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 |
|---|---|---|---|---|
| T3 (triiodothyronine) free CPT 84481 | $47.60 | $85.00 | $9.83 – $30.46 | 35 |
| T3 (triiodothyronine) total CPT 84480 | $61.04 | $109.00 | $8.22 – $25.49 | 35 |
| T4 (thyroxine) free CPT 84439 | $42.56 | $76.00 | $5.23 – $16.20 | 35 |
| T4 (thyroxine) total CPT 84436 | $21.84 | $39.00 | $3.98 – $12.35 | 35 |
| Tacrolimus therapeutic drug level CPT 80197 | $31.36 | $56.00 | $7.96 – $24.68 | 35 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,535.76 – $8,531.51 | 9 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,340.20 – $7,852.89 | 9 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,502.86 – $4,756.98 | 9 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $228.35 – $4,016.33 | 9 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $163.29 – $4,016.33 | 9 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,226.40 | $2,190.00 | $440.53 – $1,048.15 | 35 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,125.20 | $3,795.00 | $824.38 – $5,368.33 | 7 |
| Target gsa panel organ neop CPT 81445 | $691.60 | $1,235.00 | $346.79 – $825.12 | 35 |
| Tas congenital car anomal CPT 33741 | $5,583.76 | $9,971.00 | $921.50 – $7,119.29 | 10 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $152.13 – $827.65 | 31 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,650.65 – $5,299.08 | 9 |
| Tbs techl calculation only CPT 77091 | $103.04 | $184.00 | $25.11 – $119.05 | 26 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.29 – $119.05 | 26 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $58.00 – $138.00 | 35 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $80.08 | $143.00 | $35.95 – $111.40 | 35 |
| Tc-99m bicisate HCPCS A9557 | $1,050.00 | $1,875.00 | $338.96 – $602.79 | 9 |
| Tc-99m exametazime diag HCPCS A9521 | $1,412.32 | $2,522.00 | $1,441.99 – $2,476.60 | 9 |
| Tc-99m labeled rbc HCPCS A9560 | $203.84 | $364.00 | $128.33 – $151.31 | 9 |
| Tc-99m maa HCPCS A9540 | $218.40 | $390.00 | $41.22 – $80.97 | 9 |
| Tc-99m mebrofenin HCPCS A9537 | $116.48 | $208.00 | $76.01 – $89.61 | 9 |
| Tc-99m medronate HCPCS A9503 | $54.32 | $97.00 | $17.86 – $45.47 | 9 |
| Tc-99m mertiatide HCPCS A9562 | $291.20 | $520.00 | $442.01 – $497.02 | 3 |
| Tc-99m oxidronate HCPCS A9561 | $72.80 | $130.00 | $49.58 – $71.28 | 9 |
| Tc-99m pentetate dtpa HCPCS A9539 | $87.36 | $156.00 | $43.05 – $73.47 | 9 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $6.72 | $12.00 | $2.20 – $3.85 | 9 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $56.00 | $100.00 | $38.38 – $88.00 | 8 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $189.28 | $338.00 | $142.37 – $169.55 | 9 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $178.08 | $318.00 | $154.67 – $200.76 | 6 |
| Tc-99m sulfur colloid HCPCS A9541 | $218.40 | $390.00 | $80.82 – $367.36 | 8 |
| Tc-99m tilmanocept diag HCPCS A9520 | $351.68 | $628.00 | $491.23 – $552.37 | 3 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $118.64 – $827.65 | 31 |
| Tcd emboli detect w/inj CPT 93893 | $328.72 | $587.00 | $48.43 – $287.16 | 32 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $48.43 – $1,631.94 | 32 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $92.41 – $591.11 | 31 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $119.28 | $213.00 | $27.25 – $84.46 | 35 |
| T cells absolute cd 4 count CPT 86361 | $42.56 | $76.00 | $15.53 – $36.96 | 35 |
| T cells total count CPT 86359 | $94.08 | $168.00 | $21.88 – $67.80 | 35 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $115.90 – $15,968.29 | 31 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $115.90 – $13,613.21 | 31 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $115.90 – $607.03 | 25 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,347.55 – $4,058.30 | 9 |
| Telethx isodose plan cplx CPT 77307 | $967.12 | $1,727.00 | $114.27 – $494.96 | 34 |
| Telethx isodose plan simple CPT 77306 | $474.88 | $848.00 | $62.24 – $494.96 | 34 |
| Temperature gradient studies CPT 93740 | not published | not published | $2.16 – $211.55 | 25 |
