Subsequent intensive care infant 2501-5000 grams 99480 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

$143.63

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.

$375.00

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.

$88.47 with HAP vs $441.61 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
HAP Medicare Advantage HMO/PPO-NonPhysician-NONFAC $88.47 ↓ -38%
HAP Medicare Advantage HMO/PPO-NonPhysician-FAC $88.47 ↓ -38%
Humana Military Tricare-NonPhysician-FAC $89.54 ↓ -38%
Humana Medicare Advantage-Physician-NONFAC $98.30 ↓ -32%
Humana Medicare Advantage-NP-NONFAC $98.30 ↓ -32%
Humana Medicare Advantage-NP-FAC $98.30 ↓ -32%
Pace SE MI Medicare Advantage-FAC $98.88 ↓ -31%
Pace SE MI Medicare Advantage-NONFAC $98.88 ↓ -31%
United Healthcare Medicaid-Behavioral Health-Adult-FAC $100.46 ↓ -30%
McLaren Medicaid HMO-Adult-FAC $100.46 ↓ -30%
United Healthcare Medicaid-Behavioral Health-Child-FAC $100.46 ↓ -30%
HAP HAP Caresource Medicaid-FAC $100.46 ↓ -30%
Meridian Medicaid HMO-Adult-FAC $100.46 ↓ -30%
Meridian Medicaid HMO-Child-FAC $100.46 ↓ -30%
McLaren Medicaid HMO-Child-FAC $100.46 ↓ -30%
Amerihealth Caritas Dual Products-NONFAC $102.00 ↓ -29%
Amerihealth Caritas Dual Products-FAC $102.00 ↓ -29%
Aetna Better Health Medicaid HMO-Child-FAC $102.47 ↓ -29%
Aetna Better Health Medicaid HMO-Adult-FAC $102.47 ↓ -29%
HAP Medicare Advantage-NONFAC $104.08 ↓ -28%
Molina Dual Product-NONFAC $104.08 ↓ -28%
Molina Medicare Advantage-NONFAC $104.08 ↓ -28%
WellCare Medicare Advantage-NONFAC $104.08 ↓ -28%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC $104.08 ↓ -28%
WellCare Medicare Advantage-FAC $104.08 ↓ -28%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-FAC $104.08 ↓ -28%
Aetna Medicare Advantage-NONFAC $104.08 ↓ -28%
Aetna Medicare Advantage-FAC $104.08 ↓ -28%
Trinity Health Plan Medicare Advantage-FAC $104.08 ↓ -28%
Priority Health Medicare Advantage-NONFAC $104.08 ↓ -28%
Priority Health Medicare Advantage-FAC $104.08 ↓ -28%
Trinity Health Plan Medicare Advantage-NONFAC $104.08 ↓ -28%
HAP HAP Dual Products-FAC $104.08 ↓ -28%
HAP Medicare Advantage-FAC $104.08 ↓ -28%
HAP Medicare Advantage-Physician-NONFAC $104.08 ↓ -28%
HAP HAP Dual Products-NONFAC $104.08 ↓ -28%
HAP Medicare Advantage-Physician-FAC $104.08 ↓ -28%
Blue Cross BCN Medicare Advantage -NONFAC $104.08 ↓ -28%
Blue Cross Medicare Plus Blue-FAC $104.08 ↓ -28%
McLaren Medicare Advantage-NONFAC $104.08 ↓ -28%
McLaren Medicare Advantage-FAC $104.08 ↓ -28%
United Healthcare Medicare Advantage-NONFAC $104.08 ↓ -28%
Blue Cross BCN Medicare Advantage -FAC $104.08 ↓ -28%
Blue Cross Medicare Plus Blue-NONFAC $104.08 ↓ -28%
Meridian Ambetter From Meridian-NONFAC $104.08 ↓ -28%
Meridian Ambetter From Meridian-FAC $104.08 ↓ -28%
United Healthcare Medicare-Behavioral Health-FAC $104.08 ↓ -28%
Molina Dual Product-FAC $104.08 ↓ -28%
United Healthcare Medicare Advantage-FAC $104.08 ↓ -28%
Molina Medicare Advantage-FAC $104.08 ↓ -28%
Molina Medicaid HMO-Child-FAC $104.48 ↓ -27%
Molina Medicaid HMO-Adult-FAC $104.48 ↓ -27%
Priority Health Commercial $105.19 ↓ -27%
Humana Military Tricare $105.34 ↓ -27%
Humana Military Tricare-Physician-FAC $105.34 ↓ -27%
Priority Health Medicaid HMO-Child-FAC $105.48 ↓ -27%
Priority Health Medicaid HMO-Adult-FAC $105.48 ↓ -27%
United Healthcare Medicare-Behavioral Health-NONFAC $114.50 ↓ -20%
Humana Medicare Advantage-Physician-FAC $115.65 ↓ -19%
ScriptGuideRX All Products $130.60 ↓ -9%
United Healthcare All Products-Midlevel $143.31 ↓ -0%
Nomi All Products $145.71 ↑ +1%
Priority Health All Products $146.33 ↑ +2%
Aetna All Products-NONFAC $151.01 ↑ +5%
HAP HAP HMO_AHL_Fully-Insured $155.20 ↑ +8%
Blue Cross GM Connected Care $164.41 ↑ +14%
United Healthcare All Products-Prof $166.20 ↑ +16%
Priority Health Priority Cigna $169.02 ↑ +18%
HAP HAP HMO_AHL_Fully Insured $179.02 ↑ +25%
HAP Self-Funded $181.16 ↑ +26%
Blue Cross BCN Commercial-NONFAC $182.68 ↑ +27%
Blue Cross BCN Commercial-FAC $182.68 ↑ +27%
Blue Cross BCBSM Commercial $183.75 ↑ +28%
NFL Cigna All Products $206.25 ↑ +44%
Cofinity All Products $287.09 ↑ +100%
Cofinity Commercial $441.61 ↑ +207%
United Healthcare Commercial-Behavioral Health-MD not published by hospital
United Healthcare Commercial-Behavioral Health-RN not published by hospital
United Healthcare Commercial-Behavioral Health-MA not published by hospital
United Healthcare Commercial-Behavioral Health-PhD not published by hospital

Visitor-reported prices

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Subsequent intensive care infant 2501-5000 grams 99480 at other Michigan hospitals

Hospital City Cash price Negotiated range
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr. $143.63 $88.47 – $287.09
Henry Ford Wyandotte Hospital: Wyandotte $143.63 $88.47 – $145.71
Henry Ford Macomb Hospital Clinton Twp $143.63 $88.47 – $145.71
Corewell Health Lakeland St. Joseph St Joseph not published $92.29 – $92.29
Corewell Health Gross Pointe Grosse Pointe not published $164.33 – $344.44
Corewell Health Taylor Taylor not published $606.18 – $606.18
Corewell Health Trenton Trenton not published $461.67 – $461.67
Corewell Health Troy Troy not published $163.54 – $580.50

All Michigan hospitals for this procedure →