Clsd tx wrist scaphoid fx without manip 25622 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$416.43
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.
$890.00
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.
$131.80 with Priority Health vs $565.29 with Vitalcore — 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 |
|---|---|---|---|
| Priority Health | Medicaid HMO | $131.80 | ↓ -68% |
| HAP | HAP Caresource Medicaid | $131.80 | ↓ -68% |
| Meridian | Medicaid HMO | $131.80 | ↓ -68% |
| McLaren | Medicaid HMO | $131.80 | ↓ -68% |
| HAP | Self-Funded | $131.91 | ↓ -68% |
| HAP | HAP HMO_AHL_Fully Insured | $132.19 | ↓ -68% |
| Aetna Better Health | Medicaid HMO | $134.44 | ↓ -68% |
| Molina | Medicaid HMO | $138.82 | ↓ -67% |
| United Healthcare | UHC Commercial | $138.88 | ↓ -67% |
| Aetna | Commercial | $179.06 | ↓ -57% |
| Multiplan | All Products | $184.80 | ↓ -56% |
| Meridian | Medicaid HMO-Adult-FAC | $188.72 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $188.72 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $188.72 | ↓ -55% |
| HAP | HAP Caresource Medicaid-FAC | $188.72 | ↓ -55% |
| Meridian | Medicaid HMO-Child-FAC | $188.72 | ↓ -55% |
| McLaren | Medicaid HMO-Adult-FAC | $188.72 | ↓ -55% |
| McLaren | Medicaid HMO-Child-FAC | $188.72 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $192.49 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $192.49 | ↓ -54% |
| Humana Military | Tricare | $196.00 | ↓ -53% |
| Molina | Medicaid HMO-Child-FAC | $196.27 | ↓ -53% |
| Molina | Medicaid HMO-Adult-FAC | $196.27 | ↓ -53% |
| Cofinity | Commercial | $197.96 | ↓ -52% |
| Priority Health | Medicaid HMO-Child-FAC | $198.16 | ↓ -52% |
| Priority Health | Medicaid HMO-Adult-FAC | $198.16 | ↓ -52% |
| United Healthcare | Baseline Benefit Plan | $204.12 | ↓ -51% |
| ScriptGuideRX | All Products | $205.17 | ↓ -51% |
| Priority Health | Priority Cigna | $218.26 | ↓ -48% |
| HAP | HAP Caresource Medicaid-NONFAC | $223.65 | ↓ -46% |
| McLaren | Medicaid HMO-Adult-NONFAC | $223.65 | ↓ -46% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $223.65 | ↓ -46% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $223.65 | ↓ -46% |
| Meridian | Medicaid HMO-Adult-NONFAC | $223.65 | ↓ -46% |
| McLaren | Medicaid HMO-Child-NONFAC | $223.65 | ↓ -46% |
| Meridian | Medicaid HMO-Child-NONFAC | $223.65 | ↓ -46% |
| Molina | Medicaid HMO-Adult-NONFAC | $225.55 | ↓ -46% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $228.12 | ↓ -45% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $228.12 | ↓ -45% |
| Molina | Medicaid HMO-Child-NONFAC | $232.60 | ↓ -44% |
| Pace SE MI | Medicare Advantage | $233.49 | ↓ -44% |
| Blue Cross | BCBSM GM Connected Care | $233.84 | ↓ -44% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $234.83 | ↓ -44% |
| Priority Health | Medicaid HMO-Child-NONFAC | $234.83 | ↓ -44% |
| HAP | HAP Dual Products | $235.03 | ↓ -44% |
| Humana Military | Tricare-NonPhysician-FAC | $236.23 | ↓ -43% |
| Blue Cross | BCN Commercial | $239.59 | ↓ -42% |
| BCN | HMO | $239.59 | ↓ -42% |
| Blue Cross | BCBSM Commercial | $239.59 | ↓ -42% |
| Amerihealth Caritas | Dual Products | $240.86 | ↓ -42% |
| Priority Health | Dual Premier_HIDE-SNP | $245.78 | ↓ -41% |
| HAP | Medicare Advantage | $245.78 | ↓ -41% |
| Priority Health | Medicare Advantage | $245.78 | ↓ -41% |
| McLaren | Medicare Advantage | $245.78 | ↓ -41% |
| Aetna | Medicare Advantage | $245.78 | ↓ -41% |
| Blue Cross | Medicare Plus Blue | $245.78 | ↓ -41% |
| Trinity Health Plan | Medicare Advantage | $245.78 | ↓ -41% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $245.78 | ↓ -41% |
| Blue Cross | BCN Advantage | $245.78 | ↓ -41% |
| United Healthcare | VACCN | $245.78 | ↓ -41% |
| Molina | Dual MI Coordinated Health | $245.78 | ↓ -41% |
| WellCare | Medicare Advantage | $245.78 | ↓ -41% |
| Humana | Medicare Advantage | $248.24 | ↓ -40% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $256.50 | ↓ -38% |
