healthcosts.net
Annual Physical, Established Patient (age 18-39) at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$137.00
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.
$224.00
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.
$44.00 with Amerihealth Caritas vs $190.11 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 |
|---|---|---|---|
| Amerihealth Caritas | Dual Products-FAC | $44.00 | ↓ -68% |
| Amerihealth Caritas | Dual Products-NONFAC | $44.00 | ↓ -68% |
| BC3NP | Medicaid HMO | $53.88 | ↓ -61% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $55.00 | ↓ -60% |
| HAP | Self-Funded | $55.00 | ↓ -60% |
| HAP | HAP HMO_AHL_Fully-Insured | $55.00 | ↓ -60% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $55.00 | ↓ -60% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $61.08 | ↓ -55% |
| HAP | HAP Caresource Medicaid-FAC | $61.08 | ↓ -55% |
| Meridian | Medicaid HMO-Adult-FAC | $61.08 | ↓ -55% |
| McLaren | Medicaid HMO-Child-FAC | $61.08 | ↓ -55% |
| McLaren | Medicaid HMO-Adult-FAC | $61.08 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $61.08 | ↓ -55% |
| Meridian | Medicaid HMO-Child-FAC | $61.08 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $62.30 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $62.30 | ↓ -55% |
| Molina | Medicaid HMO-Adult-FAC | $63.52 | ↓ -54% |
| Molina | Medicaid HMO-Child-FAC | $63.52 | ↓ -54% |
| Priority Health | Medicaid HMO-Child-FAC | $64.13 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-FAC | $64.13 | ↓ -53% |
| Humana Military | Tricare-NonPhysician-FAC | $66.83 | ↓ -51% |
| Blue Cross | Medicare Plus Blue-FAC | $71.50 | ↓ -48% |
| Blue Cross | Medicare Plus Blue-NONFAC | $71.50 | ↓ -48% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $71.50 | ↓ -48% |
| Blue Cross | BCN Medicare Advantage -FAC | $71.50 | ↓ -48% |
| Humana Military | Tricare | $78.61 | ↓ -43% |
| Humana Military | Tricare-Physician-FAC | $78.61 | ↓ -43% |
| ScriptGuideRX | All Products | $79.40 | ↓ -42% |
| Meridian | Medicaid HMO-Adult-NONFAC | $81.34 | ↓ -41% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $81.34 | ↓ -41% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $81.34 | ↓ -41% |
| McLaren | Medicaid HMO-Child-NONFAC | $81.34 | ↓ -41% |
| HAP | HAP Caresource Medicaid-NONFAC | $81.34 | ↓ -41% |
| Meridian | Medicaid HMO-Child-NONFAC | $81.34 | ↓ -41% |
| McLaren | Medicaid HMO-Adult-NONFAC | $81.34 | ↓ -41% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $82.97 | ↓ -39% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $82.97 | ↓ -39% |
| United Healthcare | All Products-Midlevel | $83.26 | ↓ -39% |
| Molina | Medicaid HMO-Child-NONFAC | $84.59 | ↓ -38% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $85.41 | ↓ -38% |
| Priority Health | Medicaid HMO-Child-NONFAC | $85.41 | ↓ -38% |
| Humana | Medicare Advantage-Physician-FAC | $86.30 | ↓ -37% |
| Molina | Medicaid HMO-Adult-NONFAC | $87.98 | ↓ -36% |
| United Healthcare | All Products-Prof | $98.69 | ↓ -28% |
| Priority Health | All Products | $106.19 | ↓ -22% |
| Blue Cross | BCBSM Commercial | $112.64 | ↓ -18% |
| BCN | HMO | $112.64 | ↓ -18% |
| Blue Cross | BCN Commercial | $112.64 | ↓ -18% |
| United Healthcare | VACCN-NONFAC | $120.69 | ↓ -12% |
| Priority Health | Priority Cigna | $122.65 | ↓ -10% |
| Blue Cross | GM Connected Care | $123.08 | ↓ -10% |
| Blue Cross | BCN Commercial-NONFAC | $136.75 | ↓ -0% |
| Blue Cross | BCN Commercial-FAC | $136.75 | ↓ -0% |
| Aetna | All Products-NONFAC | $150.34 | ↑ +10% |
| Nomi | All Products | $160.00 | ↑ +17% |
| HAP | HAP HMO_AHL_Fully Insured | $173.18 | ↑ +26% |
| Blue Cross | BCBSM GM Connected Care | $177.97 | ↑ +30% |
| Priority Health | Commercial | $190.11 | ↑ +39% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | 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-RN | not published by hospital | — |
Visitor-reported prices
Comments
Annual Physical, Established Patient (age 18-39) at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Butterworth Hospital | Grand Rapids | $271.00 | $64.53 – $64.53 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $271.00 | $64.53 – $64.53 |
| Corewell Health Reed City | Po Box 75 | $271.00 | not published |
| Corewell Health Greenville | Greenville | $271.00 | not published |
| Corewell Health Zeeland | Zeeland | $271.00 | not published |
| Corewell Health Big Rapids | Big Rapids | $271.00 | not published |
| Corewell Health Gerber | Fremont | $271.00 | not published |
| Corewell Health Gross Pointe | Grosse Pointe | $191.00 | $76.85 – $257.84 |