Athrectomy fem/pop/unilateral 37225 at Henry Ford Providence Novi Hospital
47601 Grand River Ave, Novi, MI · Henry Ford Health · · NPI 1144210253
$18,706.80
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.
$33,405.00
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.
$5,019.28 with MOLINA HEALTH vs $23,851.17 with AETNA — 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 |
|---|---|---|---|
| MOLINA HEALTH | 1081_SJPK,SJPR MEDICAID REPLACEMENT MOLINA HEALTH INPATIENT 20211001 | $5,019.28 | ↓ -73% |
| JVHL - MEDICAID REPLACEMENT | 1245_SJPK,SJPR MEDICAID REPLACEMENT HMO JVHL OUTPATIENT 20250101 | $5,019.28 | ↓ -73% |
| JVHL - MEDICAID REPLACEMENT | 1079_SJPK,SJPR MEDICAID HMO JVHL INPATIENT 20211001 | $5,019.28 | ↓ -73% |
| HEALTH PLAN OF MI MEDICAID HMO | 1083_SJPK,SJPR MERIDIAN HEALTH INPATIENT 20211001 | $5,019.28 | ↓ -73% |
| BLUE CROSS PPO | 1145_SJPK BLUE CROSS BLUE SHIELD PPO 20220401 | $9,560.67 | ↓ -49% |
| BLUE CARE NETWORK | 1143_SJPK BLUE CROSS BLUE SHIELD BCN 20220401 | $10,653.36 | ↓ -43% |
| BC METRO DETROIT EPO | 1139_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT EPO 20220401 | $10,653.36 | ↓ -43% |
| BLUE CROSS TRADITIONAL | 1147_SJPK BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $10,653.36 | ↓ -43% |
| BC METRO DETROIT HMO | 1141_SJPK BLUE CROSS BLUE SHIELD METRO DETROIT HMO 20220401 | $10,653.36 | ↓ -43% |
| BCN LOCAL NETWORK SOUTHEAST | 1149_SJPK BLUE CROSS BLUE SHIELD BCN LOCAL NETWORK SE 20220401 | $10,653.36 | ↓ -43% |
| BLUE CROSS PPO | 1137_SJPR BLUE CROSS BLUE SHIELD PPO 20220401 | $10,852.31 | ↓ -42% |
| BLUE CARE NETWORK | 1129_SJPR BLUE CROSS BLUE SHIELD BCN 20220401 | $10,852.31 | ↓ -42% |
| BC METRO DETROIT EPO | 1127_SJPR BLUE CROSS BLUE SHIELD METRO DETROIT EPO 20220401 | $10,852.31 | ↓ -42% |
| BC METRO DETROIT HMO | 1133_SJPR BLUE CROSS BLUE SHIELD METRO DETROIT HMO 20220401 | $10,852.31 | ↓ -42% |
| BCN LOCAL NETWORK SOUTHEAST | 1131_SJPR BLUE CROSS BLUE SHIELD BCN LOCAL NETWORK SE 20220401 | $10,852.31 | ↓ -42% |
| BLUE CROSS TRADITIONAL | 1135_SJPR BLUE CROSS BLUE SHIELD OF MICHIGAN TRADITIONAL 20220401 | $10,852.31 | ↓ -42% |
| HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $12,481.68 | ↓ -33% |
| HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $12,481.68 | ↓ -33% |
| HAP PREFERRED | 1210_SJPK,SJPR HAP PREFERRED 20241001 | $14,716.39 | ↓ -21% |
| AETNA | 1203_SJPK,SJPR AETNA PPO 20241001 | $23,851.17 | ↑ +28% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Lakeland Watervliet | Watervliet | $35,187.00 | not published |
| Corewell Health Lakeland St. Joseph | St Joseph | $35,187.00 | $18,177.73 – $18,177.73 |
| Corewell Health Gross Pointe | Grosse Pointe | $39,080.00 | $1,177.86 – $15,410.79 |
| Corewell Health Taylor | Taylor | $39,080.00 | $1,183.22 – $1,183.22 |
| Corewell Health Trenton | Trenton | $39,080.00 | $1,176.64 – $1,176.64 |
| Corewell Health Troy | Troy | $39,080.00 | $1,328.25 – $15,336.66 |
| Corewell Health Wayne | Wayne | $39,080.00 | $1,172.21 – $1,172.21 |
| Henry Ford St John Hospital | Detroit | $21,960.96 | $5,019.28 – $28,235.52 |