Aco annual medicare visit (awv), subsq g0439aco at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$190.67
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.
$408.00
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.
$0.01 with Aetna vs $298.45 with Nomi — 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 |
|---|---|---|---|
| Aetna | Commercial | $0.01 | ↓ -100% |
| Amerihealth Caritas | Dual Products | $77.60 | ↓ -59% |
| ScriptGuideRX | All Products | $93.94 | ↓ -51% |
| United Healthcare | UHC Commercial | $96.22 | ↓ -50% |
| Vitalcore | All Products | $97.00 | ↓ -49% |
| HAP | HAP HMO_AHL_Fully Insured | $100.74 | ↓ -47% |
| Humana Military | Tricare-NonPhysician-FAC | $100.75 | ↓ -47% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $117.44 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $117.44 | ↓ -38% |
| Humana Military | Tricare-Physician-FAC | $118.52 | ↓ -38% |
| Humana Military | Tricare | $118.52 | ↓ -38% |
| HAP | Self-Funded | $124.28 | ↓ -35% |
| United Healthcare | All Products-Midlevel | $124.68 | ↓ -35% |
| Multiplan | All Products | $128.04 | ↓ -33% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $128.84 | ↓ -32% |
| Humana | Medicare Advantage-Physician-FAC | $130.13 | ↓ -32% |
| Pace SE MI | Medicare Advantage-FAC | $131.26 | ↓ -31% |
| Pace SE MI | Medicare Advantage-NONFAC | $131.26 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $135.41 | ↓ -29% |
| Amerihealth Caritas | Dual Products-NONFAC | $135.41 | ↓ -29% |
| Cofinity | Commercial | $137.16 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $138.17 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $138.17 | ↓ -28% |
| Aetna | Medicare Advantage-NONFAC | $138.17 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $138.17 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $138.17 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $138.17 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $138.17 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $138.17 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $138.17 | ↓ -28% |
| HAP | HAP Dual Products-NONFAC | $138.17 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $138.17 | ↓ -28% |
| HAP | Medicare Advantage-NONFAC | $138.17 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $138.17 | ↓ -28% |
| HAP | Medicare Advantage-Physician-NONFAC | $138.17 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $138.17 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $138.17 | ↓ -28% |
| McLaren | Medicare Advantage-NONFAC | $138.17 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $138.17 | ↓ -28% |
| Meridian | Ambetter From Meridian-NONFAC | $138.17 | ↓ -28% |
| Molina | Dual Product-FAC | $138.17 | ↓ -28% |
| Molina | Dual Product-NONFAC | $138.17 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $138.17 | ↓ -28% |
| Molina | Medicare Advantage-NONFAC | $138.17 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $138.17 | ↓ -28% |
| Priority Health | Medicare Advantage-NONFAC | $138.17 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $138.17 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $138.17 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $138.17 | ↓ -28% |
| United Healthcare | Medicare Advantage-NONFAC | $138.17 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $138.17 | ↓ -28% |
| WellCare | Medicare Advantage | $138.17 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $138.17 | ↓ -28% |
| WellCare | Medicare Advantage-NONFAC | $138.17 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $138.17 | ↓ -28% |
| Humana | Medicare Advantage-NONFAC | $140.93 | ↓ -26% |
| United Healthcare | Baseline Benefit Plan | $141.43 | ↓ -26% |
| HAP | HAP HMO_AHL_Fully-Insured | $143.41 | ↓ -25% |
| United Healthcare | All Products-Prof | $147.78 | ↓ -22% |
| Priority Health | Priority Cigna | $151.22 | ↓ -21% |
| HAP | HAP Dual Products | $160.69 | ↓ -16% |
| Aetna | All Products-NONFAC | $160.95 | ↓ -16% |
| Priority Health | All Products | $162.18 | ↓ -15% |
| Pace SE MI | Medicare Advantage | $164.55 | ↓ -14% |
| Aetna | Medicare Advantage | $173.21 | ↓ -9% |
| Priority Health | Dual Premier_HIDE-SNP | $173.21 | ↓ -9% |
| Trinity Health Plan | Medicare Advantage | $173.21 | ↓ -9% |
| Priority Health | Medicare Advantage | $173.21 | ↓ -9% |
| Molina | Dual MI Coordinated Health | $173.21 | ↓ -9% |
| McLaren | Medicare Advantage | $173.21 | ↓ -9% |
| Blue Cross | BCN Advantage | $173.21 | ↓ -9% |
| United Healthcare | VACCN | $173.21 | ↓ -9% |
| HAP | Medicare Advantage | $173.21 | ↓ -9% |
| Humana | Medicare Advantage | $174.94 | ↓ -8% |
| Blue Cross | GM Connected Care | $187.43 | ↓ -2% |
| Aetna | Dual Products | $190.53 | ↓ -0% |
| Priority Health | Commercial | $194.00 | ↑ +2% |
| HAP | Henry Ford Select -HPN commercial | $194.00 | ↑ +2% |
| Blue Cross | BCBSM Commercial | $208.25 | ↑ +9% |
| Blue Cross | BCN Commercial-NONFAC | $208.25 | ↑ +9% |
| Blue Cross | BCN Commercial-FAC | $208.25 | ↑ +9% |
| Nomi | All Products | $298.45 | ↑ +57% |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| BCN | HMO | not published by hospital | — |
| Blue Cross | BCN Commercial | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Blue Cross | BCBSM GM Connected Care | not published by hospital | — |
Visitor-reported prices
Comments
Aco annual medicare visit (awv), subsq g0439aco at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $271.00 | $132.16 – $237.89 |
| Corewell Health Gerber | Fremont | $271.00 | not published |
| Corewell Health Butterworth Hospital | Grand Rapids | $271.00 | $107.91 – $237.89 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $271.00 | $107.91 – $237.89 |
| Corewell Health Reed City | Po Box 75 | $271.00 | not published |
| Corewell Health Greenville | Greenville | $271.00 | $132.16 – $237.89 |
| Corewell Health Zeeland | Zeeland | $271.00 | $132.16 – $237.89 |
| Corewell Health Gross Pointe | Grosse Pointe | $191.00 | $122.91 – $392.65 |