Caloric vstblr test w/rec at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$296.91
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.
$345.00
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.
$4.33 with ScriptGuideRX vs $494.85 with Vitalcore — 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 |
|---|---|---|---|
| ScriptGuideRX | All Products | $4.33 | ↓ -99% |
| Humana Military | Tricare | $5.80 | ↓ -98% |
| McLaren | Medicaid HMO-Adult-NONFAC | $9.80 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $9.80 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $9.80 | ↓ -97% |
| McLaren | Medicaid HMO-Child-NONFAC | $9.80 | ↓ -97% |
| McLaren | Medicaid HMO-Adult-FAC | $9.80 | ↓ -97% |
| McLaren | Medicaid HMO-Child-FAC | $9.80 | ↓ -97% |
| HAP | HAP Caresource Medicaid-NONFAC | $9.80 | ↓ -97% |
| HAP | HAP Caresource Medicaid-FAC | $9.80 | ↓ -97% |
| Meridian | Medicaid HMO-Child-NONFAC | $9.80 | ↓ -97% |
| Meridian | Medicaid HMO-Adult-FAC | $9.80 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $9.80 | ↓ -97% |
| Meridian | Medicaid HMO-Child-FAC | $9.80 | ↓ -97% |
| Meridian | Medicaid HMO-Adult-NONFAC | $9.80 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $9.80 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $10.00 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $10.00 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $10.00 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $10.00 | ↓ -97% |
| Molina | Medicaid HMO-Adult-FAC | $10.19 | ↓ -97% |
| Molina | Medicaid HMO-Child-FAC | $10.19 | ↓ -97% |
| Molina | Medicaid HMO-Child-NONFAC | $10.19 | ↓ -97% |
| Priority Health | Medicaid HMO-Child-NONFAC | $10.29 | ↓ -97% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $10.29 | ↓ -97% |
| Priority Health | Medicaid HMO-Adult-FAC | $10.29 | ↓ -97% |
| Priority Health | Medicaid HMO-Child-FAC | $10.29 | ↓ -97% |
| Molina | Medicaid HMO-Adult-NONFAC | $11.24 | ↓ -96% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $13.10 | ↓ -96% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $13.10 | ↓ -96% |
| Humana Military | Tricare-Physician-FAC | $14.16 | ↓ -95% |
| Humana Military | Tricare-NonPhysician-FAC | $14.16 | ↓ -95% |
| Pace SE MI | Medicare Advantage-NONFAC | $14.64 | ↓ -95% |
| Pace SE MI | Medicare Advantage-FAC | $14.64 | ↓ -95% |
| Amerihealth Caritas | Dual Products-NONFAC | $15.10 | ↓ -95% |
| Amerihealth Caritas | Dual Products-FAC | $15.10 | ↓ -95% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $15.39 | ↓ -95% |
| Molina | Medicare Advantage-FAC | $15.41 | ↓ -95% |
| WellCare | Medicare Advantage-NONFAC | $15.41 | ↓ -95% |
| Aetna | Medicare Advantage-FAC | $15.41 | ↓ -95% |
| Aetna | Medicare Advantage-NONFAC | $15.41 | ↓ -95% |
| WellCare | Medicare Advantage-FAC | $15.41 | ↓ -95% |
| United Healthcare | Medicare-Behavioral Health-FAC | $15.41 | ↓ -95% |
| United Healthcare | Medicare Advantage-NONFAC | $15.41 | ↓ -95% |
| United Healthcare | Medicare Advantage-FAC | $15.41 | ↓ -95% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $15.41 | ↓ -95% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $15.41 | ↓ -95% |
| Blue Cross | BCN Medicare Advantage -FAC | $15.41 | ↓ -95% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $15.41 | ↓ -95% |
| Blue Cross | Medicare Plus Blue-FAC | $15.41 | ↓ -95% |
| Blue Cross | Medicare Plus Blue-NONFAC | $15.41 | ↓ -95% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $15.41 | ↓ -95% |
| Trinity Health Plan | Medicare Advantage-FAC | $15.41 | ↓ -95% |
| HAP | HAP Dual Products-FAC | $15.41 | ↓ -95% |
| HAP | HAP Dual Products-NONFAC | $15.41 | ↓ -95% |
| Priority Health | Medicare Advantage-NONFAC | $15.41 | ↓ -95% |
| Priority Health | Medicare Advantage-FAC | $15.41 | ↓ -95% |
| HAP | Medicare Advantage-FAC | $15.41 | ↓ -95% |
| HAP | Medicare Advantage-NONFAC | $15.41 | ↓ -95% |
| HAP | Medicare Advantage-Physician-FAC | $15.41 | ↓ -95% |
