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 |
|---|---|---|---|---|
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,185.25 – $3,742.40 | 9 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,267.24 – $3,988.68 | 9 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,092.97 – $3,423.85 | 9 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $357.65 – $1,068.11 | 9 |
| Hysterosalpingography s&i CPT 74740 | $328.72 | $587.00 | $55.99 – $326.83 | 34 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $1,925.27 – $3,236.63 | 12 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $445.37 – $2,042.77 | 12 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $336.92 – $2,052.57 | 12 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $414.72 – $2,964.35 | 12 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $464.25 – $1,759.33 | 12 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $661.16 – $3,458.41 | 12 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $467.55 – $3,458.41 | 12 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $978.98 – $1,495.44 | 12 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $154.43 – $277.94 | 9 |
| I-123 ioflupane diag HCPCS A9584 | $2,096.64 | $3,744.00 | $1,267.53 – $3,391.03 | 8 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $81.20 | $145.00 | $73.93 – $135.66 | 9 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $1,485.12 | $2,652.00 | $1,015.57 – $1,539.48 | 9 |
| I131 iodide cap, rx HCPCS A9517 | $161.84 | $289.00 | $21.41 – $57.83 | 12 |
| Iaadi respiratory synctial virus CPT 87280 | $78.96 | $141.00 | $7.78 – $21.56 | 35 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $84.00 | $150.00 | $20.35 – $63.09 | 35 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $10.49 – $24.96 | 35 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $17.41 – $62.49 | 32 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $31,147.76 | $55,621.00 | $20.03 – $20.03 | 6 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $115.90 – $1,590.10 | 31 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $15.29 – $53.07 | 31 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $8.91 – $80.32 | 31 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $5.91 – $33.11 | 31 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $1,110.42 – $3,632.66 | 9 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $536.51 – $1,551.66 | 12 |
| I&d/bursa/foot 28001 CPT 28001 | $1,911.84 | $3,414.00 | $223.92 – $2,437.60 | 13 |
| Identify sperm tissue CPT 89264 | not published | not published | $17.08 – $299.84 | 33 |
| Idet 1 or more levels CPT 22527 | not published | not published | $2,039.99 – $2,405.23 | 3 |
| Idet single level CPT 22526 | not published | not published | $2,505.03 – $2,953.53 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $603.80 – $2,011.09 | 12 |
| Idh1 common variants CPT 81120 | $216.72 | $387.00 | $112.09 – $266.69 | 33 |
| Idh2 common variants CPT 81121 | $331.52 | $592.00 | $171.56 – $408.19 | 33 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $502.53 – $1,838.20 | 12 |
| I&d lacrimal gland CPT 68400 | not published | not published | $276.74 – $1,309.56 | 31 |
| I&d lacrimal sac CPT 68420 | not published | not published | $293.89 – $737.01 | 12 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $407.32 – $1,271.57 | 12 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $373.19 – $1,701.89 | 12 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $200.70 – $743.91 | 12 |
| Ifnl3 gene CPT 81283 | not published | not published | $42.55 – $101.25 | 27 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $120.24 – $286.09 | 32 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $39.76 – $94.60 | 35 |
| Igh gene rearrange amp meth CPT 81261 | $221.76 | $396.00 | $114.83 – $342.76 | 35 |
| Igh@ var region somatic mutation analy CPT 81263 | $329.84 | $589.00 | $170.82 – $509.87 | 35 |
| Igk rearrangeabn clonal pop CPT 81264 | $84.00 | $150.00 | $100.18 – $258.52 | 35 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $122.64 | $219.00 | $38.90 – $94.36 | 14 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $100.80 | $180.00 | $65.27 – $1,819.60 | 35 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $133.28 | $238.00 | $64.12 – $231.70 | 36 |
| Ikbkap gene CPT 81260 | $36.40 | $65.00 | $16.13 – $113.93 | 29 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,243.42 – $4,050.24 | 9 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,905.12 | $3,402.00 | $11.44 – $26.05 | 9 |
| Iliac revasc add-on 37222 CPT 37222 | $8,810.48 | $15,733.00 | $1,064.13 – $11,233.36 | 10 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,108.96 – $3,434.55 | 9 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $13.77 – $80.32 | 31 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $15.29 – $22,457.45 | 31 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $33.76 – $6,833.41 | 31 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $59.92 | $107.00 | $82.92 – $97.77 | 3 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,132.29 – $4,062.92 | 12 |
| Immune complex assay CPT 86332 | $50.96 | $91.00 | $14.13 – $33.63 | 35 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $70.50 – $135.97 | 9 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $52.08 | $93.00 | $12.07 – $37.41 | 35 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $53.20 | $95.00 | $12.07 – $37.41 | 35 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $14.83 – $35.29 | 35 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $15.68 | $28.00 | $6.95 – $21.55 | 35 |
| Immunodiffusion nes CPT 86329 | not published | not published | $8.15 – $20.93 | 35 |
| Immunofixation electrophoresis serum CPT 86334 | $71.12 | $127.00 | $12.96 – $42.51 | 35 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $124.39 | $222.12 | $42.09 – $117.61 | 13 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $233.52 | $417.00 | $55.99 – $231.70 | 35 |
| Immunoglobulin assay CPT 86023 | $30.94 | $55.25 | $7.23 – $22.38 | 35 |
| Immunology procedure CPT 86849 | $36.40 | $65.00 | $9.49 – $1,162.44 | 10 |
| Impedence cardiogram CPT 93701 | not published | not published | $19.28 – $174.28 | 25 |
| Implant biventricular device 33976 CPT 33976 | $5,868.24 | $10,479.00 | $2,039.45 – $7,482.01 | 10 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $2,016.00 | $3,600.00 | $485.22 – $572.09 | 3 |
| Implant cochlear device CPT 69930 | not published | not published | $1,448.42 – $51,533.13 | 12 |
| Implant cochlear osia osi300 HCPCS L8690 | $5,314.40 | $9,490.00 | $4,751.84 – $5,602.61 | 3 |
| Implant eye drug system CPT 67027 | not published | not published | $1,002.08 – $4,943.57 | 12 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $47.96 – $539.54 | 31 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,882.17 – $5,902.73 | 9 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,877.32 – $8,967.86 | 9 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $1,016.52 – $23,970.97 | 12 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $251.91 – $8,739.53 | 12 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $225.20 – $7,509.59 | 12 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $1,003.50 – $8,563.37 | 12 |
| Implant neurostim arrays CPT 61886 | not published | not published | $1,038.57 – $32,135.25 | 12 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $323.12 – $1,038.66 | 9 |
| Implant single ventricular device 33975 CPT 33975 | $4,814.32 | $8,597.00 | $1,657.10 – $6,138.26 | 10 |
| Implant spinal canal cath CPT 62351 | not published | not published | $1,063.98 – $5,166.41 | 12 |
| Implant spine infusion pump CPT 62361 | not published | not published | $413.57 – $24,794.29 | 12 |
| Implant spine infusion pump CPT 62362 | not published | not published | $460.99 – $24,835.56 | 12 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,494.56 – $5,088.93 | 9 |
| Implant ureth bulk agent HCPCS L8606 | $1,288.00 | $2,300.00 | $50.09 – $241.88 | 9 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $488.62 – $7,245.12 | 12 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $257.91 – $6,546.46 | 9 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $469.82 – $4,150.72 | 12 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $701.78 – $827.43 | 3 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $1,266.14 – $15,173.16 | 12 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $111.21 – $345.32 | 9 |
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.