Analysis; simple cranial nerv pulse gen prgrmg 95976 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$51.32
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.
?
What you pay up front if you don't use insurance.
$120.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$19.94 with Priority Health vs $85.54 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 |
|---|---|---|---|
| Priority Health | Medicaid HMO | $19.94 | ↓ -61% |
| McLaren | Medicaid HMO | $19.94 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $19.94 | ↓ -61% |
| Meridian | Medicaid HMO | $19.94 | ↓ -61% |
| McLaren | Medicaid HMO-Child-FAC | $20.24 | ↓ -61% |
| McLaren | Medicaid HMO-Adult-FAC | $20.24 | ↓ -61% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $20.24 | ↓ -61% |
| HAP | HAP Caresource Medicaid-FAC | $20.24 | ↓ -61% |
| Meridian | Medicaid HMO-Child-FAC | $20.24 | ↓ -61% |
| Meridian | Medicaid HMO-Adult-FAC | $20.24 | ↓ -61% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $20.24 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $20.34 | ↓ -60% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $20.64 | ↓ -60% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $20.64 | ↓ -60% |
| Molina | Medicaid HMO | $21.00 | ↓ -59% |
| Molina | Medicaid HMO-Adult-FAC | $21.05 | ↓ -59% |
| Molina | Medicaid HMO-Child-FAC | $21.05 | ↓ -59% |
| Priority Health | Medicaid HMO-Adult-FAC | $21.25 | ↓ -59% |
| Priority Health | Medicaid HMO-Child-FAC | $21.25 | ↓ -59% |
| ScriptGuideRX | All Products | $22.37 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $24.28 | ↓ -53% |
| Meridian | Medicaid HMO-Adult-NONFAC | $24.28 | ↓ -53% |
| Meridian | Medicaid HMO-Child-NONFAC | $24.28 | ↓ -53% |
| McLaren | Medicaid HMO-Adult-NONFAC | $24.28 | ↓ -53% |
| McLaren | Medicaid HMO-Child-NONFAC | $24.28 | ↓ -53% |
| HAP | HAP Caresource Medicaid-NONFAC | $24.28 | ↓ -53% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $24.28 | ↓ -53% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $24.77 | ↓ -52% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $24.77 | ↓ -52% |
| Molina | Medicaid HMO-Child-NONFAC | $25.25 | ↓ -51% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $25.49 | ↓ -50% |
| Priority Health | Medicaid HMO-Child-NONFAC | $25.49 | ↓ -50% |
| Molina | Medicaid HMO-Adult-NONFAC | $26.03 | ↓ -49% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $27.97 | ↓ -45% |
| Humana Military | Tricare-NonPhysician-FAC | $28.92 | ↓ -44% |
| Pace SE MI | Medicare Advantage-FAC | $31.26 | ↓ -39% |
| Amerihealth Caritas | Dual Products-FAC | $32.24 | ↓ -37% |
| Blue Cross | BCBSM Commercial | $32.76 | ↓ -36% |
| Blue Cross | BCN Commercial | $32.76 | ↓ -36% |
| BCN | HMO | $32.76 | ↓ -36% |
| Priority Health | Medicare Advantage-FAC | $32.90 | ↓ -36% |
| Aetna | Medicare Advantage-FAC | $32.90 | ↓ -36% |
| Blue Cross | BCN Medicare Advantage -FAC | $32.90 | ↓ -36% |
| Blue Cross | Medicare Plus Blue-FAC | $32.90 | ↓ -36% |
| HAP | HAP Dual Products-FAC | $32.90 | ↓ -36% |
| HAP | Medicare Advantage-FAC | $32.90 | ↓ -36% |
| HAP | Medicare Advantage-Physician-FAC | $32.90 | ↓ -36% |
| Humana | Medicare Advantage-FAC | $32.90 | ↓ -36% |
| McLaren | Medicare Advantage-FAC | $32.90 | ↓ -36% |
| Meridian | Ambetter From Meridian-FAC | $32.90 | ↓ -36% |
| Molina | Dual Product-FAC | $32.90 | ↓ -36% |
| Molina | Medicare Advantage-FAC | $32.90 | ↓ -36% |
| Trinity Health Plan | Medicare Advantage-FAC | $32.90 | ↓ -36% |
| United Healthcare | Medicare Advantage-FAC | $32.90 | ↓ -36% |
| United Healthcare | Medicare-Behavioral Health-FAC | $32.90 | ↓ -36% |
| WellCare | Medicare Advantage-FAC | $32.90 | ↓ -36% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $32.90 | ↓ -36% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $33.17 | ↓ -35% |
| Humana Military | Tricare | $34.02 | ↓ -34% |
| Humana Military | Tricare-Physician-FAC | $34.02 | ↓ -34% |
