Xcapsl ctrc rmvl w/ecp 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

$5,683.61

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.

$3,490.00

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.

$349.45 with United Healthcare vs $9,472.69 with Vitalcore — 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-Adult-FAC $349.45 ↓ -94%
United Healthcare Medicaid-Behavioral Health-Child-FAC $349.45 ↓ -94%
McLaren Medicaid HMO-Child-FAC $349.45 ↓ -94%
Meridian Medicaid HMO-Child-FAC $349.45 ↓ -94%
McLaren Medicaid HMO-Adult-FAC $349.45 ↓ -94%
Meridian Medicaid HMO-Adult-FAC $349.45 ↓ -94%
HAP HAP Caresource Medicaid-FAC $349.45 ↓ -94%
Aetna Better Health Medicaid HMO-Child-FAC $356.44 ↓ -94%
Aetna Better Health Medicaid HMO-Adult-FAC $356.44 ↓ -94%
Molina Medicaid HMO-Adult-FAC $363.43 ↓ -94%
Molina Medicaid HMO-Child-FAC $363.43 ↓ -94%
Priority Health Medicaid HMO-Child-FAC $366.92 ↓ -94%
Priority Health Medicaid HMO-Adult-FAC $366.92 ↓ -94%
ScriptGuideRX All Products $454.29 ↓ -92%
Humana Medicare Advantage-NP-FAC $540.27 ↓ -90%
Humana Medicare Advantage-NP-NONFAC $540.27 ↓ -90%
Humana Medicare Advantage-Physician-NONFAC $540.27 ↓ -90%
Humana Medicare Advantage-Physician-FAC $635.61 ↓ -89%
United Healthcare VACCN-NONFAC $717.31 ↓ -87%
HAP HAP HMO_AHL_Fully-Insured $933.16 ↓ -84%
HAP HAP HMO_AHL_Fully Insured $1,076.36 ↓ -81%
HAP Self-Funded $1,089.22 ↓ -81%
Nomi All Products $1,145.63 ↓ -80%
United Healthcare All Products-Midlevel $1,194.22 ↓ -79%
Aetna All Products-NONFAC $1,226.81 ↓ -78%
Priority Health All Products $1,256.44 ↓ -78%
Priority Health Priority Cigna $1,382.08 ↓ -76%
Amerihealth Caritas Dual Products-NONFAC $1,396.00 ↓ -75%
Amerihealth Caritas Dual Products-FAC $1,396.00 ↓ -75%
HAP Medicare Advantage HMO/PPO-NonPhysician-NONFAC $1,745.00 ↓ -69%
HAP Medicare Advantage HMO/PPO-NonPhysician-FAC $1,745.00 ↓ -69%
United Healthcare All Products-Prof $2,060.91 ↓ -64%
Meridian Medicaid HMO $2,208.60 ↓ -61%
HAP HAP Caresource Medicaid $2,208.60 ↓ -61%
McLaren Medicaid HMO $2,208.60 ↓ -61%
Priority Health Medicaid HMO $2,208.60 ↓ -61%
Aetna Better Health Medicaid HMO $2,252.77 ↓ -60%
Blue Cross BCN Medicare Advantage -FAC $2,268.50 ↓ -60%
Blue Cross Medicare Plus Blue-FAC $2,268.50 ↓ -60%
Blue Cross Medicare Plus Blue-NONFAC $2,268.50 ↓ -60%
Blue Cross BCN Medicare Advantage -NONFAC $2,268.50 ↓ -60%
Molina Medicaid HMO $2,326.16 ↓ -59%
Humana Military Tricare-NonPhysician-FAC $2,443.00 ↓ -57%
Blue Cross GM Connected Care $3,620.57 ↓ -36%
Blue Cross BCBSM Commercial $3,873.90 ↓ -32%
Pace SE MI Medicare Advantage $3,912.63 ↓ -31%
Blue Cross BCN Commercial-NONFAC $4,022.86 ↓ -29%
Blue Cross BCN Commercial-FAC $4,022.86 ↓ -29%
Amerihealth Caritas Dual Products $4,036.19 ↓ -29%
Priority Health Dual Premier_HIDE-SNP $4,118.56 ↓ -28%
HAP Medicare Advantage $4,118.56 ↓ -28%
HAP HAP Dual Products $4,118.56 ↓ -28%
McLaren Medicare Advantage $4,118.56 ↓ -28%
United Healthcare Erickson Advantage $4,118.56 ↓ -28%
United Healthcare VACCN $4,118.56 ↓ -28%
WellCare Wellcare Meridian Dual Align (HMO D-SNP) $4,118.56 ↓ -28%
WellCare Medicare Advantage $4,118.56 ↓ -28%
Aetna Medicare Advantage $4,118.56 ↓ -28%
Priority Health Medicare Advantage $4,118.56 ↓ -28%
Trinity Health Plan Medicare Advantage $4,118.56 ↓ -28%
Molina Dual MI Coordinated Health $4,118.56 ↓ -28%
Blue Cross Medicare Plus Blue $4,118.56 ↓ -28%
Blue Cross BCN Advantage $4,118.56 ↓ -28%
Humana Medicare Advantage $4,159.74 ↓ -27%
Aetna Dual Products $4,530.41 ↓ -20%
HAP Henry Ford Select -HPN commercial $4,942.27 ↓ -13%
Meridian Ambetter From Meridian $5,560.06 ↓ -2%
Blue Cross BCBSM GM Connected Care $6,772.83 ↑ +19%
BCN HMO $6,921.24 ↑ +22%
Blue Cross BCN Commercial $7,443.62 ↑ +31%
Priority Health Commercial $8,415.37 ↑ +48%
Vitalcore All Products $9,472.69 ↑ +67%
United Healthcare Commercial-Behavioral Health-PhD not published by hospital
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
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC not published by hospital
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-FAC not published by hospital

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Xcapsl ctrc rmvl w/ecp at other Michigan hospitals

Hospital City Cash price Negotiated range
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr. $5,683.61 $349.45 – $14,904.58
Henry Ford Wyandotte Hospital: Wyandotte $5,683.61 $349.45 – $7,495.67
Henry Ford Macomb Hospital Clinton Twp $5,683.61 $349.45 – $9,472.69
Corewell Health Big Rapids Big Rapids not published $3,665.80 – $7,413.41
Corewell Health Gerber Fremont not published $3,665.80 – $3,665.80
Corewell Health Lakeland St. Joseph St Joseph not published $4,118.56 – $6,177.84
Corewell Health Butterworth Hospital Grand Rapids not published $4,118.56 – $7,413.41
Corewell Health Blodgett Hospital East Grand Rapids not published $4,118.56 – $7,413.41

All Michigan hospitals for this procedure →