healthcosts.net
Annual Physical, New Patient (age 40-64) at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$172.00
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.
$286.00
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.
$46.00 with Amerihealth Caritas vs $231.93 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 | $46.00 | ↓ -73% |
| Amerihealth Caritas | Dual Products-NONFAC | $46.00 | ↓ -73% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $57.50 | ↓ -67% |
| HAP | Self-Funded | $57.50 | ↓ -67% |
| HAP | HAP HMO_AHL_Fully-Insured | $57.50 | ↓ -67% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $57.50 | ↓ -67% |
| Blue Cross | Medicare Plus Blue-FAC | $74.75 | ↓ -57% |
| Blue Cross | Medicare Plus Blue-NONFAC | $74.75 | ↓ -57% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $74.75 | ↓ -57% |
| Blue Cross | BCN Medicare Advantage -FAC | $74.75 | ↓ -57% |
| Humana Military | Tricare-NonPhysician-FAC | $80.50 | ↓ -53% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $84.51 | ↓ -51% |
| HAP | HAP Caresource Medicaid-FAC | $84.51 | ↓ -51% |
| Meridian | Medicaid HMO-Adult-FAC | $84.51 | ↓ -51% |
| McLaren | Medicaid HMO-Child-FAC | $84.51 | ↓ -51% |
| McLaren | Medicaid HMO-Adult-FAC | $84.51 | ↓ -51% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $84.51 | ↓ -51% |
| Meridian | Medicaid HMO-Child-FAC | $84.51 | ↓ -51% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $86.20 | ↓ -50% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $86.20 | ↓ -50% |
| Molina | Medicaid HMO-Adult-FAC | $87.89 | ↓ -49% |
| Molina | Medicaid HMO-Child-FAC | $87.89 | ↓ -49% |
| Priority Health | Medicaid HMO-Child-FAC | $88.74 | ↓ -48% |
| Priority Health | Medicaid HMO-Adult-FAC | $88.74 | ↓ -48% |
| Humana Military | Tricare | $103.91 | ↓ -40% |
| Humana Military | Tricare-Physician-FAC | $103.91 | ↓ -40% |
| BC3NP | Medicaid HMO | $108.06 | ↓ -37% |
| ScriptGuideRX | All Products | $109.86 | ↓ -36% |
| United Healthcare | All Products-Midlevel | $110.34 | ↓ -36% |
| Humana | Medicare Advantage-Physician-FAC | $114.08 | ↓ -34% |
| Meridian | Medicaid HMO-Adult-NONFAC | $117.10 | ↓ -32% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $117.10 | ↓ -32% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $117.10 | ↓ -32% |
| McLaren | Medicaid HMO-Child-NONFAC | $117.10 | ↓ -32% |
| HAP | HAP Caresource Medicaid-NONFAC | $117.10 | ↓ -32% |
| Meridian | Medicaid HMO-Child-NONFAC | $117.10 | ↓ -32% |
| McLaren | Medicaid HMO-Adult-NONFAC | $117.10 | ↓ -32% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $119.44 | ↓ -31% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $119.44 | ↓ -31% |
| Molina | Medicaid HMO-Child-NONFAC | $121.78 | ↓ -29% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $122.96 | ↓ -29% |
| Priority Health | Medicaid HMO-Child-NONFAC | $122.96 | ↓ -29% |
| Molina | Medicaid HMO-Adult-NONFAC | $126.66 | ↓ -26% |
| United Healthcare | All Products-Prof | $130.78 | ↓ -24% |
| Blue Cross | BCBSM Commercial | $137.23 | ↓ -20% |
| BCN | HMO | $137.23 | ↓ -20% |
| Blue Cross | BCN Commercial | $137.23 | ↓ -20% |
| Priority Health | All Products | $140.61 | ↓ -18% |
| United Healthcare | Commercial-Behavioral Health-MD | $149.44 | ↓ -13% |
| United Healthcare | VACCN-NONFAC | $153.95 | ↓ -10% |
| Blue Cross | GM Connected Care | $157.00 | ↓ -9% |
| Priority Health | Priority Cigna | $162.40 | ↓ -6% |
| Blue Cross | BCN Commercial-NONFAC | $174.44 | ↑ +1% |
| Blue Cross | BCN Commercial-FAC | $174.44 | ↑ +1% |
| Aetna | All Products-NONFAC | $192.54 | ↑ +12% |
| Blue Cross | BCBSM GM Connected Care | $216.81 | ↑ +26% |
| HAP | HAP HMO_AHL_Fully Insured | $226.01 | ↑ +31% |
| Priority Health | Commercial | $231.93 | ↑ +35% |
| 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-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
Visitor-reported prices
Comments
Annual Physical, New Patient (age 40-64) at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Butterworth Hospital | Grand Rapids | $311.00 | $71.73 – $71.73 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $311.00 | $71.73 – $71.73 |
| Corewell Health Reed City | Po Box 75 | $311.00 | not published |
| Corewell Health Greenville | Greenville | $311.00 | not published |
| Corewell Health Zeeland | Zeeland | $311.00 | not published |
| Corewell Health Big Rapids | Big Rapids | $311.00 | not published |
| Corewell Health Gerber | Fremont | $311.00 | not published |
| Corewell Health Gross Pointe | Grosse Pointe | $218.00 | $101.23 – $328.90 |