| Pace SE MI | Medicare Advantage | $35.33 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $36.45 | ↓ -29% |
| HAP | HAP Dual Products | $36.54 | ↓ -29% |
| Pace SE MI | Medicare Advantage-NONFAC | $37.07 | ↓ -28% |
| United Healthcare | VACCN | $37.19 | ↓ -28% |
| HAP | Medicare Advantage | $37.19 | ↓ -28% |
| Blue Cross | BCN Advantage | $37.19 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $37.19 | ↓ -28% |
| McLaren | Medicare Advantage | $37.19 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $37.19 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $37.19 | ↓ -28% |
| WellCare | Medicare Advantage | $37.19 | ↓ -28% |
| Priority Health | Medicare Advantage | $37.19 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $37.19 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $37.19 | ↓ -28% |
| Aetna | Medicare Advantage | $37.19 | ↓ -28% |
| Humana | Medicare Advantage | $37.56 | ↓ -27% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $37.63 | ↓ -27% |
| Humana | Medicare Advantage-Physician-FAC | $38.01 | ↓ -26% |
| Amerihealth Caritas | Dual Products-NONFAC | $38.24 | ↓ -25% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $39.02 | ↓ -24% |
| McLaren | Medicare Advantage-NONFAC | $39.02 | ↓ -24% |
| Meridian | Ambetter From Meridian-NONFAC | $39.02 | ↓ -24% |
| HAP | HAP Dual Products-NONFAC | $39.02 | ↓ -24% |
| Molina | Dual Product-NONFAC | $39.02 | ↓ -24% |
| Blue Cross | Medicare Plus Blue-NONFAC | $39.02 | ↓ -24% |
| Molina | Medicare Advantage-NONFAC | $39.02 | ↓ -24% |
| Priority Health | Medicare Advantage-NONFAC | $39.02 | ↓ -24% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $39.02 | ↓ -24% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $39.02 | ↓ -24% |
| Aetna | Medicare Advantage-NONFAC | $39.02 | ↓ -24% |
| WellCare | Medicare Advantage-NONFAC | $39.02 | ↓ -24% |
| United Healthcare | Medicare Advantage-NONFAC | $39.02 | ↓ -24% |
| HAP | Medicare Advantage-Physician-NONFAC | $39.02 | ↓ -24% |
| HAP | Medicare Advantage-NONFAC | $39.02 | ↓ -24% |
| Humana | Medicare Advantage-NONFAC | $39.80 | ↓ -22% |
| Aetna | Dual Products | $40.91 | ↓ -20% |
| United Healthcare | UHC Commercial | $42.16 | ↓ -18% |
| HAP | HAP HMO_AHL_Fully Insured | $44.14 | ↓ -14% |
| HAP | Henry Ford Select -HPN commercial | $44.62 | ↓ -13% |
| Nomi | All Products | $46.06 | ↓ -10% |
| Meridian | Ambetter From Meridian | $50.21 | ↓ -2% |
| Priority Health | All Products | $50.97 | ↓ -1% |
| Blue Cross | BCBSM GM Connected Care | $51.75 | ↑ +1% |
| Blue Cross | GM Connected Care | $53.21 | ↑ +4% |
| Aetna | Commercial | $54.36 | ↑ +6% |
| HAP | Self-Funded | $54.45 | ↑ +6% |
| HAP | HAP HMO_AHL_Fully-Insured | $55.64 | ↑ +8% |
| Priority Health | Priority Cigna | $56.07 | ↑ +9% |
| Multiplan | All Products | $56.10 | ↑ +9% |
| Aetna | All Products-NONFAC | $58.54 | ↑ +14% |
| Blue Cross | BCN Commercial-FAC | $59.12 | ↑ +15% |
| Cofinity | Commercial | $60.10 | ↑ +17% |
| Blue Cross | BCN Commercial-NONFAC | $60.18 | ↑ +17% |
| United Healthcare | Baseline Benefit Plan | $61.97 | ↑ +21% |
| Priority Health | Commercial | $74.59 | ↑ +45% |
| United Healthcare | All Products-Prof | $76.36 | ↑ +49% |
| United Healthcare | All Products-Midlevel | $81.18 | ↑ +58% |
| Vitalcore | All Products | $85.54 | ↑ +67% |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Analysis; simple cranial nerv pulse gen prgrmg 95976 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $54.00 | not published |
| Corewell Health Gerber | Fremont | $54.00 | not published |
| Corewell Health Butterworth Hospital | Grand Rapids | $54.08 | $37.19 – $66.94 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $54.08 | $37.19 – $66.94 |
| Corewell Health Reed City | Po Box 75 | $54.00 | not published |
| Corewell Health Greenville | Greenville | $54.00 | $37.19 – $66.94 |
| Corewell Health Zeeland | Zeeland | $54.00 | not published |
| Corewell Health Gross Pointe | Grosse Pointe | $166.00 | $34.60 – $111.47 |