Leucovorin calcium 100 mg solution for injection (1 mg rounding) 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

$5.30

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.

$359.75

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.

$2.17 with Molina vs $56.03 with Cofinity — 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
Molina Medicaid HMO $2.17 ↓ -59%
Humana Military Tricare $2.96 ↓ -44%
WellCare Medicare Advantage $4.16 ↓ -22%
Priority Health Commercial $4.32 ↓ -18%
United Healthcare UHC Commercial $6.34 ↑ +20%
HAP HAP HMO_AHL_Fully Insured $6.86 ↑ +29%
HAP Self-Funded $8.06 ↑ +52%
BCN HMO $8.27 ↑ +56%
Blue Cross BCBSM Commercial $8.27 ↑ +56%
Blue Cross BCN Commercial $8.27 ↑ +56%
Blue Cross BCBSM GM Connected Care $10.45 ↑ +97%
Aetna Commercial $11.94 ↑ +125%
Molina Dual MI Coordinated Health $19.50 ↑ +268%
Amerihealth Caritas Dual Products $26.00 ↑ +391%
Vitalcore All Products $32.50 ↑ +513%
NFL Cigna All Products $33.80 ↑ +538%
Multiplan All Products $43.55 ↑ +722%
United Healthcare Baseline Benefit Plan $46.28 ↑ +773%
Priority Health Priority Cigna $51.29 ↑ +868%
Cofinity Commercial $56.03 ↑ +957%
McLaren Medicaid HMO not published by hospital —
McLaren Medicare Advantage not published by hospital —
Meridian Ambetter From Meridian not published by hospital —
Meridian Medicaid HMO not published by hospital —
HAP HAP Caresource Medicaid not published by hospital —
Blue Cross Medicare Plus Blue not published by hospital —
Nomi All Products not published by hospital —
Pace SE MI Medicare Advantage not published by hospital —
Blue Cross BCN Advantage not published by hospital —
Priority Health Dual Premier_HIDE-SNP not published by hospital —
Priority Health Medicaid HMO not published by hospital —
Priority Health Medicare Advantage not published by hospital —
ScriptGuideRX All Products not published by hospital —
Trinity Health Plan Medicare Advantage not published by hospital —
United Healthcare Erickson Advantage not published by hospital —
Aetna Better Health Medicaid HMO not published by hospital —
United Healthcare VACCN not published by hospital —
Aetna Medicare Advantage not published by hospital —
Aetna Dual Products not published by hospital —
HAP Medicare Advantage not published by hospital —
WellCare Wellcare Meridian Dual Align (HMO D-SNP) not published by hospital —
HAP Henry Ford Select -HPN commercial not published by hospital —
Humana Medicare Advantage not published by hospital —
HAP HAP Dual Products not published by hospital —

Visitor-reported prices

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Leucovorin calcium 100 mg solution for injection (1 mg rounding) at other Michigan hospitals

Hospital City Cash price Negotiated range
Henry Ford Genesys Hospital Grand Blanc Twp $8.39 $3.09 – $10.93
Corewell Health Gerber Fremont not published $4.10 – $4.10
Corewell Health Blodgett Hospital East Grand Rapids not published $4.10 – $4.10
Corewell Health Pennock Hastings not published $4.10 – $4.10
Corewell Health Greenville Greenville not published $4.10 – $4.10
Corewell Health Big Rapids Big Rapids not published $4.10 – $4.10
Corewell Health Butterworth Hospital Grand Rapids not published $4.10 – $4.10
Corewell Health Reed City Po Box 75 not published $4.10 – $4.10

All Michigan hospitals for this procedure →