Clsd tx mandibular fx without manip 21450 at Henry Ford West Bloomfield Hospital

6777 W Maple Road, West Bloomfield, MI · Henry Ford Health · · NPI 1407867559

Source: hospital's published price file ↗ · Published Jun 28, 2026 · Ingested Aug 13, 2026

$741.60

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.

$1,490.00

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.

$263.07 with HAP vs $4,112.00 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 →

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
HAP Self-Funded $263.07 ↓ -65%
NFL Cigna All Products $263.12 ↓ -65%
HAP HAP HMO_AHL_Fully Insured $286.60 ↓ -61%
Priority Health Medicaid HMO $288.18 ↓ -61%
HAP HAP Caresource Medicaid $288.18 ↓ -61%
Meridian Medicaid HMO $288.18 ↓ -61%
McLaren Medicaid HMO $288.18 ↓ -61%
McLaren Medicaid HMO-Adult-FAC $293.30 ↓ -60%
Meridian Medicaid HMO-Adult-FAC $293.30 ↓ -60%
McLaren Medicaid HMO-Child-FAC $293.30 ↓ -60%
United Healthcare Medicaid-Behavioral Health-Child-FAC $293.30 ↓ -60%
Meridian Medicaid HMO-Child-FAC $293.30 ↓ -60%
United Healthcare Medicaid-Behavioral Health-Adult-FAC $293.30 ↓ -60%
HAP HAP Caresource Medicaid-FAC $293.30 ↓ -60%
Aetna Better Health Medicaid HMO $293.94 ↓ -60%
Aetna Better Health Medicaid HMO-Adult-FAC $299.17 ↓ -60%
Aetna Better Health Medicaid HMO-Child-FAC $299.17 ↓ -60%
Molina Medicaid HMO $303.52 ↓ -59%
Molina Medicaid HMO-Adult-FAC $305.03 ↓ -59%
Molina Medicaid HMO-Child-FAC $305.03 ↓ -59%
Priority Health Medicaid HMO-Adult-FAC $307.97 ↓ -58%
Priority Health Medicaid HMO-Child-FAC $307.97 ↓ -58%
ScriptGuideRX All Products $311.35 ↓ -58%
Multiplan All Products $339.02 ↓ -54%
Humana Military Tricare $354.20 ↓ -52%
United Healthcare Baseline Benefit Plan $360.27 ↓ -51%
United Healthcare UHC Commercial $360.27 ↓ -51%
Humana Military Tricare-NonPhysician-FAC $368.66 ↓ -50%
McLaren Medicaid HMO-Adult-NONFAC $381.27 ↓ -49%
Meridian Medicaid HMO-Adult-NONFAC $381.27 ↓ -49%
United Healthcare Medicaid-Behavioral Health-Child-NONFAC $381.27 ↓ -49%
United Healthcare Medicaid-Behavioral Health-Adult-NONFAC $381.27 ↓ -49%
McLaren Medicaid HMO-Child-NONFAC $381.27 ↓ -49%
HAP HAP Caresource Medicaid-NONFAC $381.27 ↓ -49%
Meridian Medicaid HMO-Child-NONFAC $381.27 ↓ -49%
Aetna Better Health Medicaid HMO-Adult-NONFAC $388.90 ↓ -48%
Aetna Better Health Medicaid HMO-Child-NONFAC $388.90 ↓ -48%
HAP Medicare Advantage HMO/PPO-NonPhysician-FAC $389.25 ↓ -48%
Molina Medicaid HMO-Child-NONFAC $396.52 ↓ -47%
Priority Health Priority Cigna $399.28 ↓ -46%
Priority Health Medicaid HMO-Adult-NONFAC $400.33 ↓ -46%
Priority Health Medicaid HMO-Child-NONFAC $400.33 ↓ -46%
Humana Medicare Advantage-NP-FAC $404.72 ↓ -45%
Molina Medicaid HMO-Adult-NONFAC $408.00 ↓ -45%
Humana Military Tricare-Physician-FAC $433.72 ↓ -42%
Pace SE MI Medicare Advantage-FAC $435.04 ↓ -41%
Amerihealth Caritas Dual Products-FAC $448.78 ↓ -39%
United Healthcare Medicare Advantage-FAC $457.94 ↓ -38%
Blue Cross Medicare Plus Blue-FAC $457.94 ↓ -38%
HAP Medicare Advantage-FAC $457.94 ↓ -38%
HAP Medicare Advantage-Physician-FAC $457.94 ↓ -38%
WellCare Medicare Advantage-FAC $457.94 ↓ -38%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-FAC $457.94 ↓ -38%
McLaren Medicare Advantage-FAC $457.94 ↓ -38%
Molina Dual Product-FAC $457.94 ↓ -38%
Meridian Ambetter From Meridian-FAC $457.94 ↓ -38%
Molina Medicare Advantage-FAC $457.94 ↓ -38%
Priority Health Medicare Advantage-FAC $457.94 ↓ -38%
Aetna Medicare Advantage-FAC $457.94 ↓ -38%
United Healthcare Medicare-Behavioral Health-FAC $457.94 ↓ -38%
HAP HAP Dual Products-FAC $457.94 ↓ -38%
Blue Cross BCN Medicare Advantage -FAC $457.94 ↓ -38%
Trinity Health Plan Medicare Advantage-FAC $457.94 ↓ -38%
Cofinity All Products $468.35 ↓ -37%
Humana Medicare Advantage-Physician-FAC $476.14 ↓ -36%
Humana Medicare Advantage-Physician-NONFAC $493.98 ↓ -33%
Humana Medicare Advantage-NP-NONFAC $493.98 ↓ -33%
HAP Medicare Advantage HMO/PPO-NonPhysician-NONFAC $502.40 ↓ -32%
BCN HMO $506.00 ↓ -32%
Humana Medicare Advantage $506.00 ↓ -32%
Blue Cross BCBSM Commercial $506.00 ↓ -32%
Blue Cross BCBSM GM Connected Care $506.00 ↓ -32%
Blue Cross BCN Commercial $506.00 ↓ -32%
HAP Henry Ford Select -HPN commercial $506.00 ↓ -32%
HAP Medicare Advantage $506.00 ↓ -32%
Meridian Ambetter From Meridian $506.00 ↓ -32%
Priority Health Commercial $506.00 ↓ -32%
Pace SE MI Medicare Advantage $510.52 ↓ -31%
Amerihealth Caritas Dual Products $526.64 ↓ -29%
Blue Cross Medicare Plus Blue $537.39 ↓ -28%
Aetna Medicare Advantage $537.39 ↓ -28%
Trinity Health Plan Medicare Advantage $537.39 ↓ -28%
WellCare Wellcare Meridian Dual Align (HMO D-SNP) $537.39 ↓ -28%
Priority Health Dual Premier_HIDE-SNP $537.39 ↓ -28%
Molina Dual MI Coordinated Health $537.39 ↓ -28%
Priority Health Medicare Advantage $537.39 ↓ -28%
Blue Cross BCN Advantage $537.39 ↓ -28%
United Healthcare Erickson Advantage $537.39 ↓ -28%
United Healthcare VACCN $537.39 ↓ -28%
HAP HAP Dual Products $537.39 ↓ -28%
McLaren Medicare Advantage $537.39 ↓ -28%
WellCare Medicare Advantage $537.39 ↓ -28%
Pace SE MI Medicare Advantage-NONFAC $561.51 ↓ -24%
United Healthcare Medicare-Behavioral Health-NONFAC $575.40 ↓ -22%
Amerihealth Caritas Dual Products-NONFAC $579.24 ↓ -22%
Aetna Medicare Advantage-NONFAC $591.06 ↓ -20%
Meridian Ambetter From Meridian-NONFAC $591.06 ↓ -20%
Molina Medicare Advantage-NONFAC $591.06 ↓ -20%
McLaren Medicare Advantage-NONFAC $591.06 ↓ -20%
HAP Medicare Advantage-Physician-NONFAC $591.06 ↓ -20%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC $591.06 ↓ -20%
HAP Medicare Advantage-NONFAC $591.06 ↓ -20%
HAP HAP Dual Products-NONFAC $591.06 ↓ -20%
Blue Cross Medicare Plus Blue-NONFAC $591.06 ↓ -20%
Priority Health Medicare Advantage-NONFAC $591.06 ↓ -20%
Blue Cross BCN Medicare Advantage -NONFAC $591.06 ↓ -20%
Trinity Health Plan Medicare Advantage-NONFAC $591.06 ↓ -20%
United Healthcare Medicare Advantage-NONFAC $591.06 ↓ -20%
WellCare Medicare Advantage-NONFAC $591.06 ↓ -20%
Molina Dual Product-NONFAC $591.06 ↓ -20%
Aetna Dual Products $591.13 ↓ -20%
Nomi All Products $641.12 ↓ -14%
Blue Cross GM Connected Care $692.65 ↓ -7%
Priority Health All Products $769.22 ↑ +4%
Blue Cross BCN Commercial-FAC $769.61 ↑ +4%
HAP HAP HMO_AHL_Fully-Insured $799.28 ↑ +8%
Blue Cross BCN Commercial-NONFAC $943.23 ↑ +27%
Aetna All Products-NONFAC $949.48 ↑ +28%
United Healthcare All Products-Midlevel $1,097.77 ↑ +48%
United Healthcare All Products-Prof $1,196.36 ↑ +61%
Vitalcore All Products $1,236.00 ↑ +67%
Cofinity Commercial $2,044.00 ↑ +176%
Aetna Commercial $4,112.00 ↑ +454%
United Healthcare Commercial-Behavioral Health-MD not published by hospital
United Healthcare Commercial-Behavioral Health-MA not published by hospital
United Healthcare Commercial-Behavioral Health-PhD not published by hospital
United Healthcare Commercial-Behavioral Health-RN not published by hospital

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Clsd tx mandibular fx without manip 21450 at other Michigan hospitals

Hospital City Cash price Negotiated range
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr. $741.60 $263.12 – $768.38
Henry Ford Wyandotte Hospital: Wyandotte $741.60 $242.07 – $641.12
Henry Ford Macomb Hospital Clinton Twp $741.60 $238.38 – $1,236.00
Corewell Health Big Rapids Big Rapids not published $433.87 – $967.30
Corewell Health Gerber Fremont not published $433.87 – $433.87
Corewell Health Lakeland St. Joseph St Joseph not published $537.39 – $806.08
Corewell Health Butterworth Hospital Grand Rapids not published $428.37 – $967.30
Corewell Health Blodgett Hospital East Grand Rapids not published $428.37 – $967.30

All Michigan hospitals for this procedure →