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 |
|---|---|---|---|---|
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $376.08 – $1,530.07 | 12 |
| Incision of tongue fold CPT 41010 | not published | not published | $237.87 – $926.01 | 12 |
| Incision of tongue nerve CPT 64740 | not published | not published | $534.89 – $1,518.63 | 12 |
| Incision of urethra CPT 53000 | not published | not published | $172.14 – $1,688.66 | 12 |
| Incision of urethra CPT 53010 | not published | not published | $339.18 – $2,871.44 | 12 |
| Incision of urethra CPT 53020 | not published | not published | $113.09 – $1,525.27 | 12 |
| Incision of urethra CPT 53025 | not published | not published | $77.32 – $1,111.26 | 12 |
| Incision of windpipe CPT 31601 | not published | not published | $307.64 – $4,087.31 | 12 |
| Incision of windpipe CPT 31610 | not published | not published | $836.91 – $4,087.31 | 12 |
| Incision of wrist capsule CPT 25085 | not published | not published | $530.87 – $2,346.27 | 12 |
| Incision secondary cataract CPT 66820 | not published | not published | $450.26 – $1,613.12 | 12 |
| Incision tendon sheath CPT 26055 | not published | not published | $504.03 – $1,530.07 | 12 |
| Incisn of toe tndn CPT 28010 | $2,954.00 | $5,275.00 | $155.76 – $3,766.35 | 13 |
| Incisn windpipe CPT 31600 | not published | not published | $479.15 – $2,150.73 | 12 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $614.50 – $1,889.94 | 9 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $521.47 – $1,607.51 | 9 |
| Induced abortion d&c CPT 59840 | not published | not published | $265.18 – $1,430.20 | 12 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $476.97 – $1,759.33 | 12 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $40.72 – $96.88 | 22 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $75.60 – $234.28 | 35 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $8.70 – $21.56 | 35 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $8.20 – $21.56 | 35 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $149.32 – $449.08 | 35 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $149.32 – $449.08 | 35 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $74.66 – $231.36 | 35 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $157.92 | $282.00 | $149.32 – $462.73 | 35 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $19.01 – $45.22 | 35 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $16.44 – $48.70 | 35 |
| Infect ag ia optc obs influenza CPT 87804 | $16.80 | $30.00 | $9.60 – $22.84 | 35 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $35.28 | $63.00 | $6.95 – $21.56 | 35 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $10.65 – $25.34 | 35 |
| Infect ag if influenza a CPT 87276 | $35.28 | $63.00 | $9.32 – $22.18 | 35 |
| Infect ag if influenza b CPT 87275 | $35.28 | $63.00 | $7.11 – $21.56 | 35 |
| Infect ag if legionella pneumophila CPT 87278 | $42.56 | $76.00 | $9.05 – $21.56 | 35 |
| Infect ag if nos ea CPT 87299 | not published | not published | $9.34 – $22.22 | 35 |
| Infect ag if pneumocystis carinii CPT 87281 | $42.00 | $75.00 | $6.95 – $21.56 | 35 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $7.78 – $21.56 | 35 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $31.01 – $73.79 | 35 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $20.35 – $63.09 | 35 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $24.85 – $76.99 | 35 |
| Infect ag na hpv high-risk types CPT 87624 | $42.00 | $75.00 | $20.35 – $59.39 | 36 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $98.56 | $176.00 | $55.56 – $152.94 | 35 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $29.76 – $92.23 | 35 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $29.76 – $70.81 | 22 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $495.04 | $884.00 | $241.73 – $668.91 | 35 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $283.42 – $878.27 | 35 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $15.12 – $46.84 | 35 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $24.00 – $57.10 | 32 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $22.40 | $40.00 | $6.95 – $21.56 | 35 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $7.78 – $21.56 | 35 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $9.24 | $16.50 | $8.02 – $21.56 | 35 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $25.20 | $45.00 | $6.95 – $21.56 | 35 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | not published | not published | $8.34 – $25.85 | 35 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $39.20 | $70.00 | $5.99 – $18.56 | 35 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $59.36 | $106.00 | $5.99 – $18.56 | 35 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $16.24 | $29.00 | $13.97 – $33.23 | 35 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $77.82 | $138.97 | $6.95 – $21.56 | 35 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $78.96 | $141.00 | $6.95 – $21.56 | 35 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $6.95 – $21.56 | 35 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $217.84 | $389.00 | $20.35 – $63.09 | 35 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $122.64 | $219.00 | $20.35 – $63.09 | 35 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $62.72 | $112.00 | $21.62 – $63.09 | 35 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $241.73 – $726.14 | 29 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $132.16 | $236.00 | $20.35 – $63.09 | 35 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $45.92 | $82.00 | $20.35 – $63.09 | 35 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $24.17 – $63.09 | 35 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $127.68 | $228.00 | $20.35 – $63.09 | 35 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $77.28 | $138.00 | $22.85 – $89.80 | 39 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $82.73 – $196.83 | 32 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $82.73 – $196.83 | 32 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $45.36 | $81.00 | $20.35 – $63.09 | 35 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $62.72 | $112.00 | $20.35 – $60.75 | 35 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $44.53 – $105.94 | 22 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $241.73 – $668.91 | 35 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $74.41 – $205.90 | 35 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $152.53 – $362.93 | 35 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $75.60 | $135.00 | $24.85 – $76.99 | 35 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $45.64 | $81.50 | $24.85 – $76.99 | 35 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $100.80 | $180.00 | $24.85 – $76.99 | 35 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $199.92 | $357.00 | $49.36 – $152.94 | 35 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $82.73 – $205.90 | 35 |
| Influenza dna amp prob addl CPT 87503 | $27.61 | $49.30 | $16.95 – $40.32 | 35 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $30.00 – $54.82 | 9 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $26.86 – $31.67 | 3 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $3,733.38 – $11,929.93 | 9 |
| Infuse radioactive materials CPT 77750 | not published | not published | $93.12 – $355.57 | 34 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $92.06 – $147.86 | 9 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $130.27 – $717.42 | 31 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $26.27 – $275.01 | 31 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $382.90 – $451.45 | 3 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $145.51 – $171.56 | 3 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $183.82 – $216.73 | 3 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $102.94 – $121.36 | 3 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,650.32 | $2,947.00 | $51.13 – $275.01 | 31 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $837.20 | $1,495.00 | $161.90 – $1,067.43 | 10 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $367.88 – $1,259.52 | 9 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $55.08 – $399.12 | 31 |
| Inj dx for sinogram CPT 20501 | $675.36 | $1,206.00 | $136.17 – $861.08 | 10 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $242.40 – $936.36 | 25 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,041.04 | $1,859.00 | $218.76 – $1,327.33 | 10 |
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.