Brcassure comprehensive panel-sendout at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$2,518.33
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.
$5,334.00
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.
$954.41 with Priority Health vs $5,334.00 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 |
|---|---|---|---|
| Priority Health | Medicaid HMO | $954.41 | ↓ -62% |
| HAP | HAP Caresource Medicaid | $954.41 | ↓ -62% |
| Meridian | Medicaid HMO | $954.41 | ↓ -62% |
| McLaren | Medicaid HMO | $954.41 | ↓ -62% |
| Aetna Better Health | Medicaid HMO | $973.50 | ↓ -61% |
| Molina | Medicaid HMO | $1,030.77 | ↓ -59% |
| Humana Military | Tricare | $1,489.01 | ↓ -41% |
| Pace SE MI | Medicare Advantage | $1,733.64 | ↓ -31% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $1,824.88 | ↓ -28% |
| Aetna | Medicare Advantage | $1,824.88 | ↓ -28% |
| Blue Cross | BCN Advantage | $1,824.88 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $1,824.88 | ↓ -28% |
| HAP | HAP Dual Products | $1,824.88 | ↓ -28% |
| HAP | Medicare Advantage | $1,824.88 | ↓ -28% |
| McLaren | Medicare Advantage | $1,824.88 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $1,824.88 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $1,824.88 | ↓ -28% |
| Priority Health | Medicare Advantage | $1,824.88 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $1,824.88 | ↓ -28% |
| United Healthcare | VACCN | $1,824.88 | ↓ -28% |
| WellCare | Medicare Advantage | $1,824.88 | ↓ -28% |
| Humana | Medicare Advantage | $1,843.13 | ↓ -27% |
| Aetna | Dual Products | $2,007.37 | ↓ -20% |
| Amerihealth Caritas | Dual Products | $2,133.60 | ↓ -15% |
| United Healthcare | UHC Commercial | $2,189.86 | ↓ -13% |
| HAP | Henry Ford Select -HPN commercial | $2,189.86 | ↓ -13% |
| Meridian | Ambetter From Meridian | $2,463.59 | ↓ -2% |
| United Healthcare | Baseline Benefit Plan | $2,627.83 | ↑ +4% |
| Vitalcore | All Products | $2,667.00 | ↑ +6% |
| Aetna | Commercial | $3,185.56 | ↑ +26% |
| Multiplan | All Products | $3,520.44 | ↑ +40% |
| HAP | HAP HMO_AHL_Fully Insured | $3,601.83 | ↑ +43% |
| Blue Cross | BCBSM GM Connected Care | $3,716.80 | ↑ +48% |
| Cofinity | Commercial | $3,771.14 | ↑ +50% |
| Blue Cross | BCN Commercial | $3,850.12 | ↑ +53% |
| BCN | HMO | $3,850.12 | ↑ +53% |
| Blue Cross | BCBSM Commercial | $3,850.12 | ↑ +53% |
| Nomi | All Products | $3,941.74 | ↑ +57% |
| HAP | Self-Funded | $4,130.61 | ↑ +64% |
| Priority Health | Priority Cigna | $4,157.85 | ↑ +65% |
| Priority Health | Commercial | $5,334.00 | ↑ +112% |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| ScriptGuideRX | All Products | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Brcassure comprehensive panel-sendout at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $2,518.33 | $954.41 – $4,945.42 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $2,518.33 | $954.41 – $4,112.51 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $2,518.33 | $954.41 – $3,941.74 |
| Henry Ford St John Hospital | Detroit | $1,527.68 | $751.00 – $2,928.81 |
| Henry Ford River District Hospital | China Township | $1,400.56 | $689.00 – $2,928.81 |
| Henry Ford Warren Hospital | Warren | $1,527.68 | $751.00 – $2,928.81 |
| Corewell Health Big Rapids | Big Rapids | not published | $1,642.39 – $3,284.78 |
| Corewell Health Gerber | Fremont | not published | $1,733.64 – $1,733.64 |