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 |
|---|---|---|---|---|
| Interrog dev eval icpms ip CPT 93290 | $154.56 | $276.00 | $10.79 – $93.02 | 32 |
| Interrog dev eval scrms ip CPT 93291 | $154.56 | $276.00 | $13.91 – $93.02 | 32 |
| Interrog device eval heart CPT 93289 | $206.64 | $369.00 | $17.68 – $65.06 | 32 |
| Interrog evl pm/ldls pm ip CPT 93288 | $380.24 | $679.00 | $17.68 – $64.42 | 32 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $52.16 – $124.10 | 22 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $52.16 – $124.10 | 22 |
| Interstitial brachy inter CPT 77799 | not published | not published | $58.04 – $148.06 | 22 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,286.09 – $4,165.36 | 9 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $280.35 – $873.95 | 12 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $352.58 – $1,838.20 | 12 |
| Intra-atrial pacing CPT 93610 | $4,487.28 | $8,013.00 | $63.78 – $2,471.13 | 12 |
| Intra-atrial recording CPT 93602 | $4,487.28 | $8,013.00 | $52.62 – $7,508.70 | 12 |
| Intracard echo interv w/s&i CPT 93662 | $3,657.92 | $6,532.00 | $54.49 – $64.25 | 3 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,637.88 – $5,593.55 | 9 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,508.48 – $1,778.56 | 3 |
| Intracranial complete study CPT 93886 | $627.76 | $1,121.00 | $80.78 – $1,381.82 | 32 |
| Intracranial limited study CPT 93888 | $250.32 | $447.00 | $60.43 – $410.20 | 32 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $131.38 – $362.75 | 12 |
| Intranasal reconstruction CPT 30620 | not published | not published | $723.48 – $3,363.27 | 12 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $157.95 – $1,251.02 | 9 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $141.31 – $688.55 | 31 |
| Intrapul surf admin endo tube CPT 94610 | $296.24 | $529.00 | $50.02 – $275.01 | 31 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $183.65 – $6,721.66 | 31 |
| Intraventricular pacing CPT 93612 | $4,487.28 | $8,013.00 | $74.48 – $10,871.33 | 12 |
| Intrinsic factor antibody CPT 86340 | $28.56 | $51.00 | $8.75 – $27.09 | 35 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $53.72 – $4,557.78 | 31 |
| Intro cath dialysis circuit CPT 36901 | $1,109.92 | $1,982.00 | $630.79 – $1,415.15 | 10 |
| Intro cath dialysis circuit w/pta CPT 36902 | $15,915.76 | $28,421.00 | $1,334.98 – $20,292.59 | 10 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $20,046.32 | $35,797.00 | $6,072.76 – $25,559.06 | 10 |
| Intro catheter aorta CPT 36200 | $1,830.64 | $3,269.00 | $211.98 – $2,334.07 | 10 |
| Intro cath svc/ivc CPT 36010 | $1,481.20 | $2,645.00 | $105.94 – $1,888.53 | 10 |
| Intro long gi tube CPT 44500 | not published | not published | $28.12 – $1,267.67 | 31 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $73.72 – $221.15 | 12 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $545.73 – $1,478.72 | 12 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $1,569.12 | $2,802.00 | $1,532.17 – $5,226.77 | 10 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,076.88 | $1,923.00 | $241.89 – $1,373.02 | 10 |
| Intubation endotracheal emergency procedure CPT 31500 | $292.88 | $523.00 | $68.01 – $373.42 | 32 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $29.42 – $174.54 | 31 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $17.68 – $204.55 | 31 |
| Ionm in operatng room 15 min CPT 95940 | $73.36 | $131.00 | $36.06 – $275.69 | 9 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $187.41 – $299.03 | 9 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $2.24 | $4.00 | $0.14 – $0.16 | 9 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $520.02 – $9,971.68 | 10 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $736.92 – $9,971.68 | 13 |
| Iron CPT 83540 | $13.44 | $24.00 | $3.75 – $11.65 | 35 |
| Iron binding capacity CPT 83550 | $24.08 | $43.00 | $5.07 – $15.50 | 35 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $3.99 – $11.64 | 35 |
| Irradiation of blood product each unit reference CPT 86945 | $33.60 | $60.00 | $6.04 – $53.07 | 35 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | not published | not published | $28.03 – $134.51 | 32 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $231.95 – $787.09 | 12 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $33.76 – $98.96 | 31 |
