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 |
|---|---|---|---|---|
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $72.23 – $827.65 | 31 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $140.96 – $166.20 | 3 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $133.09 – $156.92 | 3 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $138.26 – $453.75 | 9 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $93.02 – $2,346.27 | 12 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $93.02 – $2,346.27 | 12 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $393.09 – $2,346.27 | 12 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $286.39 – $8,214.64 | 12 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,810.55 – $5,701.96 | 9 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $1,124.32 – $2,233.26 | 9 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $1,124.32 – $2,605.46 | 9 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $1,124.32 – $2,605.46 | 9 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,124.32 – $1,716.48 | 9 |
| Sugars multiple quant CPT 84379 | not published | not published | $6.69 – $20.71 | 35 |
| Sugars single quant CPT 84378 | not published | not published | $6.69 – $20.71 | 35 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $0.01 – $31.21 | 10 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $14.15 – $62.39 | 25 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $84.31 – $99.40 | 3 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $73.82 – $87.03 | 3 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $126.59 – $1,838.20 | 12 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $1,002.06 – $3,058.45 | 9 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $1,003.09 – $3,067.81 | 9 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $492.03 – $2,871.44 | 12 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,366.97 – $4,383.55 | 9 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $776.53 – $2,577.21 | 12 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $861.18 – $2,412.58 | 12 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $976.14 – $2,669.26 | 12 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $788.17 – $2,412.58 | 12 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,013.76 – $2,871.44 | 12 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,632.45 – $5,351.27 | 9 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,324.79 – $4,156.01 | 9 |
| Surgical opening of stomach CPT 43510 | not published | not published | $392.06 – $1,317.30 | 31 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $937.79 – $3,046.37 | 9 |
| Surgical opening of throat CPT 42955 | not published | not published | $362.75 – $1,080.32 | 12 |
| Surgical pathology level 1 gross examination only CPT 88300 | $22.40 | $40.00 | $10.36 – $33.11 | 35 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $148.96 | $266.00 | $16.05 – $64.41 | 35 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $52.64 | $94.00 | $25.12 – $72.24 | 35 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $84.56 | $151.00 | $25.12 – $90.92 | 36 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $142.80 | $255.00 | $110.15 – $486.38 | 36 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $171.92 | $307.00 | $231.72 – $1,104.52 | 35 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,611.67 – $5,221.43 | 9 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,823.06 – $5,837.14 | 9 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,288.15 – $4,139.93 | 9 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $596.95 – $1,838.20 | 12 |
| Susceptibility agar dilution per agent CPT 87181 | $11.20 | $20.00 | $2.76 – $6.55 | 35 |
| Susceptibility enzyme detection per enzyme CPT 87185 | not published | not published | $2.76 – $6.55 | 35 |
| Susceptibility mic per plate CPT 87186 | $20.72 | $37.00 | $5.02 – $15.55 | 35 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $3.85 – $11.93 | 35 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,204.28 – $3,947.20 | 9 |
| Suspension of testis CPT 54620 | not published | not published | $347.85 – $1,948.41 | 12 |
| Suspension of uterus CPT 58410 | not published | not published | $965.89 – $3,069.14 | 9 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $521.60 – $1,675.78 | 9 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,264.06 – $4,106.47 | 9 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,623.80 – $5,319.15 | 9 |
| Svc venogram s&i CPT 75827 | $1,345.12 | $2,402.00 | $82.43 – $351.33 | 15 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.59 – $72.24 | 35 |
| Sympathectomy cervical CPT 64802 | not published | not published | $620.40 – $1,681.33 | 12 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $732.49 – $1,681.33 | 12 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $801.61 – $2,200.48 | 9 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $765.47 – $1,811.61 | 12 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $850.37 – $3,498.83 | 9 |
| Synthetic sentence id test CPT 92576 | not published | not published | $16.05 – $2,165.96 | 31 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $24.08 | $43.00 | $2.55 – $7.91 | 35 |
| System cardiomems hosp electronics HCPCS C2624 | $48,109.04 | $85,909.00 | $4.72 – $4.72 | 6 |
| T3 (triiodothyronine) free CPT 84481 | $47.60 | $85.00 | $9.83 – $30.46 | 35 |
| T3 (triiodothyronine) total CPT 84480 | $61.04 | $109.00 | $8.22 – $25.49 | 35 |
| T4 (thyroxine) free CPT 84439 | $42.56 | $76.00 | $5.23 – $16.20 | 35 |
| T4 (thyroxine) total CPT 84436 | $21.84 | $39.00 | $3.98 – $12.35 | 35 |
| Tacrolimus therapeutic drug level CPT 80197 | $31.36 | $56.00 | $7.96 – $24.68 | 35 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,535.76 – $8,531.51 | 9 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,340.20 – $7,852.89 | 9 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,502.86 – $4,756.98 | 9 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $228.35 – $4,016.33 | 9 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $163.29 – $4,016.33 | 9 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,226.40 | $2,190.00 | $440.53 – $1,048.15 | 35 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,125.20 | $3,795.00 | $824.38 – $5,368.33 | 7 |
| Target gsa panel organ neop CPT 81445 | $691.60 | $1,235.00 | $346.79 – $825.12 | 35 |
| Tas congenital car anomal CPT 33741 | $5,583.76 | $9,971.00 | $921.50 – $7,119.29 | 10 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $152.13 – $827.65 | 31 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,650.65 – $5,299.08 | 9 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $79.46 – $189.06 | 32 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $36.61 – $115.55 | 4 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $9.22 – $30.30 | 4 |
| Tbs techl calculation only CPT 77091 | $103.04 | $184.00 | $25.11 – $119.05 | 26 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.29 – $119.05 | 26 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $58.00 – $138.00 | 35 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $80.08 | $143.00 | $35.95 – $111.40 | 35 |
| Tc-99m bicisate HCPCS A9557 | $1,050.00 | $1,875.00 | $338.96 – $602.79 | 9 |
| Tc-99m exametazime diag HCPCS A9521 | $1,412.32 | $2,522.00 | $1,441.99 – $2,476.60 | 9 |
| Tc-99m labeled rbc HCPCS A9560 | $203.84 | $364.00 | $128.33 – $151.31 | 9 |
| Tc-99m maa HCPCS A9540 | $218.40 | $390.00 | $41.22 – $80.97 | 9 |
| Tc-99m mebrofenin HCPCS A9537 | $116.48 | $208.00 | $76.01 – $89.61 | 9 |
| Tc-99m medronate HCPCS A9503 | $54.32 | $97.00 | $17.86 – $45.47 | 9 |
| Tc-99m mertiatide HCPCS A9562 | $291.20 | $520.00 | $442.01 – $497.02 | 3 |
| Tc-99m oxidronate HCPCS A9561 | $72.80 | $130.00 | $49.58 – $71.28 | 9 |
| Tc-99m pentetate dtpa HCPCS A9539 | $87.36 | $156.00 | $43.05 – $73.47 | 9 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $6.72 | $12.00 | $2.20 – $3.85 | 9 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $56.00 | $100.00 | $38.38 – $88.00 | 8 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $189.28 | $338.00 | $142.37 – $169.55 | 9 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $178.08 | $318.00 | $154.67 – $200.76 | 6 |
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.