Excision of mouth lesion complex 40816 at Henry Ford Wyandotte Hospital:
2333 Biddie Avenue, Wyandotte, MI · Henry Ford Health · · NPI 1992725352
$4,558.89
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.
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What you pay up front if you don't use insurance.
$1,010.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$178.49 with United Healthcare vs $7,598.14 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 →
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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 ?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 |
|---|---|---|---|
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $178.49 | ↓ -96% |
| McLaren | Medicaid HMO-Child-FAC | $178.49 | ↓ -96% |
| McLaren | Medicaid HMO-Adult-FAC | $178.49 | ↓ -96% |
| Meridian | Medicaid HMO-Adult-FAC | $178.49 | ↓ -96% |
| Meridian | Medicaid HMO-Child-FAC | $178.49 | ↓ -96% |
| HAP | HAP Caresource Medicaid-FAC | $178.49 | ↓ -96% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $178.49 | ↓ -96% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $182.06 | ↓ -96% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $182.06 | ↓ -96% |
| Molina | Medicaid HMO-Child-FAC | $185.63 | ↓ -96% |
| Molina | Medicaid HMO-Adult-FAC | $185.63 | ↓ -96% |
| Priority Health | Medicaid HMO-Child-FAC | $187.41 | ↓ -96% |
| Priority Health | Medicaid HMO-Adult-FAC | $187.41 | ↓ -96% |
| ScriptGuideRX | All Products | $232.04 | ↓ -95% |
| Humana Military | Tricare-NonPhysician-FAC | $240.90 | ↓ -95% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $243.28 | ↓ -95% |
| HAP | Medicare Advantage-NonPhysician-FAC | $243.28 | ↓ -95% |
| McLaren | Medicaid HMO-Child-NONFAC | $260.50 | ↓ -94% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $260.50 | ↓ -94% |
| Meridian | Medicaid HMO-Child-NONFAC | $260.50 | ↓ -94% |
| HAP | HAP Caresource Medicaid-NONFAC | $260.50 | ↓ -94% |
| McLaren | Medicaid HMO-Adult-NONFAC | $260.50 | ↓ -94% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $260.50 | ↓ -94% |
| Meridian | Medicaid HMO-Adult-NONFAC | $260.50 | ↓ -94% |
| Humana | Medicare Advantage-NP-FAC | $264.46 | ↓ -94% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $265.71 | ↓ -94% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $265.71 | ↓ -94% |
| Molina | Medicaid HMO-Child-NONFAC | $270.92 | ↓ -94% |
| Pace SE MI | Medicare Advantage-FAC | $271.90 | ↓ -94% |
| Priority Health | Medicaid HMO-Child-NONFAC | $273.53 | ↓ -94% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $273.53 | ↓ -94% |
| Molina | Medicaid HMO-Adult-NONFAC | $279.45 | ↓ -94% |
| Amerihealth Caritas | Dual Products-FAC | $280.49 | ↓ -94% |
| Humana Military | Tricare | $283.42 | ↓ -94% |
| Humana Military | Tricare-Physician-FAC | $283.42 | ↓ -94% |
| HAP | Medicare Advantage-Physician-FAC | $286.21 | ↓ -94% |
| United Healthcare | Medicare Advantage-FAC | $286.21 | ↓ -94% |
| Trinity Health Plan | Medicare Advantage-FAC | $286.21 | ↓ -94% |
| Blue Cross | BCN Medicare Advantage -FAC | $286.21 | ↓ -94% |
| WellCare | Medicare Advantage-FAC | $286.21 | ↓ -94% |
| Priority Health | Medicare Advantage-FAC | $286.21 | ↓ -94% |
| Blue Cross | Medicare Plus Blue-FAC | $286.21 | ↓ -94% |
| United Healthcare | Medicare-Behavioral Health-FAC | $286.21 | ↓ -94% |
| HAP | HAP Dual Products-FAC | $286.21 | ↓ -94% |
| Aetna | Medicare Advantage-FAC | $286.21 | ↓ -94% |
| Molina | Medicare Advantage-FAC | $286.21 | ↓ -94% |
| HAP | Medicare Advantage-FAC | $286.21 | ↓ -94% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $286.21 | ↓ -94% |
| Humana | Medicare Advantage-FAC | $286.21 | ↓ -94% |
| Meridian | Ambetter From Meridian-FAC | $286.21 | ↓ -94% |
| Molina | Dual Product-FAC | $286.21 | ↓ -94% |
| McLaren | Medicare Advantage-FAC | $286.21 | ↓ -94% |
| Humana | Medicare Advantage-Physician-FAC | $311.13 | ↓ -93% |
| Humana | Medicare Advantage-Physician-NONFAC | $343.87 | ↓ -92% |
| Humana | Medicare Advantage-NP-NONFAC | $343.87 | ↓ -92% |
| HAP | Medicare Advantage-NonPhysician-NONFAC | $348.76 | ↓ -92% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $348.76 | ↓ -92% |
| Vitalcore | All Products-FAC | $372.07 | ↓ -92% |
| Cofinity | All Products | $382.01 | ↓ -92% |
