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 |
|---|---|---|---|---|
| Meg evoked single CPT 95966 | not published | not published | $450.49 – $1,375.61 | 31 |
| Meg spontaneous CPT 95965 | not published | not published | $450.49 – $2,236.17 | 31 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $353.92 | $632.00 | $612.45 – $612.45 | 2 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $1,011.36 | $1,806.00 | $177.98 – $177.98 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,986.77 – $5,166.41 | 12 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $308.13 – $978.42 | 9 |
| Metabolic Blood Panel (Basic) CPT 80048 | $19.60 | $35.00 | $4.91 – $15.20 | 35 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $26.88 | $48.00 | $6.12 – $19.60 | 35 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $6.65 – $18.95 | 35 |
| Methotrexate therapeutic drug level CPT 80204 | $50.40 | $90.00 | $22.37 – $53.23 | 26 |
| Mgmt promoter methylation analysis CPT 81287 | $179.20 | $320.00 | $72.29 – $172.00 | 35 |
| Microalbumin urine screen CPT 82044 | not published | not published | $3.61 – $8.60 | 35 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $14.22 – $55.43 | 35 |
| Microdissection laser CPT 88380 | $205.07 | $366.20 | $70.92 – $140.41 | 13 |
| Microdissection manual CPT 88381 | $213.36 | $381.00 | $96.50 – $260.54 | 13 |
| Microfluid analy tears CPT 83861 | not published | not published | $13.04 – $31.02 | 35 |
| Microsatellite instability CPT 81301 | $390.32 | $697.00 | $202.16 – $501.31 | 35 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $274.85 – $860.64 | 9 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $68.25 – $211.55 | 32 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $48.43 – $161.22 | 34 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $3,556.21 – $10,868.52 | 9 |
| Mlh1 gene CPT 81288 | $215.60 | $385.00 | $111.55 – $1,215.00 | 35 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $117.39 – $364.50 | 35 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $391.73 – $1,215.00 | 35 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $191.98 – $456.78 | 35 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,136.21 – $10,610.61 | 12 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $31.98 – $156.82 | 32 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $103.35 – $317.42 | 9 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $228.10 – $1,338.81 | 12 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $468.57 – $1,338.81 | 12 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $334.54 – $526.81 | 12 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $145.33 – $171.36 | 3 |
| Modification of contact lens CPT 92325 | not published | not published | $41.52 – $5,235.42 | 31 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,730.11 – $5,299.08 | 9 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $732.18 – $2,258.04 | 9 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $13.25 – $52.07 | 26 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $37.10 – $90.29 | 34 |
| Mopath procedure level 3 CPT 81402 | $254.80 | $455.00 | $87.19 – $207.46 | 35 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $159.40 – $379.27 | 34 |
| Mopath procedure level 6 CPT 81405 | $56.00 | $100.00 | $34.70 – $415.86 | 35 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $78.54 – $390.37 | 34 |
| Mopath procedure level 8 CPT 81407 | $56.00 | $100.00 | $37.50 – $1,167.85 | 35 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $368.94 – $2,445.30 | 12 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $1,058.40 | $1,890.00 | $97.38 – $446.13 | 36 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | not published | not published | $77.72 – $486.38 | 36 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $82.88 | $148.00 | $76.74 – $231.70 | 36 |
| Motion analysis video/3d CPT 96000 | not published | not published | $108.07 – $717.42 | 31 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $112.08 – $1,375.61 | 31 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $47.96 – $539.54 | 31 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $440.65 – $1,551.66 | 12 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $140.00 | $250.00 | $33.45 – $68.13 | 14 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $1,058.40 | $1,890.00 | $97.38 – $520.85 | 36 |