| Tendon lengthening CPT 26476 | not published | not published | $671.76 – $2,011.09 | 12 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $675.49 – $2,346.27 | 12 |
| Tendon shortening CPT 26477 | not published | not published | $668.73 – $2,011.09 | 12 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,014.61 – $2,597.68 | 12 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $720.46 – $4,371.82 | 12 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $656.18 – $2,011.09 | 12 |
| Tenolysis triceps CPT 24332 | not published | not published | $714.34 – $2,346.27 | 12 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $917.23 – $2,669.26 | 12 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $596.49 – $1,530.07 | 12 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $493.41 – $2,011.09 | 12 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $333.62 – $765.47 | 12 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $107.42 – $255.58 | 32 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $3.49 – $28.89 | 35 |
| Test for porphobilinogen CPT 84106 | not published | not published | $3.38 – $8.03 | 35 |
| Test for urine cystines CPT 82615 | not published | not published | $5.54 – $13.18 | 35 |
| Testicular imaging w/vasc flow CPT 78761 | $309.12 | $552.00 | $163.12 – $543.31 | 34 |
| Test stress cardiovascular tracing only CPT 93017 | $625.52 | $1,117.00 | $56.88 – $421.04 | 32 |
| Test urine for lactose CPT 83633 | not published | not published | $6.53 – $15.52 | 35 |
| Test urine for porphyrins CPT 84119 | not published | not published | $6.64 – $18.44 | 35 |
| Test urine urobilinogen CPT 84578 | not published | not published | $2.59 – $6.17 | 35 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $440.53 – $1,048.15 | 22 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $346.79 – $825.12 | 22 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $10.57 – $231.70 | 24 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $10.57 – $386.97 | 33 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $7.54 – $231.70 | 27 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $10.41 – $72.24 | 33 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $33.37 – $591.11 | 31 |
| Theophylline therapeutic drug level CPT 80198 | $38.08 | $68.00 | $8.20 – $19.51 | 35 |
| Therapeutic procd strg endur HCPCS G0237 | $241.36 | $431.00 | $11.54 – $47.96 | 12 |
| Therapy activation ipnss CPT 93150 | not published | not published | $52.16 – $124.10 | 22 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | not published | not published | $18.39 – $46.95 | 31 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | not published | not published | $17.21 – $59.52 | 31 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $61.98 – $268.66 | 31 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $143.83 – $1,810.28 | 12 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $98.41 – $455.90 | 34 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $22.02 – $475.79 | 31 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,266.72 | $2,262.00 | $253.97 – $1,615.07 | 32 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $3,468.96 – $10,657.03 | 9 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $275.40 – $836.54 | 9 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $4,596.39 – $14,157.18 | 9 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,991.91 – $6,213.27 | 9 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $387.31 – $4,154.76 | 12 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $270.14 – $839.23 | 9 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $1,352.71 – $4,243.01 | 9 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,668.28 – $5,214.74 | 9 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $1,306.00 – $4,101.13 | 9 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $1,186.51 – $3,702.26 | 9 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $825.89 – $2,575.26 | 9 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $1,457.70 – $4,585.66 | 9 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $1,056.64 – $3,271.27 | 9 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $2,058.53 – $6,439.45 | 9 |
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.