Close lac/mouth vest/2.5 cm or < 40830 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

$325.68

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.

$530.00

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.

$88.40 with United Healthcare vs $2,441.00 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
United Healthcare Medicaid-Behavioral Health-Child-FAC $88.40 ↓ -73%
McLaren Medicaid HMO-Adult-FAC $88.40 ↓ -73%
McLaren Medicaid HMO-Child-FAC $88.40 ↓ -73%
United Healthcare Medicaid-Behavioral Health-Adult-FAC $88.40 ↓ -73%
Blue Cross Blue Cross Complete-Adult-FAC $88.40 ↓ -73%
Meridian Medicaid HMO-Adult-FAC $88.40 ↓ -73%
Meridian Medicaid HMO-Child-FAC $88.40 ↓ -73%
HAP HAP Caresource Medicaid-FAC $88.40 ↓ -73%
Blue Cross Blue Cross Complete-Child-FAC $88.40 ↓ -73%
Aetna Better Health Medicaid HMO-Child-FAC $90.17 ↓ -72%
Aetna Better Health Medicaid HMO-Adult-FAC $90.17 ↓ -72%
Molina Medicaid HMO-Adult-FAC $91.94 ↓ -72%
Molina Medicaid HMO-Child-FAC $91.94 ↓ -72%
Priority Health Medicaid HMO-Child-FAC $92.82 ↓ -71%
Priority Health Medicaid HMO-Adult-FAC $92.82 ↓ -71%
ScriptGuideRX All Products $114.92 ↓ -65%
Humana Military Tricare-NonPhysician-FAC $115.66 ↓ -64%
HAP Medicare Advantage HMO/PPO-NonPhysician-FAC $120.16 ↓ -63%
Meridian Medicaid HMO $126.56 ↓ -61%
Blue Cross Blue Cross Complete $126.56 ↓ -61%
Priority Health Medicaid HMO $126.56 ↓ -61%
HAP HAP Caresource Medicaid $126.56 ↓ -61%
McLaren Medicaid HMO $126.56 ↓ -61%
Humana Medicare Advantage-NP-FAC $126.97 ↓ -61%
Aetna Better Health Medicaid HMO $129.09 ↓ -60%
Molina Medicaid HMO $133.29 ↓ -59%
Pace SE MI Medicare Advantage-FAC $134.30 ↓ -59%
Humana Military Tricare-Physician-FAC $136.07 ↓ -58%
Humana Military Tricare $136.07 ↓ -58%
Amerihealth Caritas Dual Products-FAC $138.54 ↓ -57%
Trinity Health Plan Medicare Advantage-FAC $141.37 ↓ -57%
Blue Cross Medicare Plus Blue-FAC $141.37 ↓ -57%
Molina Medicare Advantage-FAC $141.37 ↓ -57%
Molina Dual Product-FAC $141.37 ↓ -57%
HAP HAP Dual Products-FAC $141.37 ↓ -57%
Aetna Medicare Advantage-FAC $141.37 ↓ -57%
United Healthcare Medicare Advantage-FAC $141.37 ↓ -57%
HAP Medicare Advantage-FAC $141.37 ↓ -57%
United Healthcare Medicare-Behavioral Health-FAC $141.37 ↓ -57%
Meridian Ambetter From Meridian-FAC $141.37 ↓ -57%
McLaren Medicare Advantage-FAC $141.37 ↓ -57%
HAP Medicare Advantage-Physician-FAC $141.37 ↓ -57%
WellCare Medicare Advantage-FAC $141.37 ↓ -57%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-FAC $141.37 ↓ -57%
Priority Health Medicare Advantage-FAC $141.37 ↓ -57%
Blue Cross BCN Medicare Advantage -FAC $141.37 ↓ -57%
McLaren Medicaid HMO-Adult-NONFAC $147.82 ↓ -55%
McLaren Medicaid HMO-Child-NONFAC $147.82 ↓ -55%