| Pace SE MI | Medicare Advantage-NONFAC | $389.79 | ↓ -91% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $400.55 | ↓ -91% |
| Nomi | All Products | $400.69 | ↓ -91% |
| Amerihealth Caritas | Dual Products-NONFAC | $402.09 | ↓ -91% |
| McLaren | Medicare Advantage-NONFAC | $410.30 | ↓ -91% |
| Aetna | Medicare Advantage-NONFAC | $410.30 | ↓ -91% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $410.30 | ↓ -91% |
| Blue Cross | Medicare Plus Blue-NONFAC | $410.30 | ↓ -91% |
| HAP | HAP Dual Products-NONFAC | $410.30 | ↓ -91% |
| HAP | Medicare Advantage-NONFAC | $410.30 | ↓ -91% |
| HAP | Medicare Advantage-Physician-NONFAC | $410.30 | ↓ -91% |
| Meridian | Ambetter From Meridian-NONFAC | $410.30 | ↓ -91% |
| Molina | Dual Product-NONFAC | $410.30 | ↓ -91% |
| Molina | Medicare Advantage-NONFAC | $410.30 | ↓ -91% |
| Priority Health | Medicare Advantage-NONFAC | $410.30 | ↓ -91% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $410.30 | ↓ -91% |
| United Healthcare | Medicare Advantage-NONFAC | $410.30 | ↓ -91% |
| WellCare | Medicare Advantage-NONFAC | $410.30 | ↓ -91% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $410.30 | ↓ -91% |
| Blue Cross | GM Connected Care | $442.43 | ↓ -90% |
| Blue Cross | BCN Commercial-FAC | $491.59 | ↓ -89% |
| United Healthcare | All Products-Midlevel | $542.28 | ↓ -88% |
| HAP | HAP HMO_AHL_Fully-Insured | $542.72 | ↓ -88% |
| Priority Health | All Products | $560.04 | ↓ -88% |
| Priority Health | Priority Cigna | $616.04 | ↓ -86% |
| HAP | HAP HMO_AHL_Fully Insured | $626.00 | ↓ -86% |
| Aetna | All Products-NONFAC | $628.98 | ↓ -86% |
| HAP | Self-Funded | $632.51 | ↓ -86% |
| Blue Cross | BCN Commercial-NONFAC | $646.04 | ↓ -86% |
| Blue Cross | BCBSM Commercial | $647.64 | ↓ -86% |
| United Healthcare | All Products-Prof | $649.16 | ↓ -86% |
| Cofinity | Commercial | $696.83 | ↓ -85% |
| Meridian | Medicaid HMO | $1,771.54 | ↓ -61% |
| Priority Health | Medicaid HMO | $1,771.54 | ↓ -61% |
| McLaren | Medicaid HMO | $1,771.54 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $1,771.54 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $1,806.97 | ↓ -60% |
| Molina | Medicaid HMO | $1,865.84 | ↓ -59% |
| Blue Cross | BCBSM GM Connected Care | $2,395.82 | ↓ -47% |
| BCN | HMO | $2,467.26 | ↓ -46% |
| Blue Cross | BCN Commercial | $2,467.26 | ↓ -46% |
| Pace SE MI | Medicare Advantage | $3,138.36 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $3,237.47 | ↓ -29% |
| United Healthcare | Erickson Advantage | $3,303.54 | ↓ -28% |
| HAP | Medicare Advantage | $3,303.54 | ↓ -28% |
| WellCare | Medicare Advantage | $3,303.54 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $3,303.54 | ↓ -28% |
| HAP | HAP Dual Products | $3,303.54 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $3,303.54 | ↓ -28% |
| Priority Health | Medicare Advantage | $3,303.54 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $3,303.54 | ↓ -28% |
| Blue Cross | BCN Advantage | $3,303.54 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $3,303.54 | ↓ -28% |
| United Healthcare | VACCN | $3,303.54 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $3,303.54 | ↓ -28% |
| Aetna | Medicare Advantage | $3,303.54 | ↓ -28% |
| McLaren | Medicare Advantage | $3,303.54 | ↓ -28% |
| Humana | Medicare Advantage | $3,336.57 | ↓ -27% |
| Aetna | Dual Products | $3,633.89 | ↓ -20% |
| Priority Health | Commercial | $3,710.23 | ↓ -19% |
| HAP | Henry Ford Select -HPN commercial | $3,964.24 | ↓ -13% |
| Meridian | Ambetter From Meridian | $4,459.78 | ↓ -2% |
| Vitalcore | All Products | $7,598.14 | ↑ +67% |
| 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-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
Excision of mouth lesion complex 40816 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $4,558.89 | $178.49 – $572.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $4,558.89 | $178.49 – $7,598.14 |
| Henry Ford Macomb Hospital | Clinton Twp | $4,558.89 | $178.49 – $7,598.14 |
| Corewell Health Big Rapids | Big Rapids | not published | $2,241.72 – $5,946.37 |
| Corewell Health Gerber | Fremont | not published | $2,241.72 – $2,241.72 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $3,303.54 – $4,955.31 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $1,684.24 – $5,946.37 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $1,684.24 – $5,946.37 |