healthcosts.net
Prolng off/op e/m ea 15 min 99417 at Henry Ford West Bloomfield Hospital
6777 W Maple Road, West Bloomfield, MI · Henry Ford Health · · NPI 1407867559
$44.00
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.
$52.00
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.
$0.01 with Aetna vs $49.00 with Blue Cross — 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 |
|---|---|---|---|
| Aetna | Commercial | $0.01 | ↓ -100% |
| Molina | Dual MI Coordinated Health | $5.10 | ↓ -88% |
| WellCare | Medicare Advantage | $5.13 | ↓ -88% |
| Amerihealth Caritas | Dual Products | $6.80 | ↓ -85% |
| Vitalcore | All Products | $8.50 | ↓ -81% |
| HAP | HAP HMO_AHL_Fully Insured | $8.81 | ↓ -80% |
| NFL Cigna | All Products | $8.84 | ↓ -80% |
| Priority Health | Commercial | $9.34 | ↓ -79% |
| Multiplan | All Products | $11.39 | ↓ -74% |
| HAP | Self-Funded | $11.46 | ↓ -74% |
| Humana Military | Tricare | $11.90 | ↓ -73% |
| United Healthcare | UHC Commercial | $12.10 | ↓ -73% |
| United Healthcare | Baseline Benefit Plan | $12.10 | ↓ -73% |
| Amerihealth Caritas | Dual Products-NONFAC | $12.80 | ↓ -71% |
| Amerihealth Caritas | Dual Products-FAC | $12.80 | ↓ -71% |
| Cofinity | Commercial | $13.11 | ↓ -70% |
| Priority Health | Priority Cigna | $13.41 | ↓ -70% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $16.00 | ↓ -64% |
| HAP | HAP HMO_AHL_Fully-Insured | $16.00 | ↓ -64% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $16.00 | ↓ -64% |
| Meridian | Medicaid HMO-Adult-FAC | $16.83 | ↓ -62% |
| McLaren | Medicaid HMO-Child-FAC | $16.83 | ↓ -62% |
| McLaren | Medicaid HMO-Adult-FAC | $16.83 | ↓ -62% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $16.83 | ↓ -62% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $16.83 | ↓ -62% |
| Meridian | Medicaid HMO-Child-FAC | $16.83 | ↓ -62% |
| HAP | HAP Caresource Medicaid-FAC | $16.83 | ↓ -62% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $17.17 | ↓ -61% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $17.17 | ↓ -61% |
| Molina | Medicaid HMO-Adult-FAC | $17.50 | ↓ -60% |
| Molina | Medicaid HMO-Child-FAC | $17.50 | ↓ -60% |
| Priority Health | Medicaid HMO-Child-FAC | $17.67 | ↓ -60% |
| Priority Health | Medicaid HMO-Adult-FAC | $17.67 | ↓ -60% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $20.45 | ↓ -54% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $20.45 | ↓ -54% |
| HAP | HAP Caresource Medicaid-NONFAC | $20.45 | ↓ -54% |
| McLaren | Medicaid HMO-Adult-NONFAC | $20.45 | ↓ -54% |
| McLaren | Medicaid HMO-Child-NONFAC | $20.45 | ↓ -54% |
| Meridian | Medicaid HMO-Adult-NONFAC | $20.45 | ↓ -54% |
| Meridian | Medicaid HMO-Child-NONFAC | $20.45 | ↓ -54% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $20.80 | ↓ -53% |
| Blue Cross | Medicare Plus Blue-NONFAC | $20.80 | ↓ -53% |
| Blue Cross | BCN Medicare Advantage -FAC | $20.80 | ↓ -53% |
| Blue Cross | Medicare Plus Blue-FAC | $20.80 | ↓ -53% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $20.86 | ↓ -53% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $20.86 | ↓ -53% |
| Molina | Medicaid HMO-Adult-NONFAC | $21.20 | ↓ -52% |
| Molina | Medicaid HMO-Child-NONFAC | $21.27 | ↓ -52% |
| Priority Health | Medicaid HMO-Child-NONFAC | $21.47 | ↓ -51% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $21.47 | ↓ -51% |
| ScriptGuideRX | All Products | $21.88 | ↓ -50% |
| Humana Military | Tricare-Physician-FAC | $22.40 | ↓ -49% |
| Humana Military | Tricare-NonPhysician-FAC | $22.40 | ↓ -49% |
| Humana | Medicare Advantage-NP-FAC | $25.47 | ↓ -42% |
| Humana | Medicare Advantage-NP-NONFAC | $26.29 | ↓ -40% |
| Humana | Medicare Advantage-Physician-NONFAC | $26.29 | ↓ -40% |
| United Healthcare | Commercial-Behavioral Health-RN | $26.50 | ↓ -40% |
| Humana | Medicare Advantage-Physician-FAC | $29.97 | ↓ -32% |
| United Healthcare | Commercial-Behavioral Health-MD | $31.18 | ↓ -29% |
| United Healthcare | VACCN-NONFAC | $31.54 | ↓ -28% |
| Priority Health | All Products | $32.00 | ↓ -27% |
| United Healthcare | All Products-Midlevel | $37.03 | ↓ -16% |
| Aetna | All Products-NONFAC | $40.75 | ↓ -7% |
| Blue Cross | GM Connected Care | $42.66 | ↓ -3% |
| United Healthcare | All Products-Prof | $43.38 | ↓ -1% |
| Blue Cross | BCN Commercial-FAC | $47.40 | ↑ +8% |
| Blue Cross | BCBSM Commercial | $49.00 | ↑ +11% |
| Blue Cross | BCN Commercial-NONFAC | $49.00 | ↑ +11% |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| BCN | HMO | not published by hospital | — |
| Blue Cross | BCBSM GM Connected Care | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Blue Cross | BCN Commercial | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| 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 | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Nomi | All Products | not published by hospital | — |
| Pace SE MI | Medicare 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 | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Erickson Advantage | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
Visitor-reported prices
Comments
Prolng off/op e/m ea 15 min 99417 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $44.00 | $0.01 – $21.88 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $44.00 | $0.01 – $25.47 |
| Henry Ford Macomb Hospital | Clinton Twp | $44.00 | $0.01 – $29.97 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $89.37 – $89.37 |
| Corewell Health Taylor | Taylor | not published | $157.29 – $157.29 |
| Corewell Health Trenton | Trenton | not published | $119.79 – $119.79 |
| Corewell Health Troy | Troy | not published | $150.62 – $150.62 |
| Corewell Health Wayne | Wayne | not published | $134.30 – $134.30 |