Clsd tx wrist trans-scaph fx w/manip 25680 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$744.22
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.
$1,690.00
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.
$118.25 with HAP vs $2,877.00 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 | $118.25 | ↓ -84% |
| HAP | HAP HMO_AHL_Fully Insured | $118.50 | ↓ -84% |
| United Healthcare | UHC Commercial | $124.50 | ↓ -83% |
| Meridian | Medicaid HMO | $131.80 | ↓ -82% |
| HAP | HAP Caresource Medicaid | $131.80 | ↓ -82% |
| Priority Health | Medicaid HMO | $131.80 | ↓ -82% |
| McLaren | Medicaid HMO | $131.80 | ↓ -82% |
| Aetna Better Health | Medicaid HMO | $134.44 | ↓ -82% |
| Molina | Medicaid HMO | $138.82 | ↓ -81% |
| Multiplan | All Products | $165.66 | ↓ -78% |
| Humana Military | Tricare | $175.70 | ↓ -76% |
| Cofinity | Commercial | $177.46 | ↓ -76% |
| United Healthcare | Baseline Benefit Plan | $182.98 | ↓ -75% |
| Priority Health | Priority Cigna | $195.65 | ↓ -74% |
| Pace SE MI | Medicare Advantage | $233.49 | ↓ -69% |
| HAP | HAP Dual Products | $235.03 | ↓ -68% |
| Amerihealth Caritas | Dual Products | $240.86 | ↓ -68% |
| Trinity Health Plan | Medicare Advantage | $245.78 | ↓ -67% |
| Molina | Dual MI Coordinated Health | $245.78 | ↓ -67% |
| WellCare | Medicare Advantage | $245.78 | ↓ -67% |
| United Healthcare | VACCN | $245.78 | ↓ -67% |
| Aetna | Medicare Advantage | $245.78 | ↓ -67% |
| Priority Health | Dual Premier_HIDE-SNP | $245.78 | ↓ -67% |
| Priority Health | Medicare Advantage | $245.78 | ↓ -67% |
| Blue Cross | Medicare Plus Blue | $245.78 | ↓ -67% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $245.78 | ↓ -67% |
| HAP | Medicare Advantage | $245.78 | ↓ -67% |
| McLaren | Medicare Advantage | $245.78 | ↓ -67% |
| Blue Cross | BCN Advantage | $245.78 | ↓ -67% |
| Humana | Medicare Advantage | $248.24 | ↓ -67% |
| Priority Health | Commercial | $251.00 | ↓ -66% |
| Blue Cross | BCBSM GM Connected Care | $251.00 | ↓ -66% |
| Blue Cross | BCBSM Commercial | $251.00 | ↓ -66% |
| Blue Cross | BCN Commercial | $251.00 | ↓ -66% |
| HAP | Henry Ford Select -HPN commercial | $251.00 | ↓ -66% |
| Meridian | Ambetter From Meridian | $251.00 | ↓ -66% |
| BCN | HMO | $251.00 | ↓ -66% |
| Aetna | Dual Products | $270.36 | ↓ -64% |
| HAP | HAP Caresource Medicaid-FAC | $331.00 | ↓ -56% |
| Meridian | Medicaid HMO-Child-FAC | $331.00 | ↓ -56% |
| Meridian | Medicaid HMO-Adult-FAC | $331.00 | ↓ -56% |
| McLaren | Medicaid HMO-Adult-FAC | $331.00 | ↓ -56% |
| McLaren | Medicaid HMO-Child-FAC | $331.00 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $331.00 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $331.00 | ↓ -56% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $337.62 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $337.62 | ↓ -55% |
| Molina | Medicaid HMO-Adult-FAC | $344.24 | ↓ -54% |
| Molina | Medicaid HMO-Child-FAC | $344.24 | ↓ -54% |
| Priority Health | Medicaid HMO-Child-FAC | $347.55 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-FAC | $347.55 | ↓ -53% |
| ScriptGuideRX | All Products | $366.67 | ↓ -51% |
| Humana Military | Tricare-NonPhysician-FAC | $439.14 | ↓ -41% |
| Nomi | All Products | $452.24 | ↓ -39% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $458.40 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $458.40 | ↓ -38% |
| Pace SE MI | Medicare Advantage-FAC | $512.33 | ↓ -31% |
| Pace SE MI | Medicare Advantage-NONFAC | $512.33 | ↓ -31% |
| Humana Military | Tricare-Physician-FAC | $516.64 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $528.50 | ↓ -29% |
| Amerihealth Caritas | Dual Products-NONFAC | $528.50 | ↓ -29% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $539.29 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $539.29 | ↓ -28% |
| Aetna | Medicare Advantage-NONFAC | $539.29 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $539.29 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $539.29 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $539.29 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $539.29 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $539.29 | ↓ -28% |
| HAP | HAP Dual Products-NONFAC | $539.29 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $539.29 | ↓ -28% |
| HAP | Medicare Advantage-NONFAC | $539.29 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $539.29 | ↓ -28% |
| HAP | Medicare Advantage-Physician-NONFAC | $539.29 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $539.29 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $539.29 | ↓ -28% |
| McLaren | Medicare Advantage-NONFAC | $539.29 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $539.29 | ↓ -28% |
| Meridian | Ambetter From Meridian-NONFAC | $539.29 | ↓ -28% |
| Molina | Dual Product-FAC | $539.29 | ↓ -28% |
| Molina | Dual Product-NONFAC | $539.29 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $539.29 | ↓ -28% |
| Molina | Medicare Advantage-NONFAC | $539.29 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $539.29 | ↓ -28% |
| Priority Health | Medicare Advantage-NONFAC | $539.29 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $539.29 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $539.29 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $539.29 | ↓ -28% |
| United Healthcare | Medicare Advantage-NONFAC | $539.29 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $539.29 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $539.29 | ↓ -28% |
| WellCare | Medicare Advantage-NONFAC | $539.29 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $539.29 | ↓ -28% |
| Humana | Medicare Advantage-NONFAC | $550.08 | ↓ -26% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $561.57 | ↓ -25% |
| Vitalcore | All Products | $565.29 | ↓ -24% |
| Humana | Medicare Advantage-Physician-FAC | $567.19 | ↓ -24% |
| HAP | HAP HMO_AHL_Fully-Insured | $639.33 | ↓ -14% |
| Blue Cross | GM Connected Care | $793.31 | ↑ +7% |
| Priority Health | All Products | $880.99 | ↑ +18% |
| Blue Cross | BCN Commercial-NONFAC | $881.45 | ↑ +18% |
| Blue Cross | BCN Commercial-FAC | $881.45 | ↑ +18% |
| Aetna | All Products-NONFAC | $885.45 | ↑ +19% |
| United Healthcare | All Products-Midlevel | $938.05 | ↑ +26% |
| United Healthcare | All Products-Prof | $1,029.58 | ↑ +38% |
| Aetna | Commercial | $2,877.00 | ↑ +287% |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | 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 trans-scaph fx w/manip 25680 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $744.22 | $128.54 – $611.26 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $744.22 | $130.49 – $611.26 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $744.22 | $120.08 – $565.29 |
| Corewell Health Big Rapids | Big Rapids | not published | $245.78 – $442.40 |
| Corewell Health Gerber | Fremont | not published | $329.25 – $329.25 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $248.44 – $372.66 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $245.78 – $368.67 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $193.40 – $442.40 |