Prostate biopsy, any mthd at Henry Ford Warren Hospital
11800 Twelve Mile Rd, Warren, MI · Henry Ford Health · · NPI 1124099858
$410.48
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.
$733.00
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.
$110.15 with MERIDIAN HEALTH PLAN vs $733.00 with PPOM — 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 |
|---|---|---|---|
| MERIDIAN HEALTH PLAN | 1945_MEDICAID REPLACEMENT MERIDIAN HEALTH OUTPATIENT 20220101 | $110.15 | ↓ -73% |
| PHCS POS | 1311_PHCS POS 20201001 | $494.73 | ↑ +21% |
| PHCS PPO | 1457_PHCS PPO 20201001 | $494.73 | ↑ +21% |
| PPOM | 934_PPOM 20191001 | $733.00 | ↑ +79% |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Providence Novi Hospital | Novi | $356.72 | $110.15 – $634.86 |
| Henry Ford St John Hospital | Detroit | $410.48 | $110.15 – $733.00 |
| Henry Ford Rochester Hospital | Rochester | $132.54 | $201.99 – $201.99 |
| Henry Ford River District Hospital | China Township | $376.32 | $110.15 – $672.00 |