X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation 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

$479.72

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.

$1,181.00

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.

$15.76 with United Healthcare vs $840.87 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
United Healthcare Medicaid-Behavioral Health-Child-FAC $15.76 ↓ -97%
United Healthcare Medicaid-Behavioral Health-Adult-FAC $15.76 ↓ -97%
United Healthcare Medicaid-Behavioral Health-Adult-NONFAC $15.76 ↓ -97%
Meridian Medicaid HMO-Adult-FAC $15.76 ↓ -97%
Meridian Medicaid HMO-Adult-NONFAC $15.76 ↓ -97%
HAP HAP Caresource Medicaid-NONFAC $15.76 ↓ -97%
Meridian Medicaid HMO-Child-NONFAC $15.76 ↓ -97%
Meridian Medicaid HMO-Child-FAC $15.76 ↓ -97%
McLaren Medicaid HMO-Child-FAC $15.76 ↓ -97%
McLaren Medicaid HMO-Child-NONFAC $15.76 ↓ -97%
McLaren Medicaid HMO-Adult-NONFAC $15.76 ↓ -97%
McLaren Medicaid HMO-Adult-FAC $15.76 ↓ -97%
HAP HAP Caresource Medicaid-FAC $15.76 ↓ -97%
United Healthcare Medicaid-Behavioral Health-Child-NONFAC $15.76 ↓ -97%
Aetna Better Health Medicaid HMO-Child-NONFAC $16.08 ↓ -97%
Aetna Better Health Medicaid HMO-Adult-NONFAC $16.08 ↓ -97%
Aetna Better Health Medicaid HMO-Child-FAC $16.08 ↓ -97%
Aetna Better Health Medicaid HMO-Adult-FAC $16.08 ↓ -97%
Molina Medicaid HMO-Child-FAC $16.39 ↓ -97%
Molina Medicaid HMO-Child-NONFAC $16.39 ↓ -97%
Molina Medicaid HMO-Adult-FAC $16.39 ↓ -97%
Priority Health Medicaid HMO-Child-NONFAC $16.55 ↓ -97%
Priority Health Medicaid HMO-Adult-NONFAC $16.55 ↓ -97%
Priority Health Medicaid HMO-Child-FAC $16.55 ↓ -97%
Priority Health Medicaid HMO-Adult-FAC $16.55 ↓ -97%
Molina Medicaid HMO-Adult-NONFAC $17.47 ↓ -96%
ScriptGuideRX All Products $20.49 ↓ -96%
Humana Medicare Advantage-NP-NONFAC $20.64 ↓ -96%
Humana Medicare Advantage-NP-FAC $20.64 ↓ -96%
HAP Medicare Advantage HMO/PPO-NonPhysician-NONFAC $21.19 ↓ -96%
HAP Medicare Advantage HMO/PPO-NonPhysician-FAC $21.19 ↓ -96%
Humana Military Tricare-Physician-FAC $22.12 ↓ -95%
Humana Military Tricare-NonPhysician-FAC $22.12 ↓ -95%
Pace SE MI Medicare Advantage-NONFAC $23.68 ↓ -95%
Pace SE MI Medicare Advantage-FAC $23.68 ↓ -95%
United Healthcare Medicare-Behavioral Health-NONFAC $24.04 ↓ -95%
Humana Medicare Advantage-Physician-FAC $24.28 ↓ -95%
Humana Medicare Advantage-Physician-NONFAC $24.28 ↓ -95%
Amerihealth Caritas Dual Products-NONFAC $24.43 ↓ -95%
Amerihealth Caritas Dual Products-FAC $24.43 ↓ -95%
Molina Medicare Advantage-FAC $24.93 ↓ -95%
HAP HAP Dual Products-FAC $24.93 ↓ -95%
HAP Medicare Advantage-FAC $24.93 ↓ -95%
HAP Medicare Advantage-Physician-NONFAC $24.93 ↓ -95%
HAP HAP Dual Products-NONFAC $24.93 ↓ -95%
HAP Medicare Advantage-Physician-FAC $24.93 ↓ -95%
McLaren Medicare Advantage-NONFAC $24.93 ↓ -95%
McLaren Medicare Advantage-FAC $24.93 ↓ -95%
United Healthcare Medicare Advantage-NONFAC $24.93 ↓ -95%
United Healthcare Medicare-Behavioral Health-FAC $24.93 ↓ -95%
United Healthcare Medicare Advantage-FAC $24.93 ↓ -95%
WellCare Medicare Advantage-NONFAC $24.93 ↓ -95%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC $24.93 ↓ -95%
WellCare Medicare Advantage-FAC $24.93 ↓ -95%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-FAC $24.93 ↓ -95%
Aetna Medicare Advantage-NONFAC $24.93 ↓ -95%
Aetna Medicare Advantage-FAC $24.93 ↓ -95%
Priority Health Medicare Advantage-NONFAC $24.93 ↓ -95%
Priority Health Medicare Advantage-FAC $24.93 ↓ -95%
Trinity Health Plan Medicare Advantage-NONFAC $24.93 ↓ -95%
Trinity Health Plan Medicare Advantage-FAC $24.93 ↓ -95%
Molina Medicare Advantage-NONFAC $24.93 ↓ -95%
Molina Dual Product-NONFAC $24.93 ↓ -95%
