Clsd tx/clavicular fx without manip 23500 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$344.90
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.
$710.00
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.
$124.84 with HAP 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 |
|---|---|---|---|
| HAP | Self-Funded | $124.84 | ↓ -64% |
| HAP | HAP HMO_AHL_Fully Insured | $125.11 | ↓ -64% |
| United Healthcare | UHC Commercial | $131.44 | ↓ -62% |
| HAP | HAP Caresource Medicaid | $131.80 | ↓ -62% |
| McLaren | Medicaid HMO | $131.80 | ↓ -62% |
| Meridian | Medicaid HMO | $131.80 | ↓ -62% |
| Priority Health | Medicaid HMO | $131.80 | ↓ -62% |
| Aetna Better Health | Medicaid HMO | $134.44 | ↓ -61% |
| Molina | Medicaid HMO | $138.82 | ↓ -60% |
| Meridian | Medicaid HMO-Adult-FAC | $156.34 | ↓ -55% |
| Meridian | Medicaid HMO-Child-FAC | $156.34 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $156.34 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $156.34 | ↓ -55% |
| HAP | HAP Caresource Medicaid-FAC | $156.34 | ↓ -55% |
| McLaren | Medicaid HMO-Adult-FAC | $156.34 | ↓ -55% |
| McLaren | Medicaid HMO-Child-FAC | $156.34 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $159.47 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $159.47 | ↓ -54% |
| Molina | Medicaid HMO-Child-FAC | $162.59 | ↓ -53% |
| Molina | Medicaid HMO-Adult-FAC | $162.59 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-FAC | $164.16 | ↓ -52% |
| Priority Health | Medicaid HMO-Child-FAC | $164.16 | ↓ -52% |
| Molina | Medicaid HMO-Adult-NONFAC | $164.26 | ↓ -52% |
| McLaren | Medicaid HMO-Child-NONFAC | $164.65 | ↓ -52% |
| Meridian | Medicaid HMO-Adult-NONFAC | $164.65 | ↓ -52% |
| McLaren | Medicaid HMO-Adult-NONFAC | $164.65 | ↓ -52% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $164.65 | ↓ -52% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $164.65 | ↓ -52% |
| Meridian | Medicaid HMO-Child-NONFAC | $164.65 | ↓ -52% |
| HAP | HAP Caresource Medicaid-NONFAC | $164.65 | ↓ -52% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $167.94 | ↓ -51% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $167.94 | ↓ -51% |
| ScriptGuideRX | All Products | $169.92 | ↓ -51% |
| Molina | Medicaid HMO-Child-NONFAC | $171.24 | ↓ -50% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $172.88 | ↓ -50% |
| Priority Health | Medicaid HMO-Child-NONFAC | $172.88 | ↓ -50% |
| Multiplan | All Products | $174.90 | ↓ -49% |
| Humana Military | Tricare | $185.50 | ↓ -46% |
| Cofinity | Commercial | $187.36 | ↓ -46% |
| Humana Military | Tricare-NonPhysician-FAC | $191.72 | ↓ -44% |
| United Healthcare | Baseline Benefit Plan | $193.19 | ↓ -44% |
| Priority Health | Priority Cigna | $206.57 | ↓ -40% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $212.44 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $223.13 | ↓ -35% |
| Humana Military | Tricare-Physician-FAC | $225.56 | ↓ -35% |
| Pace SE MI | Medicare Advantage | $233.49 | ↓ -32% |
| HAP | HAP Dual Products | $235.03 | ↓ -32% |
| Pace SE MI | Medicare Advantage-FAC | $237.43 | ↓ -31% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $239.75 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $240.86 | ↓ -30% |
| Amerihealth Caritas | Dual Products-FAC | $244.93 | ↓ -29% |
| Aetna | Medicare Advantage | $245.78 | ↓ -29% |
| Blue Cross | Medicare Plus Blue | $245.78 | ↓ -29% |
| Trinity Health Plan | Medicare Advantage | $245.78 | ↓ -29% |
| McLaren | Medicare Advantage | $245.78 | ↓ -29% |
| WellCare | Medicare Advantage | $245.78 | ↓ -29% |
| Blue Cross | BCN Advantage | $245.78 | ↓ -29% |
| Molina | Dual MI Coordinated Health | $245.78 | ↓ -29% |
| United Healthcare | VACCN | $245.78 | ↓ -29% |
| HAP | Medicare Advantage | $245.78 | ↓ -29% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $245.78 | ↓ -29% |
| Priority Health | Medicare Advantage | $245.78 | ↓ -29% |
| Priority Health | Dual Premier_HIDE-SNP | $245.78 | ↓ -29% |
| Humana | Medicare Advantage-Physician-FAC | $247.62 | ↓ -28% |
