Exc abd tum 5 cm or less 49203 at Henry Ford West Bloomfield Hospital
6777 W Maple Road, West Bloomfield, MI · Henry Ford Health · · NPI 1407867559
not published by hospital
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.
not published by hospital
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.
$1,911.48 with HAP vs $2,776.68 with HAP — 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 |
|---|---|---|---|
| HAP | HAP HMO_AHL_Fully Insured | $1,911.48 | — |
| HAP | Self-Funded | $2,776.68 | — |
Visitor-reported prices
Comments
Exc abd tum 5 cm or less 49203 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Gross Pointe | Grosse Pointe | not published | $1,754.60 – $1,754.60 |
| Corewell Health Troy | Troy | not published | $1,746.16 – $1,746.16 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | not published | $2,070.84 – $2,070.84 |
| Henry Ford Wyandotte Hospital: | Wyandotte | not published | $1,911.48 – $1,911.48 |
| Henry Ford Macomb Hospital | Clinton Twp | not published | $1,911.48 – $1,911.48 |
| Henry Ford Providence Novi Hospital | Novi | not published | $1,421.11 – $4,643.21 |
| Henry Ford St John Hospital | Detroit | not published | $3,450.11 – $3,450.11 |
| Henry Ford Rochester Hospital | Rochester | not published | $5,009.68 – $5,375.19 |