Abrasion lesion single at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$275.88
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.
$440.00
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.
$75.83 with Meridian vs $459.79 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 |
|---|---|---|---|
| Meridian | Medicaid HMO-Child-FAC | $75.83 | ↓ -73% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $75.83 | ↓ -73% |
| McLaren | Medicaid HMO-Adult-FAC | $75.83 | ↓ -73% |
| McLaren | Medicaid HMO-Child-FAC | $75.83 | ↓ -73% |
| HAP | HAP Caresource Medicaid-FAC | $75.83 | ↓ -73% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $75.83 | ↓ -73% |
| Meridian | Medicaid HMO-Adult-FAC | $75.83 | ↓ -73% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $77.35 | ↓ -72% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $77.35 | ↓ -72% |
| Molina | Medicaid HMO-Adult-FAC | $78.86 | ↓ -71% |
| Molina | Medicaid HMO-Child-FAC | $78.86 | ↓ -71% |
| Priority Health | Medicaid HMO-Adult-FAC | $79.62 | ↓ -71% |
| Priority Health | Medicaid HMO-Child-FAC | $79.62 | ↓ -71% |
| ScriptGuideRX | All Products | $82.90 | ↓ -70% |
| HAP | Self-Funded | $101.76 | ↓ -63% |
| HAP | HAP HMO_AHL_Fully Insured | $101.97 | ↓ -63% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $103.64 | ↓ -62% |
| Humana Military | Tricare-NonPhysician-FAC | $106.54 | ↓ -61% |
| United Healthcare | UHC Commercial | $107.14 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $107.20 | ↓ -61% |
| Priority Health | Medicaid HMO | $107.20 | ↓ -61% |
| Meridian | Medicaid HMO | $107.20 | ↓ -61% |
| McLaren | Medicaid HMO | $107.20 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $109.34 | ↓ -60% |
| Molina | Medicaid HMO | $112.91 | ↓ -59% |
| Pace SE MI | Medicare Advantage-FAC | $115.83 | ↓ -58% |
| Amerihealth Caritas | Dual Products-FAC | $119.49 | ↓ -57% |
| Molina | Dual Product-FAC | $121.93 | ↓ -56% |
| WellCare | Medicare Advantage-FAC | $121.93 | ↓ -56% |
| Meridian | Ambetter From Meridian-FAC | $121.93 | ↓ -56% |
| Molina | Medicare Advantage-FAC | $121.93 | ↓ -56% |
| HAP | HAP Dual Products-FAC | $121.93 | ↓ -56% |
| Trinity Health Plan | Medicare Advantage-FAC | $121.93 | ↓ -56% |
| McLaren | Medicare Advantage-FAC | $121.93 | ↓ -56% |
| United Healthcare | Medicare Advantage-FAC | $121.93 | ↓ -56% |
| United Healthcare | Medicare-Behavioral Health-FAC | $121.93 | ↓ -56% |
| Blue Cross | Medicare Plus Blue-FAC | $121.93 | ↓ -56% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $121.93 | ↓ -56% |
| HAP | Medicare Advantage-FAC | $121.93 | ↓ -56% |
| Humana | Medicare Advantage-FAC | $121.93 | ↓ -56% |
| HAP | Medicare Advantage-Physician-FAC | $121.93 | ↓ -56% |
| Priority Health | Medicare Advantage-FAC | $121.93 | ↓ -56% |
| Blue Cross | BCN Medicare Advantage -FAC | $121.93 | ↓ -56% |
| Aetna | Medicare Advantage-FAC | $121.93 | ↓ -56% |
| Humana Military | Tricare-Physician-FAC | $125.34 | ↓ -55% |
| Humana Military | Tricare | $125.34 | ↓ -55% |
| Humana | Medicare Advantage-Physician-FAC | $137.60 | ↓ -50% |
| Aetna | Commercial | $138.13 | ↓ -50% |
| Multiplan | All Products | $142.56 | ↓ -48% |
| HAP | HAP Caresource Medicaid-NONFAC | $148.04 | ↓ -46% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $148.04 | ↓ -46% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $148.04 | ↓ -46% |
| McLaren | Medicaid HMO-Adult-NONFAC | $148.04 | ↓ -46% |
| McLaren | Medicaid HMO-Child-NONFAC | $148.04 | ↓ -46% |
| Meridian | Medicaid HMO-Adult-NONFAC | $148.04 | ↓ -46% |
| Meridian | Medicaid HMO-Child-NONFAC | $148.04 | ↓ -46% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $151.00 | ↓ -45% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $151.00 | ↓ -45% |
| Cofinity | Commercial | $152.71 | ↓ -45% |
| Molina | Medicaid HMO-Child-NONFAC | $153.96 | ↓ -44% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $155.44 | ↓ -44% |
| Priority Health | Medicaid HMO-Child-NONFAC | $155.44 | ↓ -44% |
| Molina | Medicaid HMO-Adult-NONFAC | $157.35 | ↓ -43% |
