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 |
|---|---|---|---|---|
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $531.39 – $2,393.11 | 12 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $742.30 – $1,513.39 | 12 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $84.00 | $150.00 | $22.26 – $138.90 | 32 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $22.26 – $317.89 | 32 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $239.68 | $428.00 | $147.42 – $655.84 | 32 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $175.84 | $314.00 | $91.09 – $501.52 | 32 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | not published | not published | $22.26 – $146.61 | 32 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $107.52 | $192.00 | $40.44 – $364.19 | 32 |
| Administration immunization 1 vaccine CPT 90471 | $42.00 | $75.00 | $22.26 – $96.23 | 31 |
| Administration immunization each additional component CPT 90461 | not published | not published | $14.15 – $43.11 | 9 |
| Administration immunization each additional vaccine CPT 90472 | $40.32 | $72.00 | $13.40 – $44.97 | 9 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $23.43 – $81.09 | 9 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $22.26 – $96.23 | 31 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $13.02 – $44.97 | 9 |
| Administration vaccine hepatitis b HCPCS G0010 | $24.08 | $43.00 | $22.26 – $36.54 | 10 |
| Administration vaccine influenza virus HCPCS G0008 | $24.08 | $43.00 | $16.24 – $36.54 | 10 |
| Administration vaccine pneumococcal HCPCS G0009 | $24.08 | $43.00 | $16.24 – $36.54 | 10 |
| Adrenal cortex & medulla img CPT 78075 | $978.88 | $1,748.00 | $356.06 – $1,156.15 | 15 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,441.85 – $4,714.16 | 9 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $81.74 – $705.93 | 9 |
| Aep hearing status deter i&r CPT 92651 | $164.08 | $293.00 | $101.50 – $1,562.70 | 31 |
| Aep neurodiagnostic i&r CPT 92653 | $310.24 | $554.00 | $97.30 – $1,130.84 | 31 |
| Aep thrshld est mlt freq i&r CPT 92652 | $310.24 | $554.00 | $133.48 – $1,562.70 | 31 |
| _afb id by dna probe rflx ast CPT 87149 | $49.84 | $89.00 | $11.63 – $36.05 | 35 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $4.24 – $10.17 | 35 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $66.91 – $207.35 | 35 |
| After cataract laser surgery CPT 66821 | not published | not published | $231.64 – $741.76 | 31 |
| Air conduction bilat CPT 92552 | $50.96 | $91.00 | $32.90 – $4,913.04 | 31 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $168.04 – $515.31 | 9 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $85.68 | $153.00 | $33.27 – $393.46 | 31 |
| Albumin body fluid quantitative each specimen CPT 82042 | $10.08 | $18.00 | $4.51 – $10.74 | 35 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $54.32 | $97.00 | $28.11 – $28.11 | 3 |
| Albumin ischemia modified CPT 82045 | not published | not published | $19.69 – $61.02 | 29 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $29.12 | $52.00 | $3.35 – $10.11 | 35 |
| Albumin serum plasma or whole blood CPT 82040 | $8.40 | $15.00 | $0.94 – $8.90 | 29 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $10.02 – $23.83 | 32 |
| Alkaline phosphatase CPT 84075 | $15.85 | $28.30 | $0.94 – $9.30 | 29 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $10.40 – $28.12 | 33 |
| Allergen egg white ige CPT 86003 | $6.72 | $12.00 | $3.03 – $9.38 | 35 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $4.62 – $14.32 | 35 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $13.41 – $152.31 | 31 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $11.16 – $147.86 | 31 |
| Allergy Skin Testing CPT 95004 | not published | not published | $6.05 – $1,375.61 | 31 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $7.04 – $1,375.61 | 31 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $1,509.25 – $9,460.23 | 12 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $152.88 | $273.00 | $149.93 – $149.93 | 1 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $1,377.04 | $2,459.00 | $26.74 – $29.79 | 6 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $126.00 | $225.00 | $41.93 – $41.93 | 1 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $13,434.40 | $23,990.00 | $209.57 – $534.85 | 7 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $1,834.56 | $3,276.00 | $93.90 – $136.53 | 7 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $1,338.40 | $2,390.00 | $348.61 – $348.61 | 1 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $582.40 | $1,040.00 | $314.02 – $505.11 | 7 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $16.05 – $53.07 | 31 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $10.03 – $33.11 | 31 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $37.36 – $115.78 | 35 |
| Alpha-fetoprotein amniotic CPT 82106 | $38.64 | $69.00 | $9.86 – $30.15 | 35 |
| Alpha-fetoprotein tumor marker CPT 82105 | $61.04 | $109.00 | $9.73 – $30.15 | 35 |
| Alt/sgpt CPT 84460 | $8.40 | $15.00 | $0.94 – $9.38 | 29 |
| Aluminum - quest CPT 82108 | $22.40 | $40.00 | $14.78 – $35.16 | 35 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $330.02 – $850.49 | 12 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $184.24 | $329.00 | $52.16 – $257.38 | 31 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $0.01 – $31.21 | 10 |
| Ambl bp mntr w/sw a/r CPT 93788 | $176.96 | $316.00 | $10.03 – $514.71 | 31 |
| Amino acid screen, urine CPT 82128 | $55.44 | $99.00 | $8.04 – $24.91 | 35 |
| Amino acid single qual CPT 82127 | not published | not published | $8.22 – $24.91 | 35 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $11.37 – $27.06 | 35 |
| Aminolevulinic acid delta CPT 82135 | $21.28 | $38.00 | $9.54 – $25.27 | 35 |
| Amitriptyline (elavil) -sendout CPT 80335 | $9.68 | $17.28 | $0.01 – $28.75 | 10 |
| Ammonia CPT 82140 | $39.20 | $70.00 | $8.45 – $26.19 | 35 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $582.40 | $1,040.00 | $88.93 – $1,177.32 | 32 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $131.97 – $411.30 | 31 |
| Amniotic fluid scan CPT 82143 | $6.72 | $12.00 | $5.42 – $12.90 | 35 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $743.14 – $2,011.09 | 12 |
| Amphetamine confirm urine -sendout CPT 80324 | $5.60 | $10.00 | $0.01 – $28.75 | 10 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $0.01 – $15.87 | 8 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $152.53 – $362.93 | 22 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $524.16 – $2,011.09 | 12 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $882.39 – $2,797.45 | 9 |
| Amputate hand at wrist CPT 25922 | not published | not published | $641.33 – $1,811.61 | 12 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $829.45 – $2,513.88 | 12 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $999.44 – $3,106.62 | 9 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $659.84 – $2,346.27 | 12 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $682.89 – $2,346.27 | 12 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $816.76 – $2,412.58 | 12 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $703.57 – $1,485.22 | 12 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $765.47 – $2,346.27 | 12 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $619.17 – $2,011.09 | 12 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $703.81 – $2,346.27 | 12 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $1,129.27 – $3,560.39 | 9 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $808.58 – $2,548.47 | 9 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $818.24 – $4,371.82 | 12 |
| Amputation of lower leg CPT 27882 | not published | not published | $749.65 – $2,328.96 | 9 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $650.76 – $2,085.35 | 9 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $895.41 – $2,412.58 | 12 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $627.93 – $2,011.09 | 12 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $655.17 – $2,011.09 | 12 |
| Amylase CPT 82150 | $16.24 | $29.00 | $3.76 – $11.65 | 35 |
| Ana ds-dna CPT 86226 | $32.48 | $58.00 | $7.02 – $20.97 | 35 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $0.01 – $28.75 | 10 |
| Anal pressure record CPT 91122 | $316.96 | $566.00 | $152.07 – $13,392.40 | 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.