Aco cmplx chron care addl 20 min 99489aco at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$62.21
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.
$79.00
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.
$27.90 with McLaren vs $90.00 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 |
|---|---|---|---|
| McLaren | Medicaid HMO-Child-FAC | $27.90 | ↓ -55% |
| McLaren | Medicaid HMO-Adult-FAC | $27.90 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $27.90 | ↓ -55% |
| Meridian | Medicaid HMO-Child-FAC | $27.90 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $27.90 | ↓ -55% |
| Meridian | Medicaid HMO-Adult-FAC | $27.90 | ↓ -55% |
| HAP | HAP Caresource Medicaid-FAC | $27.90 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $28.46 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $28.46 | ↓ -54% |
| Molina | Medicaid HMO-Child-FAC | $29.02 | ↓ -53% |
| Molina | Medicaid HMO-Adult-FAC | $29.02 | ↓ -53% |
| Priority Health | Medicaid HMO-Child-FAC | $29.30 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-FAC | $29.30 | ↓ -53% |
| ScriptGuideRX | All Products | $36.27 | ↓ -42% |
| Humana Military | Tricare-NonPhysician-FAC | $37.96 | ↓ -39% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $38.32 | ↓ -38% |
| Pace SE MI | Medicare Advantage-FAC | $42.83 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $44.18 | ↓ -29% |
| Humana Military | Tricare | $44.66 | ↓ -28% |
| Humana Military | Tricare-Physician-FAC | $44.66 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $45.08 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $45.08 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $45.08 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $45.08 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $45.08 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $45.08 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $45.08 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $45.08 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $45.08 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $45.08 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $45.08 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $45.08 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $45.08 | ↓ -28% |
| Molina | Dual Product-FAC | $45.08 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $45.08 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $45.08 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $45.08 | ↓ -28% |
| Humana | Medicare Advantage-Physician-FAC | $49.03 | ↓ -21% |
| McLaren | Medicaid HMO-Child-NONFAC | $49.84 | ↓ -20% |
| McLaren | Medicaid HMO-Adult-NONFAC | $49.84 | ↓ -20% |
| HAP | HAP Caresource Medicaid-NONFAC | $49.84 | ↓ -20% |
| Meridian | Medicaid HMO-Adult-NONFAC | $49.84 | ↓ -20% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $49.84 | ↓ -20% |
| Meridian | Medicaid HMO-Child-NONFAC | $49.84 | ↓ -20% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $49.84 | ↓ -20% |
| Molina | Medicaid HMO-Adult-NONFAC | $50.22 | ↓ -19% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $50.84 | ↓ -18% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $50.84 | ↓ -18% |
| Molina | Medicaid HMO-Child-NONFAC | $51.83 | ↓ -17% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $52.33 | ↓ -16% |
| Priority Health | Medicaid HMO-Child-NONFAC | $52.33 | ↓ -16% |
| United Healthcare | All Products-Midlevel | $53.90 | ↓ -13% |
| HAP | HAP HMO_AHL_Fully-Insured | $59.47 | ↓ -4% |
| Priority Health | All Products | $62.29 | ↑ +0% |
| Nomi | All Products | $63.11 | ↑ +1% |
| United Healthcare | All Products-Prof | $63.37 | ↑ +2% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $66.54 | ↑ +7% |
| HAP | HAP HMO_AHL_Fully Insured | $68.60 | ↑ +10% |
| HAP | Self-Funded | $69.45 | ↑ +12% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $71.50 | ↑ +15% |
| Priority Health | Priority Cigna | $71.94 | ↑ +16% |
| Pace SE MI | Medicare Advantage-NONFAC | $74.37 | ↑ +20% |
| Blue Cross | GM Connected Care | $76.22 | ↑ +23% |
| Amerihealth Caritas | Dual Products-NONFAC | $76.71 | ↑ +23% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $78.28 | ↑ +26% |
| Aetna | Medicare Advantage-NONFAC | $78.28 | ↑ +26% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $78.28 | ↑ +26% |
| Blue Cross | Medicare Plus Blue-NONFAC | $78.28 | ↑ +26% |
| HAP | HAP Dual Products-NONFAC | $78.28 | ↑ +26% |
| HAP | Medicare Advantage-NONFAC | $78.28 | ↑ +26% |
| HAP | Medicare Advantage-Physician-NONFAC | $78.28 | ↑ +26% |
| McLaren | Medicare Advantage-NONFAC | $78.28 | ↑ +26% |
| Meridian | Ambetter From Meridian-NONFAC | $78.28 | ↑ +26% |
| Molina | Dual Product-NONFAC | $78.28 | ↑ +26% |
| Molina | Medicare Advantage-NONFAC | $78.28 | ↑ +26% |
| Priority Health | Medicare Advantage-NONFAC | $78.28 | ↑ +26% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $78.28 | ↑ +26% |
| United Healthcare | Medicare Advantage-NONFAC | $78.28 | ↑ +26% |
| WellCare | Medicare Advantage-NONFAC | $78.28 | ↑ +26% |
| Humana | Medicare Advantage-NONFAC | $79.85 | ↑ +28% |
| Blue Cross | BCBSM Commercial | $84.30 | ↑ +36% |
| Blue Cross | BCN Commercial-FAC | $84.69 | ↑ +36% |
| Blue Cross | BCN Commercial-NONFAC | $84.69 | ↑ +36% |
| Aetna | All Products-NONFAC | $88.75 | ↑ +43% |
| Priority Health | Commercial | $90.00 | ↑ +45% |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
Visitor-reported prices
Comments
Aco cmplx chron care addl 20 min 99489aco at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $62.21 | $27.90 – $101.76 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $62.21 | $27.90 – $63.11 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $62.21 | $25.73 – $63.11 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $0.01 – $0.01 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $50.10 – $50.10 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $50.10 – $50.10 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $0.01 – $159.68 |
| Corewell Health Taylor | Taylor | not published | $0.01 – $281.02 |