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 |
|---|---|---|---|---|
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $94.45 – $421.04 | 31 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $68.25 – $211.55 | 31 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $185.60 – $525.03 | 31 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $187.12 – $1,174.00 | 12 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $79.02 – $328.84 | 31 |
| Dynamic surface emg CPT 96002 | not published | not published | $24.09 – $552.89 | 31 |
| Ear and throat examination CPT 92502 | not published | not published | $109.15 – $688.55 | 31 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $135.44 – $850.49 | 12 |
| Ear cartilage graft CPT 21235 | not published | not published | $848.23 – $3,363.27 | 12 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $13.93 – $7,483.63 | 31 |
| Ear protector evaluation CPT 92596 | not published | not published | $16.05 – $1,158.69 | 31 |
| Ecg 12 lead tracing only CPT 93005 | $80.08 | $143.00 | $11.91 – $215.27 | 32 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $8.16 – $13.86 | 4 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $6.66 – $728.56 | 32 |
| Ecg < 30 days transmission & analysis CPT 93271 | $280.56 | $501.00 | $52.16 – $309.03 | 32 |
| Ecg external < 48 hours recording CPT 93225 | $177.52 | $317.00 | $32.52 – $978.37 | 32 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $554.96 | $991.00 | $33.76 – $978.37 | 32 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $17.06 – $5,939.34 | 32 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $17.06 – $2,465.25 | 32 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,182.88 | $3,898.00 | $163.69 – $935.37 | 32 |
| Echocardiography doppler color flow mapping CPT 93325 | $819.84 | $1,464.00 | $27.27 – $1,137.72 | 10 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,182.88 | $3,898.00 | $1.05 – $757.84 | 9 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $506.80 | $905.00 | $80.78 – $1,191.44 | 32 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,050.56 | $1,876.00 | $21.83 – $478.23 | 9 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $21.65 – $1,137.72 | 10 |
| Echo exam of eye CPT 76516 | not published | not published | $41.14 – $143.78 | 34 |
| Echo exam of eye CPT 76519 | not published | not published | $45.69 – $143.78 | 34 |
| Echo exam of eye CPT 76529 | not published | not published | $40.22 – $153.60 | 34 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $4.77 – $33.11 | 34 |
| Echo exam of fetal heart CPT 76825 | $539.28 | $963.00 | $126.89 – $741.35 | 34 |
| Echo exam of fetal heart CPT 76826 | $408.80 | $730.00 | $81.13 – $350.13 | 34 |
| Echo exam of fetal heart CPT 76827 | $104.72 | $187.00 | $32.96 – $143.78 | 34 |
| Echo exam of fetal heart CPT 76828 | $81.76 | $146.00 | $18.11 – $143.78 | 34 |
| Echo exam uterus 76831- CPT 76831 | $228.48 | $408.00 | $80.78 – $326.83 | 34 |
| Echograp trans r pros study CPT 76873 | not published | not published | $60.43 – $282.35 | 34 |
| Echo guidance radiotherapy CPT 76965 | $474.88 | $848.00 | $24.39 – $72.55 | 12 |
| Echo guide for amniocentesis CPT 76946 | $221.20 | $395.00 | $13.36 – $39.17 | 12 |
| Echo guide for artery repair CPT 76936 | $878.64 | $1,569.00 | $115.90 – $491.40 | 34 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $53.08 – $163.70 | 12 |
| Echo guide for transfusion CPT 76941 | $139.44 | $249.00 | $52.18 – $154.10 | 12 |
| Echo guide villus sampling CPT 76945 | not published | not published | $56.04 – $161.72 | 12 |
| Echo stress CPT 93350 | not published | not published | $148.70 – $1,137.72 | 32 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $50.33 – $903.12 | 32 |
| Echo tee guidance CPT 93355 | $1,285.20 | $2,295.00 | $246.13 – $1,137.72 | 9 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,097.60 | $1,960.00 | $231.35 – $903.12 | 32 |
| Echo transesophageal CPT 93313 | $1,097.60 | $1,960.00 | $22.98 – $903.12 | 32 |
| Echo transesophageal CPT 93314 | not published | not published | $249.72 – $903.12 | 10 |
| Echo transesophageal CPT 93315 | not published | not published | $161.24 – $903.12 | 32 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $127.94 – $903.12 | 32 |
| Echo transthoracic CPT 93303 | not published | not published | $158.45 – $769.72 | 32 |
| Echo transthoracic CPT 93304 | not published | not published | $108.23 – $935.37 | 32 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $877.52 | $1,567.00 | $95.48 – $1,191.44 | 32 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $160.16 – $910.16 | 9 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | not published | not published | $55.13 – $928.92 | 9 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $11,117.68 | $19,853.00 | $55.13 – $14,175.04 | 10 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $1,188.32 | $2,122.00 | $170.48 – $1,515.11 | 10 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $138.68 – $3,263.23 | 9 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $106.77 – $3,249.84 | 9 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $161.04 – $1,863.18 | 9 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $160.16 – $1,667.75 | 9 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $138.68 – $1,863.18 | 9 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $1,649.76 | $2,946.00 | $161.04 – $2,103.44 | 10 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $74.90 – $2,015.75 | 9 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $130.01 – $2,038.52 | 9 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $92.39 – $1,076.17 | 9 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $27.55 – $726.80 | 9 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $74.90 – $1,117.64 | 9 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $915.60 | $1,635.00 | $92.39 – $1,167.39 | 10 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $27.55 – $1,883.25 | 9 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $92.39 – $1,841.75 | 9 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $92.39 – $920.88 | 9 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $106.77 – $726.80 | 9 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $92.39 – $920.88 | 9 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $702.24 | $1,254.00 | $92.39 – $895.36 | 10 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $21.19 – $156.56 | 31 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $7.34 – $21.56 | 35 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $688.65 – $1,881.97 | 12 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | not published | not published | $30.27 – $97.82 | 9 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $12.24 – $421.04 | 31 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $459.20 | $820.00 | $67.82 – $717.42 | 25 |
| Eeg during surgery CPT 95955 | $385.28 | $688.00 | $158.07 – $703.71 | 9 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $311.47 – $1,375.61 | 25 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $208.57 – $717.42 | 31 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $459.20 | $820.00 | $115.90 – $421.04 | 31 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $794.08 | $1,418.00 | $11.13 – $441.03 | 31 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $794.64 | $1,419.00 | $115.90 – $421.04 | 25 |
| Eeg recording awake and asleep CPT 95819 | $459.20 | $820.00 | $32.23 – $427.44 | 31 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $176.96 – $673.92 | 25 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $82.44 – $421.04 | 25 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $301.52 – $1,347.84 | 25 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $301.52 – $717.42 | 25 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $176.96 – $421.04 | 25 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $82.44 – $717.42 | 25 |
| E equine encephalitis igg CPT 86652 | $10.86 | $19.39 | $7.65 – $23.71 | 35 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $274.72 – $1,170.77 | 12 |
| Egd control bleeding any CPT 43255 | not published | not published | $336.33 – $1,003.52 | 12 |
| Egd dilate stricture CPT 43245 | not published | not published | $224.99 – $1,003.52 | 12 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $331.47 – $1,003.52 | 12 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $274.58 – $4,334.78 | 12 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $489.93 – $4,016.33 | 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.