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 |
|---|---|---|---|---|
| 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 imed rx delivery device CPT 20703 | not published | not published | $122.94 – $378.57 | 9 |
| 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 rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $886.85 – $2,664.10 | 9 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $2,502.25 – $6,917.44 | 9 |
| 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 tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $2,357.61 – $8,080.46 | 9 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $2,453.32 – $7,901.09 | 9 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,416.22 – $4,652.59 | 9 |
| 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 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $3,045.31 – $9,369.40 | 9 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $3,431.54 – $11,063.91 | 9 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $2,390.19 – $7,437.97 | 9 |
| 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 a-valve tlcj autol pv CPT 33440 | not published | not published | $115.38 – $13,119.28 | 9 |
| 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 |
| Rpm tx mgmt 1st 20 min CPT 99457 | not published | not published | $32.23 – $67.68 | 9 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | not published | not published | $47.45 – $55.94 | 3 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $2,016.26 – $6,230.65 | 9 |
| 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 blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,765.68 – $5,394.11 | 9 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,832.46 – $5,700.62 | 9 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $2,054.53 – $6,324.37 | 9 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $2,143.75 – $6,701.81 | 9 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,837.75 – $5,366.00 | 9 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $2,190.02 – $6,965.49 | 9 |
| 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 hypopl a-arch w/byp CPT 33853 | not published | not published | $2,347.66 – $7,148.85 | 9 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,760.78 – $5,454.34 | 9 |
| 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 pul art unifocal without cpb CPT 33925 | not published | not published | $2,169.17 – $6,708.50 | 9 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $34.96 – $913.10 | 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 tga aortic pulm art rcns CPT 33778 | not published | not published | $3,014.21 – $9,169.96 | 9 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $2,555.89 – $8,024.23 | 9 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $2,421.32 – $7,594.59 | 9 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $2,292.51 – $7,017.69 | 9 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $2,484.52 – $7,381.74 | 9 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $3,141.74 – $9,788.36 | 9 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $3,079.34 – $9,617.03 | 9 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,974.02 – $9,572.87 | 9 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $2,743.13 – $8,743.01 | 9 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $2,820.90 – $9,016.05 | 9 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $569.59 – $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 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $2,378.71 – $7,958.64 | 9 |
| 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 cbt 16-30 d CPT 98978 | not published | not published | $21.19 – $50.43 | 22 |
| 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 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $56.01 – $66.04 | 3 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $46.02 – $54.26 | 3 |
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.