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 |
|---|---|---|---|---|
| Map tachycard site(s) CPT 93609 | $4,487.28 | $8,013.00 | $92.39 – $146.43 | 9 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,347.73 – $4,388.89 | 9 |
| Mastectomy partial CPT 19301 | not published | not published | $766.88 – $2,353.83 | 12 |
| Mast mod rad CPT 19307 | not published | not published | $1,409.32 – $4,372.77 | 12 |
| Mastoidectomy CPT 69501 | not published | not published | $860.24 – $3,363.27 | 12 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,144.73 – $3,923.82 | 12 |
| Mastoids complete CPT 70130 | not published | not published | $37.20 – $143.78 | 34 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,481.61 – $3,923.82 | 12 |
| Mastopexy CPT 19316 | not published | not published | $924.66 – $3,725.65 | 12 |
| Mast simple complete CPT 19303 | not published | not published | $1,189.45 – $3,725.65 | 12 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $133.28 | $238.00 | $114.93 – $128.05 | 6 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $20.35 – $63.09 | 35 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $15.83 – $37.66 | 35 |
| Maxillofacial fixation CPT 21100 | not published | not published | $813.64 – $3,363.27 | 12 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $8.39 – $25.99 | 35 |
| Mayo aathr protein s free CPT 85306 | $18.48 | $33.00 | $8.89 – $27.54 | 35 |
| Mayo activated protein c resistance assay CPT 85307 | $28.56 | $51.00 | $8.89 – $27.54 | 35 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $22.37 – $53.23 | 26 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $0.01 – $19.41 | 8 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $0.01 – $28.75 | 10 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $47.60 | $85.00 | $8.57 – $20.40 | 35 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $0.01 – $28.75 | 10 |
| Mayo alpha 1 antitrypsin CPT 82103 | $62.72 | $112.00 | $7.80 – $24.15 | 35 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $47.04 | $84.00 | $8.75 – $20.81 | 35 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.01 – $14.43 | 8 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $0.01 – $31.21 | 10 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $156.80 | $280.00 | $70.55 – $210.42 | 35 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $336.00 | $600.00 | $53.16 – $158.71 | 35 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $79.46 – $189.06 | 33 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $434.14 – $1,496.28 | 13 |
| Mayo androstenedione CPT 82157 | $72.24 | $129.00 | $16.98 – $40.41 | 35 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $47.60 | $85.00 | $8.47 – $20.93 | 35 |
| Mayo antithrombin iii antigen CPT 85301 | $15.68 | $28.00 | $6.27 – $19.43 | 35 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $19.60 | $35.00 | $8.73 – $23.89 | 35 |
| Mayo avwpr vw factor activity CPT 85397 | $91.84 | $164.00 | $10.97 – $42.59 | 35 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $20.35 – $48.42 | 22 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $0.01 – $28.75 | 10 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $13.26 | $23.68 | $5.90 – $18.29 | 35 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $162.40 | $290.00 | $84.01 – $250.74 | 35 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $124.48 – $296.18 | 35 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $25.20 | $45.00 | $7.48 – $23.19 | 35 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $0.01 – $31.21 | 10 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $39.20 | $70.00 | $7.65 – $23.71 | 35 |
| Mayo brcmg brucella antibody igm CPT 86622 | $10.26 | $18.32 | $5.18 – $16.05 | 35 |
| Mayo c1 esterase inhibitor CPT 83883 | $61.60 | $110.00 | $7.89 – $21.02 | 35 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $5.60 | $10.00 | $0.01 – $31.21 | 10 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $14.56 | $26.00 | $9.78 – $25.37 | 35 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $34.72 | $62.00 | $15.53 – $36.96 | 35 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $70.89 – $211.60 | 35 |