| HAP | Medicare Advantage-Physician-NONFAC | $15.41 | ↓ -95% |
| Humana | Medicare Advantage-FAC | $15.41 | ↓ -95% |
| McLaren | Medicare Advantage-FAC | $15.41 | ↓ -95% |
| McLaren | Medicare Advantage-NONFAC | $15.41 | ↓ -95% |
| Meridian | Ambetter From Meridian-FAC | $15.41 | ↓ -95% |
| Meridian | Ambetter From Meridian-NONFAC | $15.41 | ↓ -95% |
| Molina | Dual Product-FAC | $15.41 | ↓ -95% |
| Molina | Dual Product-NONFAC | $15.41 | ↓ -95% |
| Molina | Medicare Advantage-NONFAC | $15.41 | ↓ -95% |
| Humana | Medicare Advantage-Physician-FAC | $15.54 | ↓ -95% |
| Humana | Medicare Advantage-NONFAC | $15.72 | ↓ -95% |
| HAP | HAP HMO_AHL_Fully-Insured | $20.36 | ↓ -93% |
| Nomi | All Products | $21.57 | ↓ -93% |
| Priority Health | All Products | $21.58 | ↓ -93% |
| Blue Cross | GM Connected Care | $22.53 | ↓ -92% |
| Priority Health | Commercial | $22.83 | ↓ -92% |
| Aetna | All Products-NONFAC | $23.20 | ↓ -92% |
| Priority Health | Priority Cigna | $23.74 | ↓ -92% |
| HAP | Self-Funded | $25.00 | ↓ -92% |
| Blue Cross | BCBSM Commercial | $25.03 | ↓ -92% |
| Blue Cross | BCN Commercial-FAC | $25.03 | ↓ -92% |
| Blue Cross | BCN Commercial-NONFAC | $25.03 | ↓ -92% |
| United Healthcare | All Products-Prof | $30.41 | ↓ -90% |
| United Healthcare | All Products-Midlevel | $32.32 | ↓ -89% |
| Blue Cross | BCN Commercial | $61.77 | ↓ -79% |
| BCN | HMO | $61.77 | ↓ -79% |
| Blue Cross | BCBSM GM Connected Care | $97.59 | ↓ -67% |
| Meridian | Medicaid HMO | $115.37 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $115.37 | ↓ -61% |
| Priority Health | Medicaid HMO | $115.37 | ↓ -61% |
| McLaren | Medicaid HMO | $115.37 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $117.68 | ↓ -60% |
| Molina | Medicaid HMO | $121.52 | ↓ -59% |
| HAP | HAP Dual Products | $153.30 | ↓ -48% |
| United Healthcare | UHC Commercial | $171.12 | ↓ -42% |
| HAP | HAP HMO_AHL_Fully Insured | $179.16 | ↓ -40% |
| Pace SE MI | Medicare Advantage | $204.39 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $210.85 | ↓ -29% |
| Priority Health | Dual Premier_HIDE-SNP | $215.15 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $215.15 | ↓ -28% |
| McLaren | Medicare Advantage | $215.15 | ↓ -28% |
| Priority Health | Medicare Advantage | $215.15 | ↓ -28% |
| HAP | Medicare Advantage | $215.15 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $215.15 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $215.15 | ↓ -28% |
| Blue Cross | BCN Advantage | $215.15 | ↓ -28% |
| United Healthcare | VACCN | $215.15 | ↓ -28% |
| WellCare | Medicare Advantage | $215.15 | ↓ -28% |
| Aetna | Medicare Advantage | $215.15 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $215.15 | ↓ -28% |
| Humana | Medicare Advantage | $217.30 | ↓ -27% |
| Aetna | Commercial | $220.63 | ↓ -26% |
| Multiplan | All Products | $227.70 | ↓ -23% |
| Aetna | Dual Products | $236.66 | ↓ -20% |
| Cofinity | Commercial | $243.92 | ↓ -18% |
| United Healthcare | Baseline Benefit Plan | $251.51 | ↓ -15% |
| HAP | Henry Ford Select -HPN commercial | $258.18 | ↓ -13% |
| Meridian | Ambetter From Meridian | $290.45 | ↓ -2% |
| Vitalcore | All Products | $494.85 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | 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 | — |
Visitor-reported prices
Comments
Caloric vstblr test w/rec at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $919.00 | $215.15 – $387.26 |
| Corewell Health Gerber | Fremont | $919.00 | not published |
| Corewell Health Butterworth Hospital | Grand Rapids | $919.00 | $215.15 – $446.42 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $919.00 | $215.15 – $446.42 |
| Corewell Health Reed City | Po Box 75 | $919.00 | not published |
| Corewell Health Greenville | Greenville | $919.00 | $215.15 – $387.26 |
| Corewell Health Zeeland | Zeeland | $919.00 | $215.15 – $387.26 |
| Corewell Health Gross Pointe | Grosse Pointe | $1,164.00 | $6.32 – $290.57 |