| Humana | Medicare Advantage | $248.24 | ↓ -28% |
| Pace SE MI | Medicare Advantage-NONFAC | $249.38 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $249.93 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $249.93 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $249.93 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $249.93 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $249.93 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $249.93 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $249.93 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $249.93 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $249.93 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $249.93 | ↓ -28% |
| Molina | Dual Product-FAC | $249.93 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $249.93 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $249.93 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $249.93 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $249.93 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $249.93 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $249.93 | ↓ -28% |
| Amerihealth Caritas | Dual Products-NONFAC | $257.25 | ↓ -25% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $262.50 | ↓ -24% |
| WellCare | Medicare Advantage-NONFAC | $262.50 | ↓ -24% |
| McLaren | Medicare Advantage-NONFAC | $262.50 | ↓ -24% |
| HAP | Medicare Advantage-Physician-NONFAC | $262.50 | ↓ -24% |
| HAP | Medicare Advantage-NONFAC | $262.50 | ↓ -24% |
| Meridian | Ambetter From Meridian-NONFAC | $262.50 | ↓ -24% |
| Molina | Medicare Advantage-NONFAC | $262.50 | ↓ -24% |
| HAP | HAP Dual Products-NONFAC | $262.50 | ↓ -24% |
| Molina | Dual Product-NONFAC | $262.50 | ↓ -24% |
| Aetna | Medicare Advantage-NONFAC | $262.50 | ↓ -24% |
| Priority Health | Medicare Advantage-NONFAC | $262.50 | ↓ -24% |
| Blue Cross | Medicare Plus Blue-NONFAC | $262.50 | ↓ -24% |
| United Healthcare | Medicare Advantage-NONFAC | $262.50 | ↓ -24% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $262.50 | ↓ -24% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $262.50 | ↓ -24% |
| Meridian | Ambetter From Meridian | $265.00 | ↓ -23% |
| Priority Health | Commercial | $265.00 | ↓ -23% |
| HAP | Henry Ford Select -HPN commercial | $265.00 | ↓ -23% |
| Blue Cross | BCN Commercial | $265.00 | ↓ -23% |
| Blue Cross | BCBSM GM Connected Care | $265.00 | ↓ -23% |
| Blue Cross | BCBSM Commercial | $265.00 | ↓ -23% |
| BCN | HMO | $265.00 | ↓ -23% |
| Humana | Medicare Advantage-NONFAC | $267.75 | ↓ -22% |
| Aetna | Dual Products | $270.36 | ↓ -22% |
| HAP | HAP HMO_AHL_Fully-Insured | $291.27 | ↓ -16% |
| Blue Cross | GM Connected Care | $341.77 | ↓ -1% |
| Nomi | All Products | $349.90 | ↑ +1% |
| Aetna | All Products-NONFAC | $374.85 | ↑ +9% |
| Blue Cross | BCN Commercial-NONFAC | $379.74 | ↑ +10% |
| Priority Health | All Products | $388.60 | ↑ +13% |
| Blue Cross | BCN Commercial-FAC | $388.80 | ↑ +13% |
| United Healthcare | All Products-Midlevel | $404.89 | ↑ +17% |
| United Healthcare | All Products-Prof | $444.40 | ↑ +29% |
| Vitalcore | All Products | $565.29 | ↑ +64% |
| Aetna | Commercial | $2,056.00 | ↑ +496% |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| 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-PhD | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx/clavicular fx without manip 23500 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $512.00 | $238.93 – $442.40 |
| Corewell Health Gerber | Fremont | $512.00 | $238.93 – $238.93 |
| Corewell Health Butterworth Hospital | Grand Rapids | $497.00 | $193.40 – $442.40 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $497.00 | $193.40 – $442.40 |
| Corewell Health Reed City | Po Box 75 | $512.00 | not published |
| Corewell Health Greenville | Greenville | $512.00 | $238.93 – $442.40 |
| Corewell Health Zeeland | Zeeland | $512.00 | $238.93 – $442.40 |
| Corewell Health Gross Pointe | Grosse Pointe | $893.00 | $228.67 – $494.45 |