Analysis gene f2 20210g>a variant at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$90.65
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.
$332.00
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.
$34.36 with Priority Health vs $258.79 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 |
|---|---|---|---|
| Priority Health | Medicaid HMO | $34.36 | ↓ -62% |
| HAP | HAP Caresource Medicaid | $34.36 | ↓ -62% |
| Meridian | Medicaid HMO | $34.36 | ↓ -62% |
| McLaren | Medicaid HMO | $34.36 | ↓ -62% |
| Aetna Better Health | Medicaid HMO | $35.04 | ↓ -61% |
| Molina | Medicaid HMO | $37.10 | ↓ -59% |
| Humana Military | Tricare | $53.60 | ↓ -41% |
| Pace SE MI | Medicare Advantage | $62.41 | ↓ -31% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $65.69 | ↓ -28% |
| Aetna | Medicare Advantage | $65.69 | ↓ -28% |
| Blue Cross | BCN Advantage | $65.69 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $65.69 | ↓ -28% |
| HAP | HAP Dual Products | $65.69 | ↓ -28% |
| HAP | Medicare Advantage | $65.69 | ↓ -28% |
| McLaren | Medicare Advantage | $65.69 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $65.69 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $65.69 | ↓ -28% |
| Priority Health | Medicare Advantage | $65.69 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $65.69 | ↓ -28% |
| United Healthcare | VACCN | $65.69 | ↓ -28% |
| WellCare | Medicare Advantage | $65.69 | ↓ -28% |
| Humana | Medicare Advantage | $66.35 | ↓ -27% |
| Aetna | Dual Products | $72.26 | ↓ -20% |
| Blue Cross | BCBSM GM Connected Care | $72.53 | ↓ -20% |
| Blue Cross | BCN Commercial | $75.13 | ↓ -17% |
| Blue Cross | BCBSM Commercial | $75.13 | ↓ -17% |
| BCN | HMO | $75.13 | ↓ -17% |
| United Healthcare | UHC Commercial | $78.83 | ↓ -13% |
| HAP | Henry Ford Select -HPN commercial | $78.83 | ↓ -13% |
| Meridian | Ambetter From Meridian | $88.68 | ↓ -2% |
| United Healthcare | Baseline Benefit Plan | $94.60 | ↑ +4% |
| HAP | HAP HMO_AHL_Fully Insured | $97.18 | ↑ +7% |
| HAP | Self-Funded | $111.45 | ↑ +23% |
| Aetna | Commercial | $114.68 | ↑ +27% |
| Amerihealth Caritas | Dual Products | $132.80 | ↑ +46% |
| Nomi | All Products | $141.89 | ↑ +57% |
| Vitalcore | All Products | $166.00 | ↑ +83% |
| Multiplan | All Products | $219.12 | ↑ +142% |
| Priority Health | Commercial | $231.00 | ↑ +155% |
| Cofinity | Commercial | $234.72 | ↑ +159% |
| Priority Health | Priority Cigna | $258.79 | ↑ +185% |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| ScriptGuideRX | All Products | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Analysis gene f2 20210g>a variant at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $692.00 | $59.12 – $118.24 |
| Corewell Health Gerber | Fremont | $692.00 | $62.41 – $62.41 |
| Corewell Health Lakeland Watervliet | Watervliet | $205.00 | $65.69 – $98.54 |
| Corewell Health Lakeland St. Joseph | St Joseph | $205.00 | $65.69 – $210.79 |
| Corewell Health Butterworth Hospital | Grand Rapids | $692.00 | $62.41 – $118.24 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $692.00 | $62.41 – $118.24 |
| Corewell Health Reed City | Po Box 75 | $692.00 | $62.41 – $62.41 |
| Corewell Health Greenville | Greenville | $692.00 | $62.41 – $118.24 |