Assay of procainamide w/metab at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$23.12
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.
$13.04
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.
$5.22 with Amerihealth Caritas vs $39.39 with HAP — 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 | $5.22 | ↓ -77% |
| Vitalcore | All Products | $6.52 | ↓ -72% |
| Multiplan | All Products | $8.61 | ↓ -63% |
| Priority Health | Medicaid HMO | $8.76 | ↓ -62% |
| HAP | HAP Caresource Medicaid | $8.76 | ↓ -62% |
| McLaren | Medicaid HMO | $8.76 | ↓ -62% |
| Meridian | Medicaid HMO | $8.76 | ↓ -62% |
| Aetna Better Health | Medicaid HMO | $8.94 | ↓ -61% |
| Humana Military | Tricare | $9.13 | ↓ -61% |
| Molina | Medicaid HMO | $9.46 | ↓ -59% |
| Priority Health | Priority Cigna | $10.16 | ↓ -56% |
| Cofinity | Commercial | $10.17 | ↓ -56% |
| Meridian | Ambetter From Meridian | $13.04 | ↓ -44% |
| Priority Health | Commercial | $13.04 | ↓ -44% |
| HAP | Henry Ford Select -HPN commercial | $13.04 | ↓ -44% |
| HAP | Medicare Advantage | $13.04 | ↓ -44% |
| BCN | HMO | $13.04 | ↓ -44% |
| Blue Cross | BCBSM GM Connected Care | $13.04 | ↓ -44% |
| Blue Cross | BCBSM Commercial | $13.04 | ↓ -44% |
| Blue Cross | BCN Commercial | $13.04 | ↓ -44% |
| Humana | Medicare Advantage | $13.04 | ↓ -44% |
| Pace SE MI | Medicare Advantage | $15.91 | ↓ -31% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $16.75 | ↓ -28% |
| Aetna | Medicare Advantage | $16.75 | ↓ -28% |
| Blue Cross | BCN Advantage | $16.75 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $16.75 | ↓ -28% |
| HAP | HAP Dual Products | $16.75 | ↓ -28% |
| McLaren | Medicare Advantage | $16.75 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $16.75 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $16.75 | ↓ -28% |
| Priority Health | Medicare Advantage | $16.75 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $16.75 | ↓ -28% |
| United Healthcare | VACCN | $16.75 | ↓ -28% |
| WellCare | Medicare Advantage | $16.75 | ↓ -28% |
| Aetna | Dual Products | $18.43 | ↓ -20% |
| United Healthcare | UHC Commercial | $20.10 | ↓ -13% |
| United Healthcare | Baseline Benefit Plan | $24.12 | ↑ +4% |
| Nomi | All Products | $27.30 | ↑ +18% |
| Aetna | Commercial | $29.23 | ↑ +26% |
| HAP | HAP HMO_AHL_Fully Insured | $34.34 | ↑ +49% |
| HAP | Self-Funded | $39.39 | ↑ +70% |
| ScriptGuideRX | All Products | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Assay of procainamide w/metab at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $23.12 | $5.22 – $32.66 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $23.12 | $5.22 – $29.83 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $23.12 | $5.22 – $27.30 |
| Henry Ford Providence Novi Hospital | Novi | $10.64 | $9.72 – $30.11 |
| Henry Ford St John Hospital | Detroit | $49.84 | $13.65 – $31.82 |
| Henry Ford Genesys Hospital | Grand Blanc Twp | $36.54 | $9.72 – $35.51 |
| Henry Ford River District Hospital | China Township | $58.46 | $15.91 – $31.82 |
| Henry Ford Warren Hospital | Warren | $63.84 | $15.91 – $31.82 |