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 |
|---|---|---|---|---|
| Pertussis ag if CPT 87265 | $10.64 | $19.00 | $6.95 – $21.56 | 35 |
| Pet CT skull-mid thgh initial CPT 78815 | $2,546.32 | $4,547.00 | $676.00 – $3,405.65 | 15 |
| Pet CT whole body initial CPT 78816 | $2,546.32 | $4,547.00 | $676.00 – $3,405.65 | 15 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,546.32 | $4,547.00 | $486.79 – $3,405.65 | 15 |
| Pet image full body CPT 78813 | not published | not published | $671.69 – $3,405.65 | 15 |
| Pet image ltd area CPT 78811 | not published | not published | $526.31 – $3,004.32 | 15 |
| Pet image skull-thigh CPT 78812 | not published | not published | $641.73 – $3,405.65 | 15 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $676.00 – $3,405.65 | 15 |
| Pet scan brain perf study CPT 78609 | not published | not published | $183.88 – $2,089.69 | 10 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $483.85 – $2,011.09 | 12 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $43.17 – $50.90 | 3 |
| Ph body fluid CPT 83986 | $16.80 | $30.00 | $2.08 – $4.94 | 35 |
| Phencyclidine (pcp) CPT 83992 | $10.08 | $18.00 | $0.01 – $26.42 | 10 |
| Phenobarbital therapeutic drug level CPT 80184 | $39.20 | $70.00 | $8.87 – $21.11 | 35 |
| Phenytoin total therapeutic drug level CPT 80185 | $38.08 | $68.00 | $7.69 – $23.81 | 35 |
| Phlebotomy therapeutic CPT 99195 | $180.88 | $323.00 | $47.96 – $2,919.27 | 31 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $423.91 – $1,182.10 | 12 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $476.29 – $1,182.10 | 12 |
| Phosphorus CPT 84100 | $8.40 | $15.00 | $0.94 – $7.38 | 29 |
| Phosphorus 24 hour urine CPT 84105 | $13.44 | $24.00 | $3.35 – $7.98 | 35 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $29.42 – $1,211.75 | 31 |
| Photochemotherapy puva CPT 96912 | not published | not published | $29.42 – $1,242.86 | 31 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $118.64 – $1,036.10 | 31 |
| Photo patch test CPT 95052 | not published | not published | $7.79 – $80.32 | 31 |
| Photopheresis CPT 36522 | not published | not published | $1,536.65 – $3,316.07 | 12 |
| Photosensitivity tests CPT 95056 | not published | not published | $29.42 – $174.28 | 31 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $30.36 – $72.24 | 29 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $50.84 – $231.70 | 29 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $13.91 – $67.95 | 29 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $37.82 – $142.40 | 9 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $589.68 | $1,053.00 | $723.33 – $852.84 | 3 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $159.40 – $379.27 | 32 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $225.48 – $827.65 | 31 |
| Pin finger dislocation CPT 26776 | not published | not published | $511.15 – $2,011.09 | 12 |
| Pin finger fracture each CPT 26756 | not published | not published | $482.61 – $2,011.09 | 12 |
| Pin hand dislocation CPT 26676 | not published | not published | $580.30 – $2,011.09 | 12 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $509.67 – $2,011.09 | 12 |
| Pinworm exam CPT 87172 | $26.32 | $47.00 | $2.48 – $7.68 | 35 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $1,297.54 – $6,401.74 | 12 |
| Place cath intracranial art CPT 36228 | $6,490.96 | $11,591.00 | $1,341.25 – $4,941.27 | 10 |
| Place cath xtrnl carotid CPT 36227 | $3,820.32 | $6,822.00 | $286.70 – $3,879.88 | 10 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $873.95 – $1,294.79 | 12 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $572.29 – $1,585.56 | 12 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $1,256.28 – $4,019.48 | 9 |
| Place gastrostomy tube perc CPT 49440 | $801.92 | $1,432.00 | $572.29 – $1,430.22 | 13 |
| Placement bile duct support CPT 47801 | not published | not published | $1,195.51 – $3,882.95 | 9 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,458.24 | $2,604.00 | $103.89 – $1,859.26 | 14 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $633.36 | $1,131.00 | $52.51 – $807.53 | 11 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,626.24 | $2,904.00 | $89.38 – $2,073.46 | 33 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,331.20 | $9,520.00 | $792.38 – $6,797.28 | 13 |
| Placement of seton CPT 46020 | not published | not published | $314.23 – $1,838.20 | 12 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $17,077.76 | $30,496.00 | $3,144.19 – $21,774.14 | 13 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $387.86 – $1,709.43 | 12 |
