Incision of breast lesion at Henry Ford West Bloomfield Hospital
6777 W Maple Road, West Bloomfield, MI · Henry Ford Health · · NPI 1407867559
$2,271.01
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.
$1,058.00
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.
$201.71 with Meridian vs $3,785.02 with Vitalcore — 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 | Medicaid HMO-Child-FAC | $201.71 | ↓ -91% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $201.71 | ↓ -91% |
| McLaren | Medicaid HMO-Adult-FAC | $201.71 | ↓ -91% |
| McLaren | Medicaid HMO-Child-FAC | $201.71 | ↓ -91% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $201.71 | ↓ -91% |
| HAP | HAP Caresource Medicaid-FAC | $201.71 | ↓ -91% |
| Meridian | Medicaid HMO-Adult-FAC | $201.71 | ↓ -91% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $205.74 | ↓ -91% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $205.74 | ↓ -91% |
| Molina | Medicaid HMO-Child-FAC | $209.78 | ↓ -91% |
| Molina | Medicaid HMO-Adult-FAC | $209.78 | ↓ -91% |
| Priority Health | Medicaid HMO-Child-FAC | $211.80 | ↓ -91% |
| Priority Health | Medicaid HMO-Adult-FAC | $211.80 | ↓ -91% |
| ScriptGuideRX | All Products | $225.56 | ↓ -90% |
| Humana Military | Tricare-NonPhysician-FAC | $256.31 | ↓ -89% |
| Humana | Medicare Advantage-NP-FAC | $281.38 | ↓ -88% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $281.99 | ↓ -88% |
| Humana Military | Tricare | $301.54 | ↓ -87% |
| Humana Military | Tricare-Physician-FAC | $301.54 | ↓ -87% |
| Pace SE MI | Medicare Advantage-FAC | $315.16 | ↓ -86% |
| Molina | Medicaid HMO-Adult-NONFAC | $318.62 | ↓ -86% |
| Amerihealth Caritas | Dual Products-FAC | $325.12 | ↓ -86% |
| McLaren | Medicaid HMO-Adult-NONFAC | $328.02 | ↓ -86% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $328.02 | ↓ -86% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $328.02 | ↓ -86% |
| Meridian | Medicaid HMO-Child-NONFAC | $328.02 | ↓ -86% |
| HAP | HAP Caresource Medicaid-NONFAC | $328.02 | ↓ -86% |
| Meridian | Medicaid HMO-Adult-NONFAC | $328.02 | ↓ -86% |
| McLaren | Medicaid HMO-Child-NONFAC | $328.02 | ↓ -86% |
| Humana | Medicare Advantage-Physician-FAC | $331.04 | ↓ -85% |
| Molina | Dual Product-FAC | $331.75 | ↓ -85% |
| United Healthcare | Medicare Advantage-FAC | $331.75 | ↓ -85% |
| Priority Health | Medicare Advantage-FAC | $331.75 | ↓ -85% |
| United Healthcare | Medicare-Behavioral Health-FAC | $331.75 | ↓ -85% |
| WellCare | Medicare Advantage-FAC | $331.75 | ↓ -85% |
| HAP | HAP Dual Products-FAC | $331.75 | ↓ -85% |
| Trinity Health Plan | Medicare Advantage-FAC | $331.75 | ↓ -85% |
| Meridian | Ambetter From Meridian-FAC | $331.75 | ↓ -85% |
| McLaren | Medicare Advantage-FAC | $331.75 | ↓ -85% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $331.75 | ↓ -85% |
| Blue Cross | Medicare Plus Blue-FAC | $331.75 | ↓ -85% |
| HAP | Medicare Advantage-FAC | $331.75 | ↓ -85% |
| Aetna | Medicare Advantage-FAC | $331.75 | ↓ -85% |
| HAP | Medicare Advantage-Physician-FAC | $331.75 | ↓ -85% |
| Blue Cross | BCN Medicare Advantage -FAC | $331.75 | ↓ -85% |
| Molina | Medicare Advantage-FAC | $331.75 | ↓ -85% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $334.58 | ↓ -85% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $334.58 | ↓ -85% |
| Molina | Medicaid HMO-Child-NONFAC | $341.14 | ↓ -85% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $344.42 | ↓ -85% |
| Priority Health | Medicaid HMO-Child-NONFAC | $344.42 | ↓ -85% |
| Cofinity | All Products | $395.29 | ↓ -83% |
| Humana | Medicare Advantage-NP-NONFAC | $398.58 | ↓ -82% |
| Humana | Medicare Advantage-Physician-NONFAC | $398.58 | ↓ -82% |
| Priority Health | All Products | $435.27 | ↓ -81% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $444.46 | ↓ -80% |
| Blue Cross | GM Connected Care | $457.77 | ↓ -80% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $464.27 | ↓ -80% |
| Nomi | All Products | $464.45 | ↓ -80% |
| Priority Health | Priority Cigna | $478.80 | ↓ -79% |
| Pace SE MI | Medicare Advantage-NONFAC | $496.75 | ↓ -78% |
| Blue Cross | BCN Commercial-FAC | $508.63 | ↓ -78% |
