Epidural/lumbar/sacral/ea add level64484 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

$62.51

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.

$482.00

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.

$27.90 with United Healthcare vs $2,056.00 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
United Healthcare Medicaid-Behavioral Health-Child-FAC $27.90 ↓ -55%
Meridian Medicaid HMO-Adult-FAC $27.90 ↓ -55%
McLaren Medicaid HMO-Child-FAC $27.90 ↓ -55%
Meridian Medicaid HMO-Child-FAC $27.90 ↓ -55%
HAP HAP Caresource Medicaid-FAC $27.90 ↓ -55%
United Healthcare Medicaid-Behavioral Health-Adult-FAC $27.90 ↓ -55%
McLaren Medicaid HMO-Adult-FAC $27.90 ↓ -55%
Aetna Better Health Medicaid HMO-Child-FAC $28.46 ↓ -54%
Aetna Better Health Medicaid HMO-Adult-FAC $28.46 ↓ -54%
Molina Medicaid HMO-Adult-FAC $29.02 ↓ -54%
Molina Medicaid HMO-Child-FAC $29.02 ↓ -54%
Priority Health Medicaid HMO-Adult-FAC $29.30 ↓ -53%
Priority Health Medicaid HMO-Child-FAC $29.30 ↓ -53%
ScriptGuideRX All Products $30.80 ↓ -51%
HAP Medicare Advantage HMO/PPO-NonPhysician-FAC $38.51 ↓ -38%
Humana Military Tricare-NonPhysician-FAC $39.57 ↓ -37%
Pace SE MI Medicare Advantage-FAC $43.04 ↓ -31%
Humana Medicare Advantage-NP-FAC $43.44 ↓ -31%
Amerihealth Caritas Dual Products-FAC $44.39 ↓ -29%
Meridian Ambetter From Meridian-FAC $45.30 ↓ -28%
Molina Dual Product-FAC $45.30 ↓ -28%
United Healthcare Medicare Advantage-FAC $45.30 ↓ -28%
Trinity Health Plan Medicare Advantage-FAC $45.30 ↓ -28%
Blue Cross BCN Medicare Advantage -FAC $45.30 ↓ -28%
WellCare Medicare Advantage-FAC $45.30 ↓ -28%
Blue Cross Medicare Plus Blue-FAC $45.30 ↓ -28%
Priority Health Medicare Advantage-FAC $45.30 ↓ -28%
HAP HAP Dual Products-FAC $45.30 ↓ -28%
Aetna Medicare Advantage-FAC $45.30 ↓ -28%
HAP Medicare Advantage-FAC $45.30 ↓ -28%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-FAC $45.30 ↓ -28%
HAP Medicare Advantage-Physician-FAC $45.30 ↓ -28%
United Healthcare Medicare-Behavioral Health-FAC $45.30 ↓ -28%
Molina Medicare Advantage-FAC $45.30 ↓ -28%
McLaren Medicare Advantage-FAC $45.30 ↓ -28%
Humana Military Tricare-Physician-FAC $46.55 ↓ -26%
Humana Military Tricare $46.55 ↓ -26%
Humana Medicare Advantage-Physician-FAC $51.11 ↓ -18%
Nomi All Products $63.42 ↑ +1%
Blue Cross GM Connected Care $72.38 ↑ +16%
McLaren Medicaid HMO-Adult-NONFAC $74.98 ↑ +20%
Meridian Medicaid HMO-Adult-NONFAC $74.98 ↑ +20%
United Healthcare Medicaid-Behavioral Health-Adult-NONFAC $74.98 ↑ +20%
McLaren Medicaid HMO-Child-NONFAC $74.98 ↑ +20%
United Healthcare Medicaid-Behavioral Health-Child-NONFAC $74.98 ↑ +20%
HAP HAP Caresource Medicaid-NONFAC $74.98 ↑ +20%
Meridian Medicaid HMO-Child-NONFAC $74.98 ↑ +20%
Molina Medicaid HMO-Adult-NONFAC $75.56 ↑ +21%
Aetna Better Health Medicaid HMO-Child-NONFAC $76.48 ↑ +22%
Aetna Better Health Medicaid HMO-Adult-NONFAC $76.48 ↑ +22%
Molina Medicaid HMO-Child-NONFAC $77.98 ↑ +25%
Priority Health Medicaid HMO-Adult-NONFAC $78.73 ↑ +26%
Priority Health Medicaid HMO-Child-NONFAC $78.73 ↑ +26%
Blue Cross BCN Commercial-FAC $80.42 ↑ +29%
Priority Health All Products $87.33 ↑ +40%
Humana Medicare Advantage-NP-NONFAC $91.91 ↑ +47%
Humana Medicare Advantage-Physician-NONFAC $91.91 ↑ +47%
Priority Health Priority Cigna $96.06 ↑ +54%
HAP Medicare Advantage HMO/PPO-NonPhysician-NONFAC $99.05 ↑ +58%
United Healthcare Medicare-Behavioral Health-NONFAC $107.06 ↑ +71%
United Healthcare All Products-Midlevel $109.43 ↑ +75%
Pace SE MI Medicare Advantage-NONFAC $110.70 ↑ +77%
Amerihealth Caritas Dual Products-NONFAC $114.20 ↑ +83%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC $116.53 ↑ +86%
Aetna Medicare Advantage-NONFAC $116.53 ↑ +86%
Blue Cross BCN Medicare Advantage -NONFAC $116.53 ↑ +86%
Blue Cross Medicare Plus Blue-NONFAC $116.53 ↑ +86%
HAP HAP Dual Products-NONFAC $116.53 ↑ +86%
