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 |
|---|---|---|---|---|
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $49.67 – $399.12 | 31 |
| Injection during cath supravalvular aortography CPT 93567 | $2,461.76 | $4,396.00 | $161.94 – $3,138.74 | 10 |
| Injection epidural blood patch or clot CPT 62273 | $883.12 | $1,577.00 | $196.10 – $1,125.98 | 32 |
| Injection eye drug CPT 67028 | not published | not published | $60.49 – $448.47 | 31 |
| Injection for arthrography wrist (both sides) CPT 25246 | $873.60 | $1,560.00 | $185.40 – $1,113.84 | 10 |
| Injection for bladder x-ray CPT 51600 | $710.08 | $1,268.00 | $214.03 – $905.35 | 10 |
| Injection for hip x-ray CPT 27095 | not published | not published | $270.87 – $1,472.53 | 9 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $658.56 | $1,176.00 | $165.13 – $839.66 | 10 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $178.94 – $524.69 | 9 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $66.83 – $234.23 | 9 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $143.29 – $405.57 | 9 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $110.79 – $377.45 | 9 |
| Injection into brain canal CPT 61026 | not published | not published | $117.70 – $936.36 | 31 |
| Injection into brain canal CPT 61055 | not published | not published | $158.24 – $526.10 | 31 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $167.49 – $1,232.73 | 31 |
| Injection into spinal artery CPT 62294 | not published | not published | $307.80 – $1,203.76 | 31 |
| Injection into vocal cord CPT 31513 | not published | not published | $156.53 – $717.53 | 31 |
| Injection jugular CPT 36299 | not published | not published | $137.21 – $5,104.93 | 9 |
| Injection of sinus tract CPT 20500 | not published | not published | $69.08 – $362.75 | 12 |
| Injection px peyronie ds CPT 54200 | not published | not published | $82.62 – $328.84 | 31 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $47.27 – $543.31 | 31 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,023.68 | $1,828.00 | $307.80 – $627.29 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $680.40 | $1,215.00 | $79.44 – $936.36 | 32 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $372.96 | $666.00 | $65.46 – $936.36 | 32 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $271.03 – $3,101.09 | 31 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $111.45 – $354.71 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $228.35 – $1,203.76 | 31 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $101.23 – $326.58 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $203.37 – $1,203.76 | 31 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $973.84 | $1,739.00 | $276.16 – $1,241.65 | 32 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $973.84 | $1,739.00 | $270.33 – $1,241.65 | 32 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $372.96 | $666.00 | $29.80 – $475.52 | 32 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $37.93 – $399.12 | 31 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $44.23 – $399.12 | 31 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $108.64 | $194.00 | $22.26 – $75.60 | 31 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $93.52 | $167.00 | $11.88 – $35.22 | 9 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $108.64 | $194.00 | $48.60 – $284.87 | 31 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $47.60 | $85.00 | $19.76 – $96.23 | 31 |
| Injection treatment of eye CPT 66020 | not published | not published | $200.64 – $1,613.12 | 12 |
| Injection treatment of eye CPT 66030 | not published | not published | $184.68 – $1,613.12 | 12 |
| Injection treatment of nerve CPT 64605 | not published | not published | $659.03 – $1,518.63 | 12 |
| Injection treatment of nerve CPT 64610 | not published | not published | $732.49 – $1,518.63 | 12 |
| Injection treatment of nerve CPT 64681 | not published | not published | $427.18 – $1,203.76 | 31 |
| Injection treatment of nose CPT 30200 | not published | not published | $103.83 – $688.55 | 31 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $192.59 – $605.01 | 9 |
| Inject/treat eye socket CPT 67500 | not published | not published | $92.70 – $404.19 | 31 |
| Inject/treat eye socket CPT 67505 | not published | not published | $51.92 – $404.19 | 31 |
| Inject/treat eye socket CPT 67515 | not published | not published | $56.43 – $404.19 | 31 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $187.13 – $5,104.93 | 31 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $173.98 – $7,483.63 | 31 |
