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 |
|---|---|---|---|---|
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $69.51 – $4,016.33 | 31 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $663.45 – $1,938.77 | 12 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $512.67 – $1,485.22 | 12 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $716.01 – $1,819.91 | 12 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $709.51 – $2,233.26 | 12 |
| Blink reflex test CPT 95933 | not published | not published | $29.42 – $304.61 | 31 |
| Blm gene CPT 81209 | $36.40 | $65.00 | $16.13 – $71.44 | 35 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $8,299.76 | $14,821.00 | $19.22 – $19.22 | 6 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $2,048.48 | $3,658.00 | $12.50 – $12.50 | 6 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,318.80 | $2,355.00 | $93.19 – $1,681.47 | 32 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,184.40 | $2,115.00 | $83.62 – $1,510.11 | 32 |
| Block paracervical nrv CPT 64435 | not published | not published | $100.22 – $936.36 | 31 |
| Block plantar digital nerve CPT 64455 | not published | not published | $24.82 – $399.12 | 31 |
| Block tap inj(s) w/wo img bi CPT 64488 | $842.24 | $1,504.00 | $164.57 – $1,073.86 | 10 |
| Block tap inj(s) w/wo img uni CPT 64486 | not published | not published | $133.87 – $3,101.09 | 9 |
| Blood Clotting (PT/INR) Test CPT 85610 | $12.88 | $23.00 | $2.49 – $7.06 | 35 |
| Blood Clotting (PTT) Test CPT 85730 | $13.44 | $24.00 | $3.49 – $10.79 | 35 |
| Blood Count (CBC) Test CPT 85025 | $22.96 | $41.00 | $4.51 – $13.96 | 35 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $15.68 | $28.00 | $3.75 – $8.93 | 35 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $3.25 – $9.66 | 35 |
| Blood Culture Test CPT 87040 | $56.56 | $101.00 | $5.99 – $14.24 | 35 |
| Blood draw capillary 36416 CPT 36416 | $11.76 | $21.00 | $1.30 – $14.99 | 11 |
| Blood gases o2 saturation direct measurement CPT 82805 | $80.64 | $144.00 | $28.79 – $108.70 | 35 |
| Blood gases ph venous CPT 82800 | not published | not published | $6.38 – $15.21 | 35 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | not published | not published | $9.23 – $28.59 | 35 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $5.04 | $9.00 | $2.45 – $5.84 | 35 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $11.20 | $20.00 | $2.54 – $6.04 | 35 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $9.52 | $17.00 | $3.09 – $7.34 | 35 |
| Blood smear interpretation CPT 85060 | not published | not published | $22.67 – $31.05 | 7 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | not published | not published | $2.20 – $5.24 | 35 |
| Blood split unit HCPCS P9011 | $171.36 | $306.00 | $26.14 – $176.12 | 12 |
| Blood typing abo CPT 86900 | $20.16 | $36.00 | $2.01 – $174.28 | 35 |
| Blood typing ag donor ea ag CPT 86902 | $38.08 | $68.00 | $4.17 – $486.38 | 35 |
| Blood typing patient serum CPT 86904 | $36.40 | $65.00 | $7.16 – $80.32 | 35 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $20.16 | $36.00 | $2.59 – $486.38 | 35 |
| Blood typing rh (d) CPT 86901 | $20.72 | $37.00 | $2.01 – $53.07 | 35 |
| Blood typing rh phenotype complete reference CPT 86906 | not published | not published | $5.23 – $53.07 | 35 |
| Blood volume CPT 78122 | not published | not published | $74.64 – $727.80 | 34 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $259.30 – $1,701.89 | 12 |
| Bone Density Scan (DEXA) CPT 77080 | $310.24 | $554.00 | $31.16 – $143.78 | 34 |
| Bone imaging multiple areas CPT 78305 | $591.92 | $1,057.00 | $174.97 – $670.67 | 34 |
| Bone/joint imaging ltd area CPT 78300 | $533.12 | $952.00 | $135.55 – $561.02 | 34 |
| Bone marrow;aspiration only 38220 CPT 38220 | $581.28 | $1,038.00 | $159.82 – $741.13 | 13 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $581.28 | $1,038.00 | $149.43 – $743.91 | 13 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $224.42 – $2,293.74 | 12 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $224.42 – $3,359.52 | 12 |
| Bone marrow imaging body CPT 78104 | not published | not published | $174.97 – $593.45 | 34 |
| Bone marrow imaging ltd CPT 78102 | $431.76 | $771.00 | $129.48 – $543.31 | 34 |
| Bone marrow imaging mult CPT 78103 | $258.72 | $462.00 | $169.78 – $543.31 | 34 |
