Consultation pathology during surgery frozen section each additional block at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$39.96
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.
$114.00
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.
$15.42 with United Healthcare vs $81.14 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 | $15.42 | ↓ -61% |
| United Healthcare | All Products-Midlevel | $15.42 | ↓ -61% |
| ScriptGuideRX | All Products | $16.16 | ↓ -60% |
| HAP | HAP HMO_AHL_Fully Insured | $17.53 | ↓ -56% |
| HAP | HAP Caresource Medicaid-FAC | $18.53 | ↓ -54% |
| Meridian | Medicaid HMO-Child-NONFAC | $18.53 | ↓ -54% |
| Meridian | Medicaid HMO-Child-FAC | $18.53 | ↓ -54% |
| McLaren | Medicaid HMO-Adult-NONFAC | $18.53 | ↓ -54% |
| McLaren | Medicaid HMO-Adult-FAC | $18.53 | ↓ -54% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $18.53 | ↓ -54% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $18.53 | ↓ -54% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $18.53 | ↓ -54% |
| HAP | HAP Caresource Medicaid-NONFAC | $18.53 | ↓ -54% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $18.53 | ↓ -54% |
| Meridian | Medicaid HMO-Adult-NONFAC | $18.53 | ↓ -54% |
| Meridian | Medicaid HMO-Adult-FAC | $18.53 | ↓ -54% |
| McLaren | Medicaid HMO-Child-NONFAC | $18.53 | ↓ -54% |
| McLaren | Medicaid HMO-Child-FAC | $18.53 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $18.90 | ↓ -53% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $18.90 | ↓ -53% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $18.90 | ↓ -53% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $18.90 | ↓ -53% |
| Molina | Medicaid HMO-Child-FAC | $19.27 | ↓ -52% |
| Molina | Medicaid HMO-Child-NONFAC | $19.27 | ↓ -52% |
| Molina | Medicaid HMO-Adult-FAC | $19.27 | ↓ -52% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $19.46 | ↓ -51% |
| Priority Health | Medicaid HMO-Child-NONFAC | $19.46 | ↓ -51% |
| Priority Health | Medicaid HMO-Child-FAC | $19.46 | ↓ -51% |
| Priority Health | Medicaid HMO-Adult-FAC | $19.46 | ↓ -51% |
| HAP | Self-Funded | $20.10 | ↓ -50% |
| Cofinity | Commercial | $20.11 | ↓ -50% |
| Molina | Medicaid HMO-Adult-NONFAC | $21.30 | ↓ -47% |
| Humana Military | Tricare | $22.23 | ↓ -44% |
| BC3NP | Medicaid HMO | $23.18 | ↓ -42% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $24.62 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $24.62 | ↓ -38% |
| Humana Military | Tricare-Physician-FAC | $26.63 | ↓ -33% |
| Humana Military | Tricare-NonPhysician-FAC | $26.63 | ↓ -33% |
| WellCare | Medicare Advantage | $27.45 | ↓ -31% |
| Pace SE MI | Medicare Advantage-FAC | $27.51 | ↓ -31% |
| Pace SE MI | Medicare Advantage-NONFAC | $27.51 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $28.38 | ↓ -29% |
| Amerihealth Caritas | Dual Products-NONFAC | $28.38 | ↓ -29% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $28.95 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $28.96 | ↓ -28% |
| HAP | HAP Dual Products-NONFAC | $28.96 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $28.96 | ↓ -28% |
| United Healthcare | Medicare Advantage-NONFAC | $28.96 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $28.96 | ↓ -28% |
| HAP | Medicare Advantage-NONFAC | $28.96 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $28.96 | ↓ -28% |
| HAP | Medicare Advantage-Physician-NONFAC | $28.96 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $28.96 | ↓ -28% |
| Molina | Dual Product-NONFAC | $28.96 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $28.96 | ↓ -28% |
| WellCare | Medicare Advantage-NONFAC | $28.96 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $28.96 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $28.96 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $28.96 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $28.96 | ↓ -28% |
| Molina | Medicare Advantage-NONFAC | $28.96 | ↓ -28% |
| Priority Health | Medicare Advantage-NONFAC | $28.96 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $28.96 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $28.96 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $28.96 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $28.96 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $28.96 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $28.96 | ↓ -28% |
| McLaren | Medicare Advantage-NONFAC | $28.96 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $28.96 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $28.96 | ↓ -28% |
| Meridian | Ambetter From Meridian-NONFAC | $28.96 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $28.96 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $28.96 | ↓ -28% |
| Aetna | Medicare Advantage-NONFAC | $28.96 | ↓ -28% |
| Molina | Dual Product-FAC | $28.96 | ↓ -28% |
| Humana | Medicare Advantage-Physician-FAC | $29.24 | ↓ -27% |
| United Healthcare | UHC Commercial | $29.48 | ↓ -26% |
| Humana | Medicare Advantage-NONFAC | $29.54 | ↓ -26% |
| Molina | Dual MI Coordinated Health | $32.10 | ↓ -20% |
| United Healthcare | Baseline Benefit Plan | $35.38 | ↓ -11% |
| HAP | HAP HMO_AHL_Fully-Insured | $37.89 | ↓ -5% |
| Blue Cross | GM Connected Care | $42.66 | ↑ +7% |
| Amerihealth Caritas | Dual Products | $42.80 | ↑ +7% |
| Blue Cross | BCBSM GM Connected Care | $44.10 | ↑ +10% |
| Priority Health | All Products | $44.66 | ↑ +12% |
| Blue Cross | BCN Commercial | $45.68 | ↑ +14% |
| BCN | HMO | $45.68 | ↑ +14% |
| Blue Cross | BCBSM Commercial | $45.68 | ↑ +14% |
| Aetna | All Products-NONFAC | $46.53 | ↑ +16% |
| Blue Cross | BCN Commercial-NONFAC | $47.40 | ↑ +19% |
| Blue Cross | BCN Commercial-FAC | $47.40 | ↑ +19% |
| Priority Health | Priority Cigna | $49.13 | ↑ +23% |
| Aetna | Commercial | $53.43 | ↑ +34% |
| Vitalcore | All Products | $53.50 | ↑ +34% |
| Multiplan | All Products | $70.62 | ↑ +77% |
| Priority Health | Commercial | $81.14 | ↑ +103% |
| Meridian | Medicaid HMO | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| Nomi | All Products | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Consultation pathology during surgery frozen section each additional block at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $89.00 | $21.76 – $25.02 |
| Corewell Health Gerber | Fremont | $89.00 | $21.76 – $21.76 |
| Corewell Health Lakeland Watervliet | Watervliet | $94.00 | not published |
| Corewell Health Lakeland St. Joseph | St Joseph | $94.00 | $42.78 – $42.78 |
| Corewell Health Butterworth Hospital | Grand Rapids | $89.00 | $21.76 – $39.19 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $89.00 | $21.76 – $39.19 |
| Corewell Health Reed City | Po Box 75 | $89.00 | $21.76 – $21.76 |
| Corewell Health Greenville | Greenville | $89.00 | $21.76 – $21.76 |