Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Henry Ford West Bloomfield Hospital
6777 W Maple Road, West Bloomfield, MI · Henry Ford Health · · NPI 1407867559
$67.83
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.
$118.00
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.
$25.71 with HAP vs $163.00 with Nomi — 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 Caresource Medicaid | $25.71 | ↓ -62% |
| Meridian | Medicaid HMO | $25.71 | ↓ -62% |
| McLaren | Medicaid HMO | $25.71 | ↓ -62% |
| Priority Health | Medicaid HMO | $25.71 | ↓ -62% |
| Aetna Better Health | Medicaid HMO | $26.22 | ↓ -61% |
| Molina | Medicaid HMO | $27.77 | ↓ -59% |
| ScriptGuideRX | All Products | $33.42 | ↓ -51% |
| Humana Military | Tricare | $45.94 | ↓ -32% |
| Amerihealth Caritas | Dual Products | $47.20 | ↓ -30% |
| Blue Cross | Medicare Plus Blue | $49.15 | ↓ -28% |
| WellCare | Medicare Advantage | $49.15 | ↓ -28% |
| Vitalcore | All Products | $59.00 | ↓ -13% |
| NFL Cigna | All Products | $61.36 | ↓ -10% |
| Pace SE MI | Medicare Advantage | $63.29 | ↓ -7% |
| Priority Health | Dual Premier_HIDE-SNP | $66.62 | ↓ -2% |
| Priority Health | Medicare Advantage | $66.62 | ↓ -2% |
| HAP | Medicare Advantage | $66.62 | ↓ -2% |
| HAP | HAP Dual Products | $66.62 | ↓ -2% |
| Aetna | Medicare Advantage | $66.62 | ↓ -2% |
| Molina | Dual MI Coordinated Health | $66.62 | ↓ -2% |
| Blue Cross | BCN Advantage | $66.62 | ↓ -2% |
| United Healthcare | VACCN | $66.62 | ↓ -2% |
| McLaren | Medicare Advantage | $66.62 | ↓ -2% |
| Trinity Health Plan | Medicare Advantage | $66.62 | ↓ -2% |
| Humana | Medicare Advantage | $67.29 | ↓ -1% |
| Aetna | Dual Products | $73.28 | ↑ +8% |
| Aetna | Commercial | $74.72 | ↑ +10% |
| HAP | HAP HMO_AHL_Fully Insured | $77.65 | ↑ +14% |
| Multiplan | All Products | $79.06 | ↑ +17% |
| HAP | Henry Ford Select -HPN commercial | $79.94 | ↑ +18% |
| United Healthcare | Baseline Benefit Plan | $84.02 | ↑ +24% |
| United Healthcare | UHC Commercial | $84.02 | ↑ +24% |
| Cofinity | Commercial | $90.98 | ↑ +34% |
| Priority Health | Priority Cigna | $93.11 | ↑ +37% |
| HAP | Self-Funded | $95.50 | ↑ +41% |
| Blue Cross | BCBSM GM Connected Care | $116.84 | ↑ +72% |
| Priority Health | Commercial | $118.00 | ↑ +74% |
| Blue Cross | BCN Commercial | $118.00 | ↑ +74% |
| Blue Cross | BCBSM Commercial | $118.00 | ↑ +74% |
| BCN | HMO | $118.00 | ↑ +74% |
| Nomi | All Products | $163.00 | ↑ +140% |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| United Healthcare | Erickson Advantage | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $73.92 | $49.15 – $88.47 |
| Corewell Health Gerber | Fremont | $73.92 | not published |
| Corewell Health Lakeland Watervliet | Watervliet | $80.00 | $49.15 – $73.72 |
| Corewell Health Lakeland St. Joseph | St Joseph | $80.00 | $36.43 – $73.72 |
| Corewell Health Butterworth Hospital | Grand Rapids | $60.00 | $49.15 – $88.47 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $60.00 | $49.15 – $88.47 |
| Corewell Health Reed City | Po Box 75 | $73.92 | not published |
| Corewell Health Greenville | Greenville | $73.92 | $49.15 – $88.47 |