Nasal/sinus endo w/ethmoidectomy part 31254 at Henry Ford Hospital
2799 West Grand Blvd, Detroit MI 48202 | 19401 Hubbard Dr., MI · Henry Ford Health · · NPI 1134144801
$9,704.27
Cash price 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.
?
What you pay up front if you don't use insurance.
$800.00
Gross charge 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.
?
The hospital's undiscounted list price — almost no one pays this.
$131.21 with United Healthcare vs $16,173.78 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 →
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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 ?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 ?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-Adult-FAC | $131.21 | ↓ -99% |
| HAP | HAP Caresource Medicaid-FAC | $131.21 | ↓ -99% |
| McLaren | Medicaid HMO-Child-FAC | $131.21 | ↓ -99% |
| McLaren | Medicaid HMO-Adult-FAC | $131.21 | ↓ -99% |
| Meridian | Medicaid HMO-Child-FAC | $131.21 | ↓ -99% |
| Blue Cross | Blue Cross Complete-Adult-FAC | $131.21 | ↓ -99% |
| Meridian | Medicaid HMO-Adult-FAC | $131.21 | ↓ -99% |
| Blue Cross | Blue Cross Complete-Child-FAC | $131.21 | ↓ -99% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $131.21 | ↓ -99% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $133.83 | ↓ -99% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $133.83 | ↓ -99% |
| Molina | Medicaid HMO-Child-FAC | $136.46 | ↓ -99% |
| Molina | Medicaid HMO-Adult-FAC | $136.46 | ↓ -99% |
| Priority Health | Medicaid HMO-Adult-FAC | $137.77 | ↓ -99% |
| Priority Health | Medicaid HMO-Child-FAC | $137.77 | ↓ -99% |
| ScriptGuideRX | All Products | $170.57 | ↓ -98% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $185.18 | ↓ -98% |
| Humana Military | Tricare-NonPhysician-FAC | $194.70 | ↓ -98% |
| Pace SE MI | Medicare Advantage-FAC | $206.97 | ↓ -98% |
| Amerihealth Caritas | Dual Products-FAC | $213.50 | ↓ -98% |
| Humana | Medicare Advantage-NP-FAC | $213.75 | ↓ -98% |
| HAP | HAP Dual Products-FAC | $217.86 | ↓ -98% |
| Molina | Medicare Advantage-FAC | $217.86 | ↓ -98% |
| Molina | Dual Product-FAC | $217.86 | ↓ -98% |
| HAP | Medicare Advantage-FAC | $217.86 | ↓ -98% |
| HAP | Medicare Advantage-Physician-FAC | $217.86 | ↓ -98% |
| Priority Health | Medicare Advantage-FAC | $217.86 | ↓ -98% |
| McLaren | Medicare Advantage-FAC | $217.86 | ↓ -98% |
| Blue Cross | BCN Medicare Advantage -FAC | $217.86 | ↓ -98% |
| United Healthcare | Medicare-Behavioral Health-FAC | $217.86 | ↓ -98% |
| Blue Cross | Medicare Plus Blue-FAC | $217.86 | ↓ -98% |
| Aetna | Medicare Advantage-FAC | $217.86 | ↓ -98% |
| Meridian | Ambetter From Meridian-FAC | $217.86 | ↓ -98% |
| Trinity Health Plan | Medicare Advantage-FAC | $217.86 | ↓ -98% |
| WellCare | Medicare Advantage-FAC | $217.86 | ↓ -98% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $217.86 | ↓ -98% |
| United Healthcare | Medicare Advantage-FAC | $217.86 | ↓ -98% |
| Humana Military | Tricare | $229.05 | ↓ -98% |
| Humana Military | Tricare-Physician-FAC | $229.05 | ↓ -98% |
| Humana | Medicare Advantage-Physician-FAC | $251.47 | ↓ -97% |
| McLaren | Medicaid HMO-Adult-NONFAC | $278.39 | ↓ -97% |
| Blue Cross | Blue Cross Complete-Adult-NONFAC | $278.39 | ↓ -97% |
| Blue Cross | Blue Cross Complete-Child-NONFAC | $278.39 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $278.39 | ↓ -97% |
| HAP | HAP Caresource Medicaid-NONFAC | $278.39 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $278.39 | ↓ -97% |
| Meridian | Medicaid HMO-Child-NONFAC | $278.39 | ↓ -97% |
| McLaren | Medicaid HMO-Child-NONFAC | $278.39 | ↓ -97% |
| Meridian | Medicaid HMO-Adult-NONFAC | $278.39 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $283.96 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $283.96 | ↓ -97% |
| Molina | Medicaid HMO-Child-NONFAC | $289.53 | ↓ -97% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $292.31 | ↓ -97% |
| Priority Health | Medicaid HMO-Child-NONFAC | $292.31 | ↓ -97% |
| Molina | Medicaid HMO-Adult-NONFAC | $302.26 | ↓ -97% |
| Nomi | All Products | $305.00 | ↓ -97% |
| Humana Military | Tricare-NonPhysician-NONFAC | $340.35 | ↓ -96% |
| Priority Health | All Products | $341.39 | ↓ -96% |
| Blue Cross | GM Connected Care | $348.96 | ↓ -96% |
| Humana | Medicare Advantage-NP-NONFAC | $373.65 | ↓ -96% |
| Humana | Medicare Advantage-Physician-NONFAC | $373.65 | ↓ -96% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $374.49 | ↓ -96% |
