Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm 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

$171.12

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.

$5,100.00

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.

$66.49 with Priority Health vs $628.63 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 →

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
Priority Health Medicaid HMO $66.49 ↓ -61%
HAP HAP Caresource Medicaid $66.49 ↓ -61%
Meridian Medicaid HMO $66.49 ↓ -61%
McLaren Medicaid HMO $66.49 ↓ -61%
Aetna Better Health Medicaid HMO $67.82 ↓ -60%
Molina Medicaid HMO $71.81 ↓ -58%
ScriptGuideRX All Products $83.49 ↓ -51%
Pace SE MI Medicare Advantage $117.80 ↓ -31%
Priority Health Dual Premier_HIDE-SNP $124.00 ↓ -28%
Aetna Medicare Advantage $124.00 ↓ -28%
United Healthcare VACCN $124.00 ↓ -28%
Blue Cross BCN Advantage $124.00 ↓ -28%
Blue Cross Medicare Plus Blue $124.00 ↓ -28%
United Healthcare Erickson Advantage $124.00 ↓ -28%
HAP HAP Dual Products $124.00 ↓ -28%
HAP Medicare Advantage $124.00 ↓ -28%
Trinity Health Plan Medicare Advantage $124.00 ↓ -28%
McLaren Medicare Advantage $124.00 ↓ -28%
Molina Dual MI Coordinated Health $124.00 ↓ -28%
Priority Health Medicare Advantage $124.00 ↓ -28%
Humana Medicare Advantage $125.24 ↓ -27%
Humana Military Tricare $127.64 ↓ -25%
Aetna Dual Products $136.40 ↓ -20%
WellCare Medicare Advantage $138.75 ↓ -19%
Priority Health Commercial $143.99 ↓ -16%
HAP Henry Ford Select -HPN commercial $148.80 ↓ -13%
Amerihealth Caritas Dual Products $178.20 ↑ +4%
United Healthcare UHC Commercial $209.78 ↑ +23%
Vitalcore All Products $222.75 ↑ +30%
Nomi All Products $228.16 ↑ +33%
HAP HAP HMO_AHL_Fully Insured $228.95 ↑ +34%
NFL Cigna All Products $231.66 ↑ +35%
Aetna Commercial $250.28 ↑ +46%
Multiplan All Products $298.49 ↑ +74%
Priority Health Priority Cigna $351.54 ↑ +105%
Cofinity Commercial $384.02 ↑ +124%
Blue Cross BCBSM Commercial $445.50 ↑ +160%
United Healthcare Baseline Benefit Plan $445.50 ↑ +160%
BCN HMO $445.50 ↑ +160%
Blue Cross BCN Commercial $445.50 ↑ +160%
Blue Cross BCBSM GM Connected Care $445.50 ↑ +160%
HAP Self-Funded $628.63 ↑ +267%
Meridian Ambetter From Meridian not published by hospital —
WellCare Wellcare Meridian Dual Align (HMO D-SNP) not published by hospital —

Visitor-reported prices

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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Michigan hospitals

Hospital City Cash price Negotiated range
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr. $171.12 $66.49 – $445.50
Henry Ford Wyandotte Hospital: Wyandotte $171.12 $66.49 – $528.75
Henry Ford Macomb Hospital Clinton Twp $171.12 $66.49 – $526.37
Henry Ford Providence Novi Hospital Novi $1,904.00 $176.90 – $295.03
Henry Ford St John Hospital Detroit $1,904.00 $192.51 – $219.22
Henry Ford Rochester Hospital Rochester $576.69 $202.46 – $566.00
Henry Ford Genesys Hospital Grand Blanc Twp $378.00 $109.40 – $304.87
Henry Ford River District Hospital China Township $1,904.00 $192.51 – $192.51

All Michigan hospitals for this procedure →