Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet at Henry Ford St John Hospital
22101 Moross Rd, Detroit, MI · Henry Ford Health · · NPI 1023088168
$1,377.04
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.
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What you pay up front if you don't use insurance.
$2,459.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$22.14 with BLUE CROSS TRADITIONAL vs $221.10 with PHCS PPO — 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 |
|---|---|---|---|
| BLUE CROSS TRADITIONAL | 2058_SJMC BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $22.14 | ↓ -98% |
| PHCS POS | 1311_PHCS POS 20201001 | $221.10 | ↓ -84% |
| PHCS PPO | 1457_PHCS PPO 20201001 | $221.10 | ↓ -84% |
Visitor-reported prices
Comments
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 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 |