healthcosts.net
Avul nail plate addl at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$21.61
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.
$57.00
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.
$5.64 with WellCare vs $2,056.00 with Aetna — 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 |
|---|---|---|---|
| WellCare | Medicare Advantage | $5.64 | ↓ -74% |
| Molina | Dual MI Coordinated Health | $6.60 | ↓ -69% |
| Amerihealth Caritas | Dual Products | $8.80 | ↓ -59% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $9.59 | ↓ -56% |
| Meridian | Medicaid HMO-Adult-FAC | $9.59 | ↓ -56% |
| HAP | HAP Caresource Medicaid-FAC | $9.59 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $9.59 | ↓ -56% |
| McLaren | Medicaid HMO-Adult-FAC | $9.59 | ↓ -56% |
| McLaren | Medicaid HMO-Child-FAC | $9.59 | ↓ -56% |
| Meridian | Medicaid HMO-Child-FAC | $9.59 | ↓ -56% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $9.78 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $9.78 | ↓ -55% |
| Molina | Medicaid HMO-Adult-FAC | $9.97 | ↓ -54% |
| Molina | Medicaid HMO-Child-FAC | $9.97 | ↓ -54% |
| Priority Health | Medicaid HMO-Child-FAC | $10.07 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-FAC | $10.07 | ↓ -53% |
| HAP | Self-Funded | $10.36 | ↓ -52% |
| HAP | HAP HMO_AHL_Fully Insured | $10.39 | ↓ -52% |
| ScriptGuideRX | All Products | $10.65 | ↓ -51% |
| United Healthcare | UHC Commercial | $10.91 | ↓ -50% |
| Vitalcore | All Products | $11.00 | ↓ -49% |
| Humana Military | Tricare-NonPhysician-FAC | $13.18 | ↓ -39% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $13.31 | ↓ -38% |
| Multiplan | All Products | $14.52 | ↓ -33% |
| Pace SE MI | Medicare Advantage-FAC | $14.88 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $15.35 | ↓ -29% |
| Humana Military | Tricare | $15.40 | ↓ -29% |
| Humana Military | Tricare-Physician-FAC | $15.51 | ↓ -28% |
| Cofinity | Commercial | $15.55 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $15.66 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $15.66 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $15.66 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $15.66 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $15.66 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $15.66 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $15.66 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $15.66 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $15.66 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $15.66 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $15.66 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $15.66 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $15.66 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $15.66 | ↓ -28% |
| Molina | Dual Product-FAC | $15.66 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $15.66 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $15.66 | ↓ -28% |
| United Healthcare | Baseline Benefit Plan | $16.04 | ↓ -26% |
| Humana | Medicare Advantage-Physician-FAC | $17.04 | ↓ -21% |
| Priority Health | Priority Cigna | $17.15 | ↓ -21% |
| Blue Cross | GM Connected Care | $18.90 | ↓ -13% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $20.66 | ↓ -4% |
| Meridian | Medicaid HMO-Child-NONFAC | $20.66 | ↓ -4% |
| McLaren | Medicaid HMO-Adult-NONFAC | $20.66 | ↓ -4% |
| McLaren | Medicaid HMO-Child-NONFAC | $20.66 | ↓ -4% |
| Meridian | Medicaid HMO-Adult-NONFAC | $20.66 | ↓ -4% |
| HAP | HAP Caresource Medicaid-NONFAC | $20.66 | ↓ -4% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $20.66 | ↓ -4% |
| Blue Cross | BCN Commercial-FAC | $21.00 | ↓ -3% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $21.07 | ↓ -2% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $21.07 | ↓ -2% |
| Molina | Medicaid HMO-Child-NONFAC | $21.49 | ↓ -1% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $21.69 | ↑ +0% |
| Priority Health | Medicaid HMO-Child-NONFAC | $21.69 | ↑ +0% |
| Nomi | All Products | $21.92 | ↑ +1% |
| BCN | HMO | $22.00 | ↑ +2% |
| Priority Health | Commercial | $22.00 | ↑ +2% |
| Blue Cross | BCN Commercial | $22.00 | ↑ +2% |
| Blue Cross | BCBSM GM Connected Care | $22.00 | ↑ +2% |
| Blue Cross | BCBSM Commercial | $22.00 | ↑ +2% |
| Molina | Medicaid HMO-Adult-NONFAC | $22.57 | ↑ +4% |
| Priority Health | All Products | $22.78 | ↑ +5% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $27.56 | ↑ +28% |
| United Healthcare | All Products-Prof | $28.15 | ↑ +30% |
| Pace SE MI | Medicare Advantage-NONFAC | $30.80 | ↑ +43% |
| Amerihealth Caritas | Dual Products-NONFAC | $31.77 | ↑ +47% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $32.18 | ↑ +49% |
| Molina | Dual Product-NONFAC | $32.42 | ↑ +50% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $32.42 | ↑ +50% |
| Molina | Medicare Advantage-NONFAC | $32.42 | ↑ +50% |
| Meridian | Ambetter From Meridian-NONFAC | $32.42 | ↑ +50% |
| McLaren | Medicare Advantage-NONFAC | $32.42 | ↑ +50% |
| Priority Health | Medicare Advantage-NONFAC | $32.42 | ↑ +50% |
| WellCare | Medicare Advantage-NONFAC | $32.42 | ↑ +50% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $32.42 | ↑ +50% |
| HAP | Medicare Advantage-NONFAC | $32.42 | ↑ +50% |
| Aetna | Medicare Advantage-NONFAC | $32.42 | ↑ +50% |
| HAP | Medicare Advantage-Physician-NONFAC | $32.42 | ↑ +50% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $32.42 | ↑ +50% |
| Blue Cross | Medicare Plus Blue-NONFAC | $32.42 | ↑ +50% |
| HAP | HAP Dual Products-NONFAC | $32.42 | ↑ +50% |
| United Healthcare | Medicare Advantage-NONFAC | $32.42 | ↑ +50% |
| Humana | Medicare Advantage-NONFAC | $33.07 | ↑ +53% |
| United Healthcare | All Products-Midlevel | $36.49 | ↑ +69% |
| Blue Cross | BCN Commercial-NONFAC | $41.16 | ↑ +90% |
| Aetna | All Products-NONFAC | $44.34 | ↑ +105% |
| HAP | HAP HMO_AHL_Fully-Insured | $46.88 | ↑ +117% |
| Aetna | Commercial | $2,056.00 | ↑ +9414% |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Avul nail plate addl at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Gross Pointe | Grosse Pointe | $254.00 | $26.71 – $118.85 |
| Corewell Health Taylor | Taylor | $254.00 | $26.83 – $118.85 |
| Corewell Health Trenton | Trenton | $254.00 | $26.68 – $118.85 |
| Corewell Health Troy | Troy | $254.00 | $30.12 – $118.85 |
| Corewell Health Wayne | Wayne | $254.00 | $26.58 – $118.85 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $21.61 | $6.60 – $49.13 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $21.61 | $6.60 – $49.13 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $21.61 | $4.20 – $22.00 |