Alys cplx sp/pn npgt w/prgrm at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$130.73
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.
$163.00
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.
$22.37 with Meridian vs $217.88 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 |
|---|---|---|---|
| Meridian | Medicaid HMO-Child-FAC | $22.37 | ↓ -83% |
| McLaren | Medicaid HMO-Adult-FAC | $22.37 | ↓ -83% |
| HAP | HAP Caresource Medicaid-FAC | $22.37 | ↓ -83% |
| McLaren | Medicaid HMO-Child-FAC | $22.37 | ↓ -83% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $22.37 | ↓ -83% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $22.37 | ↓ -83% |
| Meridian | Medicaid HMO-Adult-FAC | $22.37 | ↓ -83% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $22.82 | ↓ -83% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $22.82 | ↓ -83% |
| Molina | Medicaid HMO-Child-FAC | $23.26 | ↓ -82% |
| Molina | Medicaid HMO-Adult-FAC | $23.26 | ↓ -82% |
| Priority Health | Medicaid HMO-Adult-FAC | $23.49 | ↓ -82% |
| Priority Health | Medicaid HMO-Child-FAC | $23.49 | ↓ -82% |
| ScriptGuideRX | All Products | $24.79 | ↓ -81% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $30.99 | ↓ -76% |
| Humana Military | Tricare-NonPhysician-FAC | $31.07 | ↓ -76% |
| Pace SE MI | Medicare Advantage-FAC | $34.64 | ↓ -74% |
| Amerihealth Caritas | Dual Products-FAC | $35.73 | ↓ -73% |
| Humana | Medicare Advantage-FAC | $36.46 | ↓ -72% |
| WellCare | Medicare Advantage-FAC | $36.46 | ↓ -72% |
| Blue Cross | Medicare Plus Blue-FAC | $36.46 | ↓ -72% |
| United Healthcare | Medicare-Behavioral Health-FAC | $36.46 | ↓ -72% |
| Trinity Health Plan | Medicare Advantage-FAC | $36.46 | ↓ -72% |
| HAP | Medicare Advantage-FAC | $36.46 | ↓ -72% |
| United Healthcare | Medicare Advantage-FAC | $36.46 | ↓ -72% |
| Blue Cross | BCN Medicare Advantage -FAC | $36.46 | ↓ -72% |
| McLaren | Medicare Advantage-FAC | $36.46 | ↓ -72% |
| HAP | HAP Dual Products-FAC | $36.46 | ↓ -72% |
| Priority Health | Medicare Advantage-FAC | $36.46 | ↓ -72% |
| HAP | Medicare Advantage-Physician-FAC | $36.46 | ↓ -72% |
| Molina | Dual Product-FAC | $36.46 | ↓ -72% |
| Aetna | Medicare Advantage-FAC | $36.46 | ↓ -72% |
| Molina | Medicare Advantage-FAC | $36.46 | ↓ -72% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $36.46 | ↓ -72% |
| Meridian | Ambetter From Meridian-FAC | $36.46 | ↓ -72% |
| Humana Military | Tricare | $36.55 | ↓ -72% |
| Humana Military | Tricare-Physician-FAC | $36.55 | ↓ -72% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $38.13 | ↓ -71% |
| Meridian | Medicaid HMO-Adult-NONFAC | $38.13 | ↓ -71% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $38.13 | ↓ -71% |
| McLaren | Medicaid HMO-Child-NONFAC | $38.13 | ↓ -71% |
| Meridian | Medicaid HMO-Child-NONFAC | $38.13 | ↓ -71% |
| HAP | HAP Caresource Medicaid-NONFAC | $38.13 | ↓ -71% |
| McLaren | Medicaid HMO-Adult-NONFAC | $38.13 | ↓ -71% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $38.89 | ↓ -70% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $38.89 | ↓ -70% |
| Molina | Medicaid HMO-Adult-NONFAC | $39.16 | ↓ -70% |
| Molina | Medicaid HMO-Child-NONFAC | $39.66 | ↓ -70% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $40.04 | ↓ -69% |
| Priority Health | Medicaid HMO-Child-NONFAC | $40.04 | ↓ -69% |
| Meridian | Medicaid HMO | $50.80 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $50.80 | ↓ -61% |
| Priority Health | Medicaid HMO | $50.80 | ↓ -61% |
| McLaren | Medicaid HMO | $50.80 | ↓ -61% |
| Nomi | All Products | $51.04 | ↓ -61% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $51.27 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $51.82 | ↓ -60% |
| Molina | Medicaid HMO | $53.50 | ↓ -59% |
| Priority Health | All Products | $54.19 | ↓ -59% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $56.32 | ↓ -57% |
| Blue Cross | GM Connected Care | $56.57 | ↓ -57% |
