Pt evaluation high complexity patient/family at Henry Ford West Bloomfield Hospital
6777 W Maple Road, West Bloomfield, MI · Henry Ford Health · · NPI 1407867559
$133.14
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.
?
What you pay up front if you don't use insurance.
$377.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$50.46 with Meridian vs $297.49 with Priority Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $50.46 | ↓ -62% |
| HAP | HAP Caresource Medicaid | $50.46 | ↓ -62% |
| Priority Health | Medicaid HMO | $50.46 | ↓ -62% |
| McLaren | Medicaid HMO | $50.46 | ↓ -62% |
| Aetna Better Health | Medicaid HMO | $51.47 | ↓ -61% |
| Molina | Medicaid HMO | $54.50 | ↓ -59% |
| ScriptGuideRX | All Products | $65.60 | ↓ -51% |
| Humana Military | Tricare | $90.56 | ↓ -32% |
| WellCare | Medicare Advantage | $96.48 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $96.48 | ↓ -28% |
| Pace SE MI | Medicare Advantage | $120.11 | ↓ -10% |
| Priority Health | Medicare Advantage | $126.43 | ↓ -5% |
| Aetna | Medicare Advantage | $126.43 | ↓ -5% |
| Blue Cross | BCN Advantage | $126.43 | ↓ -5% |
| HAP | HAP Dual Products | $126.43 | ↓ -5% |
| HAP | Medicare Advantage | $126.43 | ↓ -5% |
| McLaren | Medicare Advantage | $126.43 | ↓ -5% |
| Molina | Dual MI Coordinated Health | $126.43 | ↓ -5% |
| United Healthcare | VACCN | $126.43 | ↓ -5% |
| Trinity Health Plan | Medicare Advantage | $126.43 | ↓ -5% |
| Priority Health | Dual Premier_HIDE-SNP | $126.43 | ↓ -5% |
| Humana | Medicare Advantage | $127.69 | ↓ -4% |
| HAP | HAP HMO_AHL_Fully Insured | $130.88 | ↓ -2% |
| Blue Cross | BCBSM GM Connected Care | $132.85 | ↓ -0% |
| Aetna | Dual Products | $139.07 | ↑ +4% |
| BCN | HMO | $142.35 | ↑ +7% |
| Blue Cross | BCBSM Commercial | $142.35 | ↑ +7% |
| Blue Cross | BCN Commercial | $142.35 | ↑ +7% |
| Priority Health | Commercial | $149.57 | ↑ +12% |
| Amerihealth Caritas | Dual Products | $150.80 | ↑ +13% |
| HAP | Henry Ford Select -HPN commercial | $151.72 | ↑ +14% |
| HAP | Self-Funded | $160.95 | ↑ +21% |
| Nomi | All Products | $163.00 | ↑ +22% |
| Vitalcore | All Products | $188.50 | ↑ +42% |
| NFL Cigna | All Products | $196.04 | ↑ +47% |
| Aetna | Commercial | $238.72 | ↑ +79% |
| Multiplan | All Products | $252.59 | ↑ +90% |
| United Healthcare | Baseline Benefit Plan | $268.42 | ↑ +102% |
| United Healthcare | UHC Commercial | $268.42 | ↑ +102% |
| Cofinity | Commercial | $290.67 | ↑ +118% |
| Priority Health | Priority Cigna | $297.49 | ↑ +123% |
| 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
Pt evaluation high complexity patient/family at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $253.40 | $93.90 – $169.02 |
| Corewell Health Gerber | Fremont | $253.40 | $120.64 – $120.64 |
| Corewell Health Lakeland Watervliet | Watervliet | $369.00 | $93.90 – $140.85 |
| Corewell Health Lakeland St. Joseph | St Joseph | $369.00 | $93.90 – $276.07 |
| Corewell Health Butterworth Hospital | Grand Rapids | $241.00 | $62.95 – $169.02 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $241.00 | $62.95 – $169.02 |
| Corewell Health Reed City | Po Box 75 | $253.40 | $120.64 – $120.64 |
| Corewell Health Greenville | Greenville | $253.40 | $93.90 – $169.02 |