Tc-99m succimer (dmsa) 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

$910.70

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.

$8,515.00

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.

$0.01 with Aetna vs $2,112.00 with United Healthcare — 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
Aetna Commercial $0.01 ↓ -100%
Blue Cross BCBSM GM Connected Care $230.35 ↓ -75%
BCN HMO $237.88 ↓ -74%
Blue Cross BCN Commercial $237.88 ↓ -74%
Blue Cross BCBSM Commercial $237.88 ↓ -74%
McLaren Medicaid HMO $345.14 ↓ -62%
Priority Health Medicaid HMO $345.14 ↓ -62%
HAP HAP Caresource Medicaid $345.14 ↓ -62%
Meridian Medicaid HMO $345.14 ↓ -62%
Aetna Better Health Medicaid HMO $352.04 ↓ -61%
Molina Medicaid HMO $372.75 ↓ -59%
Cofinity Commercial $376.35 ↓ -59%
Priority Health Commercial $611.41 ↓ -33%
Pace SE MI Medicare Advantage $626.93 ↓ -31%
WellCare Medicare Advantage $637.82 ↓ -30%
United Healthcare Erickson Advantage $659.93 ↓ -28%
HAP Medicare Advantage $659.93 ↓ -28%
HAP HAP Dual Products $659.93 ↓ -28%
McLaren Medicare Advantage $659.93 ↓ -28%
United Healthcare VACCN $659.93 ↓ -28%
Aetna Medicare Advantage $659.93 ↓ -28%
Priority Health Dual Premier_HIDE-SNP $659.93 ↓ -28%
Priority Health Medicare Advantage $659.93 ↓ -28%
Trinity Health Plan Medicare Advantage $659.93 ↓ -28%
Molina Dual MI Coordinated Health $659.93 ↓ -28%
Blue Cross Medicare Plus Blue $659.93 ↓ -28%
Blue Cross BCN Advantage $659.93 ↓ -28%
Humana Medicare Advantage $666.53 ↓ -27%
Aetna Dual Products $725.92 ↓ -20%
HAP Henry Ford Select -HPN commercial $791.92 ↓ -13%
Amerihealth Caritas Dual Products $844.80 ↓ -7%
HAP HAP HMO_AHL_Fully Insured $1,048.46 ↑ +15%
Vitalcore All Products $1,056.00 ↑ +16%
United Healthcare UHC Commercial $1,088.88 ↑ +20%
NFL Cigna All Products $1,098.24 ↑ +21%
HAP Self-Funded $1,333.24 ↑ +46%
Multiplan All Products $1,415.04 ↑ +55%
Nomi All Products $1,425.45 ↑ +57%
Priority Health Priority Cigna $1,666.58 ↑ +83%
United Healthcare Baseline Benefit Plan $2,112.00 ↑ +132%
Humana Military Tricare not published by hospital
Meridian Ambetter From Meridian not published by hospital
WellCare Wellcare Meridian Dual Align (HMO D-SNP) not published by hospital
ScriptGuideRX All Products not published by hospital

Visitor-reported prices

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Tc-99m succimer (dmsa) at other Michigan hospitals

Hospital City Cash price Negotiated range
Corewell Health Butterworth Hospital Grand Rapids $4,785.00 $611.41 – $1,187.87
Corewell Health Blodgett Hospital East Grand Rapids $4,785.00 $611.41 – $1,187.87
Corewell Health Gross Pointe Grosse Pointe $4,785.00 $129.20 – $898.25
Corewell Health Taylor Taylor $4,785.00 $129.20 – $890.91
Corewell Health Trenton Trenton $4,785.00 $129.20 – $890.91
Corewell Health Troy Troy $4,785.00 $129.20 – $893.93
Corewell Health Wayne Wayne $4,785.00 $129.20 – $890.91
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr. $910.70 $0.01 – $1,788.41

All Michigan hospitals for this procedure →