| M/phmtrc alysishquant/semiq CPT 88369 | $98.00 | $175.00 | $41.31 – $124.17 | 14 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $48.28 – $231.70 | 35 |
| Mpl gene analysis common variants CPT 81338 | $168.56 | $301.00 | $87.19 – $207.46 | 32 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $314.73 – $1,056.00 | 12 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $309.75 – $1,044.90 | 12 |
| MRA chest w IV cont HCPCS C8909 | $1,172.08 | $2,093.00 | $238.97 – $560.63 | 4 |
| MRA chest wo IV cont HCPCS C8910 | $1,126.72 | $2,012.00 | $143.88 – $560.63 | 4 |
| MRA chest wwo IV cont HCPCS C8911 | $1,201.76 | $2,146.00 | $238.97 – $560.63 | 4 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $312.24 – $1,048.60 | 12 |
| MRA pelvis CPT 72198 | not published | not published | $312.95 – $1,054.78 | 12 |
| MRA pelvis w IV cont HCPCS C8918 | $1,125.60 | $2,010.00 | $238.97 – $238.97 | 3 |
| MRA spinal canal CPT 72159 | not published | not published | $326.84 – $1,088.03 | 6 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $323.99 – $1,088.03 | 6 |
| MRA w/cont, abd HCPCS C8900 | $1,186.64 | $2,119.00 | $238.97 – $560.63 | 4 |
| MRA w/cont, lwr ext HCPCS C8912 | $2,445.52 | $4,367.00 | $238.97 – $560.63 | 4 |
| Mra, w/dye, upper extremity HCPCS C8934 | $862.96 | $1,541.00 | $238.97 – $747.50 | 4 |
| MRA without cont, abd HCPCS C8901 | $1,126.72 | $2,012.00 | $143.88 – $560.63 | 4 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,274.00 | $2,275.00 | $238.97 – $560.63 | 4 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,425.76 | $2,546.00 | $238.97 – $560.63 | 4 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $1,186.64 | $2,119.00 | $238.97 – $560.63 | 4 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $805.84 | $1,439.00 | $238.97 – $747.50 | 4 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $1,014.72 | $1,812.00 | $238.97 – $747.50 | 4 |
| Mr elastography CPT 76391 | not published | not published | $137.36 – $491.25 | 26 |
| MRI brain w/dye CPT 70558 | not published | not published | $101.16 – $1,580.60 | 34 |
| MRI brain without dye CPT 70557 | not published | not published | $143.88 – $1,704.85 | 34 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $101.16 – $1,601.03 | 34 |
| MRI breast c- unilateral CPT 77046 | $1,610.56 | $2,876.00 | $137.36 – $471.23 | 33 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $253.85 – $776.40 | 11 |
| MRI breast without cont bi CPT 77047 | $2,606.80 | $4,655.00 | $137.36 – $328.54 | 33 |
| MRI breast w IV cont bi CPT 77049 | $210.00 | $375.00 | $252.60 – $772.58 | 11 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $137.36 – $728.08 | 34 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $716.80 | $1,280.00 | $202.95 – $1,045.95 | 34 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $360.66 – $1,245.50 | 34 |
| MRI chest without contrast CPT 71550 | $1,069.60 | $1,910.00 | $137.36 – $811.83 | 34 |
| MRI chest without & w/contrast CPT 71552 | $1,552.32 | $2,772.00 | $202.95 – $1,299.80 | 34 |
| MRI chest w IV cont CPT 71551 | $1,112.72 | $1,987.00 | $238.97 – $1,239.53 | 34 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $120.37 – $480.48 | 12 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $111.97 – $813.25 | 34 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $305.36 – $1,411.80 | 12 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $430.14 – $1,667.83 | 12 |
| MRI loex nonjt w IV cont CPT 73719 | $2,532.88 | $4,523.00 | $202.95 – $784.83 | 34 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,445.52 | $4,367.00 | $137.36 – $672.73 | 34 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,869.44 | $5,124.00 | $202.95 – $1,000.38 | 34 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,347.36 | $2,406.00 | $137.36 – $685.05 | 34 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,654.24 | $2,954.00 | $202.95 – $1,001.63 | 34 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,434.72 | $2,562.00 | $202.95 – $809.45 | 34 |
| MRI tmj CPT 70336 | $1,366.40 | $2,440.00 | $137.36 – $831.63 | 34 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,445.52 | $4,367.00 | $137.36 – $813.15 | 34 |
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.