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 |
|---|---|---|---|---|
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $520.18 – $1,237.68 | 22 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $206.24 – $680.60 | 9 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $228.94 – $740.66 | 9 |
| 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 pump services CPT 99190 | not published | not published | $596.29 – $2,967.08 | 9 |
| Special pump services CPT 99191 | not published | not published | $417.81 – $2,358.99 | 9 |
| Special pump services CPT 99192 | not published | not published | $298.86 – $2,616.91 | 9 |
| 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 supplies phys/qhp CPT 99070 | not published | not published | $1.27 – $23.34 | 9 |
| 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 evaluation test CPT 89329 | not published | not published | $11.36 – $37.69 | 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 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,742.16 – $8,354.85 | 9 |
| Splicing of ureters CPT 50770 | not published | not published | $1,326.57 – $4,542.84 | 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 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $249.38 – $1,316.64 | 9 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $19.30 – $12,345.03 | 9 |
| 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 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,668.25 – $5,435.59 | 9 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,229.87 – $3,992.70 | 9 |
| Srs cran les complex addl CPT 61799 | not published | not published | $378.70 – $1,207.32 | 9 |
| Srs cran les simple addl CPT 61797 | not published | not published | $274.47 – $872.70 | 9 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $101.73 – $242.05 | 26 |
| Srs linear based CPT 77372 | $1,902.88 | $3,398.00 | $746.87 – $3,839.93 | 15 |
| Srs multisource CPT 77371 | not published | not published | $1,243.39 – $9,971.68 | 15 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,353.22 – $4,400.93 | 9 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $314.69 – $991.83 | 9 |
| Staggered spondaic word test CPT 92572 | not published | not published | $35.14 – $1,488.48 | 31 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $1,160.51 – $3,572.94 | 9 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $131.60 | $235.00 | $59.85 – $224.17 | 32 |
| Staph a dna amp probe CPT 87640 | $45.92 | $82.00 | $20.35 – $63.09 | 35 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $55.73 – $214.39 | 31 |
| Stem cells total count CPT 86367 | not published | not published | $45.11 – $107.34 | 35 |
| Stenger test pure tone CPT 92565 | $41.44 | $74.00 | $16.05 – $4,203.40 | 31 |
| Stenger test speech CPT 92577 | $119.84 | $214.00 | $19.79 – $2,165.96 | 31 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $7,686.00 – $19,892.36 | 12 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $17,815.28 | $31,813.00 | $5,019.28 – $22,714.48 | 13 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $12,569.76 | $22,446.00 | $2,997.63 – $16,026.44 | 10 |
| Stent placemt retro carotid CPT 37217 | $1,253.28 | $2,238.00 | $1,355.06 – $4,299.22 | 10 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $7,686.00 – $13,922.76 | 12 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,762.53 – $5,530.63 | 9 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $371.03 – $1,249.92 | 4 |
| Sterile needle HCPCS A4215 | $70.56 | $126.00 | $0.22 – $0.26 | 3 |
| Sternal debridement CPT 21627 | not published | not published | $660.30 – $2,080.02 | 9 |
| St evaluate speech sound production CPT 92522 | $127.12 | $227.00 | $60.93 – $7,295.23 | 32 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $215.04 | $384.00 | $125.00 – $7,542.64 | 32 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $243.60 | $435.00 | $49.49 – $188.00 | 31 |
| St evaluation swallow function CPT 92610 | $182.56 | $326.00 | $46.46 – $173.19 | 31 |
| Stimulants synthetic CPT 80371 | not published | not published | $0.01 – $31.21 | 10 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $732.49 – $1,301.67 | 12 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $53.76 – $309.58 | 33 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $97.38 – $273.45 | 27 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $53.76 – $231.70 | 24 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $53.76 – $231.70 | 33 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $619.07 – $1,887.26 | 9 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $17.31 – $216.21 | 31 |
| Strapping of chest CPT 29200 | not published | not published | $23.82 – $213.35 | 31 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $16.05 – $214.65 | 31 |
| Strapping of hand or finger CPT 29280 | not published | not published | $16.05 – $379.60 | 31 |
| Strapping of hip CPT 29520 | not published | not published | $29.42 – $1,126.81 | 31 |
| Strapping of knee CPT 29530 | not published | not published | $29.42 – $216.21 | 31 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $29.42 – $193.74 | 31 |
| Strep a ag ia CPT 87430 | not published | not published | $9.75 – $23.20 | 35 |
| Strep a dna dir probe CPT 87650 | not published | not published | $11.63 – $36.05 | 35 |
| Strep a dna quant CPT 87652 | not published | not published | $24.22 – $75.03 | 35 |
| Strep b assay w/optic CPT 87802 | not published | not published | $7.38 – $21.56 | 35 |
| Strep b dna amp probe CPT 87653 | not published | not published | $20.35 – $63.09 | 35 |
| Streptokinase antibody CPT 86590 | not published | not published | $7.34 – $17.47 | 35 |
| Stress test pulmonary CPT 94618 | $255.92 | $457.00 | $12.55 – $174.28 | 31 |
| Stress tte complete CPT 93351 | $1,117.76 | $1,996.00 | $171.76 – $1,137.72 | 32 |
| Str markers spec anal addl CPT 81266 | not published | not published | $176.79 – $711.07 | 35 |
| Str markers specimen anal CPT 81265 | $141.68 | $253.00 | $135.18 – $372.30 | 35 |
| St treatment speech individual CPT 92507 | $91.28 | $163.00 | $41.97 – $156.43 | 32 |
| St treatment swallow dysfunction/oral CPT 92526 | $106.40 | $190.00 | $46.14 – $173.19 | 31 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $125.06 – $936.36 | 31 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $457.86 – $539.84 | 3 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $55.53 – $268.66 | 31 |
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.