HAP Medicare Advantage-NONFAC $116.53 ↑ +86%
HAP Medicare Advantage-Physician-NONFAC $116.53 ↑ +86%
McLaren Medicare Advantage-NONFAC $116.53 ↑ +86%
Meridian Ambetter From Meridian-NONFAC $116.53 ↑ +86%
Molina Dual Product-NONFAC $116.53 ↑ +86%
Molina Medicare Advantage-NONFAC $116.53 ↑ +86%
Priority Health Medicare Advantage-NONFAC $116.53 ↑ +86%
Trinity Health Plan Medicare Advantage-NONFAC $116.53 ↑ +86%
United Healthcare Medicare Advantage-NONFAC $116.53 ↑ +86%
WellCare Medicare Advantage-NONFAC $116.53 ↑ +86%
HAP HAP HMO_AHL_Fully-Insured $131.14 ↑ +110%
United Healthcare All Products-Prof $136.93 ↑ +119%
Molina Dual MI Coordinated Health $144.60 ↑ +131%
WellCare Medicare Advantage $145.56 ↑ +133%
HAP Self-Funded $153.08 ↑ +145%
Blue Cross BCN Commercial-NONFAC $174.69 ↑ +179%
Blue Cross BCBSM Commercial $177.89 ↑ +185%
Aetna All Products-NONFAC $180.03 ↑ +188%
Amerihealth Caritas Dual Products $192.80 ↑ +208%
Priority Health Commercial $236.99 ↑ +279%
Vitalcore All Products $241.00 ↑ +286%
NFL Cigna All Products $250.64 ↑ +301%
HAP HAP HMO_AHL_Fully Insured $273.00 ↑ +337%
Cofinity All Products $279.55 ↑ +347%
Multiplan All Products $322.94 ↑ +417%
Blue Cross BCN Commercial $482.00 ↑ +671%
Blue Cross BCBSM GM Connected Care $482.00 ↑ +671%
BCN HMO $482.00 ↑ +671%
Cofinity Commercial $1,075.00 ↑ +1620%
United Healthcare UHC Commercial $1,844.00 ↑ +2850%
United Healthcare Baseline Benefit Plan $2,024.00 ↑ +3138%
Aetna Commercial $2,056.00 ↑ +3189%
United Healthcare Commercial-Behavioral Health-MA not published by hospital —
United Healthcare Commercial-Behavioral Health-MD not published by hospital —
United Healthcare Commercial-Behavioral Health-PhD not published by hospital —
United Healthcare Commercial-Behavioral Health-RN not published by hospital —
United Healthcare Erickson Advantage not published by hospital —
Blue Cross BCN Advantage not published by hospital —
Humana Medicare Advantage not published by hospital —
Aetna Better Health Medicaid HMO not published by hospital —
Aetna Medicare Advantage not published by hospital —
United Healthcare VACCN not published by hospital —
McLaren Medicaid HMO not published by hospital —
Molina Medicaid HMO not published by hospital —
Aetna Dual Products not published by hospital —
Meridian Medicaid HMO not published by hospital —
Meridian Ambetter From Meridian not published by hospital —
Priority Health Medicaid HMO not published by hospital —
McLaren Medicare Advantage not published by hospital —
Priority Health Dual Premier_HIDE-SNP not published by hospital —
HAP HAP Dual Products not published by hospital —
HAP HAP Caresource Medicaid not published by hospital —
Priority Health Medicare Advantage not published by hospital —
HAP Henry Ford Select -HPN commercial not published by hospital —
Blue Cross Medicare Plus Blue not published by hospital —
Trinity Health Plan Medicare Advantage not published by hospital —
HAP Medicare Advantage not published by hospital —
WellCare Wellcare Meridian Dual Align (HMO D-SNP) not published by hospital —
Pace SE MI Medicare Advantage not published by hospital —

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Epidural/lumbar/sacral/ea add level64484 at other Michigan hospitals

Hospital City Cash price Negotiated range
Corewell Health Big Rapids Big Rapids $1,573.00 not published
Corewell Health Gerber Fremont $1,573.00 not published
Corewell Health Butterworth Hospital Grand Rapids $1,748.00 not published
Corewell Health Blodgett Hospital East Grand Rapids $1,748.00 not published
Corewell Health Reed City Po Box 75 $1,573.00 not published
Corewell Health Greenville Greenville $1,573.00 not published
Corewell Health Zeeland Zeeland $1,573.00 not published
Corewell Health Gross Pointe Grosse Pointe $1,727.00 $102.27 – $843.08

All Michigan hospitals for this procedure →