| Place needles h&n for right CPT 41019 | not published | not published | $524.98 – $3,363.27 | 12 |
| Place needles pelvic for right CPT 55920 | not published | not published | $502.96 – $2,007.60 | 12 |
| Place non-slctv cath thoracic arta CPT 36221 | $15,641.36 | $27,931.00 | $1,307.68 – $19,942.73 | 13 |
| Placental lactogen CPT 83632 | not published | not published | $11.73 – $33.44 | 35 |
| Place po breast cath for rad CPT 19296 | not published | not published | $3,975.38 – $6,509.17 | 12 |
| Place right device/marker pros CPT 55876 | not published | not published | $88.93 – $540.10 | 12 |
| Place slctv cath carotd art uni CPT 36224 | $13,181.84 | $23,539.00 | $1,920.79 – $14,579.88 | 13 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $9,940.00 | $17,750.00 | $1,430.10 – $10,613.61 | 13 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $12,876.64 | $22,994.00 | $1,769.80 – $14,463.50 | 13 |
| Place slctv cath subclavian art CPT 36225 | $9,940.00 | $17,750.00 | $1,430.10 – $9,698.26 | 13 |
| Place slctv cath vertebral art uni CPT 36226 | $12,079.20 | $21,570.00 | $1,957.50 – $9,879.62 | 13 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $73.92 | $132.00 | $26.89 – $106.06 | 6 |
| Plasma volume multiple CPT 78111 | not published | not published | $67.06 – $183.38 | 15 |
| Plasma volume single CPT 78110 | not published | not published | $69.18 – $174.97 | 15 |
| Platelet aggregation each agent teg CPT 85576 | $53.20 | $95.00 | $14.45 – $40.57 | 35 |
| Platelet automated CPT 85049 | $12.88 | $23.00 | $2.60 – $8.03 | 35 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $13.77 – $591.11 | 31 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,467.76 | $2,621.00 | $112.49 – $950.90 | 12 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $127.68 | $228.00 | $17.45 – $151.38 | 12 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $110.88 | $198.00 | $85.25 – $185.78 | 5 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,389.92 | $2,482.00 | $256.84 – $671.98 | 6 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $556.64 | $994.00 | $337.61 – $910.48 | 12 |
| Platelet survival CPT 78191 | not published | not published | $124.27 – $543.31 | 34 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $4,808.72 | $8,587.00 | $1,145.16 – $6,131.12 | 13 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $36,202.32 | $64,647.00 | $2,922.07 – $46,157.96 | 10 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $5,416.88 | $9,673.00 | $1,159.70 – $6,906.52 | 13 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $9,821.84 | $17,539.00 | $1,180.08 – $12,522.85 | 13 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $984.40 – $3,112.00 | 9 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | not published | not published | $252.82 – $951.32 | 31 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | not published | not published | $507.36 – $1,765.47 | 9 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $400.36 – $1,255.51 | 9 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,209.04 | $2,159.00 | $66.89 – $2,643.51 | 11 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,784.72 | $3,187.00 | $54.77 – $2,275.52 | 11 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $801.92 | $1,432.00 | $45.54 – $1,711.93 | 11 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $341.60 | $610.00 | $46.30 – $510.26 | 31 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $1,144.71 – $3,538.96 | 9 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $1,145.16 – $2,399.11 | 12 |
| Plmt biliary drainage cath CPT 47534 | $7,754.88 | $13,848.00 | $1,145.16 – $9,887.47 | 13 |
| Plmt nephroureteral catheter CPT 50433 | $5,732.16 | $10,236.00 | $792.38 – $7,308.50 | 13 |
| Plmt ureteral stent prq CPT 50694 | $6,938.40 | $12,390.00 | $1,180.08 – $8,846.46 | 13 |
| Pm device progr eval dual CPT 93280 | $506.80 | $905.00 | $17.68 – $6,107.66 | 32 |
| Pm device progr eval multi CPT 93281 | $267.12 | $477.00 | $17.68 – $6,107.66 | 32 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $120.24 – $547.44 | 35 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $439.85 – $1,046.54 | 35 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $160.39 – $1,805.89 | 35 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $27.03 – $67.12 | 35 |
| Pm phone r-strip device eval CPT 93293 | $267.12 | $477.00 | $17.68 – $3,093.67 | 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.