Advance care planning each additional 30 min 99498 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$89.76
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.
$238.00
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 $92.50 with HAP — 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% |
| WellCare | Medicare Advantage | $13.59 | ↓ -85% |
| Molina | Dual MI Coordinated Health | $15.90 | ↓ -82% |
| Amerihealth Caritas | Dual Products | $21.20 | ↓ -76% |
| United Healthcare | UHC Commercial | $26.29 | ↓ -71% |
| Vitalcore | All Products | $26.50 | ↓ -70% |
| HAP | HAP HMO_AHL_Fully Insured | $27.52 | ↓ -69% |
| HAP | Self-Funded | $33.95 | ↓ -62% |
| Multiplan | All Products | $34.98 | ↓ -61% |
| Humana Military | Tricare | $37.10 | ↓ -59% |
| Cofinity | Commercial | $37.47 | ↓ -58% |
| United Healthcare | Baseline Benefit Plan | $38.64 | ↓ -57% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $40.47 | ↓ -55% |
| HAP | HAP Caresource Medicaid-FAC | $40.47 | ↓ -55% |
| McLaren | Medicaid HMO-Child-FAC | $40.47 | ↓ -55% |
| McLaren | Medicaid HMO-Adult-FAC | $40.47 | ↓ -55% |
| Meridian | Medicaid HMO-Child-FAC | $40.47 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $40.47 | ↓ -55% |
| Meridian | Medicaid HMO-Adult-FAC | $40.47 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $41.28 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $41.28 | ↓ -54% |
| Priority Health | Priority Cigna | $41.31 | ↓ -54% |
| Molina | Medicaid HMO-Child-FAC | $42.09 | ↓ -53% |
| Molina | Medicaid HMO-Adult-FAC | $42.09 | ↓ -53% |
| Priority Health | Medicaid HMO-Child-FAC | $42.49 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-FAC | $42.49 | ↓ -53% |
| ScriptGuideRX | All Products | $44.23 | ↓ -51% |
| Molina | Medicaid HMO-Adult-NONFAC | $49.07 | ↓ -45% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $49.84 | ↓ -44% |
| McLaren | Medicaid HMO-Child-NONFAC | $49.84 | ↓ -44% |
| McLaren | Medicaid HMO-Adult-NONFAC | $49.84 | ↓ -44% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $49.84 | ↓ -44% |
| Meridian | Medicaid HMO-Adult-NONFAC | $49.84 | ↓ -44% |
| HAP | HAP Caresource Medicaid-NONFAC | $49.84 | ↓ -44% |
| Meridian | Medicaid HMO-Child-NONFAC | $49.84 | ↓ -44% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $50.84 | ↓ -43% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $50.84 | ↓ -43% |
| Molina | Medicaid HMO-Child-NONFAC | $51.83 | ↓ -42% |
| Priority Health | Medicaid HMO-Child-NONFAC | $52.33 | ↓ -42% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $52.33 | ↓ -42% |
| Priority Health | Commercial | $53.00 | ↓ -41% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $55.28 | ↓ -38% |
| Humana Military | Tricare-NonPhysician-FAC | $55.33 | ↓ -38% |
| Pace SE MI | Medicare Advantage-FAC | $61.79 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $63.74 | ↓ -29% |
| Priority Health | Medicare Advantage-FAC | $65.04 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $65.04 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $65.04 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $65.04 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $65.04 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $65.04 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $65.04 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $65.04 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $65.04 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $65.04 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $65.04 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $65.04 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $65.04 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $65.04 | ↓ -28% |
| Molina | Dual Product-FAC | $65.04 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $65.04 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $65.04 | ↓ -28% |
| Humana Military | Tricare-Physician-FAC | $65.09 | ↓ -27% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $67.35 | ↓ -25% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $71.07 | ↓ -21% |
| Humana | Medicare Advantage-Physician-FAC | $71.46 | ↓ -20% |
| Amerihealth Caritas | Dual Products-NONFAC | $74.00 | ↓ -18% |
| Blue Cross | GM Connected Care | $74.12 | ↓ -17% |
| Pace SE MI | Medicare Advantage-NONFAC | $75.27 | ↓ -16% |
| United Healthcare | All Products-Midlevel | $76.85 | ↓ -14% |
| WellCare | Medicare Advantage-NONFAC | $79.23 | ↓ -12% |
| Priority Health | Medicare Advantage-NONFAC | $79.23 | ↓ -12% |
| Molina | Medicare Advantage-NONFAC | $79.23 | ↓ -12% |
| McLaren | Medicare Advantage-NONFAC | $79.23 | ↓ -12% |
| Meridian | Ambetter From Meridian-NONFAC | $79.23 | ↓ -12% |
| HAP | Medicare Advantage-Physician-NONFAC | $79.23 | ↓ -12% |
| HAP | Medicare Advantage-NONFAC | $79.23 | ↓ -12% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $79.23 | ↓ -12% |
| Molina | Dual Product-NONFAC | $79.23 | ↓ -12% |
| HAP | HAP Dual Products-NONFAC | $79.23 | ↓ -12% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $79.23 | ↓ -12% |
| United Healthcare | Medicare Advantage-NONFAC | $79.23 | ↓ -12% |
| Blue Cross | Medicare Plus Blue-NONFAC | $79.23 | ↓ -12% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $79.23 | ↓ -12% |
| Aetna | Medicare Advantage-NONFAC | $79.23 | ↓ -12% |
| Humana | Medicare Advantage-NONFAC | $80.81 | ↓ -10% |
| Blue Cross | BCN Commercial-FAC | $82.36 | ↓ -8% |
| Blue Cross | BCN Commercial-NONFAC | $82.75 | ↓ -8% |
| Blue Cross | BCBSM Commercial | $82.75 | ↓ -8% |
| Priority Health | All Products | $87.93 | ↓ -2% |
| United Healthcare | All Products-Prof | $90.35 | ↑ +1% |
| Nomi | All Products | $91.06 | ↑ +1% |
| Aetna | All Products-NONFAC | $92.18 | ↑ +3% |
| HAP | HAP HMO_AHL_Fully-Insured | $92.50 | ↑ +3% |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| BCN | HMO | not published by hospital | — |
| Blue Cross | BCBSM GM Connected Care | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Blue Cross | BCN Commercial | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
Visitor-reported prices
Comments
Advance care planning each additional 30 min 99498 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $89.76 | $0.01 – $91.06 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $89.76 | $0.01 – $91.06 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $89.76 | $0.01 – $91.06 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $0.01 – $0.01 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $34.69 – $34.69 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $34.69 – $34.69 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $0.01 – $155.29 |
| Corewell Health Taylor | Taylor | not published | $0.01 – $273.29 |