Bx skin incisnl ea sep/add l les at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$36.21
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.
$105.00
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.
$8.72 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 | $8.72 | ↓ -76% |
| Molina | Dual MI Coordinated Health | $10.20 | ↓ -72% |
| Amerihealth Caritas | Dual Products | $13.60 | ↓ -62% |
| McLaren | Medicaid HMO-Child-FAC | $15.98 | ↓ -56% |
| HAP | HAP Caresource Medicaid-FAC | $15.98 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $15.98 | ↓ -56% |
| Meridian | Medicaid HMO-Child-FAC | $15.98 | ↓ -56% |
| Meridian | Medicaid HMO-Adult-FAC | $15.98 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $15.98 | ↓ -56% |
| McLaren | Medicaid HMO-Adult-FAC | $15.98 | ↓ -56% |
| HAP | Self-Funded | $16.02 | ↓ -56% |
| HAP | HAP HMO_AHL_Fully Insured | $16.05 | ↓ -56% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $16.30 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $16.30 | ↓ -55% |
| Molina | Medicaid HMO-Adult-FAC | $16.62 | ↓ -54% |
| Molina | Medicaid HMO-Child-FAC | $16.62 | ↓ -54% |
| Priority Health | Medicaid HMO-Adult-FAC | $16.78 | ↓ -54% |
| Priority Health | Medicaid HMO-Child-FAC | $16.78 | ↓ -54% |
| United Healthcare | UHC Commercial | $16.86 | ↓ -53% |
| Vitalcore | All Products | $17.00 | ↓ -53% |
| ScriptGuideRX | All Products | $17.84 | ↓ -51% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $22.30 | ↓ -38% |
| Multiplan | All Products | $22.44 | ↓ -38% |
| Humana Military | Tricare | $23.80 | ↓ -34% |
| Humana Military | Tricare-NonPhysician-FAC | $24.04 | ↓ -34% |
| Cofinity | Commercial | $24.04 | ↓ -34% |
| United Healthcare | Baseline Benefit Plan | $24.79 | ↓ -32% |
| Pace SE MI | Medicare Advantage-FAC | $24.93 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $25.72 | ↓ -29% |
| Priority Health | Medicare Advantage-FAC | $26.24 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $26.24 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $26.24 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $26.24 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $26.24 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $26.24 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $26.24 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $26.24 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $26.24 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $26.24 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $26.24 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $26.24 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $26.24 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $26.24 | ↓ -28% |
| Molina | Dual Product-FAC | $26.24 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $26.24 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $26.24 | ↓ -28% |
| Priority Health | Priority Cigna | $26.50 | ↓ -27% |
| Humana Military | Tricare-Physician-FAC | $28.29 | ↓ -22% |
| Humana | Medicare Advantage-Physician-FAC | $31.05 | ↓ -14% |
| Blue Cross | BCBSM GM Connected Care | $34.00 | ↓ -6% |
| Blue Cross | BCBSM Commercial | $34.00 | ↓ -6% |
| Blue Cross | BCN Commercial | $34.00 | ↓ -6% |
| BCN | HMO | $34.00 | ↓ -6% |
| Priority Health | Commercial | $34.00 | ↓ -6% |
| Blue Cross | GM Connected Care | $34.40 | ↓ -5% |
| Nomi | All Products | $36.74 | ↑ +1% |
| Blue Cross | BCN Commercial-FAC | $38.22 | ↑ +6% |
| Priority Health | All Products | $41.48 | ↑ +15% |
| McLaren | Medicaid HMO-Adult-NONFAC | $45.16 | ↑ +25% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $45.16 | ↑ +25% |
| Meridian | Medicaid HMO-Adult-NONFAC | $45.16 | ↑ +25% |
| McLaren | Medicaid HMO-Child-NONFAC | $45.16 | ↑ +25% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $45.16 | ↑ +25% |
| Meridian | Medicaid HMO-Child-NONFAC | $45.16 | ↑ +25% |
| HAP | HAP Caresource Medicaid-NONFAC | $45.16 | ↑ +25% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $46.06 | ↑ +27% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $46.06 | ↑ +27% |
| Molina | Medicaid HMO-Child-NONFAC | $46.97 | ↑ +30% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $47.42 | ↑ +31% |
| Priority Health | Medicaid HMO-Child-NONFAC | $47.42 | ↑ +31% |
| Molina | Medicaid HMO-Adult-NONFAC | $48.38 | ↑ +34% |
| United Healthcare | All Products-Prof | $50.12 | ↑ +38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $59.84 | ↑ +65% |
| United Healthcare | All Products-Midlevel | $64.97 | ↑ +79% |
| Pace SE MI | Medicare Advantage-NONFAC | $66.88 | ↑ +85% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $68.69 | ↑ +90% |
| Amerihealth Caritas | Dual Products-NONFAC | $68.99 | ↑ +91% |
| HAP | Medicare Advantage-Physician-NONFAC | $70.40 | ↑ +94% |
| WellCare | Medicare Advantage-NONFAC | $70.40 | ↑ +94% |
| Blue Cross | Medicare Plus Blue-NONFAC | $70.40 | ↑ +94% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $70.40 | ↑ +94% |
| McLaren | Medicare Advantage-NONFAC | $70.40 | ↑ +94% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $70.40 | ↑ +94% |
| Meridian | Ambetter From Meridian-NONFAC | $70.40 | ↑ +94% |
| Molina | Dual Product-NONFAC | $70.40 | ↑ +94% |
| Molina | Medicare Advantage-NONFAC | $70.40 | ↑ +94% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $70.40 | ↑ +94% |
| HAP | Medicare Advantage-NONFAC | $70.40 | ↑ +94% |
| Aetna | Medicare Advantage-NONFAC | $70.40 | ↑ +94% |
| United Healthcare | Medicare Advantage-NONFAC | $70.40 | ↑ +94% |
| Priority Health | Medicare Advantage-NONFAC | $70.40 | ↑ +94% |
| HAP | HAP Dual Products-NONFAC | $70.40 | ↑ +94% |
| Humana | Medicare Advantage-NONFAC | $71.81 | ↑ +98% |
| Blue Cross | BCN Commercial-NONFAC | $88.20 | ↑ +144% |
| HAP | HAP HMO_AHL_Fully-Insured | $95.75 | ↑ +164% |
| Aetna | All Products-NONFAC | $102.59 | ↑ +183% |
| Aetna | Commercial | $2,056.00 | ↑ +5578% |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | 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 | — |
| 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 | Medicare Advantage | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| HAP | 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 | — |
| Humana | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Bx skin incisnl ea sep/add l les at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $36.21 | $10.20 – $1,075.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $36.21 | $10.20 – $1,075.00 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $36.21 | $6.49 – $36.74 |
| Henry Ford Providence Novi Hospital | Novi | $229.60 | $82.11 – $292.74 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $48.61 – $101.38 |
| Corewell Health Taylor | Taylor | not published | $48.83 – $48.83 |
| Corewell Health Trenton | Trenton | not published | $48.55 – $48.55 |
| Corewell Health Troy | Troy | not published | $54.81 – $100.89 |