| Inj for ext venography CPT 36005 | $3,021.20 | $5,395.00 | $129.17 – $1,924.23 | 10 |
| Inj for mammo ductogram CPT 19030 | $790.72 | $1,412.00 | $79.88 – $1,008.17 | 11 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,461.76 | $4,396.00 | $181.44 – $3,138.74 | 10 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $63.57 – $226.48 | 9 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $65.37 – $1,259.59 | 9 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $49.51 – $1,259.59 | 9 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $1,942.08 | $3,468.00 | $200.17 – $2,476.15 | 10 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $333.62 – $1,203.76 | 31 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $61.98 – $268.66 | 31 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $61.98 – $268.66 | 31 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,954.96 | $3,491.00 | $178.28 – $2,492.57 | 32 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,410.65 – $2,152.41 | 9 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,410.65 – $2,056.89 | 9 |
| Inj peritoneal venous shunt CPT 49427 | $454.72 | $812.00 | $52.70 – $579.77 | 10 |
| Inj proc ankle arthr CPT 27648 | $686.56 | $1,226.00 | $184.08 – $875.36 | 10 |
| Inj proc elbow arthro CPT 24220 | $878.08 | $1,568.00 | $180.70 – $1,119.55 | 10 |
| Inj proc for lymphang CPT 38790 | $382.48 | $683.00 | $99.47 – $487.66 | 10 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $387.48 – $1,252.82 | 9 |
| Inj proc myelogram lumbar CPT 62284 | $1,569.12 | $2,802.00 | $227.40 – $2,000.63 | 10 |
| Inj proc sialogram CPT 42550 | not published | not published | $154.92 – $3,442.57 | 9 |
| Inj retro urethrocysto CPT 51610 | not published | not published | $123.53 – $4,016.33 | 9 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $118.64 – $540.20 | 31 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $118.64 – $540.20 | 31 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $61.98 – $540.20 | 31 |
| Inj w/fluor eval cv device CPT 36598 | $227.36 | $406.00 | $105.09 – $289.88 | 32 |
| Ins cath ren art 1st bi CPT 36252 | $9,943.92 | $17,757.00 | $1,430.10 – $12,678.50 | 13 |
| Ins cath ren art 1st uni CPT 36251 | $5,225.36 | $9,331.00 | $1,430.10 – $6,662.33 | 13 |
| Ins cath ren art 2nd+ bi CPT 36254 | $11,161.92 | $19,932.00 | $1,430.10 – $14,231.45 | 13 |
| Ins cath ren art 2nd+ uni CPT 36253 | $7,185.36 | $12,831.00 | $1,430.10 – $9,161.33 | 13 |
| Ins cerv dilator (sep proc) CPT 59200 | not published | not published | $54.34 – $4,016.33 | 31 |
| Insemination of oocytes CPT 89268 | not published | not published | $53.76 – $369.44 | 33 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $905.92 – $2,790.75 | 9 |
| Insert and remove bone pin CPT 20650 | not published | not published | $227.19 – $2,346.27 | 12 |
| Insert ant drainage device CPT 66183 | not published | not published | $1,231.83 – $3,366.84 | 12 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $620.81 – $3,113.03 | 12 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $186.65 – $3,498.99 | 12 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $194.59 – $3,498.99 | 12 |
| Insert cath pleura with image CPT 32557 | $1,098.72 | $1,962.00 | $253.97 – $1,400.87 | 13 |
| Insert cath pleura without image CPT 32556 | not published | not published | $635.28 – $1,003.52 | 12 |
| Insert drug delivery implant CPT 11981 | not published | not published | $47.96 – $184.00 | 31 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $1,009.73 – $3,124.03 | 9 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $971.81 – $3,010.25 | 9 |
| Insert eye socket implant CPT 67550 | not published | not published | $1,142.94 – $2,840.53 | 12 |
| Insert hepatic shunt (tips) CPT 37182 | not published | not published | $986.62 – $3,224.42 | 9 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $513.05 – $1,759.33 | 12 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $416.23 – $1,323.77 | 9 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $79.94 – $275.73 | 9 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $156.38 – $2,104.78 | 12 |
| Insertion catheter bladder non indwelling CPT 51701 | not published | not published | $47.96 – $4,016.33 | 31 |
| Insertion catheter bladder temporary simple CPT 51702 | not published | not published | $47.96 – $174.28 | 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.