| Priority Health | Priority Cigna | $375.53 | ↓ -96% |
| HAP | HAP HMO_AHL_Fully-Insured | $377.57 | ↓ -96% |
| Blue Cross | BCN Commercial-FAC | $387.73 | ↓ -96% |
| Humana Military | Tricare-Physician-NONFAC | $400.42 | ↓ -96% |
| Aetna | All Products-FAC | $407.18 | ↓ -96% |
| Pace SE MI | Medicare Advantage-NONFAC | $418.55 | ↓ -96% |
| HAP | Self-Funded | $428.72 | ↓ -96% |
| Amerihealth Caritas | Dual Products-NONFAC | $431.77 | ↓ -96% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $435.24 | ↓ -96% |
| United Healthcare | Medicare Advantage-NONFAC | $440.58 | ↓ -95% |
| Aetna | Medicare Advantage-NONFAC | $440.58 | ↓ -95% |
| HAP | Medicare Advantage-Physician-NONFAC | $440.58 | ↓ -95% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $440.58 | ↓ -95% |
| Molina | Dual Product-NONFAC | $440.58 | ↓ -95% |
| HAP | Medicare Advantage-NONFAC | $440.58 | ↓ -95% |
| McLaren | Medicare Advantage-NONFAC | $440.58 | ↓ -95% |
| HAP | HAP Dual Products-NONFAC | $440.58 | ↓ -95% |
| Molina | Medicare Advantage-NONFAC | $440.58 | ↓ -95% |
| Meridian | Ambetter From Meridian-NONFAC | $440.58 | ↓ -95% |
| Blue Cross | Medicare Plus Blue-NONFAC | $440.58 | ↓ -95% |
| WellCare | Medicare Advantage-NONFAC | $440.58 | ↓ -95% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $440.58 | ↓ -95% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $440.58 | ↓ -95% |
| Priority Health | Medicare Advantage-NONFAC | $440.58 | ↓ -95% |
| HAP | HAP HMO_AHL_Fully Insured | $471.82 | ↓ -95% |
| United Healthcare | All Products-Midlevel | $503.87 | ↓ -95% |
| Cofinity | All Products | $558.08 | ↓ -94% |
| Vitalcore | All Products-NONFAC | $572.75 | ↓ -94% |
| United Healthcare | All Products-Prof | $647.88 | ↓ -93% |
| Blue Cross | BCN Commercial-NONFAC | $698.77 | ↓ -93% |
| Blue Cross | BCBSM Commercial | $699.30 | ↓ -93% |
| Aetna | All Products-NONFAC | $716.00 | ↓ -93% |
| McLaren | Medicaid HMO | $3,771.00 | ↓ -61% |
| Priority Health | Medicaid HMO | $3,771.00 | ↓ -61% |
| Blue Cross | Blue Cross Complete | $3,771.00 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $3,771.00 | ↓ -61% |
| Meridian | Medicaid HMO | $3,771.00 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $3,846.42 | ↓ -60% |
| Molina | Medicaid HMO | $3,971.72 | ↓ -59% |
| Priority Health | Commercial | $6,667.08 | ↓ -31% |
| Pace SE MI | Medicare Advantage | $6,680.48 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $6,891.44 | ↓ -29% |
| Priority Health | Dual Premier_HIDE-SNP | $7,032.08 | ↓ -28% |
| McLaren | Medicare Advantage | $7,032.08 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $7,032.08 | ↓ -28% |
| HAP | Medicare Advantage | $7,032.08 | ↓ -28% |
| HAP | HAP Dual Products | $7,032.08 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $7,032.08 | ↓ -28% |
| Priority Health | Medicare Advantage | $7,032.08 | ↓ -28% |
| Blue Cross | BCN Advantage | $7,032.08 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $7,032.08 | ↓ -28% |
| United Healthcare | Erickson Advantage | $7,032.08 | ↓ -28% |
| Aetna | Medicare Advantage | $7,032.08 | ↓ -28% |
| United Healthcare | VACCN | $7,032.08 | ↓ -28% |
| WellCare | Medicare Advantage | $7,032.08 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $7,032.08 | ↓ -28% |
| Humana | Medicare Advantage | $7,102.40 | ↓ -27% |
| Blue Cross | BCBSM GM Connected Care | $7,412.79 | ↓ -24% |
| Aetna | Dual Products | $7,735.29 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $8,438.50 | ↓ -13% |
| Meridian | Ambetter From Meridian | $9,493.31 | ↓ -2% |
| BCN | HMO | $10,233.91 | ↑ +5% |
| Blue Cross | BCN Commercial | $10,233.91 | ↑ +5% |
| Vitalcore | All Products | $16,173.78 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
Nasal/sinus endo w/ethmoidectomy part 31254 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford West Bloomfield Hospital | West Bloomfield | $9,704.27 | $131.21 – $16,173.78 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $9,704.27 | $131.21 – $7,633.81 |
| Henry Ford Macomb Hospital | Clinton Twp | $9,704.27 | $131.21 – $16,173.78 |
| Corewell Health Big Rapids | Big Rapids | not published | $2,867.58 – $12,657.75 |
| Corewell Health Gerber | Fremont | not published | $2,867.58 – $2,867.58 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $334.21 – $10,548.12 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $2,663.84 – $12,657.75 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $2,663.84 – $12,657.75 |