| Mayo ceruloplasmin CPT 82390 | $26.88 | $48.00 | $6.23 – $19.30 | 35 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | not published | not published | $8.19 – $19.49 | 35 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $26.88 | $48.00 | $7.47 – $23.17 | 35 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $34.72 | $62.00 | $6.86 – $21.26 | 35 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $33.60 | $60.00 | $7.35 – $22.80 | 35 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $100.80 | $180.00 | $67.56 – $198.17 | 35 |
| Mayo chromium CPT 82495 | $8.96 | $16.00 | $11.76 – $27.99 | 35 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $5.60 | $10.00 | $0.01 – $28.75 | 10 |
| Mayo coccidioides antibody CPT 86635 | $25.20 | $45.00 | $6.65 – $20.63 | 35 |
| Mayo cocou cortisone urine CPT 82542 | $205.07 | $366.20 | $13.97 – $33.24 | 35 |
| Mayo cortisol free CPT 82530 | $7.56 | $13.50 | $9.69 – $30.04 | 35 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $35.28 | $63.00 | $13.03 – $58.14 | 33 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $7.03 – $21.80 | 35 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $0.01 – $29.71 | 8 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $0.01 – $34.98 | 8 |
| Mayo cyanide CPT 82600 | $11.20 | $20.00 | $11.25 – $29.11 | 35 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $97.38 – $829.34 | 35 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $7.69 – $23.81 | 35 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $36.40 | $65.00 | $14.66 – $45.41 | 35 |
| Mayo dihydrotestosterone CPT 82642 | not published | not published | $16.98 – $42.16 | 32 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $5.59 – $15.23 | 35 |
| Mayo efpo chloride stool CPT 82438 | $20.72 | $37.00 | $2.90 – $8.79 | 35 |
| Mayo estriol CPT 82677 | $30.80 | $55.00 | $14.02 – $43.47 | 35 |
| Mayo estrone CPT 82679 | not published | not published | $14.47 – $34.43 | 35 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $9.48 – $27.77 | 35 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $7.96 – $23.77 | 35 |
| Mayo factor ii CPT 85210 | not published | not published | $7.53 – $23.34 | 35 |
| Mayo factor v CPT 85220 | $34.72 | $62.00 | $10.24 – $24.36 | 35 |
| Mayo factor vii CPT 85230 | $44.24 | $79.00 | $10.38 – $32.18 | 35 |
| Mayo factor viii vw factor antigen CPT 85246 | $42.00 | $75.00 | $10.97 – $31.66 | 35 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $10.97 – $31.66 | 35 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $36.96 | $66.00 | $10.97 – $31.66 | 35 |
| Mayo factor x CPT 85260 | $36.96 | $66.00 | $10.38 – $27.43 | 35 |
| Mayo factor xi CPT 85270 | $36.96 | $66.00 | $10.38 – $27.43 | 35 |
| Mayo fat/lipids feces quantitative CPT 82710 | $10.64 | $19.00 | $9.74 – $23.18 | 35 |
| Mayo fbl culture fungi blood CPT 87103 | $60.48 | $108.00 | $8.13 – $28.23 | 35 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $11.82 – $111.03 | 35 |
| Mayo ffspg allergen clam igg CPT 86001 | $5.60 | $10.00 | $4.54 – $10.79 | 35 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $8.39 – $19.95 | 35 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $8.96 | $16.00 | $12.57 – $29.90 | 35 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $252.00 | $450.00 | $30.00 – $172.17 | 10 |
| Mayo hemosiderin qualitative urine CPT 83070 | $11.76 | $21.00 | $2.76 – $8.55 | 35 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $80.08 | $143.00 | $20.35 – $63.09 | 35 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $20.35 – $63.09 | 35 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $25.20 | $45.00 | $8.00 – $22.48 | 35 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $35.84 | $64.00 | $14.97 – $46.40 | 35 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $25.76 | $46.00 | $5.16 – $15.97 | 35 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $25.20 | $45.00 | $7.84 – $23.89 | 35 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $20.16 | $36.00 | $15.76 – $37.49 | 35 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $130.67 | $233.34 | $10.02 – $23.83 | 35 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $36.96 | $66.00 | $8.69 – $24.29 | 35 |
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.