| Humana | Medicare Advantage-Physician-FAC | $56.88 | ↓ -56% |
| Pace SE MI | Medicare Advantage-NONFAC | $57.30 | ↓ -56% |
| Amerihealth Caritas | Dual Products-NONFAC | $59.11 | ↓ -55% |
| Priority Health | Priority Cigna | $59.61 | ↓ -54% |
| Meridian | Ambetter From Meridian-NONFAC | $60.32 | ↓ -54% |
| HAP | Medicare Advantage-NONFAC | $60.32 | ↓ -54% |
| Priority Health | Medicare Advantage-NONFAC | $60.32 | ↓ -54% |
| HAP | HAP Dual Products-NONFAC | $60.32 | ↓ -54% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $60.32 | ↓ -54% |
| Blue Cross | Medicare Plus Blue-NONFAC | $60.32 | ↓ -54% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $60.32 | ↓ -54% |
| McLaren | Medicare Advantage-NONFAC | $60.32 | ↓ -54% |
| HAP | Medicare Advantage-Physician-NONFAC | $60.32 | ↓ -54% |
| United Healthcare | Medicare Advantage-NONFAC | $60.32 | ↓ -54% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $60.32 | ↓ -54% |
| Molina | Dual Product-NONFAC | $60.32 | ↓ -54% |
| Aetna | Medicare Advantage-NONFAC | $60.32 | ↓ -54% |
| WellCare | Medicare Advantage-NONFAC | $60.32 | ↓ -54% |
| Molina | Medicare Advantage-NONFAC | $60.32 | ↓ -54% |
| Humana | Medicare Advantage-NONFAC | $61.53 | ↓ -53% |
| Blue Cross | BCN Commercial-FAC | $62.85 | ↓ -52% |
| Blue Cross | BCBSM Commercial | $77.69 | ↓ -41% |
| BCN | HMO | $77.69 | ↓ -41% |
| Blue Cross | BCN Commercial | $77.69 | ↓ -41% |
| United Healthcare | UHC Commercial | $80.85 | ↓ -38% |
| United Healthcare | All Products-Prof | $80.88 | ↓ -38% |
| Aetna | All Products-NONFAC | $82.25 | ↓ -37% |
| HAP | HAP HMO_AHL_Fully Insured | $84.65 | ↓ -35% |
| United Healthcare | All Products-Midlevel | $85.98 | ↓ -34% |
| HAP | HAP Dual Products | $89.93 | ↓ -31% |
| Pace SE MI | Medicare Advantage | $89.99 | ↓ -31% |
| Blue Cross | BCN Commercial-NONFAC | $90.54 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $92.84 | ↓ -29% |
| Priority Health | Dual Premier_HIDE-SNP | $94.73 | ↓ -28% |
| HAP | Medicare Advantage | $94.73 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $94.73 | ↓ -28% |
| WellCare | Medicare Advantage | $94.73 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $94.73 | ↓ -28% |
| Priority Health | Medicare Advantage | $94.73 | ↓ -28% |
| Blue Cross | BCN Advantage | $94.73 | ↓ -28% |
| Aetna | Medicare Advantage | $94.73 | ↓ -28% |
| McLaren | Medicare Advantage | $94.73 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $94.73 | ↓ -28% |
| United Healthcare | VACCN | $94.73 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $94.73 | ↓ -28% |
| Humana | Medicare Advantage | $95.68 | ↓ -27% |
| Aetna | Dual Products | $104.20 | ↓ -20% |
| Aetna | Commercial | $104.24 | ↓ -20% |
| HAP | Self-Funded | $104.42 | ↓ -20% |
| Multiplan | All Products | $107.58 | ↓ -18% |
| HAP | Henry Ford Select -HPN commercial | $113.67 | ↓ -13% |
| Cofinity | Commercial | $115.24 | ↓ -12% |
| United Healthcare | Baseline Benefit Plan | $118.83 | ↓ -9% |
| Blue Cross | BCBSM GM Connected Care | $122.74 | ↓ -6% |
| Meridian | Ambetter From Meridian | $127.89 | ↓ -2% |
| HAP | HAP HMO_AHL_Fully-Insured | $143.64 | ↑ +10% |
| Priority Health | Commercial | $163.00 | ↑ +25% |
| Vitalcore | All Products | $217.88 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
Alys cplx sp/pn npgt w/prgrm at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Gross Pointe | Grosse Pointe | $768.00 | $88.14 – $152.09 |
| Corewell Health Taylor | Taylor | $768.00 | $88.14 – $208.55 |
| Corewell Health Trenton | Trenton | $768.00 | $88.14 – $158.83 |
| Corewell Health Troy | Troy | $768.00 | $88.10 – $199.72 |
| Corewell Health Wayne | Wayne | $768.00 | $88.14 – $178.08 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $130.73 | $22.37 – $163.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $130.73 | $22.37 – $217.88 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $130.73 | $22.37 – $109.21 |