Nipple/areola reconst 19350 at Henry Ford Wyandotte Hospital:
2333 Biddie Avenue, Wyandotte, MI · Henry Ford Health · · NPI 1992725352
$5,383.86
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.
$3,528.00
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.
$392.77 with McLaren vs $8,973.11 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 |
|---|---|---|---|
| McLaren | Medicaid HMO-Adult-FAC | $392.77 | ↓ -93% |
| HAP | HAP Caresource Medicaid-FAC | $392.77 | ↓ -93% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $392.77 | ↓ -93% |
| McLaren | Medicaid HMO-Child-FAC | $392.77 | ↓ -93% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $392.77 | ↓ -93% |
| Meridian | Medicaid HMO-Child-FAC | $392.77 | ↓ -93% |
| Meridian | Medicaid HMO-Adult-FAC | $392.77 | ↓ -93% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $400.63 | ↓ -93% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $400.63 | ↓ -93% |
| Molina | Medicaid HMO-Adult-FAC | $408.48 | ↓ -92% |
| Molina | Medicaid HMO-Child-FAC | $408.48 | ↓ -92% |
| Priority Health | Medicaid HMO-Child-FAC | $412.41 | ↓ -92% |
| Priority Health | Medicaid HMO-Adult-FAC | $412.41 | ↓ -92% |
| ScriptGuideRX | All Products | $438.50 | ↓ -92% |
| Humana Military | Tricare-NonPhysician-FAC | $546.68 | ↓ -90% |
| HAP | Medicare Advantage-NonPhysician-FAC | $548.21 | ↓ -90% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $548.21 | ↓ -90% |
| HAP | HAP Caresource Medicaid-NONFAC | $569.99 | ↓ -89% |
| McLaren | Medicaid HMO-Child-NONFAC | $569.99 | ↓ -89% |
| McLaren | Medicaid HMO-Adult-NONFAC | $569.99 | ↓ -89% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $569.99 | ↓ -89% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $569.99 | ↓ -89% |
| Meridian | Medicaid HMO-Child-NONFAC | $569.99 | ↓ -89% |
| Meridian | Medicaid HMO-Adult-NONFAC | $569.99 | ↓ -89% |
| Molina | Medicaid HMO-Adult-NONFAC | $580.09 | ↓ -89% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $581.39 | ↓ -89% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $581.39 | ↓ -89% |
| Molina | Medicaid HMO-Child-NONFAC | $592.79 | ↓ -89% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $598.49 | ↓ -89% |
| Priority Health | Medicaid HMO-Child-NONFAC | $598.49 | ↓ -89% |
| Humana | Medicare Advantage-NP-FAC | $600.16 | ↓ -89% |
| Pace SE MI | Medicare Advantage-FAC | $612.70 | ↓ -89% |
| Amerihealth Caritas | Dual Products-FAC | $632.05 | ↓ -88% |
| Humana Military | Tricare-Physician-FAC | $643.15 | ↓ -88% |
| Humana Military | Tricare | $643.15 | ↓ -88% |
| Molina | Medicare Advantage-FAC | $644.95 | ↓ -88% |
| McLaren | Medicare Advantage-FAC | $644.95 | ↓ -88% |
| Meridian | Ambetter From Meridian-FAC | $644.95 | ↓ -88% |
| United Healthcare | Medicare-Behavioral Health-FAC | $644.95 | ↓ -88% |
| United Healthcare | Medicare Advantage-FAC | $644.95 | ↓ -88% |
| Trinity Health Plan | Medicare Advantage-FAC | $644.95 | ↓ -88% |
| Blue Cross | BCN Medicare Advantage -FAC | $644.95 | ↓ -88% |
| WellCare | Medicare Advantage-FAC | $644.95 | ↓ -88% |
| Priority Health | Medicare Advantage-FAC | $644.95 | ↓ -88% |
| Blue Cross | Medicare Plus Blue-FAC | $644.95 | ↓ -88% |
| HAP | HAP Dual Products-FAC | $644.95 | ↓ -88% |
| Aetna | Medicare Advantage-FAC | $644.95 | ↓ -88% |
| HAP | Medicare Advantage-FAC | $644.95 | ↓ -88% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $644.95 | ↓ -88% |
| HAP | Medicare Advantage-Physician-FAC | $644.95 | ↓ -88% |
| Humana | Medicare Advantage-FAC | $644.95 | ↓ -88% |
| Molina | Dual Product-FAC | $644.95 | ↓ -88% |
| Humana | Medicare Advantage-Physician-FAC | $706.07 | ↓ -87% |
| Cofinity | All Products | $722.66 | ↓ -87% |
| Humana | Medicare Advantage-NP-NONFAC | $728.30 | ↓ -86% |
| Humana | Medicare Advantage-Physician-NONFAC | $728.30 | ↓ -86% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $776.15 | ↓ -86% |
| HAP | Medicare Advantage-NonPhysician-NONFAC | $776.15 | ↓ -86% |
| Vitalcore | All Products-FAC | $838.44 | ↓ -84% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $848.34 | ↓ -84% |
| Pace SE MI | Medicare Advantage-NONFAC | $867.46 | ↓ -84% |
| Amerihealth Caritas | Dual Products-NONFAC | $894.86 | ↓ -83% |
| Nomi | All Products | $902.93 | ↓ -83% |
| McLaren | Medicare Advantage-NONFAC | $913.12 | ↓ -83% |
