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 |
|---|---|---|---|---|
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $447.49 – $2,871.44 | 12 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $543.19 – $2,871.44 | 12 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $414.72 – $2,871.44 | 12 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,292.84 – $4,284.49 | 9 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,325.75 – $4,352.78 | 9 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $51.57 – $629.48 | 34 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $878.73 – $2,515.69 | 12 |
| Urethrocystography void s&i CPT 74455 | $224.00 | $400.00 | $65.69 – $326.83 | 34 |
| Uric acid blood CPT 84550 | $8.40 | $15.00 | $0.94 – $8.13 | 29 |
| Uric acid urine CPT 84560 | $8.40 | $15.00 | $2.95 – $8.36 | 35 |
| Urinalysis glass test CPT 81020 | not published | not published | $2.73 – $6.63 | 35 |
| Urinalysis microscopic only CPT 81015 | $8.96 | $16.00 | $1.77 – $5.47 | 35 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.26 – $3.90 | 35 |
| Urinalysis (with microscopy) CPT 81001 | $12.32 | $22.00 | $1.84 – $5.68 | 35 |
| Urinalysis (without microscopy) CPT 81003 | $8.40 | $15.00 | $1.31 – $4.04 | 35 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $62.65 – $194.60 | 12 |
| Urinary reflex study CPT 51792 | not published | not published | $29.42 – $4,016.33 | 31 |
| Urine Culture Test CPT 87086 | $46.48 | $83.00 | $4.68 – $14.50 | 35 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $13.03 – $4,016.33 | 31 |
| Urine pregnancy test CPT 81025 | $9.52 | $17.00 | $4.99 – $11.88 | 36 |
| Urine screen for bacteria CPT 81007 | not published | not published | $2.98 – $41.37 | 35 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,416.58 – $4,740.93 | 9 |
| Urography, antegrade CPT 74425 | not published | not published | $44.36 – $482.88 | 34 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $82.04 – $327.18 | 34 |
| Use 1st target lesion CPT 76982 | $146.16 | $261.00 | $58.21 – $197.47 | 27 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $25.50 – $43.19 | 9 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $83.93 – $144.85 | 9 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $54.17 – $91.88 | 9 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $191.08 – $356.88 | 9 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $101.19 – $170.99 | 9 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $25.69 – $45.24 | 9 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $11.24 – $19.24 | 9 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $59.87 – $88.68 | 9 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $95.51 – $188.80 | 9 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $33.43 – $56.25 | 9 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $26.28 – $30.98 | 3 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $29.93 – $64.51 | 9 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $55.30 – $95.01 | 9 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $131.10 – $194.68 | 9 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $24.20 – $39.20 | 9 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $208.83 – $410.63 | 9 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $160.86 – $259.27 | 9 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $57.06 – $88.10 | 9 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $60.65 – $80.37 | 9 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $17.00 – $25.92 | 9 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $17.00 – $26.69 | 9 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $18.17 – $26.88 | 9 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $76.06 – $186.65 | 9 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $20.73 – $29.21 | 9 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $19.39 – $27.72 | 9 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $9.58 – $13.43 | 9 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $27.38 – $36.29 | 9 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $57.06 – $88.10 | 9 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $17.00 – $29.48 | 9 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $6.74 – $17.00 | 9 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $81.90 – $325.89 | 12 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $64.54 – $272.20 | 12 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $204.15 – $458.41 | 9 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $53.32 – $229.35 | 12 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $71.95 – $140.85 | 9 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $220.01 – $404.22 | 9 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $103.25 – $180.18 | 9 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $204.14 – $348.29 | 9 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $281.90 – $332.37 | 3 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $324.86 – $383.02 | 3 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $34.43 – $62.56 | 9 |
| Vaccine rabies im CPT 90675 | not published | not published | $138.62 – $438.38 | 31 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $126.92 – $211.72 | 9 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $86.09 – $146.41 | 9 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $30.33 – $48.10 | 9 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $24.21 – $37.72 | 9 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $71.20 – $130.07 | 9 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $138.31 – $244.38 | 9 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $112.71 – $227.87 | 9 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 22 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,193.40 – $3,770.60 | 12 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,502.56 – $3,770.60 | 12 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,109.49 – $3,898.65 | 12 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,585.50 – $5,804.08 | 12 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,470.19 – $3,770.60 | 12 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,060.32 – $3,770.60 | 12 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $1,649.15 – $4,912.46 | 9 |
| Vaginal bx CPT 58999 | not published | not published | $61.66 – $272.00 | 31 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $978.98 – $2,063.45 | 12 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $3,157.72 – $8,068.40 | 9 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $993.76 – $3,458.41 | 12 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $978.98 – $2,278.45 | 12 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,937.72 – $6,187.83 | 9 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,078.51 – $3,399.76 | 9 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $135.02 – $439.01 | 9 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,431.77 – $4,627.14 | 9 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,406.01 – $4,570.93 | 9 |
| Valproic acid total therapeutic drug level CPT 80164 | $39.20 | $70.00 | $7.85 – $24.35 | 35 |
| Valvuloplasty aortic CPT 92986 | $7,944.16 | $14,186.00 | $689.89 – $2,415.47 | 12 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $2,280.69 – $7,411.20 | 9 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,702.44 – $8,781.81 | 9 |
| Valvuloplasty mitral CPT 92987 | $10,540.32 | $18,822.00 | $508.90 – $5,019.28 | 12 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $508.90 – $5,019.28 | 12 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $3,909.13 – $12,007.55 | 9 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $3,094.14 – $9,487.19 | 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.