99397 periodic comp preventive med 65+ years est at Henry Ford River District Hospital
4100 River Rd East, China Township, MI · Henry Ford Health · · NPI 1619941333
not published by hospital
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.
not published by hospital
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.
$72.85 with BCCCP vs $180.19 with PPOM — 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 |
|---|---|---|---|
| BCCCP | 1782_BCCCP 20210201 | $72.85 | — |
| HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $149.11 | — |
| AHLIC | 2163_AHLIC 20241001 | $149.11 | — |
| HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $149.11 | — |
| HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $149.11 | — |
| PPOM | 934_PPOM 20191001 | $180.19 | — |
Visitor-reported prices
Comments
99397 periodic comp preventive med 65+ years est at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $271.00 | not published |
| Corewell Health Gerber | Fremont | $271.00 | not published |
| Corewell Health Butterworth Hospital | Grand Rapids | $271.00 | $69.91 – $69.91 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $271.00 | $69.91 – $69.91 |
| Corewell Health Reed City | Po Box 75 | $271.00 | not published |
| Corewell Health Greenville | Greenville | $271.00 | not published |
| Corewell Health Zeeland | Zeeland | $271.00 | not published |
| Corewell Health Gross Pointe | Grosse Pointe | $191.00 | $95.14 – $295.21 |