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 |
|---|---|---|---|---|
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $11.16 – $20.25 | 9 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $88.91 – $211.55 | 25 |
| Device ablt adv novasure HCPCS C1886 | $3,179.68 | $5,678.00 | $95.45 – $95.45 | 6 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $1,640.80 | $2,930.00 | $10.57 – $10.57 | 6 |
| Device tiss remov myosure reach HCPCS C1782 | $1,067.92 | $1,907.00 | $10.53 – $10.53 | 6 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $69.44 – $81.88 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $313.04 | $559.00 | $16.29 – $119.05 | 34 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $65.52 | $117.00 | $12.89 – $39.96 | 35 |
| Diabetes (HbA1c) Test CPT 83036 | $29.68 | $53.00 | $5.63 – $17.46 | 35 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $203.52 – $939.20 | 12 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $389.06 – $2,986.32 | 12 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $29.42 – $539.54 | 31 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $212.55 – $912.91 | 12 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $47.96 – $174.28 | 31 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $58.89 – $319.52 | 12 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $40.78 – $249.93 | 12 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $74.33 – $262.49 | 31 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $74.33 – $262.49 | 31 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $281.68 | $503.00 | $57.36 – $319.52 | 35 |
| Diagnostic Mammogram (one breast) CPT 77065 | $206.08 | $368.00 | $45.05 – $249.93 | 35 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $31.98 – $312.52 | 25 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $31,106.88 | $55,548.00 | $2,134.25 – $39,661.27 | 10 |
| Dialysis one evaluation CPT 90945 | not published | not published | $94.08 – $575.75 | 26 |
| Diathermy eg microwave CPT 97024 | not published | not published | $3.91 – $9.60 | 32 |
| Diffusing capacity CPT 94729 | $103.60 | $185.00 | $50.14 – $393.46 | 9 |
| Digital analysis of eeg CPT 95957 | not published | not published | $106.73 – $372.84 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $38.08 | $68.00 | $7.70 – $23.85 | 35 |
| Dilate biliary duct/ampulla CPT 47542 | $3,437.28 | $6,138.00 | $571.73 – $4,382.53 | 10 |
| Dilate esophagus CPT 43453 | not published | not published | $339.78 – $1,003.52 | 12 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $182.47 – $1,267.67 | 31 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $497.45 – $586.51 | 3 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $249.06 – $293.65 | 3 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $707.59 – $834.27 | 3 |
| Dilate tear duct opening CPT 68801 | not published | not published | $47.96 – $539.54 | 31 |
| Dilate urethra stricture CPT 53600 | not published | not published | $46.95 – $328.84 | 31 |
| Dilate urethra stricture CPT 53601 | not published | not published | $47.96 – $174.28 | 31 |
| Dilate urethra stricture CPT 53605 | not published | not published | $74.64 – $1,307.38 | 12 |
| Dilate urethra stricture CPT 53621 | not published | not published | $73.14 – $328.84 | 31 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $55.08 – $211.55 | 31 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $196.93 – $1,149.08 | 12 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $38.38 – $978.98 | 12 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $228.93 – $1,149.08 | 12 |
| Dilation of salivary duct CPT 42660 | not published | not published | $100.67 – $688.55 | 31 |
| Dilation of urethra CPT 53661 | not published | not published | $47.96 – $174.28 | 31 |
| Dilation of urethra CPT 53665 | not published | not published | $45.01 – $1,307.38 | 12 |
| Dilation of vagina CPT 57400 | not published | not published | $160.09 – $1,759.33 | 12 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $68.62 – $362.75 | 12 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $69.08 – $902.48 | 31 |
| Dilat xst trc ndurlgc px CPT 50436 | $2,508.80 | $4,480.00 | $179.93 – $3,198.72 | 10 |
| Dilat xst trc new access rcs CPT 50437 | $4,220.72 | $7,537.00 | $300.23 – $5,381.42 | 10 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $58.14 – $101.68 | 9 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $16.05 – $53.07 | 25 |
| Disability dlco CPT 94727 | $85.68 | $153.00 | $33.27 – $510.26 | 31 |
| Disaccharidases CPT 82657 | $21.84 | $39.00 | $12.86 – $30.59 | 35 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $507.29 – $1,644.35 | 12 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,826.88 – $5,809.03 | 9 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $237.11 – $758.92 | 9 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $52.52 – $1,430.10 | 15 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $132.06 – $155.71 | 3 |
| Dissolve clot heart vessel CPT 92975 | not published | not published | $167.30 – $580.38 | 9 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $1,473.92 – $3,882.83 | 12 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $943.17 – $3,363.27 | 12 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $393.71 – $1,248.80 | 9 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.01 – $31.21 | 10 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $369.81 – $1,159.12 | 9 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $141.12 – $385.02 | 34 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $79.46 – $189.06 | 32 |
| Dna antibody native/double stranded CPT 86225 | $63.28 | $113.00 | $7.97 – $20.93 | 35 |
| Dna gardnerella CPT 87510 | $25.20 | $45.00 | $11.63 – $36.05 | 35 |
| Dna probe chlamydia CPT 87490 | $49.84 | $89.00 | $13.20 – $36.05 | 35 |
| Dna probe gc CPT 87590 | $49.84 | $89.00 | $15.59 – $37.09 | 35 |
| Dna trichomonas CPT 87660 | $25.20 | $45.00 | $11.63 – $36.05 | 35 |
| Doppler echo complete CPT 93320 | $487.76 | $871.00 | $39.26 – $903.12 | 10 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,092.32 | $5,522.00 | $193.88 – $3,942.71 | 10 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $801.36 | $1,431.00 | $68.25 – $211.55 | 26 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $413.28 | $738.00 | $47.96 – $174.28 | 26 |
| Dornhoffer fixed part w/window HCPCS L8614 | $19,600.00 | $35,000.00 | $19,558.02 – $23,059.67 | 3 |
| Dpyd gene common variants CPT 81232 | not published | not published | $101.39 – $241.24 | 27 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $120.07 – $951.32 | 31 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $120.07 – $951.32 | 31 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $163.89 – $743.91 | 12 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $120.07 – $951.32 | 31 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $322.10 – $1,075.27 | 12 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $545.74 – $1,356.91 | 12 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $131.96 – $313.98 | 31 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $323.85 – $1,075.27 | 12 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $471.32 – $1,701.89 | 12 |
| Drainage of eye CPT 65800 | not published | not published | $170.41 – $1,613.12 | 12 |
| Drainage of eye CPT 65810 | not published | not published | $531.58 – $1,881.97 | 12 |
| Drainage of eye CPT 65815 | not published | not published | $730.19 – $1,949.19 | 12 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $427.53 – $1,560.00 | 12 |
| Drainage of kidney lesion CPT 50390 | $797.44 | $1,424.00 | $112.70 – $1,016.74 | 32 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $131.96 – $313.98 | 31 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $362.75 – $1,080.32 | 12 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $362.75 – $1,080.32 | 12 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $430.88 – $1,551.66 | 12 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $164.60 – $688.55 | 31 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $164.60 – $688.55 | 31 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $501.66 – $3,363.27 | 12 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $503.91 – $1,551.66 | 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.