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

47601 Grand River Ave, Novi, MI · Henry Ford Health · · NPI 1144210253

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 7, 2026

$1,377.04

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.

$2,459.00

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.

$26.74 with BLUE CROSS PPO vs $30.35 with BC METRO DETROIT HMO — 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
BLUE CROSS PPO 1145_SJPK BLUE CROSS BLUE SHIELD PPO 20220401 $26.74 ↓ -98%
BC METRO DETROIT EPO 1139_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT EPO 20220401 $29.79 ↓ -98%
BLUE CARE NETWORK 1143_SJPK BLUE CROSS BLUE SHIELD BCN 20220401 $29.79 ↓ -98%
BC METRO DETROIT HMO 1141_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT HMO 20220401 $29.79 ↓ -98%
BCN LOCAL NETWORK SOUTHEAST 1149_SJPK BLUE CROSS BLUE SHIELD BCN LOCAL NETWORK SE 20220401 $29.79 ↓ -98%
BLUE CROSS TRADITIONAL 1147_SJPK BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL  20220401 $29.79 ↓ -98%
BLUE CROSS TRADITIONAL 1135_SJPR BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL  20220401 $30.35 ↓ -98%
BCN LOCAL NETWORK SOUTHEAST 1131_SJPR BLUE CROSS BLUE SHIELD BCN LOCAL NETWORK SE 20220401 $30.35 ↓ -98%
BLUE CARE NETWORK 1129_SJPR BLUE CROSS BLUE SHIELD BCN 20220401 $30.35 ↓ -98%
BC METRO DETROIT EPO 1127_SJPR BLUE CROSS BLUE SHIELD METRO DETROIT EPO 20220401 $30.35 ↓ -98%
BLUE CROSS PPO 1137_SJPR BLUE CROSS BLUE SHIELD PPO 20220401 $30.35 ↓ -98%
BC METRO DETROIT HMO 1133_SJPR BLUE CROSS BLUE SHIELD METRO DETROIT HMO 20220401 $30.35 ↓ -98%

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 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

All Michigan hospitals for this procedure →