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 |
|---|---|---|---|---|
| Drainage of mouth lesion CPT 41018 | not published | not published | $362.75 – $926.01 | 12 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $68.01 – $315.44 | 31 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $164.60 – $688.55 | 31 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $818.06 – $2,346.27 | 12 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $730.20 – $2,346.27 | 12 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $512.28 – $2,871.44 | 12 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $521.94 – $1,759.55 | 12 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $685.37 – $1,861.91 | 12 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $306.26 – $1,149.08 | 12 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $668.00 – $1,838.20 | 12 |
| Drainage of salivary gland CPT 42305 | not published | not published | $508.52 – $2,004.23 | 12 |
| Drainage of salivary gland CPT 42320 | not published | not published | $164.60 – $688.55 | 31 |
| Drainage of throat abscess CPT 42725 | not published | not published | $957.45 – $3,363.27 | 12 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $453.79 – $2,871.44 | 12 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $102.49 – $792.38 | 12 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $379.30 – $1,634.20 | 31 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $764.08 – $1,814.55 | 12 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $107.90 – $1,375.61 | 31 |
| Drain blood from under nail 11740 CPT 11740 | $74.48 | $133.00 | $29.42 – $174.28 | 32 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $495.48 – $1,003.60 | 12 |
| Drain cath image guided visceral pq CPT 49405 | $3,387.44 | $6,049.00 | $495.48 – $4,318.99 | 13 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $780.08 | $1,393.00 | $230.25 – $994.60 | 32 |
| Drain chest lesion CPT 21502 | not published | not published | $634.39 – $2,011.09 | 12 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $104.15 – $346.75 | 31 |
| Drain lower leg bursa CPT 27604 | not published | not published | $544.49 – $2,346.27 | 12 |
| Drain lower leg lesion 27603 CPT 27603 | $2,872.24 | $5,129.00 | $621.22 – $3,662.11 | 13 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $522.66 – $1,507.67 | 12 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,405.74 – $4,370.14 | 9 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $481.83 – $2,052.57 | 12 |
| Drain ovary abscess open CPT 58820 | not published | not published | $372.47 – $2,052.57 | 12 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,284.68 – $4,222.93 | 9 |
| Drain penis lesion CPT 54015 | not published | not published | $357.82 – $1,134.63 | 12 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $765.47 – $1,660.65 | 12 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $470.97 – $1,356.91 | 12 |
| Drain shoulder lesion CPT 23030 | not published | not published | $499.29 – $1,701.89 | 12 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $743.91 – $1,701.89 | 12 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $188.65 – $926.01 | 12 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $886.72 – $2,864.35 | 9 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $248.08 | $443.00 | $112.91 – $316.30 | 32 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $166.32 | $297.00 | $61.98 – $268.66 | 32 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $284.48 | $508.00 | $118.64 – $540.20 | 32 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $47.96 – $827.65 | 31 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $2,099.44 | $3,749.00 | $75.51 – $1,300.86 | 7 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $1,122.07 – $3,542.97 | 9 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,503.60 | $2,685.00 | $402.56 – $1,917.09 | 10 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $921.15 – $2,972.79 | 9 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $502.36 – $2,011.09 | 12 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $137.30 – $404.19 | 31 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,436.40 | $2,565.00 | $441.08 – $1,831.41 | 13 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $79.02 – $951.32 | 31 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $289.39 – $688.55 | 31 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $378.64 – $1,759.33 | 12 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $576.06 – $2,011.09 | 12 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $488.27 – $2,011.09 | 12 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $493.83 – $1,378.92 | 12 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $390.63 – $1,551.66 | 12 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $250.70 – $860.22 | 12 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,314.14 – $4,256.39 | 9 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,194.59 – $3,870.90 | 9 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $897.10 – $2,652.90 | 9 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,894.65 – $6,169.09 | 9 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $245.73 – $926.01 | 12 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $164.60 – $688.55 | 31 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $15.12 | $27.00 | $13.90 – $13.90 | 1 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $21.84 | $39.00 | $11.15 – $20.25 | 7 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $1,853.60 | $3,310.00 | $74.90 – $2,381.77 | 7 |
| Drug admin & hemodynmic meas CPT 93463 | $394.80 | $705.00 | $128.53 – $503.37 | 10 |
| Drug assay caffeine CPT 80155 | not published | not published | $13.01 – $53.23 | 35 |
| Drug assay posaconazole CPT 80187 | not published | not published | $15.72 – $37.41 | 26 |
| Drug assay rufinamide CPT 80210 | not published | not published | $15.72 – $37.41 | 32 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $22.37 – $53.23 | 26 |
| Drug assay voriconazole CPT 80285 | not published | not published | $15.72 – $37.41 | 26 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $10.81 – $25.72 | 26 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $7.31 – $17.39 | 35 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $15.72 – $37.41 | 35 |
| Drug test def 1-7 classes HCPCS G0480 | $147.28 | $263.00 | $55.57 – $110.70 | 12 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $9.94 – $23.65 | 35 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $80.08 | $143.00 | $36.04 – $85.75 | 35 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $7.83 – $24.81 | 35 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $659.33 – $2,152.48 | 12 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $462.29 – $545.06 | 3 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $196.83 – $540.20 | 31 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $118.64 – $540.20 | 31 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $118.64 – $827.65 | 31 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $118.64 – $827.65 | 31 |
| Ductogram sgl duct CPT 77053 | $654.08 | $1,168.00 | $38.83 – $326.83 | 35 |
| Duodenal motility study CPT 91022 | not published | not published | $116.09 – $13,613.21 | 31 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $137.36 – $3,006.99 | 32 |
| Duplex scan unilateral study 93986 CPT 93986 | $417.20 | $745.00 | $60.43 – $3,006.99 | 32 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $417.20 | $745.00 | $48.43 – $3,006.99 | 32 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $955.92 | $1,707.00 | $68.25 – $231.89 | 32 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,069.04 | $1,909.00 | $80.78 – $326.83 | 26 |
| Dxa bone density axl vrt fx CPT 77085 | $310.24 | $554.00 | $34.96 – $143.78 | 34 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $88.91 – $211.55 | 22 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $379.96 – $956.70 | 12 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $357.84 – $953.41 | 12 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $360.92 – $1,095.74 | 12 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $47.96 – $1,214.33 | 31 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $52.96 – $1,267.67 | 31 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $368.43 – $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.