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PricedCare

Ascension Providence Hospital, Southfield and Novi

16001 W Nine Mile Rd, Southfield, MI 48075 · (248) 849-3000

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 4/5Detroit, MI metroPart of Ascension Michigan · 2 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-01-01

33,945 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 18 lines · metro median $20

$20
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 18 lines · metro median $1,188

$1,784
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 18 lines · metro median $753

$561
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 18 lines · metro median $854

$808
cash
Cataract surgery with lens implant

CPT 66984

—
cash
Cesarean delivery with prenatal and postpartum care

CPT 59510

—
cash
Cesarean section hospital stay, no complications

MS-DRG 788

—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 36 lines · metro median $35

$114
cash
Colonoscopy (diagnostic)

CPT 45378

—
cash
Colonoscopy with biopsy

CPT 45380

—
cash
Colonoscopy with polyp removal

CPT 45385

—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 23 lines · metro median $22

$23
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 22 lines · metro median $27

$27
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 54 lines · metro median $254

$254
cash
Electrocardiogram (ECG) with interpretation

CPT 93000

—
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines · metro median $160

$166
cash
Family psychotherapy with the patient

CPT 90847

—
cash
Family psychotherapy without the patient

CPT 90846

—
cash
Gallbladder removal (laparoscopic)

CPT 47562

—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 54 lines · metro median $35

$123
cash
Group psychotherapy

CPT 90853

—
cash
Hip or knee replacement, no major complications

MS-DRG 470

—
cash
Hospital stay for digestive disorders, no complications

MS-DRG 392

—
cash
Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—
cash
Inguinal hernia repair (age 5 and up)

CPT 49505

—
cash
Knee arthroscopy with meniscus repair

CPT 29881

—
cash
Laser treatment after cataract surgery (YAG)

CPT 66821

—
cash
Left heart catheterization

CPT 93452 · lowest of 18 lines · metro median $5,385

$10,982
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 23 lines · metro median $17

$31
cash
Liver function panel

CPT 80076 · lowest of 22 lines · metro median $26

$26
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 18 lines · metro median $1,500

$2,241
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 36 lines · metro median $652

$1,244
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 18 lines · metro median $1,134

$1,347
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 18 lines · metro median $1,132

$1,259
cash
Neck (cervical) spinal fusion, no complications

MS-DRG 473

—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483

—
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $95

$95
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines · metro median $159

$154
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines · metro median $210

$210
cash
PSA test (prostate)

CPT 84153 · lowest of 27 lines · metro median $48

$47
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 98 lines · metro median $8

$8
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 23 lines · metro median $40

$62
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 18 lines · metro median $292

$292
cash
Preventive visit, new patient age 18 to 39

CPT 99385

—
cash
Preventive visit, new patient age 40 to 64

CPT 99386

—
cash
Prostate biopsy

CPT 55700 · lowest of 18 lines · metro median $1,365

$1,365
cash
Prostate removal (laparoscopic)

CPT 55866

—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 45 lines · metro median $11

$13
cash
Psychotherapy, 30 minutes

CPT 90832

—
cash
Psychotherapy, 45 minutes

CPT 90834

—
cash
Psychotherapy, 60 minutes

CPT 90837

—
cash
Removal of a breast lump (biopsy by excision)

CPT 19120

—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 36 lines · metro median $199

$156
cash
Shoulder arthroscopy with decompression

CPT 29826

—
cash
Sleep study (overnight, attended)

CPT 95810

—
cash
Spinal injection, lower back, no imaging guidance

CPT 62322

—
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 14 lines · metro median $424

$974
cash
TSH test (thyroid)

CPT 84443 · lowest of 27 lines · metro median $45

$50
cash
Tonsils and adenoids removal (under age 12)

CPT 42820

—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 18 lines · metro median $242

$338
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 18 lines · metro median $390

$389
cash
Upper endoscopy (EGD)

CPT 43235

—
cash
Upper endoscopy with biopsy

CPT 43239

—
cash
Urinalysis with microscope

CPT 81001 · lowest of 27 lines · metro median $11

$12
cash
Vaginal delivery after a previous cesarean

CPT 59610

—
cash
Vaginal delivery hospital stay, no complications

MS-DRG 807

—
cash
Vaginal delivery with prenatal and postpartum care

CPT 59400

—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 18 lines · metro median $200

$183
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.