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 |
|---|---|---|---|---|
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,100.23 – $4,253.71 | 9 |
| Troponin quantitative CPT 84484 | $42.56 | $76.00 | $7.23 – $17.68 | 35 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $231.64 – $1,432.50 | 31 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $1,440.16 – $4,159.75 | 9 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,117.76 | $1,996.00 | $6.41 – $917.50 | 9 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,051.68 | $1,878.00 | $12.58 – $917.50 | 9 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $438.31 – $3,819.05 | 12 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $105.84 | $189.00 | $54.39 – $64.13 | 3 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $99.12 | $177.00 | $54.89 – $64.72 | 3 |
| Tubular dressing HCPCS A6457 | $65.52 | $117.00 | $1.33 – $65.59 | 9 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $84.17 – $591.11 | 31 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,386.37 – $5,804.08 | 12 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,272.14 – $3,987.35 | 9 |
| Tx atrial fib pulm vein isol CPT 93656 | $26,716.48 | $47,708.00 | $15.72 – $8,185.14 | 12 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $90.65 – $324.34 | 28 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $90.65 – $324.34 | 31 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $576.73 – $1,095.34 | 12 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $124.92 – $467.13 | 31 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $105.18 – $827.65 | 31 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $65.46 – $827.65 | 31 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $947.43 – $3,597.85 | 9 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $1,102.44 – $3,406.44 | 9 |
| Tx l/r atrial fib addl CPT 93657 | $6,548.64 | $11,694.00 | $155.91 – $590.13 | 9 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $860.35 – $2,346.27 | 12 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $575.91 – $2,011.09 | 12 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $626.97 – $2,346.27 | 12 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $548.07 – $1,905.15 | 12 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $753.18 – $2,393.11 | 12 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $691.16 – $2,346.27 | 12 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $546.60 – $1,689.16 | 9 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $124.92 – $324.34 | 31 |
| Tympanic membrane repair CPT 69610 | not published | not published | $262.30 – $850.49 | 12 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $637.16 – $2,959.72 | 12 |
| Tympanometry & reflex thresh CPT 92550 | $117.60 | $210.00 | $23.14 – $8,454.59 | 31 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $164.60 – $688.55 | 31 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,614.94 – $3,923.82 | 12 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,433.21 – $4,063.95 | 12 |
| Tyms gene com variants CPT 81346 | not published | not published | $101.39 – $241.24 | 27 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $42.71 – $127.64 | 9 |
| U2af1 gene common variants CPT 81357 | not published | not published | $112.09 – $266.69 | 26 |
| Ua w/micro/comp poc CPT 81000 | $6.72 | $12.00 | $2.33 – $5.68 | 35 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $79.37 – $322.92 | 29 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $140.00 | $250.00 | $56.93 – $231.80 | 34 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $4.81 – $143.78 | 34 |
| Ultrasound breast complete CPT 76641 | $395.92 | $707.00 | $48.43 – $199.38 | 35 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $369.04 | $659.00 | $46.77 – $152.65 | 35 |
| Ultrasound chest CPT 76604 | $179.76 | $321.00 | $48.43 – $143.78 | 34 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $90.72 | $162.00 | $17.82 – $143.78 | 34 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $36.06 – $143.78 | 34 |
| Ultrasound elastography ea l target les CPT 76983 | $73.36 | $131.00 | $29.46 – $105.85 | 4 |
| Ultrasound elastography parenchyma CPT 76981 | $142.80 | $255.00 | $60.43 – $219.40 | 26 |
| Ultrasound encephalogram CPT 76506 | $417.76 | $746.00 | $48.43 – $241.35 | 34 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $48.43 – $123.23 | 11 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $224.00 | $400.00 | $60.43 – $332.95 | 34 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $228.48 | $408.00 | $49.02 – $143.78 | 34 |
| Ultrasound guidance for vascular access CPT 76937 | $39.20 | $70.00 | $17.09 – $68.65 | 12 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $595.28 | $1,063.00 | $27.70 – $182.48 | 13 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $54.18 – $243.06 | 12 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $58.77 – $172.30 | 12 |
| Ultrasound hips infant dynamic CPT 76885 | $239.68 | $428.00 | $48.43 – $221.32 | 34 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $50.04 – $208.93 | 34 |
| Ultrasound joint complete left CPT 76881 | $866.32 | $1,547.00 | $60.43 – $143.78 | 34 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $718.48 | $1,283.00 | $9.93 – $143.78 | 35 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $60.43 – $143.78 | 22 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $171.92 | $307.00 | $43.79 – $122.13 | 12 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $90.72 | $162.00 | $22.43 – $61.98 | 12 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $214.48 | $383.00 | $80.78 – $326.83 | 34 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $157.36 | $281.00 | $48.43 – $202.25 | 34 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $190.96 | $341.00 | $52.88 – $146.93 | 34 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $216.72 | $387.00 | $60.35 – $166.95 | 34 |
| Ultrasound prostate/transrectal CPT 76872 | $371.28 | $663.00 | $60.43 – $304.50 | 34 |
| Ultrasound retroperitoneal limited CPT 76775 | $216.72 | $387.00 | $30.09 – $143.78 | 34 |
| Ultrasound scrotum and contents CPT 76870 | $269.92 | $482.00 | $36.50 – $207.00 | 34 |
| Ultrasound spinal canal and contents CPT 76800 | $93.52 | $167.00 | $48.43 – $167.61 | 34 |
| Ultrasound transabd ea addl gest CPT 76812 | $155.68 | $278.00 | $111.74 – $221.03 | 12 |
| Ultrasound transvaginal non obstetric CPT 76830 | $337.68 | $603.00 | $60.43 – $253.72 | 34 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $101.16 – $666.65 | 26 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $155.71 – $489.27 | 4 |
| Ultraviolet therapy CPT 97028 | not published | not published | $4.45 – $10.97 | 32 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $94.50 – $285.10 | 9 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $131.97 – $780.07 | 31 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $574.63 – $1,639.74 | 9 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $13.91 – $126.67 | 29 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $6.68 – $33.11 | 28 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $16.24 – $98.97 | 28 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $68.01 – $1,998.00 | 31 |
| Unlisted CT procedure CPT 76497 | not published | not published | $31.98 – $234.22 | 26 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $174.97 – $543.31 | 22 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $25.12 – $87.56 | 31 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $13.89 – $72.24 | 28 |
| Unlisted dialysis procedure CPT 90999 | not published | not published | $562.54 – $663.25 | 3 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $68.25 – $4,557.78 | 28 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $174.97 – $543.31 | 22 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $73.95 – $272.00 | 22 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $31.98 – $221.32 | 26 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $174.97 – $543.31 | 22 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $174.97 – $543.31 | 22 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $8.45 – $42.23 | 9 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $73.95 – $272.00 | 28 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $1,124.24 – $4,154.76 | 12 |
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.