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 |
|---|---|---|---|---|
| X-ray thoracic spine 3 views CPT 72072 | $129.36 | $231.00 | $23.68 – $143.78 | 34 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $124.88 | $223.00 | $19.77 – $119.05 | 34 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $208.32 | $372.00 | $21.66 – $119.05 | 34 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $235.20 | $420.00 | $39.28 – $152.65 | 34 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $214.48 | $383.00 | $17.82 – $119.05 | 34 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $61.60 | $110.00 | $21.55 – $119.05 | 34 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $381.92 | $682.00 | $52.96 – $281.40 | 34 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $333.20 | $595.00 | $52.96 – $242.30 | 34 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $52.96 – $138.05 | 11 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $100.98 – $209.14 | 11 |
| X-ray wrist 2 views (both sides) CPT 73100 | $194.88 | $348.00 | $20.83 – $119.05 | 34 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $52.96 – $240.70 | 34 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $213.02 – $3,891.17 | 10 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $92.39 – $151.29 | 10 |
| Xylose absorption test blood &/or urine CPT 84620 | $42.56 | $76.00 | $7.49 – $21.29 | 35 |
| Yersinia antibody CPT 86793 | $16.80 | $30.00 | $7.65 – $23.71 | 35 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $29.76 – $80.46 | 33 |
| Zika virus igm antibody CPT 86794 | not published | not published | $9.77 – $26.42 | 33 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $216.92 – $344.52 | 9 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $112.09 – $266.69 | 26 |
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.