CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Henry Ford Health West Bloomfield Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $50
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.47x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Henry Ford Health West Bloomfield Hospital is $50. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.47x the Medicare baseline. Located in 6777 West Maple Road, W Bloomfield, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$50

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Insurance Median: $50 (47%)
Ins. Median: $50 (47% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $32 - $313 30%
Amerihealth Michigan $32 - $102 30%
Mclaren Health Plan Inc. $32 - $50 30%
Meridian $32 - $50 30%
Priority $34 - $50 32%
Molina $35 - $141 33%
Blue Cross Blue Shield $43 - $201 40%
Hap $43 - $223 40%
Mclaren $43 40%
Meridian Health Plan Of Mi $43 - $141 40%
Priority Health $43 - $356 40%
Humana $48 - $106 45%
Pace Se Mi $48 45%
Bcn $50 - $104 47%
Cca Health Mi $50 47%
Health Alliance Plan Of Michigan $50 47%
Mount Carmel Health Plan $50 - $104 47%
United Behavioral Health, Inc. $50 47%
UnitedHealthcare $50 - $1,348 47%
Wellcare Ma $50 47%
Vitalcore Physicians Group Of Mi $65 - $240 61%
Cigna $68 - $1,088 64%
Pace Of Se Mi $99 93%
Cca Health Michigan $104 97%
Erickson $104 97%
Hap Caresource $104 97%
Mclaren Health $104 - $772 97%
Molina Mi Health Link $104 97%
Wellcare $105 98%
Cofinity $110 103%
Cofinity Group Health $711 666%
Multiplan, Inc. $896 839%
University Of Michigan $1,070 1002%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6777 West Maple Road, W Bloomfield, MI 48322
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals