All tstg perq&iq drugs/biol at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$51.36
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.
$66.00
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.
$3.83 with McLaren vs $85.61 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 |
|---|---|---|---|
| McLaren | Medicaid HMO-Adult-FAC | $3.83 | ↓ -93% |
| Meridian | Medicaid HMO-Child-FAC | $3.83 | ↓ -93% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $3.83 | ↓ -93% |
| McLaren | Medicaid HMO-Child-FAC | $3.83 | ↓ -93% |
| Meridian | Medicaid HMO-Adult-FAC | $3.83 | ↓ -93% |
| HAP | HAP Caresource Medicaid-FAC | $3.83 | ↓ -93% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $3.83 | ↓ -93% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $3.91 | ↓ -92% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $3.91 | ↓ -92% |
| Molina | Medicaid HMO-Child-FAC | $3.98 | ↓ -92% |
| Molina | Medicaid HMO-Adult-FAC | $3.98 | ↓ -92% |
| Priority Health | Medicaid HMO-Child-FAC | $4.02 | ↓ -92% |
| Priority Health | Medicaid HMO-Adult-FAC | $4.02 | ↓ -92% |
| ScriptGuideRX | All Products | $4.23 | ↓ -92% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $5.28 | ↓ -90% |
| Humana Military | Tricare-NonPhysician-FAC | $5.48 | ↓ -89% |
| Pace SE MI | Medicare Advantage-FAC | $5.90 | ↓ -89% |
| Amerihealth Caritas | Dual Products-FAC | $6.09 | ↓ -88% |
| Trinity Health Plan | Medicare Advantage-FAC | $6.21 | ↓ -88% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $6.21 | ↓ -88% |
| Aetna | Medicare Advantage-FAC | $6.21 | ↓ -88% |
| Molina | Medicare Advantage-FAC | $6.21 | ↓ -88% |
| WellCare | Medicare Advantage-FAC | $6.21 | ↓ -88% |
| Molina | Dual Product-FAC | $6.21 | ↓ -88% |
| United Healthcare | Medicare-Behavioral Health-FAC | $6.21 | ↓ -88% |
| United Healthcare | Medicare Advantage-FAC | $6.21 | ↓ -88% |
| Blue Cross | BCN Medicare Advantage -FAC | $6.21 | ↓ -88% |
| Blue Cross | Medicare Plus Blue-FAC | $6.21 | ↓ -88% |
| HAP | HAP Dual Products-FAC | $6.21 | ↓ -88% |
| Meridian | Ambetter From Meridian-FAC | $6.21 | ↓ -88% |
| McLaren | Medicare Advantage-FAC | $6.21 | ↓ -88% |
| HAP | Medicare Advantage-FAC | $6.21 | ↓ -88% |
| Priority Health | Medicare Advantage-FAC | $6.21 | ↓ -88% |
| HAP | Medicare Advantage-Physician-FAC | $6.21 | ↓ -88% |
| Humana | Medicare Advantage-FAC | $6.21 | ↓ -88% |
| Humana Military | Tricare | $6.45 | ↓ -87% |
| Humana Military | Tricare-Physician-FAC | $6.45 | ↓ -87% |
| United Healthcare | All Products-Midlevel | $7.56 | ↓ -85% |
| United Healthcare | All Products-Prof | $7.56 | ↓ -85% |
| Nomi | All Products | $8.69 | ↓ -83% |
| Priority Health | All Products | $9.84 | ↓ -81% |
| Blue Cross | GM Connected Care | $10.06 | ↓ -80% |
| Priority Health | Priority Cigna | $10.82 | ↓ -79% |
| Blue Cross | BCN Commercial-FAC | $11.18 | ↓ -78% |
| McLaren | Medicaid HMO-Child-NONFAC | $12.14 | ↓ -76% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $12.14 | ↓ -76% |
| McLaren | Medicaid HMO-Adult-NONFAC | $12.14 | ↓ -76% |
| Meridian | Medicaid HMO-Child-NONFAC | $12.14 | ↓ -76% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $12.14 | ↓ -76% |
| Meridian | Medicaid HMO-Adult-NONFAC | $12.14 | ↓ -76% |
| HAP | HAP Caresource Medicaid-NONFAC | $12.14 | ↓ -76% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $12.38 | ↓ -76% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $12.38 | ↓ -76% |
| Molina | Medicaid HMO-Child-NONFAC | $12.63 | ↓ -75% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $12.75 | ↓ -75% |
| Priority Health | Medicaid HMO-Child-NONFAC | $12.75 | ↓ -75% |
| Molina | Medicaid HMO-Adult-NONFAC | $13.60 | ↓ -74% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $15.96 | ↓ -69% |
| Pace SE MI | Medicare Advantage-NONFAC | $17.84 | ↓ -65% |
| Amerihealth Caritas | Dual Products-NONFAC | $18.40 | ↓ -64% |
| HAP | HAP Dual Products-NONFAC | $18.78 | ↓ -63% |