| Aetna | Medicare Advantage-NONFAC | $913.12 | ↓ -83% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $913.12 | ↓ -83% |
| Blue Cross | Medicare Plus Blue-NONFAC | $913.12 | ↓ -83% |
| HAP | HAP Dual Products-NONFAC | $913.12 | ↓ -83% |
| HAP | Medicare Advantage-NONFAC | $913.12 | ↓ -83% |
| HAP | Medicare Advantage-Physician-NONFAC | $913.12 | ↓ -83% |
| Meridian | Ambetter From Meridian-NONFAC | $913.12 | ↓ -83% |
| Molina | Dual Product-NONFAC | $913.12 | ↓ -83% |
| Molina | Medicare Advantage-NONFAC | $913.12 | ↓ -83% |
| Priority Health | Medicare Advantage-NONFAC | $913.12 | ↓ -83% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $913.12 | ↓ -83% |
| United Healthcare | Medicare Advantage-NONFAC | $913.12 | ↓ -83% |
| WellCare | Medicare Advantage-NONFAC | $913.12 | ↓ -83% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $913.12 | ↓ -83% |
| Priority Health | All Products | $934.35 | ↓ -83% |
| Blue Cross | GM Connected Care | $982.65 | ↓ -82% |
| Priority Health | Priority Cigna | $1,027.79 | ↓ -81% |
| Blue Cross | BCN Commercial-FAC | $1,091.83 | ↓ -80% |
| United Healthcare | All Products-Prof | $1,113.92 | ↓ -79% |
| HAP | HAP HMO_AHL_Fully-Insured | $1,142.28 | ↓ -79% |
| Aetna | All Products-NONFAC | $1,210.49 | ↓ -78% |
| HAP | Self-Funded | $1,331.26 | ↓ -75% |
| Blue Cross | BCBSM Commercial | $1,334.16 | ↓ -75% |
| Blue Cross | BCN Commercial-NONFAC | $1,341.09 | ↓ -75% |
| United Healthcare | All Products-Midlevel | $1,443.86 | ↓ -73% |
| Cofinity | Commercial | $1,557.69 | ↓ -71% |
| HAP | HAP HMO_AHL_Fully Insured | $1,687.80 | ↓ -69% |
| Priority Health | Medicaid HMO | $2,092.13 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $2,092.13 | ↓ -61% |
| McLaren | Medicaid HMO | $2,092.13 | ↓ -61% |
| Meridian | Medicaid HMO | $2,092.13 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $2,133.97 | ↓ -60% |
| United Healthcare | UHC Commercial | $2,152.08 | ↓ -60% |
| United Healthcare | Baseline Benefit Plan | $2,152.08 | ↓ -60% |
| Molina | Medicaid HMO | $2,203.48 | ↓ -59% |
| Multiplan | All Products | $2,363.76 | ↓ -56% |
| Blue Cross | BCBSM GM Connected Care | $3,418.98 | ↓ -36% |
| Blue Cross | BCN Commercial | $3,520.92 | ↓ -35% |
| BCN | HMO | $3,520.92 | ↓ -35% |
| Priority Health | Commercial | $3,528.00 | ↓ -34% |
| Meridian | Ambetter From Meridian | $3,528.00 | ↓ -34% |
| Humana | Medicare Advantage | $3,528.00 | ↓ -34% |
| Pace SE MI | Medicare Advantage | $3,706.29 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $3,823.32 | ↓ -29% |
| Aetna | Medicare Advantage | $3,901.35 | ↓ -28% |
| HAP | Medicare Advantage | $3,901.35 | ↓ -28% |
| WellCare | Medicare Advantage | $3,901.35 | ↓ -28% |
| HAP | HAP Dual Products | $3,901.35 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $3,901.35 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $3,901.35 | ↓ -28% |
| Priority Health | Medicare Advantage | $3,901.35 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $3,901.35 | ↓ -28% |
| United Healthcare | Erickson Advantage | $3,901.35 | ↓ -28% |
| Blue Cross | BCN Advantage | $3,901.35 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $3,901.35 | ↓ -28% |
| United Healthcare | VACCN | $3,901.35 | ↓ -28% |
| McLaren | Medicare Advantage | $3,901.35 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $3,901.35 | ↓ -28% |
| Aetna | Dual Products | $4,291.49 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $4,681.62 | ↓ -13% |
| Aetna | Commercial | $4,933.00 | ↓ -8% |
| Vitalcore | All Products | $8,973.11 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Nipple/areola reconst 19350 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $5,383.86 | $392.77 – $3,528.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $5,383.86 | $392.77 – $8,973.11 |
| Henry Ford Macomb Hospital | Clinton Twp | $5,383.86 | $392.77 – $8,973.11 |
| Corewell Health Big Rapids | Big Rapids | not published | $3,033.42 – $7,022.44 |
| Corewell Health Gerber | Fremont | not published | $3,033.42 – $3,033.42 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $3,901.35 – $5,852.03 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $1,802.57 – $7,022.44 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $1,802.57 – $7,022.44 |