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 |
|---|---|---|---|---|
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $48.76 – $405.51 | 32 |
| Csf ventriculography CPT 78635 | not published | not published | $232.16 – $865.30 | 34 |
| CT 3d report other modality w/workstation CPT 76377 | $154.00 | $275.00 | $31.52 – $96.97 | 12 |
| Cta abdomen without & /or w/contrast CPT 74175 | $924.56 | $1,651.00 | $101.16 – $515.80 | 34 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $990.08 | $1,768.00 | $101.16 – $643.71 | 34 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,550.08 | $2,768.00 | $101.16 – $516.98 | 34 |
| Cta neck without &/or w/contrast CPT 70498 | $911.68 | $1,628.00 | $101.16 – $516.90 | 34 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,823.36 | $3,256.00 | $182.90 – $900.55 | 34 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $964.88 | $1,723.00 | $101.16 – $516.90 | 34 |
| CT Angiogram of the Head CPT 70496 | $1,498.56 | $2,676.00 | $101.16 – $516.90 | 34 |
| CT angio hrt w/3d image CPT 75574 | $445.76 | $796.00 | $124.59 – $553.56 | 34 |
| CT angio pelvis CPT 72191 | $898.80 | $1,605.00 | $101.16 – $515.80 | 34 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,550.08 | $2,768.00 | $101.16 – $516.98 | 34 |
| CT bone density axial CPT 77078 | not published | not published | $31.98 – $234.22 | 34 |
| CT colonography dx CPT 74261 | not published | not published | $59.17 – $694.46 | 34 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $101.16 – $802.64 | 34 |
| CT colonography screening CPT 74263 | not published | not published | $137.36 – $1,911.67 | 28 |
| CT guidance for needle placement CPT 77012 | $461.44 | $824.00 | $67.12 – $227.15 | 12 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $623.28 | $1,113.00 | $62.84 – $186.80 | 12 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $8.08 – $324.34 | 31 |
| CT guid parench tis ablat CPT 77013 | $651.28 | $1,163.00 | $326.70 – $967.45 | 12 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $55.44 | $99.00 | $6.68 – $228.18 | 28 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $124.59 – $516.98 | 34 |
| CT hrt w/3d image CPT 75572 | $436.24 | $779.00 | $124.59 – $516.90 | 34 |
| CT limited or localized follow-up study CPT 76380 | $276.64 | $494.00 | $31.98 – $234.22 | 34 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,471.68 | $2,628.00 | $101.16 – $368.45 | 34 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,302.00 | $2,325.00 | $59.17 – $269.55 | 34 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,962.24 | $3,504.00 | $101.16 – $450.20 | 34 |
| CT neck soft tissue w/contrast CPT 70491 | $847.28 | $1,513.00 | $101.16 – $395.70 | 34 |
| CT neck soft tissue without contrast CPT 70490 | $756.56 | $1,351.00 | $59.17 – $295.80 | 34 |
| CT neck soft tissue without & w/contrast CPT 70492 | $911.68 | $1,628.00 | $101.16 – $484.52 | 34 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $808.08 | $1,443.00 | $101.16 – $503.77 | 34 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $781.76 | $1,396.00 | $101.16 – $419.93 | 34 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $716.24 | $1,279.00 | $59.17 – $322.02 | 34 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $68.01 – $381.90 | 31 |
| CT scan for therapy guide CPT 77014 | $224.00 | $400.00 | $74.95 – $234.22 | 12 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,927.52 | $3,442.00 | $182.90 – $815.63 | 34 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,784.16 | $3,186.00 | $182.90 – $721.77 | 34 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,640.80 | $2,930.00 | $100.98 – $332.13 | 34 |
| CT thoracic spine w/contrast CPT 72129 | $645.12 | $1,152.00 | $101.16 – $369.48 | 34 |
| CT thoracic spine without contrast CPT 72128 | $607.04 | $1,084.00 | $59.17 – $270.55 | 34 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $182.56 | $326.00 | $60.43 – $282.68 | 32 |
| CT t-spine w /wo contrast CPT 72130 | $865.76 | $1,546.00 | $101.16 – $457.27 | 34 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,393.84 | $2,489.00 | $164.67 – $488.55 | 34 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,302.00 | $2,325.00 | $59.17 – $314.98 | 34 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,601.60 | $2,860.00 | $101.16 – $516.90 | 34 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $53.76 – $1,317.22 | 35 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $97.38 – $1,370.24 | 35 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $742.30 – $2,233.26 | 12 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $820.74 – $2,233.26 | 12 |
