Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at Henry Ford Hospital

2799 West Grand Blvd, Detroit MI 48202 | 19401 Hubbard Dr., MI · Henry Ford Health · · NPI 1134144801

Source: hospital's published price file ↗ · Published Jun 28, 2026 · Ingested Aug 13, 2026

not published by hospital

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$16,519.86

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$2,154.60 with Molina vs $6,190.88 with Cofinity — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Molina Dual MI Coordinated Health $2,154.60 —
WellCare Medicare Advantage $2,575.47 —
Amerihealth Caritas Dual Products $2,872.80 —
Aetna Commercial $3,356.15 —
Vitalcore All Products $3,591.00 —
NFL Cigna All Products $3,734.64 —
Priority Health Commercial $3,853.14 —
HAP HAP HMO_AHL_Fully Insured $3,931.43 —
Cigna Transplants Commercial $4,093.74 —
Ontario Ministry of Health and Long-Term Care ALL PRODUCTS $4,309.20 —
Humana Transplant Med Adv $4,668.30 —
Priority Health Priority Cigna $4,699.18 —
Multiplan All Products $4,811.94 —
HAP Self-Funded $5,112.15 —
United Healthcare UHC Commercial $5,113.58 —
United Healthcare Baseline Benefit Plan $5,113.58 —
Cofinity Commercial $6,190.88 —
Humana Military Tricare not published by hospital —
Interlink All Products not published by hospital —
McLaren Medicaid HMO not published by hospital —
McLaren Medicare Advantage not published by hospital —
Meridian Ambetter From Meridian not published by hospital —
Meridian Medicaid HMO not published by hospital —
Molina Medicaid HMO not published by hospital —
Nomi All Products not published by hospital —
Pace SE MI Medicare Advantage not published by hospital —
Priority Health Dual Premier_HIDE-SNP not published by hospital —
Priority Health Medicaid HMO not published by hospital —
Priority Health Medicare Advantage not published by hospital —
ScriptGuideRX All Products not published by hospital —
Trinity Health Plan Medicare Advantage not published by hospital —
United Healthcare Erickson Advantage not published by hospital —
United Healthcare VACCN not published by hospital —
WellCare Wellcare Meridian Dual Align (HMO D-SNP) not published by hospital —
Aetna Dual Products not published by hospital —
Aetna Medicare Advantage not published by hospital —
Aetna Better Health Medicaid HMO not published by hospital —
BCN HMO not published by hospital —
Blue Cross BCBSM Commercial not published by hospital —
Blue Cross BCBSM GM Connected Care not published by hospital —
Blue Cross BCN Advantage not published by hospital —
Blue Cross BCN Commercial not published by hospital —
Blue Cross Blue Cross Complete not published by hospital —
Blue Cross Medicare Plus Blue not published by hospital —
Detroit Wayne Integrated Health Medicaid HMO not published by hospital —
HAP HAP Caresource Medicaid not published by hospital —
HAP HAP Dual Products not published by hospital —
HAP Henry Ford Select -HPN commercial not published by hospital —
HAP Medicare Advantage not published by hospital —
Humana Medicare Advantage not published by hospital —

Visitor-reported prices

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Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at other Michigan hospitals

Hospital City Cash price Negotiated range
Henry Ford Providence Novi Hospital Novi $1,377.04 $26.74 – $29.79
Henry Ford St John Hospital Detroit $1,377.04 $22.14 – $221.10
Henry Ford Rochester Hospital Rochester $476.58 $57.17 – $57.17
Henry Ford Genesys Hospital Grand Blanc Twp $974.40 $78.14 – $78.14
Henry Ford River District Hospital China Township $1,377.04 $221.10 – $221.10
Henry Ford Warren Hospital Warren $1,377.04 $221.10 – $221.10
Corewell Health Lakeland St. Joseph St Joseph not published $864.08 – $864.08
Henry Ford West Bloomfield Hospital West Bloomfield not published $2,154.60 – $6,190.88

All Michigan hospitals for this procedure →