Cell marker study at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$71.65
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.
$143.00
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.
$19.55 with United Healthcare vs $351.06 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 |
|---|---|---|---|
| United Healthcare | All Products-Prof | $19.55 | ↓ -73% |
| United Healthcare | All Products-Midlevel | $19.55 | ↓ -73% |
| Meridian | Medicaid HMO-Child-FAC | $22.37 | ↓ -69% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $22.37 | ↓ -69% |
| Meridian | Medicaid HMO-Adult-NONFAC | $22.37 | ↓ -69% |
| Meridian | Medicaid HMO-Adult-FAC | $22.37 | ↓ -69% |
| HAP | HAP Caresource Medicaid-NONFAC | $22.37 | ↓ -69% |
| HAP | HAP Caresource Medicaid-FAC | $22.37 | ↓ -69% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $22.37 | ↓ -69% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $22.37 | ↓ -69% |
| McLaren | Medicaid HMO-Adult-FAC | $22.37 | ↓ -69% |
| McLaren | Medicaid HMO-Adult-NONFAC | $22.37 | ↓ -69% |
| McLaren | Medicaid HMO-Child-FAC | $22.37 | ↓ -69% |
| McLaren | Medicaid HMO-Child-NONFAC | $22.37 | ↓ -69% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $22.37 | ↓ -69% |
| Meridian | Medicaid HMO-Child-NONFAC | $22.37 | ↓ -69% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $22.82 | ↓ -68% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $22.82 | ↓ -68% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $22.82 | ↓ -68% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $22.82 | ↓ -68% |
| Molina | Medicaid HMO-Child-NONFAC | $23.26 | ↓ -68% |
| Molina | Medicaid HMO-Adult-FAC | $23.26 | ↓ -68% |
| Molina | Medicaid HMO-Child-FAC | $23.26 | ↓ -68% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $23.49 | ↓ -67% |
| Priority Health | Medicaid HMO-Child-NONFAC | $23.49 | ↓ -67% |
| Priority Health | Medicaid HMO-Child-FAC | $23.49 | ↓ -67% |
| Priority Health | Medicaid HMO-Adult-FAC | $23.49 | ↓ -67% |
| Molina | Medicaid HMO-Adult-NONFAC | $26.32 | ↓ -63% |
| ScriptGuideRX | All Products | $27.15 | ↓ -62% |
| McLaren | Medicaid HMO | $27.84 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $27.84 | ↓ -61% |
| Meridian | Medicaid HMO | $27.84 | ↓ -61% |
| Priority Health | Medicaid HMO | $27.84 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $28.40 | ↓ -60% |
| Molina | Medicaid HMO | $29.32 | ↓ -59% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $29.72 | ↓ -59% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $29.72 | ↓ -59% |
| Humana Military | Tricare-NonPhysician-FAC | $32.88 | ↓ -54% |
| Humana Military | Tricare-Physician-FAC | $32.88 | ↓ -54% |
| Pace SE MI | Medicare Advantage-FAC | $33.21 | ↓ -54% |
| Pace SE MI | Medicare Advantage-NONFAC | $33.21 | ↓ -54% |
| Amerihealth Caritas | Dual Products-NONFAC | $34.26 | ↓ -52% |
| Amerihealth Caritas | Dual Products-FAC | $34.26 | ↓ -52% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $34.96 | ↓ -51% |
| Aetna | Medicare Advantage-FAC | $34.96 | ↓ -51% |
| Aetna | Medicare Advantage-NONFAC | $34.96 | ↓ -51% |
| Blue Cross | BCN Medicare Advantage -FAC | $34.96 | ↓ -51% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $34.96 | ↓ -51% |
| Blue Cross | Medicare Plus Blue-FAC | $34.96 | ↓ -51% |
| Blue Cross | Medicare Plus Blue-NONFAC | $34.96 | ↓ -51% |
| HAP | HAP Dual Products-FAC | $34.96 | ↓ -51% |
| HAP | HAP Dual Products-NONFAC | $34.96 | ↓ -51% |
| HAP | Medicare Advantage-FAC | $34.96 | ↓ -51% |
| HAP | Medicare Advantage-NONFAC | $34.96 | ↓ -51% |
| HAP | Medicare Advantage-Physician-FAC | $34.96 | ↓ -51% |
| HAP | Medicare Advantage-Physician-NONFAC | $34.96 | ↓ -51% |
| Humana | Medicare Advantage-FAC | $34.96 | ↓ -51% |
| McLaren | Medicare Advantage-FAC | $34.96 | ↓ -51% |
| McLaren | Medicare Advantage-NONFAC | $34.96 | ↓ -51% |
| Meridian | Ambetter From Meridian-FAC | $34.96 | ↓ -51% |
