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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $16.98 – $52.61 | 35 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $13.23 – $41.01 | 35 |
| 17-ketosteroids CPT 83586 | not published | not published | $7.42 – $22.98 | 35 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $36.38 – $174.24 | 31 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $1,033.89 – $1,219.00 | 3 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $34.76 – $174.28 | 25 |
| 2nd order venous cath CPT 36012 | $2,294.32 | $4,097.00 | $1,021.20 – $3,236.47 | 10 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $49.95 – $81.50 | 4 |
| 3-d radiotherapy plan CPT 77295 | $1,890.00 | $3,375.00 | $245.77 – $723.20 | 15 |
| 3d recon without postprocess indpndt CPT 76376 | $146.16 | $261.00 | $13.71 – $59.94 | 12 |
| 5' nucleotidase - sendout CPT 83915 | $11.76 | $21.00 | $6.47 – $17.05 | 35 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $12.88 | $23.00 | $15.65 – $30.83 | 13 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $121.64 – $143.42 | 3 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $126.59 – $149.26 | 3 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $131.39 – $154.91 | 3 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $108.25 – $12,982.42 | 9 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $116.02 – $12,982.42 | 9 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $115.64 – $252.34 | 9 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $126.13 – $2,376.68 | 9 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $72.85 – $12,982.42 | 10 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $4,000.38 – $12,251.17 | 9 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $11.11 | $19.84 | $6.97 – $21.59 | 35 |
| Abciximab injection HCPCS J0130 | $406.00 | $725.00 | $507.66 – $507.66 | 3 |
| Abd aorta w/runoff s&i CPT 75630 | $1,867.04 | $3,334.00 | $82.43 – $1,430.10 | 15 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,422.65 – $4,640.53 | 9 |
| Abd/low ext cath 1st CPT 36245 | $4,442.48 | $7,933.00 | $1,268.91 – $5,031.26 | 10 |
| Abd/low ext cath 2nd CPT 36246 | $2,439.36 | $4,356.00 | $1,172.38 – $3,110.18 | 10 |
| Abd/low ext cath 3rd CPT 36247 | $2,208.08 | $3,943.00 | $1,965.54 – $5,681.88 | 10 |
| Abd/low ext cath addl CPT 36248 | $963.76 | $1,721.00 | $180.74 – $1,228.79 | 10 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,067.92 | $1,907.00 | $101.16 – $516.90 | 34 |
| Abdominal CT scan (with contrast) CPT 74160 | $977.20 | $1,745.00 | $101.16 – $516.83 | 34 |
| Abdominal CT scan (without contrast) CPT 74150 | $911.68 | $1,628.00 | $59.17 – $265.50 | 34 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,434.72 | $2,562.00 | $202.95 – $995.45 | 34 |
| Abdominal MRI (with contrast) CPT 74182 | $1,274.00 | $2,275.00 | $202.95 – $935.10 | 34 |
| Abdominal MRI (without contrast) CPT 74181 | $1,230.32 | $2,197.00 | $137.36 – $535.90 | 34 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,773.52 | $3,167.00 | $253.97 – $1,962.07 | 32 |
| Abdominal Ultrasound (complete) CPT 76700 | $388.64 | $694.00 | $60.43 – $231.80 | 34 |
| Abdominal Ultrasound (limited) CPT 76705 | $243.60 | $435.00 | $60.43 – $174.57 | 34 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,395.82 – $3,193.41 | 12 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,066.80 | $1,905.00 | $183.78 – $1,360.17 | 32 |
| Abl1 gene CPT 81170 | $336.00 | $600.00 | $174.00 – $418.50 | 35 |
| Ablate arrhythmia add on CPT 93655 | $6,548.64 | $11,694.00 | $19.63 – $589.34 | 9 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,705.42 – $5,270.96 | 9 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,492.29 – $7,547.73 | 9 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $822.74 – $2,537.76 | 9 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,335.88 – $7,170.27 | 9 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $7,814.80 | $13,955.00 | $2,166.19 – $9,963.87 | 13 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $1,260.08 – $4,941.08 | 12 |