HAP Medicare Advantage-NONFAC $24.93 ↓ -95%
Molina Dual Product-FAC $24.93 ↓ -95%
Meridian Ambetter From Meridian-FAC $24.93 ↓ -95%
Meridian Ambetter From Meridian-NONFAC $24.93 ↓ -95%
Blue Cross Medicare Plus Blue-NONFAC $24.93 ↓ -95%
Blue Cross BCN Medicare Advantage -FAC $24.93 ↓ -95%
Blue Cross Medicare Plus Blue-FAC $24.93 ↓ -95%
Blue Cross BCN Medicare Advantage -NONFAC $24.93 ↓ -95%
United Healthcare All Products-Midlevel $25.12 ↓ -95%
United Healthcare All Products-Prof $28.43 ↓ -94%
Nomi All Products $29.42 ↓ -94%
Cofinity All Products $33.55 ↓ -93%
Blue Cross GM Connected Care $34.99 ↓ -93%
Aetna All Products-NONFAC $35.86 ↓ -93%
Priority Health All Products $36.62 ↓ -92%
Blue Cross BCBSM Commercial $38.35 ↓ -92%
Blue Cross BCN Commercial-NONFAC $38.88 ↓ -92%
Blue Cross BCN Commercial-FAC $38.88 ↓ -92%
Priority Health Priority Cigna $40.28 ↓ -92%
HAP HAP HMO_AHL_Fully-Insured $47.00 ↓ -90%
HAP Self-Funded $47.00 ↓ -90%
Humana Military Tricare $47.46 ↓ -90%
Blue Cross BCBSM GM Connected Care $126.22 ↓ -74%
HAP HAP HMO_AHL_Fully Insured $127.00 ↓ -74%
BCN HMO $130.35 ↓ -73%
Blue Cross BCN Commercial $130.35 ↓ -73%
Aetna Commercial $139.32 ↓ -71%
Priority Health Commercial $172.35 ↓ -64%
Meridian Medicaid HMO $186.41 ↓ -61%
Priority Health Medicaid HMO $186.41 ↓ -61%
McLaren Medicaid HMO $186.41 ↓ -61%
HAP HAP Caresource Medicaid $186.41 ↓ -61%
Aetna Better Health Medicaid HMO $190.14 ↓ -60%
Molina Medicaid HMO $196.34 ↓ -59%
Cofinity Commercial $255.34 ↓ -47%
Pace SE MI Medicare Advantage $330.24 ↓ -31%
Amerihealth Caritas Dual Products $340.67 ↓ -29%
United Healthcare Erickson Advantage $347.62 ↓ -28%
United Healthcare VACCN $347.62 ↓ -28%
Priority Health Dual Premier_HIDE-SNP $347.62 ↓ -28%
Priority Health Medicare Advantage $347.62 ↓ -28%
Trinity Health Plan Medicare Advantage $347.62 ↓ -28%
McLaren Medicare Advantage $347.62 ↓ -28%
Molina Dual MI Coordinated Health $347.62 ↓ -28%
HAP HAP Dual Products $347.62 ↓ -28%
WellCare Wellcare Meridian Dual Align (HMO D-SNP) $347.62 ↓ -28%
HAP Medicare Advantage $347.62 ↓ -28%
Blue Cross Medicare Plus Blue $347.62 ↓ -28%
WellCare Medicare Advantage $347.62 ↓ -28%
Blue Cross BCN Advantage $347.62 ↓ -28%
Aetna Medicare Advantage $347.62 ↓ -28%
Humana Medicare Advantage $351.10 ↓ -27%
Aetna Dual Products $382.38 ↓ -20%
HAP Henry Ford Select -HPN commercial $417.14 ↓ -13%
Meridian Ambetter From Meridian $469.29 ↓ -2%
NFL Cigna All Products $614.12 ↑ +28%
Multiplan All Products $791.27 ↑ +65%
Vitalcore All Products $799.53 ↑ +67%
United Healthcare UHC Commercial $840.87 ↑ +75%
United Healthcare Baseline Benefit Plan $840.87 ↑ +75%
United Healthcare Commercial-Behavioral Health-PhD not published by hospital
United Healthcare Commercial-Behavioral Health-RN not published by hospital
United Healthcare Commercial-Behavioral Health-MD not published by hospital
United Healthcare Commercial-Behavioral Health-MA not published by hospital

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X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation at other Michigan hospitals

Hospital City Cash price Negotiated range
Corewell Health Big Rapids Big Rapids $446.00 $347.62 – $625.71
Corewell Health Gerber Fremont $446.00 not published
Corewell Health Lakeland Watervliet Watervliet $1,038.00 $351.38 – $527.07
Corewell Health Lakeland St. Joseph St Joseph $1,038.00 $347.62 – $521.43
Corewell Health Butterworth Hospital Grand Rapids $446.00 $181.81 – $625.71
Corewell Health Blodgett Hospital East Grand Rapids $446.00 $181.81 – $625.71
Corewell Health Reed City Po Box 75 $446.00 not published
Corewell Health Greenville Greenville $446.00 $347.62 – $625.71

All Michigan hospitals for this procedure →