How many shoppable procedure prices are published for Ascension Providence Hospital, Southfield and Novi?

Ascension Providence Hospital, Southfield and Novi in Southfield, MI currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Ascension Providence Hospital, Southfield and Novi's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Ascension Providence Hospital, Southfield and Novi's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Ascension Providence Hospital, Southfield and Novi's CMS Care Compare overall star rating?

CMS Care Compare assigns Ascension Providence Hospital, Southfield and Novi an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 568 Beds · rural Updated: 01/01/2026

Ascension Providence Hospital, Southfield and Novi

16001 W Nine Mile Rd, Southfield, MI 48075 · 127 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.89×vs. Fair Market Price

Typical commercial prices here are 11% below the fair benchmark (0.89×) after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 8% of the Time

File Completeness66

Price Logic97

Peer Alignment62

Clean Billing84

Real Cash Discount100

Regional Value Leader

2-Star CMS clinical quality rating paired with 0.89× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Ascension Providence Hospital, Southfield and Novi maintains low, disciplined commercial pricing across both routine shoppable procedures (1.1× Medicare, p50 0.88× Fair BaseRate) and emergency/ancillary services (1.2× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#39 of 91 in MI · 41st State Percentile#587 of 3,385 in U.S. · 17th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 11% below peer Fair BaseRate (0.89×)
Self-pay cash beats commercial insurance on 8% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 64% patient recommendation (59/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (18.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Captive ER (1.6×) & laboratory (1.1×) services average 1.09× higher multiples than routine shoppable care (1.1×)
Specialty infusion drugs (J-codes) average 1.3× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 4.9× Medicare (18¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.09× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+9% Upper Tail

Q25 0.73× · Q50 0.88× · Q75 0.96×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.3× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

8% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 59/100Elevated

Procedure Prices at Ascension Providence Hospital, Southfield and Novi

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$34,146	$19,432	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$31,663	$19,087	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$31,240	$30,775	1.0×
Total hip replacement CPT Code: `27130`	—	$20,088	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$19,589	$13,523	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,315	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,980	$8,223	unverified
C-section delivery (full package) CPT Code: `59510`	—	$8,956	$2,975	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$8,068	$2,680	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$4,362	$6,109	0.7×
Inguinal hernia repair CPT Code: `49505`	—	$2,851	$3,629	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,571	$3,372	0.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,444	$2,540	1.0×
Breast lump removal CPT Code: `19120`	—	$2,354	$3,875	0.6×
Trauma team activation HCPCS Code: `G0390`	$4,830	$2,312	$1,453	unverified
Bunion correction surgery CPT Code: `28296`	—	$1,039	$3,446	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$893	$981	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$855	$1,256	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	—	$769	$987	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$712	$1,021	0.7×
Injection procedure for pain management HCPCS Code: `G0260`	$1,024	$627	$855	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,124	$543	$583	unverified
Blood transfusion CPT Code: `36430`	$566	$450	$498	0.9×
Psychological testing by technician CPT Code: `96138`	—	$391	$395	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,784	$360	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,241	$367	$511	0.7×
Rabies immune globulin HCPCS Code: `90375`	—	$290	$322	0.9×
Neurobehavioral status check CPT Code: `96116`	—	$305	$231	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$906	$237	$272	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,347	$249	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,259	$249	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,859	$251	$369	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,641	$222	$303	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$215	$25	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	—	$143	$151	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$157	$166	0.9×
Family therapy session CPT Code: `90847`	—	$162	$173	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$626	$178	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$704	$183	$258	0.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$157	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$157	$185	0.8×
Ultrasound, pelvis CPT Code: `76856`	$322	$109	$130	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$244	$105	$126	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$244	$109	$132	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$268	$121	$148	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$389	$109	$134	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$730	$130	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$651	$130	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$561	$130	$169	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$223	$143	$201	0.7×
Psychological testing evaluation CPT Code: `96136`	—	$126	$128	unverified
Group therapy session CPT Code: `90853`	—	$93	$100	0.9×
Care planning with family CPT Code: `90887`	—	$98	$107	0.9×
CT scan, sinuses CPT Code: `70486`	$677	$122	$166	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$166	$93	$123	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$561	$109	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$730	$109	$163	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$95	$95	$110	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$111	$111	$123	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$318	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$207	$203	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$119	$111	1.1×
Drug screening test HCPCS Code: `G0480`	$74	$111	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$117	$140	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$80	$59	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$91	$76	$86	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$64	$75	$86	0.9×
X-ray, hip CPT Code: `73502`	$235	$70	$93	0.8×
X-ray, lower back CPT Code: `72110`	$183	$75	$112	0.7×
Review of medical records for care CPT Code: `90889`	—	$76	$114	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$119	$56	$93	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$76	$76	$87	unverified
Blood test, calcium CPT Code: `82310`	$7	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$8	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$48	$30	$31	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$31	$26	$27	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$37	$39	0.9×
Orthotic fitting and training CPT Code: `97760`	$64	$46	$51	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$67	$17	$14	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	—	$33	$37	0.9×
Prosthetic fitting and training CPT Code: `97761`	$63	$40	$45	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$41	$56	0.7×
X-ray, hand CPT Code: `73130`	$184	$55	$93	0.6×
X-ray, ankle CPT Code: `73610`	$167	$55	$93	0.6×
X-ray, foot CPT Code: `73630`	$217	$51	$92	0.6×
X-ray, pelvis CPT Code: `72170`	$105	$60	$110	0.5×
X-ray, chest (single view) CPT Code: `71045`	$113	$50	$92	0.5×
X-ray, shoulder CPT Code: `73030`	$172	$50	$92	0.5×
X-ray, chest (two views) CPT Code: `71046`	$116	$50	$93	0.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$27	$13	$11	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$20	$10	$9	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$31	$15	$14	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$12	$3	$3	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$41	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$9	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$30	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$21	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$12	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$8	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$9	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$8	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$23	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$13	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$29	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$50	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$50	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$40	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$45	$14	$15	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$23	$25	0.9×
Culture, blood CPT Code: `87040`	$57	$10	$11	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$24	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$63	$29	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$60	$35	$40	0.9×
Blood test, liver function panel CPT Code: `80076`	$26	$8	$9	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$33	$38	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$61	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$54	$32	$38	0.8×
Blood test, amylase CPT Code: `82150`	$12	$6	$7	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$62	$29	$35	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$13	$4	$5	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$63	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$10	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$16	$23	$35	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$24	$25	$48	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$24	$25	$49	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$24	$25	$49	0.5×
Blood antibody screen CPT Code: `86850`	$20	$20	$46	0.4×

Showing top 25 high-impact procedures of 127 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 18.6%

Audit a Bill or Quote at Ascension Providence Hospital, Southfield and Novi (Zero PHI Required)

CMS CCN: 230019

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $34,146

1. Amount on Your Bill or Quote ($) Pre-filled with Ascension Providence Hospital, Southfield and Novi’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $15,284 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $15,284

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (18.6% of gross = $15,284).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Ascension Providence Hospital, Southfield and Novi's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$62,518 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($81,950) is $62,518 above the denoised Fair BaseRate ($19,432) and 5.8× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (18.6% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite59/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait192 min

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate3.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (947 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Ascension Providence Hospital, Southfield and Novi.

Price Index: 0.91× regional baseline

Quality: 56/100 CMS composite

Median Household Income$95,296U.S. Census ACS

Local Uninsured Share3.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 82/100 · Corroborated CMS CCN 230019

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 230019) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage01/01/2026

Validated Rate Rows5,504 (CMS v3.0.0)

File Integrity DigestVerified · CCN 230019

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy