12 |
| Revision of scrotum CPT 55175 | not published | not published | $421.18 – $2,435.53 | 12 |
| Revision of scrotum CPT 55180 | not published | not published | $808.23 – $2,871.44 | 12 |
| Revision of spinal shunt CPT 63744 | not published | not published | $835.64 – $2,610.23 | 12 |
| Revision of testis CPT 54660 | not published | not published | $411.20 – $2,871.44 | 12 |
| Revision of thigh muscles CPT 27430 | not published | not published | $871.30 – $4,371.82 | 12 |
| Revision of toe CPT 28312 | not published | not published | $568.98 – $2,011.09 | 12 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $3,114.10 – $9,568.85 | 9 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $3,087.87 – $9,433.65 | 9 |
| Revision of ulna CPT 25360 | not published | not published | $784.68 – $4,371.82 | 12 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $874.59 – $4,371.82 | 12 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $875.04 – $4,371.82 | 12 |
| Revision of upper arm CPT 24940 | not published | not published | $127.80 – $1,464.12 | 9 |
| Revision of ureter CPT 50700 | not published | not published | $1,072.09 – $3,571.08 | 9 |
| 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 of urinary tract CPT 51820 | not published | not published | $1,244.71 – $4,541.49 | 9 |
| 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 open gstr rstcv px CPT 43848 | not published | not published | $2,309.12 – $7,460.74 | 9 |
| 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/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $1,669.10 – $11,452.03 | 9 |
| 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 rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,475.34 – $7,630.71 | 9 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,504.31 – $2,952.68 | 3 |
| 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 |
| Rh ig IV CPT 90386 | not published | not published | $4.89 – $15.74 | 9 |
| Rh ig minidose im CPT 90385 | not published | not published | $26.05 – $47.55 | 9 |
| 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 |
| Rhythm ecg with report CPT 93040 | not published | not published | $14.82 – $728.56 | 10 |
| Rib cartilage graft CPT 21230 | not published | not published | $925.78 – $3,363.27 | 12 |
| Right heart cath congenital CPT 93530 | not published | not published | $124.86 – $1,340.84 | 12 |
| Right ventric recording CPT 93603 | $4,487.28 | $8,013.00 | $78.98 – $7,508.70 | 12 |
| R & l heart cath congenital CPT 93531 | not published | not published | $197.20 – $1,872.53 | 12 |
| R & l heart cath congenital CPT 93532 | not published | not published | $197.20 – $2,237.49 | 12 |
| R & l heart cath congenital CPT 93533 | not published | not published | $547.62 – $2,001.05 | 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 |
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.