| Culture aerobic additional method definitive id each CPT 87077 | $42.00 | $75.00 | $4.69 – $14.53 | 35 |
| Culture afb any source CPT 87116 | $73.36 | $131.00 | $6.26 – $19.41 | 35 |
| Culture anaerobic additional method definitive id each CPT 87076 | $68.88 | $123.00 | $4.69 – $14.53 | 35 |
| Culture anaerobic except blood CPT 87075 | $55.44 | $99.00 | $5.49 – $17.01 | 35 |
| Culture bact stool aero addl path ea CPT 87046 | $19.60 | $35.00 | $5.48 – $16.96 | 35 |
| Culture body fluid CPT 87070 | $70.00 | $125.00 | $5.00 – $15.48 | 35 |
| Culture fungi definitive id mold CPT 87107 | $84.00 | $150.00 | $5.99 – $18.55 | 35 |
| Culture fungi definitive id yeast CPT 87106 | $56.56 | $101.00 | $5.99 – $18.55 | 35 |
| Culture fungi other (except blood) CPT 87102 | $51.52 | $92.00 | $4.88 – $11.61 | 35 |
| Culture fungi skin/hair/nail CPT 87101 | $45.36 | $81.00 | $4.47 – $10.64 | 35 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $8.47 – $20.16 | 35 |
| Culture mycoplasma any source CPT 87109 | $70.00 | $125.00 | $8.93 – $25.27 | 35 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $5.74 – $16.96 | 35 |
| Culture screening strep group a CPT 87081 | $49.84 | $89.00 | $3.85 – $9.15 | 35 |
| Culture typing added method CPT 87158 | not published | not published | $4.49 – $10.68 | 35 |
| Culture typing immunologic CPT 87147 | $22.96 | $41.00 | $3.00 – $9.30 | 35 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $126.47 – $300.92 | 26 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $20.35 – $63.09 | 35 |
| Culture urine each isolate CPT 87088 | $29.68 | $53.00 | $4.69 – $14.55 | 35 |
| Culture virus isolation CPT 87250 | not published | not published | $11.34 – $35.15 | 35 |
| Curette/treat cornea CPT 65435 | not published | not published | $57.79 – $1,309.56 | 31 |
| Curette/treat cornea CPT 65436 | not published | not published | $261.84 – $737.01 | 12 |
| Cv line/pic reposition CPT 36597 | not published | not published | $141.44 – $861.66 | 12 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $16.77 – $28.96 | 4 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $24.64 – $43.48 | 4 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $22.96 | $41.00 | $8.31 – $25.73 | 35 |
| Cyclic citrullinated peptide antibody CPT 86200 | $9.52 | $17.00 | $7.51 – $23.27 | 35 |
| Cyclosporine 2 hour CPT 80158 | $41.44 | $74.00 | $10.47 – $24.91 | 35 |
| Cyp2c19 gene com variants CPT 81225 | $326.48 | $583.00 | $168.99 – $402.08 | 35 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $101.39 – $241.24 | 29 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $261.53 – $622.26 | 35 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $101.39 – $241.24 | 27 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $101.39 – $241.24 | 27 |
| Cystatin c CPT 82610 | not published | not published | $10.74 – $25.56 | 35 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $289.42 – $1,186.49 | 35 |
| Cystine urine quantitative CPT 82131 | not published | not published | $13.33 – $31.71 | 35 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $556.20 – $1,861.91 | 12 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $434.56 | $776.00 | $21.90 – $482.88 | 34 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $228.53 – $902.48 | 31 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,050.08 – $3,462.66 | 9 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $883.64 – $3,447.21 | 12 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $543.00 – $2,273.16 | 12 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $282.71 – $2,871.44 | 12 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $715.33 – $1,875.32 | 12 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $756.55 – $1,875.32 | 12 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $286.17 – $2,273.16 | 12 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $335.97 – $2,273.16 | 12 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $587.45 – $2,871.44 | 12 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $245.02 – $1,525.27 | 12 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $321.89 – $792.38 | 12 |
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.