Cdna analysis for variants at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$255.58
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.
?
What you pay up front if you don't use insurance.
$916.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$96.86 with HAP vs $714.02 with Priority Health — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| HAP | HAP Caresource Medicaid | $96.86 | ↓ -62% |
| McLaren | Medicaid HMO | $96.86 | ↓ -62% |
| Priority Health | Medicaid HMO | $96.86 | ↓ -62% |
| Meridian | Medicaid HMO | $96.86 | ↓ -62% |
| Aetna Better Health | Medicaid HMO | $98.80 | ↓ -61% |
| Molina | Medicaid HMO | $104.61 | ↓ -59% |
| HAP | HAP HMO_AHL_Fully Insured | $136.84 | ↓ -46% |
| HAP | Self-Funded | $156.93 | ↓ -39% |
| Pace SE MI | Medicare Advantage | $175.94 | ↓ -31% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $185.20 | ↓ -28% |
| Aetna | Medicare Advantage | $185.20 | ↓ -28% |
| Blue Cross | BCN Advantage | $185.20 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $185.20 | ↓ -28% |
| HAP | HAP Dual Products | $185.20 | ↓ -28% |
| HAP | Medicare Advantage | $185.20 | ↓ -28% |
| McLaren | Medicare Advantage | $185.20 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $185.20 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $185.20 | ↓ -28% |
| Priority Health | Medicare Advantage | $185.20 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $185.20 | ↓ -28% |
| United Healthcare | VACCN | $185.20 | ↓ -28% |
| WellCare | Medicare Advantage | $185.20 | ↓ -28% |
| Humana | Medicare Advantage | $187.05 | ↓ -27% |
| Aetna | Dual Products | $203.72 | ↓ -20% |
| Blue Cross | BCBSM GM Connected Care | $204.46 | ↓ -20% |
| Blue Cross | BCN Commercial | $211.79 | ↓ -17% |
| BCN | HMO | $211.79 | ↓ -17% |
| Blue Cross | BCBSM Commercial | $211.79 | ↓ -17% |
| United Healthcare | UHC Commercial | $222.24 | ↓ -13% |
| HAP | Henry Ford Select -HPN commercial | $222.24 | ↓ -13% |
| Meridian | Ambetter From Meridian | $250.02 | ↓ -2% |
| United Healthcare | Baseline Benefit Plan | $266.69 | ↑ +4% |
| Aetna | Commercial | $323.29 | ↑ +26% |
| Humana Military | Tricare | $333.51 | ↑ +30% |
| Amerihealth Caritas | Dual Products | $366.40 | ↑ +43% |
| Nomi | All Products | $400.03 | ↑ +57% |
| Vitalcore | All Products | $458.00 | ↑ +79% |
| Multiplan | All Products | $604.56 | ↑ +137% |
| Cofinity | Commercial | $647.61 | ↑ +153% |
| Priority Health | Commercial | $651.27 | ↑ +155% |
| Priority Health | Priority Cigna | $714.02 | ↑ +179% |
| 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
Cdna analysis for variants at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Gross Pointe | Grosse Pointe | $602.00 | $125.61 – $676.64 |
| Corewell Health Taylor | Taylor | $602.00 | $172.24 – $676.64 |
| Corewell Health Trenton | Trenton | $602.00 | $172.24 – $676.64 |
| Corewell Health Troy | Troy | $602.00 | $125.00 – $676.64 |
| Corewell Health Wayne | Wayne | $602.00 | $172.24 – $676.64 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $255.58 | $96.86 – $748.37 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $255.58 | $96.86 – $706.24 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $255.58 | $96.86 – $621.05 |