| Aetna | Dual Products | $270.36 | ↓ -35% |
| Humana Military | Tricare-Physician-FAC | $277.91 | ↓ -33% |
| Meridian | Ambetter From Meridian | $280.00 | ↓ -33% |
| HAP | Henry Ford Select -HPN commercial | $280.00 | ↓ -33% |
| Priority Health | Commercial | $280.00 | ↓ -33% |
| Pace SE MI | Medicare Advantage-FAC | $286.67 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $295.72 | ↓ -29% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $301.43 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $301.76 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $301.76 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $301.76 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $301.76 | ↓ -28% |
| Molina | Dual Product-FAC | $301.76 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $301.76 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $301.76 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $301.76 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $301.76 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $301.76 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $301.76 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $301.76 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $301.76 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $301.76 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $301.76 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $301.76 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $301.76 | ↓ -28% |
| Humana | Medicare Advantage-Physician-FAC | $305.10 | ↓ -27% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $326.32 | ↓ -22% |
| Pace SE MI | Medicare Advantage-NONFAC | $336.89 | ↓ -19% |
| Blue Cross | GM Connected Care | $341.33 | ↓ -18% |
| Amerihealth Caritas | Dual Products-NONFAC | $347.53 | ↓ -17% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $354.62 | ↓ -15% |
| Meridian | Ambetter From Meridian-NONFAC | $354.62 | ↓ -15% |
| McLaren | Medicare Advantage-NONFAC | $354.62 | ↓ -15% |
| Molina | Dual Product-NONFAC | $354.62 | ↓ -15% |
| HAP | Medicare Advantage-Physician-NONFAC | $354.62 | ↓ -15% |
| HAP | Medicare Advantage-NONFAC | $354.62 | ↓ -15% |
| Molina | Medicare Advantage-NONFAC | $354.62 | ↓ -15% |
| HAP | HAP Dual Products-NONFAC | $354.62 | ↓ -15% |
| Priority Health | Medicare Advantage-NONFAC | $354.62 | ↓ -15% |
| Blue Cross | Medicare Plus Blue-NONFAC | $354.62 | ↓ -15% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $354.62 | ↓ -15% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $354.62 | ↓ -15% |
| United Healthcare | Medicare Advantage-NONFAC | $354.62 | ↓ -15% |
| Aetna | Medicare Advantage-NONFAC | $354.62 | ↓ -15% |
| WellCare | Medicare Advantage-NONFAC | $354.62 | ↓ -15% |
| Humana | Medicare Advantage-NONFAC | $361.71 | ↓ -13% |
| Blue Cross | BCN Commercial-FAC | $379.26 | ↓ -9% |
| HAP | HAP HMO_AHL_Fully-Insured | $403.35 | ↓ -3% |
| Blue Cross | BCN Commercial-NONFAC | $411.18 | ↓ -1% |
| Nomi | All Products | $422.46 | ↑ +1% |
| Priority Health | All Products | $480.69 | ↑ +15% |
| United Healthcare | All Products-Midlevel | $503.05 | ↑ +21% |
| Aetna | All Products-NONFAC | $514.10 | ↑ +23% |
| United Healthcare | All Products-Prof | $552.13 | ↑ +33% |
| Vitalcore | All Products | $565.29 | ↑ +36% |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Clsd tx wrist scaphoid fx without manip 25622 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $553.00 | $238.93 – $442.40 |
| Corewell Health Gerber | Fremont | $553.00 | $238.93 – $238.93 |
| Corewell Health Butterworth Hospital | Grand Rapids | $498.00 | $193.40 – $442.40 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $498.00 | $193.40 – $442.40 |
| Corewell Health Reed City | Po Box 75 | $553.00 | not published |
| Corewell Health Greenville | Greenville | $553.00 | $238.93 – $442.40 |
| Corewell Health Zeeland | Zeeland | $553.00 | $238.93 – $442.40 |
| Corewell Health Gross Pointe | Grosse Pointe | $599.00 | $228.67 – $482.31 |