| United Healthcare | Baseline Benefit Plan | $157.46 | ↓ -43% |
| Priority Health | Priority Cigna | $168.37 | ↓ -39% |
| Nomi | All Products | $170.70 | ↓ -38% |
| Priority Health | All Products | $185.95 | ↓ -33% |
| Pace SE MI | Medicare Advantage | $189.92 | ↓ -31% |
| HAP | HAP Dual Products | $194.68 | ↓ -29% |
| Blue Cross | GM Connected Care | $195.57 | ↓ -29% |
| Amerihealth Caritas | Dual Products | $195.91 | ↓ -29% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $196.52 | ↓ -29% |
| Molina | Dual MI Coordinated Health | $199.91 | ↓ -28% |
| HAP | Medicare Advantage | $199.91 | ↓ -28% |
| McLaren | Medicare Advantage | $199.91 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $199.91 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $199.91 | ↓ -28% |
| Aetna | Medicare Advantage | $199.91 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $199.91 | ↓ -28% |
| Blue Cross | BCN Advantage | $199.91 | ↓ -28% |
| United Healthcare | VACCN | $199.91 | ↓ -28% |
| WellCare | Medicare Advantage | $199.91 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $199.91 | ↓ -28% |
| Priority Health | Medicare Advantage | $199.91 | ↓ -28% |
| Humana | Medicare Advantage | $201.91 | ↓ -27% |
| HAP | Henry Ford Select -HPN commercial | $216.00 | ↓ -22% |
| Meridian | Ambetter From Meridian | $216.00 | ↓ -22% |
| BCN | HMO | $216.00 | ↓ -22% |
| Blue Cross | BCBSM Commercial | $216.00 | ↓ -22% |
| Blue Cross | BCBSM GM Connected Care | $216.00 | ↓ -22% |
| Blue Cross | BCN Commercial | $216.00 | ↓ -22% |
| Priority Health | Commercial | $216.00 | ↓ -22% |
| United Healthcare | All Products-Prof | $217.03 | ↓ -21% |
| Blue Cross | BCN Commercial-FAC | $217.30 | ↓ -21% |
| Pace SE MI | Medicare Advantage-NONFAC | $219.64 | ↓ -20% |
| Aetna | Dual Products | $219.90 | ↓ -20% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $223.95 | ↓ -19% |
| Amerihealth Caritas | Dual Products-NONFAC | $226.58 | ↓ -18% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $231.20 | ↓ -16% |
| Molina | Medicare Advantage-NONFAC | $231.20 | ↓ -16% |
| Molina | Dual Product-NONFAC | $231.20 | ↓ -16% |
| Meridian | Ambetter From Meridian-NONFAC | $231.20 | ↓ -16% |
| McLaren | Medicare Advantage-NONFAC | $231.20 | ↓ -16% |
| HAP | Medicare Advantage-Physician-NONFAC | $231.20 | ↓ -16% |
| Priority Health | Medicare Advantage-NONFAC | $231.20 | ↓ -16% |
| HAP | Medicare Advantage-NONFAC | $231.20 | ↓ -16% |
| HAP | HAP Dual Products-NONFAC | $231.20 | ↓ -16% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $231.20 | ↓ -16% |
| Blue Cross | Medicare Plus Blue-NONFAC | $231.20 | ↓ -16% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $231.20 | ↓ -16% |
| United Healthcare | Medicare Advantage-NONFAC | $231.20 | ↓ -16% |
| WellCare | Medicare Advantage-NONFAC | $231.20 | ↓ -16% |
| Aetna | Medicare Advantage-NONFAC | $231.20 | ↓ -16% |
| Humana | Medicare Advantage-NONFAC | $235.82 | ↓ -15% |
| United Healthcare | All Products-Midlevel | $281.31 | ↑ +2% |
| HAP | HAP HMO_AHL_Fully-Insured | $326.16 | ↑ +18% |
| Aetna | All Products-NONFAC | $330.78 | ↑ +20% |
| Blue Cross | BCN Commercial-NONFAC | $363.77 | ↑ +32% |
| Vitalcore | All Products | $459.79 | ↑ +67% |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| 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-MA | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
Visitor-reported prices
Comments
Abrasion lesion single at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $275.88 | $75.83 – $300.56 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $275.88 | $75.83 – $459.79 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $275.88 | $75.83 – $216.00 |
| Corewell Health Big Rapids | Big Rapids | not published | $160.09 – $359.84 |
| Corewell Health Gerber | Fremont | not published | $160.09 – $160.09 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $202.08 – $303.12 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $185.98 – $299.87 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $150.12 – $359.84 |