Exc torus mandibularis 21031 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

$4,558.89

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.

$4,980.00

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.

$161.45 with Meridian vs $7,598.14 with Vitalcore — 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
Meridian Medicaid HMO-Child-FAC $161.45 ↓ -96%
United Healthcare Medicaid-Behavioral Health-Adult-FAC $161.45 ↓ -96%
Blue Cross Blue Cross Complete-Adult-FAC $161.45 ↓ -96%
McLaren Medicaid HMO-Adult-FAC $161.45 ↓ -96%
McLaren Medicaid HMO-Child-FAC $161.45 ↓ -96%
HAP HAP Caresource Medicaid-FAC $161.45 ↓ -96%
Blue Cross Blue Cross Complete-Child-FAC $161.45 ↓ -96%
United Healthcare Medicaid-Behavioral Health-Child-FAC $161.45 ↓ -96%
Meridian Medicaid HMO-Adult-FAC $161.45 ↓ -96%
Aetna Better Health Medicaid HMO-Child-FAC $164.68 ↓ -96%
Aetna Better Health Medicaid HMO-Adult-FAC $164.68 ↓ -96%
Molina Medicaid HMO-Child-FAC $167.91 ↓ -96%
Molina Medicaid HMO-Adult-FAC $167.91 ↓ -96%
Priority Health Medicaid HMO-Child-FAC $169.52 ↓ -96%
Priority Health Medicaid HMO-Adult-FAC $169.52 ↓ -96%
ScriptGuideRX All Products $209.89 ↓ -95%
Humana Military Tricare-NonPhysician-FAC $213.98 ↓ -95%
HAP Medicare Advantage HMO/PPO-NonPhysician-FAC $219.67 ↓ -95%
Humana Medicare Advantage-NP-FAC $234.91 ↓ -95%
Pace SE MI Medicare Advantage-FAC $245.52 ↓ -95%
United Healthcare Medicaid-Behavioral Health-Adult-NONFAC $248.36 ↓ -95%
United Healthcare Medicaid-Behavioral Health-Child-NONFAC $248.36 ↓ -95%
Blue Cross Blue Cross Complete-Adult-NONFAC $248.36 ↓ -95%
Blue Cross Blue Cross Complete-Child-NONFAC $248.36 ↓ -95%
Meridian Medicaid HMO-Child-NONFAC $248.36 ↓ -95%
Meridian Medicaid HMO-Adult-NONFAC $248.36 ↓ -95%
HAP HAP Caresource Medicaid-NONFAC $248.36 ↓ -95%
McLaren Medicaid HMO-Child-NONFAC $248.36 ↓ -95%
McLaren Medicaid HMO-Adult-NONFAC $248.36 ↓ -95%
Humana Military Tricare-Physician-FAC $251.74 ↓ -94%
Humana Military Tricare $251.74 ↓ -94%
Amerihealth Caritas Dual Products-FAC $253.27 ↓ -94%
Aetna Better Health Medicaid HMO-Child-NONFAC $253.33 ↓ -94%
Aetna Better Health Medicaid HMO-Adult-NONFAC $253.33 ↓ -94%
Molina Medicaid HMO-Child-NONFAC $258.29 ↓ -94%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-FAC $258.44 ↓ -94%
Meridian Ambetter From Meridian-FAC $258.44 ↓ -94%
HAP HAP Dual Products-FAC $258.44 ↓ -94%
McLaren Medicare Advantage-FAC $258.44 ↓ -94%
HAP Medicare Advantage-Physician-FAC $258.44 ↓ -94%
United Healthcare Medicare Advantage-FAC $258.44 ↓ -94%
Blue Cross BCN Medicare Advantage -FAC $258.44 ↓ -94%
Molina Medicare Advantage-FAC $258.44 ↓ -94%
HAP Medicare Advantage-FAC $258.44 ↓ -94%
Trinity Health Plan Medicare Advantage-FAC $258.44 ↓ -94%
