Absorpt drg >16<=48 in w/bdr at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$5.99
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.
$3.11 with Priority Health vs $11.80 with Blue Cross — 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 |
|---|---|---|---|
| Priority Health | Commercial | $3.11 | ↓ -48% |
| Humana Military | Tricare | $3.99 | ↓ -33% |
| Pace SE MI | Medicare Advantage | $4.12 | ↓ -31% |
| Priority Health | Dual Premier_HIDE-SNP | $4.34 | ↓ -28% |
| HAP | Medicare Advantage | $4.34 | ↓ -28% |
| McLaren | Medicare Advantage | $4.34 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $4.34 | ↓ -28% |
| WellCare | Medicare Advantage | $4.34 | ↓ -28% |
| Aetna | Medicare Advantage | $4.34 | ↓ -28% |
| Priority Health | Medicare Advantage | $4.34 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $4.34 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $4.34 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $4.34 | ↓ -28% |
| Blue Cross | BCN Advantage | $4.34 | ↓ -28% |
| Humana | Medicare Advantage | $4.38 | ↓ -27% |
| HAP | HAP HMO_AHL_Fully Insured | $4.71 | ↓ -21% |
| Aetna | Dual Products | $4.77 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $5.21 | ↓ -13% |
| HAP | Self-Funded | $5.40 | ↓ -10% |
| Vitalcore | All Products | $5.64 | ↓ -6% |
| Meridian | Ambetter From Meridian | $5.86 | ↓ -2% |
| Blue Cross | BCN Commercial | $7.47 | ↑ +25% |
| BCN | HMO | $7.47 | ↑ +25% |
| Blue Cross | BCBSM Commercial | $7.47 | ↑ +25% |
| Blue Cross | BCBSM GM Connected Care | $11.80 | ↑ +97% |
Visitor-reported prices
Comments
Absorpt drg >16<=48 in w/bdr at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $5.99 | $3.11 – $17.16 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $5.99 | $3.11 – $8.57 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $5.99 | $3.11 – $8.63 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $6.05 – $6.05 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $6.05 – $6.05 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $3.05 – $4.33 |
| Corewell Health Taylor | Taylor | not published | $3.05 – $3.05 |
| Corewell Health Trenton | Trenton | not published | $3.05 – $3.05 |