| Amerihealth Caritas | Dual Products-NONFAC | $512.43 | ↓ -77% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $522.89 | ↓ -77% |
| HAP | Medicare Advantage-Physician-NONFAC | $522.89 | ↓ -77% |
| HAP | Medicare Advantage-NONFAC | $522.89 | ↓ -77% |
| McLaren | Medicare Advantage-NONFAC | $522.89 | ↓ -77% |
| Meridian | Ambetter From Meridian-NONFAC | $522.89 | ↓ -77% |
| HAP | HAP Dual Products-NONFAC | $522.89 | ↓ -77% |
| Molina | Dual Product-NONFAC | $522.89 | ↓ -77% |
| Blue Cross | Medicare Plus Blue-NONFAC | $522.89 | ↓ -77% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $522.89 | ↓ -77% |
| Molina | Medicare Advantage-NONFAC | $522.89 | ↓ -77% |
| Priority Health | Medicare Advantage-NONFAC | $522.89 | ↓ -77% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $522.89 | ↓ -77% |
| Aetna | Medicare Advantage-NONFAC | $522.89 | ↓ -77% |
| United Healthcare | Medicare Advantage-NONFAC | $522.89 | ↓ -77% |
| WellCare | Medicare Advantage-NONFAC | $522.89 | ↓ -77% |
| HAP | Self-Funded | $550.05 | ↓ -76% |
| NFL Cigna | All Products | $550.16 | ↓ -76% |
| HAP | HAP HMO_AHL_Fully Insured | $599.25 | ↓ -74% |
| HAP | HAP HMO_AHL_Fully-Insured | $623.18 | ↓ -73% |
| Aetna | All Products-NONFAC | $680.96 | ↓ -70% |
| Multiplan | All Products | $708.86 | ↓ -69% |
| Blue Cross | BCN Commercial-NONFAC | $736.59 | ↓ -68% |
| United Healthcare | UHC Commercial | $753.30 | ↓ -67% |
| United Healthcare | Baseline Benefit Plan | $753.30 | ↓ -67% |
| Blue Cross | BCBSM Commercial | $755.23 | ↓ -67% |
| United Healthcare | All Products-Prof | $838.65 | ↓ -63% |
| United Healthcare | All Products-Midlevel | $852.68 | ↓ -62% |
| HAP | HAP Caresource Medicaid | $882.49 | ↓ -61% |
| Meridian | Medicaid HMO | $882.49 | ↓ -61% |
| McLaren | Medicaid HMO | $882.49 | ↓ -61% |
| Priority Health | Medicaid HMO | $882.49 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $900.14 | ↓ -60% |
| Molina | Medicaid HMO | $929.47 | ↓ -59% |
| Blue Cross | BCN Commercial | $1,058.00 | ↓ -53% |
| Meridian | Ambetter From Meridian | $1,058.00 | ↓ -53% |
| Priority Health | Commercial | $1,058.00 | ↓ -53% |
| Blue Cross | BCBSM GM Connected Care | $1,058.00 | ↓ -53% |
| BCN | HMO | $1,058.00 | ↓ -53% |
| HAP | Henry Ford Select -HPN commercial | $1,058.00 | ↓ -53% |
| HAP | Medicare Advantage | $1,058.00 | ↓ -53% |
| Humana | Medicare Advantage | $1,058.00 | ↓ -53% |
| Pace SE MI | Medicare Advantage | $1,563.38 | ↓ -31% |
| Cofinity | Commercial | $1,594.00 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $1,612.75 | ↓ -29% |
| United Healthcare | VACCN | $1,645.66 | ↓ -28% |
| Blue Cross | BCN Advantage | $1,645.66 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $1,645.66 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $1,645.66 | ↓ -28% |
| HAP | HAP Dual Products | $1,645.66 | ↓ -28% |
| McLaren | Medicare Advantage | $1,645.66 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $1,645.66 | ↓ -28% |
| WellCare | Medicare Advantage | $1,645.66 | ↓ -28% |
| United Healthcare | Erickson Advantage | $1,645.66 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $1,645.66 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $1,645.66 | ↓ -28% |
| Aetna | Medicare Advantage | $1,645.66 | ↓ -28% |
| Priority Health | Medicare Advantage | $1,645.66 | ↓ -28% |
| Aetna | Dual Products | $1,810.22 | ↓ -20% |
| Aetna | Commercial | $2,877.00 | ↑ +27% |
| Vitalcore | All Products | $3,785.02 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
Incision of breast lesion at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $3,823.00 | $1,645.66 – $2,962.18 |
| Corewell Health Gerber | Fremont | $3,823.00 | $1,960.80 – $1,960.80 |
| Corewell Health Butterworth Hospital | Grand Rapids | $3,441.00 | $933.69 – $2,962.18 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $3,441.00 | $933.69 – $2,962.18 |
| Corewell Health Reed City | Po Box 75 | $3,823.00 | not published |
| Corewell Health Greenville | Greenville | $3,823.00 | $1,645.66 – $2,962.18 |
| Corewell Health Zeeland | Zeeland | $3,823.00 | $1,645.66 – $2,962.18 |
| Corewell Health Gross Pointe | Grosse Pointe | $6,170.00 | $646.84 – $2,284.34 |