Blue Cross Medicare Plus Blue-FAC $258.44 ↓ -94%
Molina Dual Product-FAC $258.44 ↓ -94%
WellCare Medicare Advantage-FAC $258.44 ↓ -94%
Aetna Medicare Advantage-FAC $258.44 ↓ -94%
United Healthcare Medicare-Behavioral Health-FAC $258.44 ↓ -94%
Priority Health Medicare Advantage-FAC $258.44 ↓ -94%
Priority Health Medicaid HMO-Child-NONFAC $260.78 ↓ -94%
Priority Health Medicaid HMO-Adult-NONFAC $260.78 ↓ -94%
Molina Medicaid HMO-Adult-NONFAC $264.47 ↓ -94%
Humana Medicare Advantage-Physician-FAC $276.37 ↓ -94%
Humana Military Tricare-NonPhysician-NONFAC $294.04 ↓ -94%
Humana Medicare Advantage-NP-NONFAC $322.80 ↓ -93%
Humana Medicare Advantage-Physician-NONFAC $322.80 ↓ -93%
HAP Medicare Advantage HMO/PPO-NonPhysician-NONFAC $331.45 ↓ -93%
Humana Military Tricare-Physician-NONFAC $345.93 ↓ -92%
Nomi All Products $361.82 ↓ -92%
Pace SE MI Medicare Advantage-NONFAC $370.44 ↓ -92%
United Healthcare Medicare-Behavioral Health-NONFAC $376.00 ↓ -92%
Amerihealth Caritas Dual Products-NONFAC $382.14 ↓ -92%
McLaren Medicare Advantage-NONFAC $389.94 ↓ -91%
Blue Cross Medicare Plus Blue-NONFAC $389.94 ↓ -91%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC $389.94 ↓ -91%
WellCare Medicare Advantage-NONFAC $389.94 ↓ -91%
HAP Medicare Advantage-Physician-NONFAC $389.94 ↓ -91%
HAP Medicare Advantage-NONFAC $389.94 ↓ -91%
United Healthcare Medicare Advantage-NONFAC $389.94 ↓ -91%
Aetna Medicare Advantage-NONFAC $389.94 ↓ -91%
Trinity Health Plan Medicare Advantage-NONFAC $389.94 ↓ -91%
Priority Health Medicare Advantage-NONFAC $389.94 ↓ -91%
HAP HAP Dual Products-NONFAC $389.94 ↓ -91%
Blue Cross BCN Medicare Advantage -NONFAC $389.94 ↓ -91%
Molina Medicare Advantage-NONFAC $389.94 ↓ -91%
Molina Dual Product-NONFAC $389.94 ↓ -91%
Meridian Ambetter From Meridian-NONFAC $389.94 ↓ -91%
Blue Cross GM Connected Care $396.41 ↓ -91%
Priority Health All Products $440.24 ↓ -90%
Blue Cross BCN Commercial-FAC $440.46 ↓ -90%
Aetna All Products-FAC $447.09 ↓ -90%
Priority Health Priority Cigna $484.26 ↓ -89%
Vitalcore All Products-NONFAC $506.92 ↓ -89%
HAP HAP HMO_AHL_Fully-Insured $511.05 ↓ -89%
HAP Self-Funded $580.29 ↓ -87%
Blue Cross BCBSM GM Connected Care $585.66 ↓ -87%
Blue Cross BCN Commercial-NONFAC $611.42 ↓ -87%
Blue Cross BCBSM Commercial $613.56 ↓ -87%
Aetna All Products-NONFAC $618.58 ↓ -86%
United Healthcare All Products-Midlevel $625.24 ↓ -86%
Cofinity All Products $675.10 ↓ -85%
United Healthcare All Products-Prof $681.39 ↓ -85%
BCN HMO $808.55 ↓ -82%
Blue Cross BCN Commercial $808.55 ↓ -82%
Priority Health Commercial $954.36 ↓ -79%
Cofinity Commercial $1,075.00 ↓ -76%
Meridian Medicaid HMO $1,771.54 ↓ -61%
McLaren Medicaid HMO $1,771.54 ↓ -61%
