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 |
|---|---|---|---|---|
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $47.04 | $84.00 | $12.07 – $37.41 | 35 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $17.36 | $31.00 | $10.76 – $37.41 | 35 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $20.35 – $48.42 | 22 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $31.36 | $56.00 | $9.32 – $22.18 | 35 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $47.04 | $84.00 | $6.95 – $21.56 | 35 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $61.60 | $110.00 | $20.35 – $63.09 | 35 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $20.35 – $48.42 | 32 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $51.97 | $92.80 | $20.35 – $63.09 | 35 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $20.35 – $48.42 | 22 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $49.84 | $89.00 | $24.85 – $76.99 | 35 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $41.87 – $99.62 | 33 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $22.37 – $53.23 | 26 |
| Mayo inhab inhibin a CPT 86336 | $20.16 | $36.00 | $9.04 – $28.01 | 35 |
| Mayo insft insulin free CPT 83527 | not published | not published | $7.51 – $23.27 | 35 |
| Mayo insulin antibodies CPT 86337 | $23.30 | $41.60 | $12.42 – $38.49 | 35 |
| Mayo iodine CPT 83789 | $98.00 | $175.00 | $13.98 – $33.27 | 35 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $15.72 – $37.41 | 26 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $15.72 – $37.41 | 26 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $24.64 | $44.00 | $7.69 – $22.95 | 35 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $16.80 | $30.00 | $7.42 – $23.00 | 35 |
| Mayo legionella antibody CPT 86713 | $24.08 | $43.00 | $8.87 – $23.89 | 35 |
| Mayo leptospira antibody igm CPT 86720 | $25.20 | $45.00 | $9.40 – $23.71 | 35 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $6.53 – $20.24 | 35 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $58.24 | $104.00 | $8.98 – $27.84 | 35 |
| Mayo manganese CPT 83785 | $25.20 | $45.00 | $15.46 – $36.78 | 35 |
| Mayo metanephrines plasma CPT 83835 | $103.04 | $184.00 | $9.83 – $30.46 | 35 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $5.60 | $10.00 | $0.01 – $28.75 | 10 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | not published | not published | $6.99 – $23.84 | 26 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | not published | not published | $10.67 – $25.39 | 22 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $75.60 | $135.00 | $8.44 – $26.15 | 35 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $87.36 | $156.00 | $10.81 – $25.72 | 35 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $428.40 | $765.00 | $67.65 – $189.06 | 35 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $107.42 – $255.58 | 32 |
| Mayo muramidase CPT 85549 | not published | not published | $10.88 – $25.87 | 35 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | not published | not published | $10.67 – $25.39 | 22 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $10.47 – $24.91 | 35 |
| Mayo myoglobin CPT 83874 | $7.71 | $13.76 | $7.49 – $23.21 | 35 |
| Mayo nickel CPT 83885 | $29.12 | $52.00 | $13.01 – $33.82 | 35 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $5.60 | $10.00 | $0.01 – $34.98 | 10 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $0.01 – $34.98 | 10 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $0.01 – $31.21 | 10 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $29.68 | $53.00 | $12.30 – $29.58 | 35 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $9.54 – $29.58 | 35 |
| Mayo oxalate 24 hour urine CPT 83945 | $6.72 | $12.00 | $8.38 – $20.93 | 35 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $6.69 – $20.74 | 35 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $19.60 | $35.00 | $8.72 – $23.89 | 35 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $54.88 | $98.00 | $6.99 – $22.96 | 35 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | not published | not published | $20.35 – $63.09 | 35 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | not published | not published | $7.83 – $24.81 | 35 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $25.76 | $46.00 | $7.98 – $24.75 | 35 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $15.68 | $28.00 | $4.90 – $15.17 | 35 |
| Mayo pregnenolone CPT 84140 | not published | not published | $11.99 – $37.17 | 35 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $8.40 | $15.00 | $9.62 – $29.84 | 35 |
| Mayo proinsulin CPT 84206 | $48.72 | $87.00 | $15.48 – $36.83 | 35 |
| Mayo psaft prostate specific antigen free CPT 84154 | $30.80 | $55.00 | $10.67 – $33.08 | 35 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $31.36 | $56.00 | $10.67 – $25.39 | 35 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $43.12 | $77.00 | $7.75 – $18.44 | 35 |
| Mayo receptor assay transferrin soluble CPT 84238 | $30.24 | $54.00 | $21.21 – $65.72 | 35 |
| Mayo renin CPT 84244 | $28.56 | $51.00 | $12.75 – $39.53 | 35 |
| Mayo repu protein electrophoresis urine CPT 84166 | $63.84 | $114.00 | $10.34 – $33.72 | 35 |
| Mayo selenium CPT 84255 | $9.52 | $17.00 | $13.01 – $35.23 | 35 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $8.99 – $27.86 | 35 |
| Mayo serotonin CPT 84260 | $39.76 | $71.00 | $17.97 – $42.75 | 35 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $11.22 – $34.79 | 35 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $35.84 | $64.00 | $7.96 – $24.68 | 35 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $24.08 | $43.00 | $2.48 – $7.68 | 35 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $266.56 | $476.00 | $121.17 – $361.69 | 35 |
| Mayo tgrp testosterone free CPT 84402 | $48.16 | $86.00 | $14.77 – $45.78 | 35 |
| Mayo tgrp testosterone total CPT 84403 | $71.12 | $127.00 | $14.97 – $46.41 | 35 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $12.86 – $30.59 | 22 |
| Mayo thyroglobulin CPT 84432 | $19.60 | $35.00 | $9.31 – $27.47 | 35 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $5.90 – $18.29 | 35 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $25.20 | $45.00 | $7.19 – $22.27 | 35 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $0.01 – $31.21 | 10 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $29.74 – $92.15 | 35 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $32.76 | $58.50 | $8.21 – $19.54 | 35 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $7.85 – $21.74 | 35 |
| Mayo vasoactive intestinal peptide CPT 84586 | $54.32 | $97.00 | $20.49 – $63.52 | 35 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | not published | not published | $11.74 – $36.37 | 35 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $9.89 – $23.54 | 34 |
| Mayo vitamin k CPT 84597 | not published | not published | $7.96 – $24.64 | 29 |
| Mayo zonisamide therapeutic drug level CPT 80203 | not published | not published | $7.69 – $22.95 | 35 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,065.42 – $3,276.61 | 9 |
| Mcoln1 gene CPT 81290 | $36.40 | $65.00 | $16.13 – $89.49 | 29 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $162.34 – $2,011.09 | 12 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $162.34 – $2,733.70 | 12 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $393.09 – $1,811.61 | 12 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,752.03 – $2,716.44 | 9 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $37.49 – $717.42 | 31 |
| Measure kidney pressure CPT 50396 | not published | not published | $135.01 – $902.48 | 31 |
| Measurement post void urine by ultrasound CPT 51798 | not published | not published | $21.65 – $4,016.33 | 31 |
| Measure ureter pressure CPT 50686 | not published | not published | $68.25 – $211.55 | 31 |
| #mec-opiates CPT 80356 | not published | not published | $0.01 – $28.75 | 10 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $87.00 – $225.30 | 35 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $296.22 – $728.46 | 35 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $69.60 – $165.60 | 35 |
| Medial canthopexy CPT 21280 | not published | not published | $677.05 – $2,959.72 | 12 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $476.98 – $4,016.33 | 12 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $364.83 – $4,016.33 | 12 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $301.52 – $2,322.13 | 32 |
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.