healthcosts.net
Annual Physical, Established Patient (age 40-64) at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$147.00
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.
$238.00
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 $196.44 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 | ↓ -70% |
| Amerihealth Caritas | Dual Products-NONFAC | $44.00 | ↓ -70% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $55.00 | ↓ -63% |
| HAP | Self-Funded | $55.00 | ↓ -63% |
| HAP | HAP HMO_AHL_Fully-Insured | $55.00 | ↓ -63% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $55.00 | ↓ -63% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $69.00 | ↓ -53% |
| HAP | HAP Caresource Medicaid-FAC | $69.00 | ↓ -53% |
| Meridian | Medicaid HMO-Adult-FAC | $69.00 | ↓ -53% |
| McLaren | Medicaid HMO-Child-FAC | $69.00 | ↓ -53% |
| McLaren | Medicaid HMO-Adult-FAC | $69.00 | ↓ -53% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $69.00 | ↓ -53% |
| Meridian | Medicaid HMO-Child-FAC | $69.00 | ↓ -53% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $70.38 | ↓ -52% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $70.38 | ↓ -52% |
| Blue Cross | Medicare Plus Blue-FAC | $71.50 | ↓ -51% |
| Blue Cross | Medicare Plus Blue-NONFAC | $71.50 | ↓ -51% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $71.50 | ↓ -51% |
| Blue Cross | BCN Medicare Advantage -FAC | $71.50 | ↓ -51% |
| Molina | Medicaid HMO-Adult-FAC | $71.76 | ↓ -51% |
| Molina | Medicaid HMO-Child-FAC | $71.76 | ↓ -51% |
| Priority Health | Medicaid HMO-Child-FAC | $72.45 | ↓ -51% |
| Priority Health | Medicaid HMO-Adult-FAC | $72.45 | ↓ -51% |
| Humana Military | Tricare-NonPhysician-FAC | $72.56 | ↓ -51% |
| Humana Military | Tricare | $85.36 | ↓ -42% |
| Humana Military | Tricare-Physician-FAC | $85.36 | ↓ -42% |
| BC3NP | Medicaid HMO | $87.68 | ↓ -40% |
| ScriptGuideRX | All Products | $89.70 | ↓ -39% |
| Meridian | Medicaid HMO-Adult-NONFAC | $89.89 | ↓ -39% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $89.89 | ↓ -39% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $89.89 | ↓ -39% |
| McLaren | Medicaid HMO-Child-NONFAC | $89.89 | ↓ -39% |
| HAP | HAP Caresource Medicaid-NONFAC | $89.89 | ↓ -39% |
| Meridian | Medicaid HMO-Child-NONFAC | $89.89 | ↓ -39% |
| McLaren | Medicaid HMO-Adult-NONFAC | $89.89 | ↓ -39% |
| United Healthcare | All Products-Midlevel | $89.95 | ↓ -39% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $91.69 | ↓ -38% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $91.69 | ↓ -38% |
| Molina | Medicaid HMO-Child-NONFAC | $93.49 | ↓ -36% |
| Humana | Medicare Advantage-Physician-FAC | $93.72 | ↓ -36% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $94.38 | ↓ -36% |
| Priority Health | Medicaid HMO-Child-NONFAC | $94.38 | ↓ -36% |
| Molina | Medicaid HMO-Adult-NONFAC | $97.23 | ↓ -34% |
| United Healthcare | All Products-Prof | $106.61 | ↓ -27% |
| Priority Health | All Products | $115.31 | ↓ -22% |
| Blue Cross | BCBSM Commercial | $116.74 | ↓ -21% |
| BCN | HMO | $116.74 | ↓ -21% |
| Blue Cross | BCN Commercial | $116.74 | ↓ -21% |
| United Healthcare | VACCN-NONFAC | $128.23 | ↓ -13% |
| Blue Cross | GM Connected Care | $130.77 | ↓ -11% |
| Priority Health | Priority Cigna | $133.19 | ↓ -9% |
| Blue Cross | BCN Commercial-NONFAC | $145.30 | ↓ -1% |
| Blue Cross | BCN Commercial-FAC | $145.30 | ↓ -1% |
| Aetna | All Products-NONFAC | $159.61 | ↑ +9% |
| Blue Cross | BCBSM GM Connected Care | $184.44 | ↑ +25% |
| HAP | HAP HMO_AHL_Fully Insured | $185.55 | ↑ +26% |
| Priority Health | Commercial | $196.44 | ↑ +34% |
| 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 | — |
| Nomi | All Products | 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 40-64) at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Butterworth Hospital | Grand Rapids | $271.00 | $64.19 – $64.19 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $271.00 | $64.19 – $64.19 |
| 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 | $82.92 – $273.96 |