| Blue Cross | Medicare Plus Blue-NONFAC | $18.78 | ↓ -63% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $18.78 | ↓ -63% |
| United Healthcare | Medicare Advantage-NONFAC | $18.78 | ↓ -63% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $18.78 | ↓ -63% |
| Priority Health | Medicare Advantage-NONFAC | $18.78 | ↓ -63% |
| HAP | Medicare Advantage-Physician-NONFAC | $18.78 | ↓ -63% |
| HAP | Medicare Advantage-NONFAC | $18.78 | ↓ -63% |
| McLaren | Medicare Advantage-NONFAC | $18.78 | ↓ -63% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $18.78 | ↓ -63% |
| Meridian | Ambetter From Meridian-NONFAC | $18.78 | ↓ -63% |
| Molina | Dual Product-NONFAC | $18.78 | ↓ -63% |
| Molina | Medicare Advantage-NONFAC | $18.78 | ↓ -63% |
| Aetna | Medicare Advantage-NONFAC | $18.78 | ↓ -63% |
| WellCare | Medicare Advantage-NONFAC | $18.78 | ↓ -63% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $19.13 | ↓ -63% |
| Humana | Medicare Advantage-NONFAC | $19.16 | ↓ -63% |
| Humana | Medicare Advantage-Physician-FAC | $19.32 | ↓ -62% |
| HAP | HAP Caresource Medicaid | $19.96 | ↓ -61% |
| Meridian | Medicaid HMO | $19.96 | ↓ -61% |
| Priority Health | Medicaid HMO | $19.96 | ↓ -61% |
| McLaren | Medicaid HMO | $19.96 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $20.36 | ↓ -60% |
| Molina | Medicaid HMO | $21.02 | ↓ -59% |
| United Healthcare | UHC Commercial | $27.28 | ↓ -47% |
| HAP | HAP HMO_AHL_Fully-Insured | $28.29 | ↓ -45% |
| Aetna | All Products-NONFAC | $28.50 | ↓ -45% |
| HAP | HAP HMO_AHL_Fully Insured | $28.56 | ↓ -44% |
| Blue Cross | BCN Commercial-NONFAC | $31.42 | ↓ -39% |
| Blue Cross | BCBSM Commercial | $31.96 | ↓ -38% |
| HAP | Self-Funded | $33.04 | ↓ -36% |
| Blue Cross | BCBSM GM Connected Care | $34.70 | ↓ -32% |
| Aetna | Commercial | $35.17 | ↓ -32% |
| Pace SE MI | Medicare Advantage | $35.36 | ↓ -31% |
| BCN | HMO | $35.94 | ↓ -30% |
| Blue Cross | BCN Commercial | $35.94 | ↓ -30% |
| Multiplan | All Products | $36.30 | ↓ -29% |
| Amerihealth Caritas | Dual Products | $36.48 | ↓ -29% |
| Priority Health | Dual Premier_HIDE-SNP | $37.22 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $37.22 | ↓ -28% |
| Priority Health | Medicare Advantage | $37.22 | ↓ -28% |
| McLaren | Medicare Advantage | $37.22 | ↓ -28% |
| HAP | Medicare Advantage | $37.22 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $37.22 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $37.22 | ↓ -28% |
| Blue Cross | BCN Advantage | $37.22 | ↓ -28% |
| United Healthcare | VACCN | $37.22 | ↓ -28% |
| WellCare | Medicare Advantage | $37.22 | ↓ -28% |
| Aetna | Medicare Advantage | $37.22 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $37.22 | ↓ -28% |
| Humana | Medicare Advantage | $37.59 | ↓ -27% |
| HAP | HAP Dual Products | $38.46 | ↓ -25% |
| Cofinity | Commercial | $38.89 | ↓ -24% |
| United Healthcare | Baseline Benefit Plan | $40.10 | ↓ -22% |
| Aetna | Dual Products | $40.94 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $44.66 | ↓ -13% |
| Meridian | Ambetter From Meridian | $50.25 | ↓ -2% |
| Priority Health | Commercial | $55.00 | ↑ +7% |
| Vitalcore | All Products | $85.61 | ↑ +67% |
| 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 | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
All tstg perq&iq drugs/biol at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Gross Pointe | Grosse Pointe | $144.00 | $21.08 – $50.26 |
| Corewell Health Taylor | Taylor | $144.00 | $33.46 – $50.26 |
| Corewell Health Trenton | Trenton | $144.00 | $28.25 – $50.26 |
| Corewell Health Troy | Troy | $144.00 | $29.81 – $50.24 |
| Corewell Health Wayne | Wayne | $144.00 | $31.68 – $50.26 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $51.36 | $3.83 – $44.94 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $51.36 | $3.83 – $85.61 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $51.36 | $3.83 – $36.85 |