| Island pedicle flap graft CPT 15740 | not published | not published | $742.30 – $1,513.39 | 12 |
| Ivc venogram s&i CPT 75825 | $1,345.12 | $2,402.00 | $79.58 – $1,430.10 | 15 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $127.68 | $228.00 | $22.26 – $141.98 | 31 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $127.68 | $228.00 | $21.26 – $94.13 | 9 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $108.64 | $194.00 | $16.24 – $98.76 | 31 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $272.72 | $487.00 | $80.69 – $325.63 | 31 |
| IV inj ra drug dx study CPT 78808 | $431.76 | $771.00 | $38.88 – $543.31 | 32 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $47.96 – $539.54 | 31 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $100.98 – $380.57 | 34 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $81.13 – $314.77 | 34 |
| Jak2 targeted sequence analysis CPT 81279 | $207.20 | $370.00 | $107.42 – $255.58 | 32 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $56.83 – $2,346.27 | 12 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $56.83 – $2,346.27 | 12 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $306.16 – $1,003.52 | 12 |
| John cunningham antibody CPT 86711 | not published | not published | $9.80 – $24.00 | 35 |
| J-tube placement CPT 44015 | not published | not published | $172.79 – $554.15 | 9 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,902.17 – $10,803.22 | 12 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $0.01 – $28.75 | 10 |
| Ketogenic steroids fract CPT 83582 | $6.72 | $12.00 | $8.97 – $25.49 | 35 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $7.84 | $14.00 | $4.74 – $11.27 | 35 |
| Kidney endoscopy CPT 50551 | not published | not published | $416.08 – $2,871.44 | 12 |
| Kidney endoscopy CPT 50553 | not published | not published | $446.97 – $2,871.44 | 12 |
| Kidney endoscopy CPT 50570 | not published | not published | $572.44 – $1,307.38 | 12 |
| Kidney endoscopy CPT 50575 | not published | not published | $834.17 – $3,350.01 | 12 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $476.35 – $2,871.44 | 12 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $275.88 – $778.77 | 12 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $484.90 – $8,069.38 | 12 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $551.39 – $2,397.03 | 12 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $657.69 – $2,871.44 | 12 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $708.89 – $2,871.44 | 12 |
| Kidney function study CPT 78725 | not published | not published | $79.49 – $543.31 | 34 |
| Kidney imaging morphology CPT 78700 | not published | not published | $141.60 – $543.31 | 34 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $232.16 – $848.13 | 34 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $571.76 | $1,021.00 | $173.41 – $727.80 | 34 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $258.16 | $461.00 | $60.43 – $215.60 | 34 |
| Kit gene analys d816 variant CPT 81273 | $223.44 | $399.00 | $72.42 – $172.32 | 35 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $10,164.00 | $18,150.00 | $2,663.58 – $3,140.46 | 3 |
| Kit trach suct cls 30.5cm HCPCS A4605 | $26.32 | $47.00 | $18.95 – $22.34 | 3 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $732.10 – $2,346.27 | 12 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $602.87 – $2,346.27 | 12 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $680.35 – $2,346.27 | 12 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $645.07 – $2,570.80 | 12 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $660.89 – $2,061.96 | 12 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $765.47 – $4,446.67 | 12 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $610.02 – $2,619.15 | 12 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $632.82 – $4,016.33 | 12 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $582.23 – $4,016.33 | 12 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $772.29 – $2,346.27 | 12 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $781.02 – $25,973.25 | 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.