Aco cmplx chron care without pt visit, 60 min 99487aco at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$244.07
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.
$143.00
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.
$50.48 with United Healthcare vs $406.78 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 |
|---|---|---|---|
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $50.48 | ↓ -79% |
| Meridian | Medicaid HMO-Child-FAC | $50.48 | ↓ -79% |
| HAP | HAP Caresource Medicaid-FAC | $50.48 | ↓ -79% |
| Meridian | Medicaid HMO-Adult-FAC | $50.48 | ↓ -79% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $50.48 | ↓ -79% |
| McLaren | Medicaid HMO-Child-FAC | $50.48 | ↓ -79% |
| McLaren | Medicaid HMO-Adult-FAC | $50.48 | ↓ -79% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $51.49 | ↓ -79% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $51.49 | ↓ -79% |
| Molina | Medicaid HMO-Child-FAC | $52.50 | ↓ -78% |
| Molina | Medicaid HMO-Adult-FAC | $52.50 | ↓ -78% |
| Priority Health | Medicaid HMO-Adult-FAC | $53.00 | ↓ -78% |
| Priority Health | Medicaid HMO-Child-FAC | $53.00 | ↓ -78% |
| ScriptGuideRX | All Products | $65.62 | ↓ -73% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $69.39 | ↓ -72% |
| Humana Military | Tricare-NonPhysician-FAC | $70.28 | ↓ -71% |
| Pace SE MI | Medicare Advantage-FAC | $77.56 | ↓ -68% |
| Amerihealth Caritas | Dual Products-FAC | $80.01 | ↓ -67% |
| HAP | Medicare Advantage-Physician-FAC | $81.64 | ↓ -67% |
| Humana | Medicare Advantage-FAC | $81.64 | ↓ -67% |
| WellCare | Medicare Advantage-FAC | $81.64 | ↓ -67% |
| Aetna | Medicare Advantage-FAC | $81.64 | ↓ -67% |
| United Healthcare | Medicare-Behavioral Health-FAC | $81.64 | ↓ -67% |
| United Healthcare | Medicare Advantage-FAC | $81.64 | ↓ -67% |
| Trinity Health Plan | Medicare Advantage-FAC | $81.64 | ↓ -67% |
| Priority Health | Medicare Advantage-FAC | $81.64 | ↓ -67% |
| Blue Cross | BCN Medicare Advantage -FAC | $81.64 | ↓ -67% |
| Molina | Medicare Advantage-FAC | $81.64 | ↓ -67% |
| Blue Cross | Medicare Plus Blue-FAC | $81.64 | ↓ -67% |
| Molina | Dual Product-FAC | $81.64 | ↓ -67% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $81.64 | ↓ -67% |
| HAP | HAP Dual Products-FAC | $81.64 | ↓ -67% |
| Meridian | Ambetter From Meridian-FAC | $81.64 | ↓ -67% |
| McLaren | Medicare Advantage-FAC | $81.64 | ↓ -67% |
| HAP | Medicare Advantage-FAC | $81.64 | ↓ -67% |
| Humana Military | Tricare-Physician-FAC | $82.68 | ↓ -66% |
| Humana Military | Tricare | $82.68 | ↓ -66% |
| Humana | Medicare Advantage-Physician-FAC | $90.77 | ↓ -63% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $92.02 | ↓ -62% |
| HAP | HAP Caresource Medicaid-NONFAC | $92.02 | ↓ -62% |
| McLaren | Medicaid HMO-Adult-NONFAC | $92.02 | ↓ -62% |
| McLaren | Medicaid HMO-Child-NONFAC | $92.02 | ↓ -62% |
| Meridian | Medicaid HMO-Adult-NONFAC | $92.02 | ↓ -62% |
| Meridian | Medicaid HMO-Child-NONFAC | $92.02 | ↓ -62% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $92.02 | ↓ -62% |
| Molina | Medicaid HMO-Adult-NONFAC | $93.76 | ↓ -62% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $93.86 | ↓ -62% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $93.86 | ↓ -62% |
| Meridian | Medicaid HMO | $94.84 | ↓ -61% |
| McLaren | Medicaid HMO | $94.84 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $94.84 | ↓ -61% |
| Priority Health | Medicaid HMO | $94.84 | ↓ -61% |
| Molina | Medicaid HMO-Child-NONFAC | $95.70 | ↓ -61% |
| Priority Health | Medicaid HMO-Child-NONFAC | $96.62 | ↓ -60% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $96.62 | ↓ -60% |
| Aetna Better Health | Medicaid HMO | $96.74 | ↓ -60% |
| United Healthcare | All Products-Midlevel | $97.45 | ↓ -60% |