| Ablate heart dysrhythm focus CPT 93650 | $5,651.52 | $10,092.00 | $4.79 – $2,471.13 | 12 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $335.68 – $1,234.66 | 12 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $262.23 – $926.01 | 12 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $3,951.63 – $7,964.78 | 9 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $2,166.19 – $4,345.37 | 12 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $2,461.76 | $4,396.00 | $68.25 – $817.06 | 31 |
| Ablation cryo abd perit om CPT 49999 | $931.28 | $1,663.00 | $532.79 – $1,267.67 | 28 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $2,104.60 – $4,154.76 | 9 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $90.65 – $324.34 | 28 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $8,504.16 | $15,186.00 | $2,166.19 – $10,842.80 | 13 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $129.75 – $591.11 | 31 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $90.65 – $895.40 | 31 |
| Ablation of upper extremity nerves rf CPT 64999 | $680.40 | $1,215.00 | $117.70 – $399.12 | 31 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,144.65 – $4,446.67 | 9 |
| Abortion CPT 59850 | not published | not published | $393.56 – $1,471.02 | 9 |
| Abortion (mpr) CPT 59866 | not published | not published | $131.97 – $411.30 | 31 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $55.12 – $187.38 | 9 |
| Abrasion lesion single CPT 15786 | not published | not published | $61.98 – $329.78 | 31 |
| Abscess drain retroperitoneal surg code CPT 49406 | $4,126.64 | $7,369.00 | $743.91 – $5,261.47 | 13 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $158.39 – $500.59 | 9 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $336.56 – $1,159.12 | 9 |
| Acetaminophen level CPT 80143 | not published | not published | $10.81 – $25.72 | 32 |
| Acetone qualitative CPT 82009 | $44.24 | $79.00 | $2.62 – $6.24 | 35 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $6.99 – $16.63 | 22 |
| Acetylcholinesterase assay CPT 82013 | $112.00 | $200.00 | $7.13 – $16.96 | 35 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $104.85 – $13,613.21 | 31 |
| Acne surgery 10040 CPT 10040 | not published | not published | $61.98 – $268.66 | 31 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $28.62 – $1,044.98 | 31 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $42.32 – $959.38 | 9 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $51.00 – $60.13 | 3 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $91.30 – $217.24 | 25 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $53.72 – $205.38 | 25 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $9.18 – $59.52 | 31 |
| Acoustic immitance testing CPT 92570 | $143.92 | $257.00 | $36.08 – $1,632.46 | 31 |
| Acoustic refl threshold tst CPT 92568 | $49.84 | $89.00 | $16.05 – $962.09 | 31 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $711.23 – $2,982.21 | 12 |
| Actigraphy testing CPT 95803 | not published | not published | $19.73 – $158.10 | 31 |
| Actinotherapy uv light CPT 96900 | not published | not published | $16.05 – $161.19 | 31 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $13.91 – $56.11 | 31 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $13.91 – $50.52 | 25 |
| Acute hepatitis panel CPT 80074 | not published | not published | $27.63 – $83.47 | 35 |
| Acute venous thrombus image CPT 78456 | not published | not published | $283.78 – $747.05 | 15 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $9.78 – $25.37 | 35 |
| Acylcarnitines qual CPT 82016 | not published | not published | $9.56 – $24.91 | 35 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $35.78 – $217.24 | 25 |
| Adding walker to prev cast CPT 29440 | not published | not published | $34.63 – $1,162.43 | 31 |
| Adenovirus ag ia CPT 87301 | not published | not published | $6.95 – $21.56 | 35 |
| Adenovirus antibody,serum - quest CPT 86603 | $5.12 | $9.14 | $7.46 – $23.14 | 35 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $12.62 – $30.03 | 35 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,055.61 – $3,373.00 | 9 |
| Adh-sendout CPT 84588 | $94.08 | $168.00 | $19.69 – $61.02 | 35 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $118.50 – $1,267.67 | 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.