| Meridian | Ambetter From Meridian-NONFAC | $34.96 | ↓ -51% |
| Molina | Dual Product-FAC | $34.96 | ↓ -51% |
| Molina | Dual Product-NONFAC | $34.96 | ↓ -51% |
| Molina | Medicare Advantage-FAC | $34.96 | ↓ -51% |
| Molina | Medicare Advantage-NONFAC | $34.96 | ↓ -51% |
| Priority Health | Medicare Advantage-FAC | $34.96 | ↓ -51% |
| Priority Health | Medicare Advantage-NONFAC | $34.96 | ↓ -51% |
| Trinity Health Plan | Medicare Advantage-FAC | $34.96 | ↓ -51% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $34.96 | ↓ -51% |
| United Healthcare | Medicare Advantage-FAC | $34.96 | ↓ -51% |
| United Healthcare | Medicare Advantage-NONFAC | $34.96 | ↓ -51% |
| United Healthcare | Medicare-Behavioral Health-FAC | $34.96 | ↓ -51% |
| WellCare | Medicare Advantage-FAC | $34.96 | ↓ -51% |
| WellCare | Medicare Advantage-NONFAC | $34.96 | ↓ -51% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $34.96 | ↓ -51% |
| Humana | Medicare Advantage-NONFAC | $35.66 | ↓ -50% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $35.74 | ↓ -50% |
| Humana | Medicare Advantage-Physician-FAC | $36.10 | ↓ -50% |
| Aetna | All Products-NONFAC | $44.25 | ↓ -38% |
| HAP | HAP HMO_AHL_Fully-Insured | $44.68 | ↓ -38% |
| Pace SE MI | Medicare Advantage | $49.33 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $50.88 | ↓ -29% |
| Blue Cross | BCN Advantage | $51.92 | ↓ -28% |
| Priority Health | Medicare Advantage | $51.92 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $51.92 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $51.92 | ↓ -28% |
| HAP | Medicare Advantage | $51.92 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $51.92 | ↓ -28% |
| WellCare | Medicare Advantage | $51.92 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $51.92 | ↓ -28% |
| McLaren | Medicare Advantage | $51.92 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $51.92 | ↓ -28% |
| United Healthcare | VACCN | $51.92 | ↓ -28% |
| Aetna | Medicare Advantage | $51.92 | ↓ -28% |
| HAP | HAP Dual Products | $52.35 | ↓ -27% |
| Humana | Medicare Advantage | $52.44 | ↓ -27% |
| Blue Cross | GM Connected Care | $52.73 | ↓ -26% |
| Priority Health | All Products | $55.19 | ↓ -23% |
| Aetna | Dual Products | $57.12 | ↓ -20% |
| Blue Cross | BCN Commercial-NONFAC | $58.59 | ↓ -18% |
| Blue Cross | BCN Commercial-FAC | $58.59 | ↓ -18% |
| Blue Cross | BCBSM Commercial | $59.12 | ↓ -17% |
| Priority Health | Priority Cigna | $60.71 | ↓ -15% |
| United Healthcare | UHC Commercial | $60.90 | ↓ -15% |
| Cofinity | Commercial | $61.19 | ↓ -15% |
| HAP | Henry Ford Select -HPN commercial | $62.31 | ↓ -13% |
| Meridian | Ambetter From Meridian | $70.09 | ↓ -2% |
| HAP | Self-Funded | $71.50 | ↓ -0% |
| United Healthcare | Baseline Benefit Plan | $73.08 | ↑ +2% |
| Nomi | All Products | $95.53 | ↑ +33% |
| HAP | HAP HMO_AHL_Fully Insured | $101.99 | ↑ +42% |
| Humana Military | Tricare | $109.74 | ↑ +53% |
| Vitalcore | All Products | $119.42 | ↑ +67% |
| Aetna | Commercial | $197.09 | ↑ +175% |
| Blue Cross | BCBSM GM Connected Care | $218.14 | ↑ +204% |
| BCN | HMO | $225.96 | ↑ +215% |
| Blue Cross | BCN Commercial | $225.96 | ↑ +215% |
| Priority Health | Commercial | $351.06 | ↑ +390% |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
Visitor-reported prices
Comments
Cell marker study at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $71.65 | $19.55 – $275.66 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $71.65 | $19.55 – $225.26 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $71.65 | $19.55 – $227.40 |
| Henry Ford St John Hospital | Detroit | $141.68 | $49.73 – $112.20 |
| Henry Ford Rochester Hospital | Rochester | $273.07 | $28.27 – $268.28 |
| Henry Ford River District Hospital | China Township | $129.92 | $49.73 – $112.20 |
| Henry Ford Warren Hospital | Warren | $141.68 | $49.73 – $112.20 |
| Corewell Health Big Rapids | Big Rapids | not published | $51.92 – $123.35 |