HAP HAP Caresource Medicaid $1,771.54 ↓ -61%
Blue Cross Blue Cross Complete $1,771.54 ↓ -61%
Priority Health Medicaid HMO $1,771.54 ↓ -61%
Aetna Better Health Medicaid HMO $1,806.97 ↓ -60%
Molina Medicaid HMO $1,865.84 ↓ -59%
NFL Cigna All Products $2,589.60 ↓ -43%
Cigna Transplants Commercial $2,838.60 ↓ -38%
HAP HAP HMO_AHL_Fully Insured $2,974.55 ↓ -35%
Ontario Ministry of Health and Long-Term Care ALL PRODUCTS $2,988.00 ↓ -34%
Pace SE MI Medicare Advantage $3,138.36 ↓ -31%
Aetna Commercial $3,216.08 ↓ -29%
Humana Transplant Med Adv $3,237.00 ↓ -29%
Amerihealth Caritas Dual Products $3,237.47 ↓ -29%
HAP Medicare Advantage $3,303.54 ↓ -28%
Molina Dual MI Coordinated Health $3,303.54 ↓ -28%
Blue Cross Medicare Plus Blue $3,303.54 ↓ -28%
HAP HAP Dual Products $3,303.54 ↓ -28%
Priority Health Dual Premier_HIDE-SNP $3,303.54 ↓ -28%
McLaren Medicare Advantage $3,303.54 ↓ -28%
Blue Cross BCN Advantage $3,303.54 ↓ -28%
Priority Health Medicare Advantage $3,303.54 ↓ -28%
Trinity Health Plan Medicare Advantage $3,303.54 ↓ -28%
United Healthcare Erickson Advantage $3,303.54 ↓ -28%
Aetna Medicare Advantage $3,303.54 ↓ -28%
United Healthcare VACCN $3,303.54 ↓ -28%
WellCare Medicare Advantage $3,303.54 ↓ -28%
WellCare Wellcare Meridian Dual Align (HMO D-SNP) $3,303.54 ↓ -28%
Humana Medicare Advantage $3,336.57 ↓ -27%
Multiplan All Products $3,336.60 ↓ -27%
United Healthcare Baseline Benefit Plan $3,545.76 ↓ -22%
United Healthcare UHC Commercial $3,545.76 ↓ -22%
Aetna Dual Products $3,633.89 ↓ -20%
HAP Henry Ford Select -HPN commercial $3,964.24 ↓ -13%
Meridian Ambetter From Meridian $4,459.78 ↓ -2%
Vitalcore All Products $7,598.14 ↑ +67%
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
United Healthcare Commercial-Behavioral Health-MA not published by hospital
Detroit Wayne Integrated Health Medicaid HMO not published by hospital
United Healthcare Commercial-Behavioral Health-RN not published by hospital

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Exc torus mandibularis 21031 at other Michigan hospitals

Hospital City Cash price Negotiated range
Henry Ford West Bloomfield Hospital West Bloomfield $4,558.89 $161.45 – $7,598.14
Henry Ford Wyandotte Hospital: Wyandotte $4,558.89 $161.45 – $603.12
Henry Ford Macomb Hospital Clinton Twp $4,558.89 $161.45 – $7,598.14
Corewell Health Big Rapids Big Rapids not published $676.74 – $5,946.37
Corewell Health Gerber Fremont not published $676.74 – $676.74
Corewell Health Lakeland St. Joseph St Joseph not published $3,303.54 – $4,955.31
Corewell Health Butterworth Hospital Grand Rapids not published $484.36 – $5,946.37
Corewell Health Blodgett Hospital East Grand Rapids not published $484.36 – $5,946.37

All Michigan hospitals for this procedure →