Meridian Medicaid HMO-Adult-NONFAC $147.82 ↓ -55%
United Healthcare Medicaid-Behavioral Health-Child-NONFAC $147.82 ↓ -55%
Meridian Medicaid HMO-Child-NONFAC $147.82 ↓ -55%
Blue Cross Blue Cross Complete-Child-NONFAC $147.82 ↓ -55%
Blue Cross Blue Cross Complete-Adult-NONFAC $147.82 ↓ -55%
United Healthcare Medicaid-Behavioral Health-Adult-NONFAC $147.82 ↓ -55%
HAP HAP Caresource Medicaid-NONFAC $147.82 ↓ -55%
Humana Medicare Advantage-Physician-FAC $149.38 ↓ -54%
Aetna Better Health Medicaid HMO-Adult-NONFAC $150.78 ↓ -54%
Aetna Better Health Medicaid HMO-Child-NONFAC $150.78 ↓ -54%
Molina Medicaid HMO-Child-NONFAC $153.73 ↓ -53%
Priority Health Medicaid HMO-Child-NONFAC $155.21 ↓ -52%
Priority Health Medicaid HMO-Adult-NONFAC $155.21 ↓ -52%
Molina Medicaid HMO-Adult-NONFAC $155.74 ↓ -52%
Humana Military Tricare-NonPhysician-NONFAC $173.27 ↓ -47%
Humana Medicare Advantage-Physician-NONFAC $190.22 ↓ -42%
Humana Medicare Advantage-NP-NONFAC $190.22 ↓ -42%
HAP Medicare Advantage HMO/PPO-NonPhysician-NONFAC $196.61 ↓ -40%
Nomi All Products $197.92 ↓ -39%
Humana Military Tricare-Physician-NONFAC $203.84 ↓ -37%
Blue Cross GM Connected Care $213.31 ↓ -35%
Pace SE MI Medicare Advantage-NONFAC $219.74 ↓ -33%
United Healthcare Medicare-Behavioral Health-NONFAC $221.57 ↓ -32%
NFL Cigna All Products $222.04 ↓ -32%
Pace SE MI Medicare Advantage $224.20 ↓ -31%
Amerihealth Caritas Dual Products-NONFAC $226.67 ↓ -30%
Amerihealth Caritas Dual Products $231.28 ↓ -29%
HAP Medicare Advantage-Physician-NONFAC $231.30 ↓ -29%
Meridian Ambetter From Meridian-NONFAC $231.30 ↓ -29%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC $231.30 ↓ -29%
Aetna Medicare Advantage-NONFAC $231.30 ↓ -29%
HAP HAP Dual Products-NONFAC $231.30 ↓ -29%
WellCare Medicare Advantage-NONFAC $231.30 ↓ -29%
Molina Dual Product-NONFAC $231.30 ↓ -29%
Trinity Health Plan Medicare Advantage-NONFAC $231.30 ↓ -29%
Priority Health Medicare Advantage-NONFAC $231.30 ↓ -29%
HAP Medicare Advantage-NONFAC $231.30 ↓ -29%
McLaren Medicare Advantage-NONFAC $231.30 ↓ -29%
United Healthcare Medicare Advantage-NONFAC $231.30 ↓ -29%
Blue Cross BCN Medicare Advantage -NONFAC $231.30 ↓ -29%
Blue Cross Medicare Plus Blue-NONFAC $231.30 ↓ -29%
Molina Medicare Advantage-NONFAC $231.30 ↓ -29%
Aetna All Products-FAC $231.47 ↓ -29%
Cofinity All Products $233.73 ↓ -28%
HAP Self-Funded $234.51 ↓ -28%
McLaren Medicare Advantage $236.00 ↓ -28%
HAP Medicare Advantage $236.00 ↓ -28%
Molina Dual MI Coordinated Health $236.00 ↓ -28%
HAP HAP Dual Products $236.00 ↓ -28%
Blue Cross Medicare Plus Blue $236.00 ↓ -28%
Priority Health Dual Premier_HIDE-SNP $236.00 ↓ -28%
Priority Health Medicare Advantage $236.00 ↓ -28%
