Complex simulation w/pet-ct at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$2,625.15
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.
not published by hospital
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.
$994.89 with ScriptGuideRX vs $4,375.24 with Vitalcore — 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 |
|---|---|---|---|
| ScriptGuideRX | All Products | $994.89 | ↓ -62% |
| Pace SE MI | Medicare Advantage | $1,807.17 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $1,864.23 | ↓ -29% |
| United Healthcare | VACCN | $1,902.28 | ↓ -28% |
| WellCare | Medicare Advantage | $1,902.28 | ↓ -28% |
| HAP | Medicare Advantage | $1,902.28 | ↓ -28% |
| McLaren | Medicare Advantage | $1,902.28 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $1,902.28 | ↓ -28% |
| Aetna | Medicare Advantage | $1,902.28 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $1,902.28 | ↓ -28% |
| Priority Health | Medicare Advantage | $1,902.28 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $1,902.28 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $1,902.28 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $1,902.28 | ↓ -28% |
| Blue Cross | BCN Advantage | $1,902.28 | ↓ -28% |
| HAP | HAP Dual Products | $1,911.06 | ↓ -27% |
| Humana | Medicare Advantage | $1,921.31 | ↓ -27% |
| Priority Health | Commercial | $1,950.50 | ↓ -26% |
| Aetna | Dual Products | $2,092.51 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $2,282.74 | ↓ -13% |
| Meridian | Ambetter From Meridian | $2,568.08 | ↓ -2% |
| Nomi | All Products | $3,500.20 | ↑ +33% |
| Vitalcore | All Products | $4,375.24 | ↑ +67% |
Visitor-reported prices
Comments
Complex simulation w/pet-ct at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $2,625.15 | $994.89 – $4,375.24 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $2,625.15 | $994.89 – $4,375.24 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $2,625.15 | $994.89 – $4,375.24 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $1,902.28 – $2,853.43 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $1,902.28 – $3,424.11 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $1,902.28 – $3,424.11 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $1,769.89 – $2,569.19 |
| Corewell Health Taylor | Taylor | not published | $1,769.89 – $2,569.19 |