99393 periodic comp preventive med 5 to 11 years est at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$107.00
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.
$200.00
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.
$44.00 with Amerihealth Caritas vs $176.15 with Priority Health — 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 |
|---|---|---|---|
| Amerihealth Caritas | Dual Products-FAC | $44.00 | ↓ -59% |
| Amerihealth Caritas | Dual Products-NONFAC | $44.00 | ↓ -59% |
| HAP | HAP Caresource Medicaid-FAC | $53.49 | ↓ -50% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $53.49 | ↓ -50% |
| Meridian | Medicaid HMO-Child-FAC | $53.49 | ↓ -50% |
| Meridian | Medicaid HMO-Adult-FAC | $53.49 | ↓ -50% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $53.49 | ↓ -50% |
| McLaren | Medicaid HMO-Child-FAC | $53.49 | ↓ -50% |
| McLaren | Medicaid HMO-Adult-FAC | $53.49 | ↓ -50% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $54.56 | ↓ -49% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $54.56 | ↓ -49% |
| HAP | Self-Funded | $55.00 | ↓ -49% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $55.00 | ↓ -49% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $55.00 | ↓ -49% |
| HAP | HAP HMO_AHL_Fully-Insured | $55.00 | ↓ -49% |
| Molina | Medicaid HMO-Adult-FAC | $55.63 | ↓ -48% |
| Molina | Medicaid HMO-Child-FAC | $55.63 | ↓ -48% |
| Priority Health | Medicaid HMO-Adult-FAC | $56.16 | ↓ -48% |
| Priority Health | Medicaid HMO-Child-FAC | $56.16 | ↓ -48% |
| Humana Military | Tricare-NonPhysician-FAC | $56.25 | ↓ -47% |
| Humana Military | Tricare | $66.18 | ↓ -38% |
| Humana Military | Tricare-Physician-FAC | $66.18 | ↓ -38% |
| ScriptGuideRX | All Products | $69.54 | ↓ -35% |
| Blue Cross | Medicare Plus Blue-FAC | $71.50 | ↓ -33% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $71.50 | ↓ -33% |
| Blue Cross | BCN Medicare Advantage -FAC | $71.50 | ↓ -33% |
| Blue Cross | Medicare Plus Blue-NONFAC | $71.50 | ↓ -33% |
| United Healthcare | All Products-Midlevel | $71.58 | ↓ -33% |
| Humana | Medicare Advantage-Physician-FAC | $72.65 | ↓ -32% |
| McLaren | Medicaid HMO-Child-NONFAC | $72.79 | ↓ -32% |
| HAP | HAP Caresource Medicaid-NONFAC | $72.79 | ↓ -32% |
| McLaren | Medicaid HMO-Adult-NONFAC | $72.79 | ↓ -32% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $72.79 | ↓ -32% |
| Meridian | Medicaid HMO-Adult-NONFAC | $72.79 | ↓ -32% |
| Meridian | Medicaid HMO-Child-NONFAC | $72.79 | ↓ -32% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $72.79 | ↓ -32% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $74.25 | ↓ -31% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $74.25 | ↓ -31% |
| Molina | Medicaid HMO-Child-NONFAC | $75.70 | ↓ -29% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $76.43 | ↓ -29% |
| Priority Health | Medicaid HMO-Child-NONFAC | $76.43 | ↓ -29% |
| Molina | Medicaid HMO-Adult-NONFAC | $78.73 | ↓ -26% |
| United Healthcare | All Products-Prof | $84.84 | ↓ -21% |
| Priority Health | All Products | $90.01 | ↓ -16% |
| Priority Health | Priority Cigna | $103.96 | ↓ -3% |
| BCN | HMO | $105.82 | ↓ -1% |
| Blue Cross | BCBSM Commercial | $105.82 | ↓ -1% |
| Blue Cross | BCN Commercial | $105.82 | ↓ -1% |
| United Healthcare | VACCN-NONFAC | $107.32 | ↑ +0% |
| Blue Cross | GM Connected Care | $109.44 | ↑ +2% |
| Blue Cross | BCN Commercial-FAC | $121.60 | ↑ +14% |
| Blue Cross | BCN Commercial-NONFAC | $121.60 | ↑ +14% |
| Aetna | All Products-NONFAC | $134.39 | ↑ +26% |
| Nomi | All Products | $140.00 | ↑ +31% |
| HAP | HAP HMO_AHL_Fully Insured | $155.55 | ↑ +45% |
| Blue Cross | BCBSM GM Connected Care | $167.19 | ↑ +56% |
| Priority Health | Commercial | $176.15 | ↑ +65% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
Visitor-reported prices
Comments
99393 periodic comp preventive med 5 to 11 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 | $67.59 – $67.59 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $271.00 | $67.59 – $67.59 |
| 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 | $58.53 – $229.28 |