| Molina | Medicaid HMO | $99.89 | ↓ -59% |
| Nomi | All Products | $114.30 | ↓ -53% |
| United Healthcare | All Products-Prof | $114.57 | ↓ -53% |
| Priority Health | All Products | $114.75 | ↓ -53% |
| HAP | HAP HMO_AHL_Fully-Insured | $118.49 | ↓ -51% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $122.82 | ↓ -50% |
| Priority Health | Priority Cigna | $132.54 | ↓ -46% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $133.88 | ↓ -45% |
| HAP | HAP HMO_AHL_Fully Insured | $136.67 | ↓ -44% |
| Pace SE MI | Medicare Advantage-NONFAC | $137.27 | ↓ -44% |
| HAP | Self-Funded | $138.36 | ↓ -43% |
| Amerihealth Caritas | Dual Products-NONFAC | $141.60 | ↓ -42% |
| Blue Cross | GM Connected Care | $142.31 | ↓ -42% |
| Blue Cross | Medicare Plus Blue-NONFAC | $144.49 | ↓ -41% |
| Molina | Dual Product-NONFAC | $144.49 | ↓ -41% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $144.49 | ↓ -41% |
| Molina | Medicare Advantage-NONFAC | $144.49 | ↓ -41% |
| Meridian | Ambetter From Meridian-NONFAC | $144.49 | ↓ -41% |
| HAP | HAP Dual Products-NONFAC | $144.49 | ↓ -41% |
| McLaren | Medicare Advantage-NONFAC | $144.49 | ↓ -41% |
| Priority Health | Medicare Advantage-NONFAC | $144.49 | ↓ -41% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $144.49 | ↓ -41% |
| WellCare | Medicare Advantage-NONFAC | $144.49 | ↓ -41% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $144.49 | ↓ -41% |
| United Healthcare | Medicare Advantage-NONFAC | $144.49 | ↓ -41% |
| Aetna | Medicare Advantage-NONFAC | $144.49 | ↓ -41% |
| HAP | Medicare Advantage-Physician-NONFAC | $144.49 | ↓ -41% |
| HAP | Medicare Advantage-NONFAC | $144.49 | ↓ -41% |
| Humana | Medicare Advantage-NONFAC | $147.38 | ↓ -40% |
| Blue Cross | BCBSM Commercial | $156.57 | ↓ -36% |
| HAP | HAP Dual Products | $157.42 | ↓ -36% |
| Blue Cross | BCN Commercial-FAC | $158.12 | ↓ -35% |
| Blue Cross | BCN Commercial-NONFAC | $158.12 | ↓ -35% |
| Priority Health | Commercial | $161.58 | ↓ -34% |
| Aetna | All Products-NONFAC | $167.29 | ↓ -31% |
| Pace SE MI | Medicare Advantage | $168.01 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $173.32 | ↓ -29% |
| Blue Cross | Medicare Plus Blue | $176.86 | ↓ -28% |
| United Healthcare | VACCN | $176.86 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $176.86 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $176.86 | ↓ -28% |
| McLaren | Medicare Advantage | $176.86 | ↓ -28% |
| WellCare | Medicare Advantage | $176.86 | ↓ -28% |
| Aetna | Medicare Advantage | $176.86 | ↓ -28% |
| HAP | Medicare Advantage | $176.86 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $176.86 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $176.86 | ↓ -28% |
| Blue Cross | BCN Advantage | $176.86 | ↓ -28% |
| Priority Health | Medicare Advantage | $176.86 | ↓ -28% |
| Humana | Medicare Advantage | $178.63 | ↓ -27% |
| Aetna | Dual Products | $194.54 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $212.23 | ↓ -13% |
| Meridian | Ambetter From Meridian | $238.76 | ↓ -2% |
| Vitalcore | All Products | $406.78 | ↑ +67% |
| 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 without pt visit, 60 min 99487aco at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $244.07 | $50.48 – $187.84 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $244.07 | $50.48 – $406.78 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $244.07 | $50.48 – $114.30 |
| Henry Ford St John Hospital | Detroit | $103.04 | $101.61 – $299.10 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $178.77 – $268.16 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $0.01 – $265.29 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $68.90 – $318.34 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $68.90 – $318.34 |