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 |
|---|---|---|---|---|
| Fusion of foot bones CPT 28740 | not published | not published | $979.38 – $6,914.14 | 12 |
| Fusion of hand joint CPT 26843 | not published | not published | $847.11 – $4,371.82 | 12 |
| Fusion of knuckle CPT 26850 | not published | not published | $791.96 – $4,371.82 | 12 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $765.47 – $2,346.27 | 12 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $962.52 – $2,597.68 | 12 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $962.35 – $2,597.68 | 12 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $909.51 – $2,669.26 | 12 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $792.38 – $1,875.32 | 12 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,180.08 – $2,273.16 | 12 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $820.28 – $2,513.88 | 12 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $755.00 – $2,513.88 | 12 |
| Fusion of thumb CPT 26841 | not published | not published | $834.91 – $4,371.82 | 12 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $818.17 – $7,235.26 | 12 |
| Fusion of toes CPT 28280 | not published | not published | $596.21 – $2,011.09 | 12 |
| G6pc gene CPT 81250 | not published | not published | $33.92 – $111.88 | 29 |
| G6pd full gene sequence CPT 81249 | not published | not published | $348.00 – $828.00 | 27 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $101.39 – $241.24 | 27 |
| G6pd known familial variant CPT 81248 | not published | not published | $217.65 – $517.84 | 27 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $94.64 | $169.00 | $74.17 – $90.00 | 9 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $1.12 | $2.00 | $0.37 – $0.47 | 9 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.56 | $1.00 | $0.17 – $0.22 | 9 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $12.22 – $37.87 | 35 |
| Galactokinase - sendout CPT 82759 | not published | not published | $12.46 – $38.61 | 35 |
| Galactose transferase test CPT 82776 | not published | not published | $6.81 – $16.20 | 35 |
| Galectin-3 CPT 82777 | not published | not published | $19.16 – $61.06 | 29 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $890.32 – $7,483.63 | 12 |
| Gallium illuccix 1 millicure HCPCS A9596 | $1,052.80 | $1,880.00 | $814.92 – $960.82 | 3 |
| Gammaglobulin iga CPT 82784 | $62.72 | $112.00 | $5.39 – $16.71 | 35 |
| Gammaglobulin ige CPT 82785 | $69.44 | $124.00 | $9.55 – $29.59 | 35 |
| Gamma glutamyltransferase CPT 82977 | $11.76 | $21.00 | $0.94 – $12.95 | 29 |
| Gardner vag dna quant CPT 87512 | not published | not published | $24.22 – $75.03 | 35 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $3.89 – $9.81 | 35 |
| Gastric emptying imag study CPT 78265 | not published | not published | $174.97 – $971.15 | 34 |
| Gastric emptying imag study CPT 78266 | not published | not published | $232.16 – $1,086.60 | 34 |
| Gastric motility studies CPT 91020 | not published | not published | $185.80 – $2,042.19 | 31 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $174.97 – $543.31 | 34 |
| Gastrin test CPT 82938 | not published | not published | $10.26 – $26.10 | 35 |
| Gastroesophageal reflux study CPT 78262 | $446.88 | $798.00 | $174.97 – $588.67 | 34 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $163.69 – $2,542.39 | 31 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,596.10 – $5,202.70 | 9 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $392.06 – $1,267.67 | 31 |
| Gated heart multiple CPT 78473 | not published | not published | $174.97 – $618.23 | 34 |
| Gba gene CPT 81251 | $36.40 | $65.00 | $16.13 – $215.88 | 35 |
| General health panel CPT 80050 | not published | not published | $31.04 – $52.78 | 13 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $1,487.35 – $3,173.34 | 5 |
| Genioplasty augmentation CPT 21120 | not published | not published | $788.37 – $4,643.24 | 12 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $850.49 – $2,004.23 | 12 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $850.49 – $2,004.23 | 12 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $730.54 – $3,363.27 | 12 |
| Genome sequence analysis CPT 81425 | not published | not published | $0.01 – $6,520.43 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $35.28 | $63.00 | $9.50 – $22.60 | 35 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $208.57 – $2,542.39 | 31 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $225.03 – $1,232.73 | 31 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,009.44 | $5,374.00 | $281.78 – $3,837.04 | 13 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $8.40 | $15.00 | $5.69 – $13.54 | 35 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $38.08 | $68.00 | $9.92 – $28.89 | 35 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $59.31 – $141.12 | 34 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $47.96 – $291.26 | 31 |
| Ghs antibodies (torch) igm CPT 86694 | $33.04 | $59.00 | $8.35 – $24.75 | 35 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $40.17 – $328.84 | 31 |
| Ghs bladder cath - complex-foley CPT 51703 | not published | not published | $68.25 – $211.55 | 31 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $2.80 – $8.10 | 35 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $82.17 – $936.36 | 31 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $309.47 – $711.66 | 12 |
| Ghs change cysto/gastrost CPT 43762 | not published | not published | $138.21 – $4,016.33 | 31 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $147.42 – $651.22 | 32 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $147.42 – $853.39 | 32 |
| Ghs chemo IV push, ea addtl CPT 96411 | $100.24 | $179.00 | $40.44 – $274.69 | 32 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $42.00 | $75.00 | $20.35 – $63.09 | 35 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $90.65 – $368.28 | 31 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $90.65 – $500.51 | 31 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $547.01 – $842.57 | 12 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $124.92 – $555.93 | 31 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $576.73 – $1,823.94 | 12 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,266.32 | $4,047.00 | $956.89 – $2,889.56 | 13 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $249.76 | $446.00 | $90.65 – $450.85 | 32 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $556.74 – $1,710.28 | 12 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $576.73 – $1,856.13 | 12 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $124.92 – $677.15 | 31 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $124.92 – $432.09 | 31 |
| Ghs community re-entry 15 minutes CPT 97537 | $61.60 | $110.00 | $17.60 – $42.52 | 32 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $47.96 – $539.54 | 31 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $47.96 – $174.28 | 31 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $47.96 – $539.54 | 31 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $47.96 – $4,016.33 | 31 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $131.96 – $572.33 | 31 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $47.38 – $539.54 | 31 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $29.42 – $174.28 | 31 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $8.82 – $23.89 | 35 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $90.65 – $493.28 | 31 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,023.12 | $1,827.00 | $113.46 – $1,304.48 | 32 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $328.72 | $587.00 | $58.41 – $419.12 | 32 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $815.36 | $1,456.00 | $373.50 – $1,039.58 | 32 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $846.16 | $1,511.00 | $38.47 – $211.55 | 25 |
| Ghs electrostagmgraphy CPT 92537 | $315.28 | $563.00 | $9.33 – $211.55 | 31 |
| Ghs elect torsion swing CPT 92546 | $150.08 | $268.00 | $68.25 – $8,068.24 | 31 |
| Ghs elect vertical elct CPT 92547 | $10.64 | $19.00 | $5.53 – $1,649.67 | 9 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $61.98 – $540.20 | 31 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $61.98 – $540.20 | 31 |
| Ghs eye exam CPT 92002 | not published | not published | $53.72 – $63,718.28 | 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.