| Bone marrow interpretation CPT 85097 | $115.36 | $206.00 | $52.11 – $1,104.52 | 35 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,613.83 – $3,716.05 | 12 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,558.53 – $5,100.45 | 12 |
| Bone survey-lead poisoning CPT 77074 | $216.72 | $387.00 | $41.84 – $143.78 | 34 |
| Bone tendon board add on HCPCS C9356 | $2,424.24 | $4,329.00 | $100.69 – $118.72 | 3 |
| Bone void filler nanoss 10cc HCPCS C9362 | $1,232.00 | $2,200.00 | $166.28 – $166.28 | 1 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $161.28 | $288.00 | $258.11 – $258.11 | 2 |
| Borrelia antibody CPT 86619 | not published | not published | $7.76 – $23.89 | 35 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $66.08 | $118.00 | $9.88 – $23.89 | 35 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $20.35 – $48.42 | 22 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $1.99 – $5.18 | 35 |
| Bowel imaging CPT 78290 | $528.64 | $944.00 | $174.97 – $836.70 | 34 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $743.91 – $1,701.89 | 12 |
| Brach/thor cath 1st CPT 36215 | $1,888.32 | $3,372.00 | $211.98 – $4,261.76 | 10 |
| Brach/thor cath 2nd CPT 36216 | $2,032.24 | $3,629.00 | $1,464.39 – $4,406.29 | 10 |
| Brach/thor cath 3rd CPT 36217 | $2,208.08 | $3,943.00 | $2,408.05 – $7,211.76 | 10 |
| Brach/thor cath addl CPT 36218 | $779.52 | $1,392.00 | $223.09 – $993.89 | 10 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $57.68 | $103.00 | $19.27 – $19.27 | 3 |
| Brachy source yttrium-90 HCPCS C2616 | $19,629.68 | $35,053.00 | $8,427.41 – $8,427.41 | 3 |
| Brachytx isodose complex CPT 77318 | $610.96 | $1,091.00 | $153.47 – $790.02 | 34 |
| Brachytx isodose intermed CPT 77317 | $572.88 | $1,023.00 | $126.80 – $584.92 | 34 |
| Brachytx isodose plan simple CPT 77316 | $371.28 | $663.00 | $56.49 – $494.96 | 34 |
| Braf gene CPT 81210 | $223.44 | $399.00 | $101.73 – $1,317.60 | 35 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,718.40 – $5,423.55 | 9 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,498.90 – $4,722.18 | 9 |
| Brain flow imaging only CPT 78610 | $559.44 | $999.00 | $148.56 – $727.80 | 34 |
| Brain image < 4 views CPT 78600 | not published | not published | $146.45 – $543.31 | 34 |
| Brain image 4+ views CPT 78605 | not published | not published | $157.67 – $727.80 | 34 |
| Brain image w/flow < 4 views CPT 78601 | $720.16 | $1,286.00 | $173.11 – $543.31 | 34 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $232.16 – $845.27 | 34 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,552.32 | $2,772.00 | $202.95 – $1,059.70 | 34 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,405.60 | $2,510.00 | $202.95 – $698.60 | 34 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,361.92 | $2,432.00 | $137.36 – $653.02 | 34 |
| Brain MRI (with and without contrast) CPT 70553 | $2,240.56 | $4,001.00 | $202.95 – $882.13 | 34 |
| Brain MRI (with contrast) CPT 70552 | $1,449.28 | $2,588.00 | $202.95 – $774.98 | 34 |
| Brain MRI (without contrast) CPT 70551 | $1,259.44 | $2,249.00 | $137.36 – $523.67 | 34 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $271.44 – $645.84 | 33 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $338.85 – $806.24 | 33 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $93.75 – $641.25 | 35 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $174.78 – $415.86 | 33 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $164.07 – $390.37 | 33 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $107.37 – $2,257.85 | 35 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $93.75 – $517.84 | 35 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $164.07 – $390.37 | 33 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $177.68 – $776.25 | 35 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,759.52 – $3,257.00 | 13 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $772.34 – $6,130.63 | 12 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,453.20 | $2,595.00 | $165.24 – $1,852.83 | 14 |
| Breast punct aspir cyst, bil CPT 19000 | $639.52 | $1,142.00 | $46.32 – $951.32 | 33 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $1,782.82 – $6,359.09 | 12 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $2,169.89 – $6,895.90 | 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.