Blue Cross BCN Advantage $236.00 ↓ -28%
Trinity Health Plan Medicare Advantage $236.00 ↓ -28%
United Healthcare Erickson Advantage $236.00 ↓ -28%
Aetna Medicare Advantage $236.00 ↓ -28%
United Healthcare VACCN $236.00 ↓ -28%
WellCare Medicare Advantage $236.00 ↓ -28%
WellCare Wellcare Meridian Dual Align (HMO D-SNP) $236.00 ↓ -28%
Blue Cross BCN Commercial-FAC $237.01 ↓ -27%
Humana Medicare Advantage $238.36 ↓ -27%
Cigna Transplants Commercial $243.39 ↓ -25%
HAP HAP HMO_AHL_Fully Insured $255.05 ↓ -22%
Ontario Ministry of Health and Long-Term Care ALL PRODUCTS $256.20 ↓ -21%
Aetna Dual Products $259.60 ↓ -20%
Priority Health All Products $270.00 ↓ -17%
Aetna Commercial $275.76 ↓ -15%
Humana Transplant Med Adv $277.55 ↓ -15%
Priority Health Priority Cigna $279.39 ↓ -14%
HAP Henry Ford Select -HPN commercial $283.20 ↓ -13%
Multiplan All Products $286.09 ↓ -12%
Vitalcore All Products-NONFAC $300.69 ↓ -8%
United Healthcare UHC Commercial $304.02 ↓ -7%
United Healthcare Baseline Benefit Plan $304.02 ↓ -7%
United Healthcare All Products-Midlevel $312.71 ↓ -4%
Meridian Ambetter From Meridian $318.60 ↓ -2%
Aetna All Products-NONFAC $352.55 ↑ +8%
HAP HAP HMO_AHL_Fully-Insured $353.03 ↑ +8%
Blue Cross BCBSM Commercial $358.44 ↑ +10%
Blue Cross BCN Commercial-NONFAC $360.04 ↑ +11%
Priority Health Commercial $361.82 ↑ +11%
United Healthcare All Products-Prof $409.19 ↑ +26%
Blue Cross BCN Commercial $427.00 ↑ +31%
Blue Cross BCBSM GM Connected Care $427.00 ↑ +31%
BCN HMO $427.00 ↑ +31%
Vitalcore All Products $542.80 ↑ +67%
Cofinity Commercial $2,441.00 ↑ +650%
United Healthcare Commercial-Behavioral Health-PhD not published by hospital
United Healthcare Commercial-Behavioral Health-MD not published by hospital
Interlink All Products not published by hospital
Detroit Wayne Integrated Health Medicaid HMO not published by hospital
United Healthcare Commercial-Behavioral Health-MA not published by hospital
United Healthcare Commercial-Behavioral Health-RN not published by hospital

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Close lac/mouth vest/2.5 cm or < 40830 at other Michigan hospitals

Hospital City Cash price Negotiated range
Corewell Health Lakeland Watervliet Watervliet $284.00 not published
Corewell Health Lakeland St. Joseph St Joseph $284.00 $236.00 – $754.00
Corewell Health Gross Pointe Grosse Pointe $639.00 $219.57 – $373.78
Corewell Health Taylor Taylor $639.00 $219.57 – $318.73
Corewell Health Trenton Trenton $639.00 $219.57 – $318.73
Corewell Health Troy Troy $639.00 $219.48 – $371.98
Corewell Health Wayne Wayne $639.00 $219.57 – $318.73
Henry Ford West Bloomfield Hospital West Bloomfield $325.68 $88.40 – $542.80

All Michigan hospitals for this procedure →