Control oropharyngeal hemorr/simp 42960 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$741.60
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.
$550.00
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.
$92.87 with United Healthcare 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 |
|---|---|---|---|
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $92.87 | ↓ -87% |
| McLaren | Medicaid HMO-Adult-FAC | $92.87 | ↓ -87% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $92.87 | ↓ -87% |
| HAP | HAP Caresource Medicaid-FAC | $92.87 | ↓ -87% |
| Meridian | Medicaid HMO-Adult-FAC | $92.87 | ↓ -87% |
| McLaren | Medicaid HMO-Child-FAC | $92.87 | ↓ -87% |
| Meridian | Medicaid HMO-Child-FAC | $92.87 | ↓ -87% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $94.73 | ↓ -87% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $94.73 | ↓ -87% |
| Molina | Medicaid HMO-Child-FAC | $96.58 | ↓ -87% |
| Molina | Medicaid HMO-Adult-FAC | $96.58 | ↓ -87% |
| Priority Health | Medicaid HMO-Adult-FAC | $97.51 | ↓ -87% |
| Priority Health | Medicaid HMO-Child-FAC | $97.51 | ↓ -87% |
| HAP | Self-Funded | $100.82 | ↓ -86% |
| HAP | HAP HMO_AHL_Fully Insured | $101.03 | ↓ -86% |
| ScriptGuideRX | All Products | $103.44 | ↓ -86% |
| United Healthcare | UHC Commercial | $106.14 | ↓ -86% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $129.33 | ↓ -83% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $129.33 | ↓ -83% |
| Humana Military | Tricare-NonPhysician-FAC | $129.72 | ↓ -83% |
| Multiplan | All Products | $141.24 | ↓ -81% |
| Pace SE MI | Medicare Advantage-NONFAC | $144.54 | ↓ -81% |
| Pace SE MI | Medicare Advantage-FAC | $144.54 | ↓ -81% |
| Amerihealth Caritas | Dual Products-NONFAC | $149.11 | ↓ -80% |
| Amerihealth Caritas | Dual Products-FAC | $149.11 | ↓ -80% |
| Humana Military | Tricare | $149.80 | ↓ -80% |
| Cofinity | Commercial | $151.30 | ↓ -80% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $152.15 | ↓ -79% |
| Aetna | Medicare Advantage-FAC | $152.15 | ↓ -79% |
| Aetna | Medicare Advantage-NONFAC | $152.15 | ↓ -79% |
| Blue Cross | BCN Medicare Advantage -FAC | $152.15 | ↓ -79% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $152.15 | ↓ -79% |
| Blue Cross | Medicare Plus Blue-FAC | $152.15 | ↓ -79% |
| Blue Cross | Medicare Plus Blue-NONFAC | $152.15 | ↓ -79% |
| HAP | HAP Dual Products-FAC | $152.15 | ↓ -79% |
| HAP | HAP Dual Products-NONFAC | $152.15 | ↓ -79% |
| HAP | Medicare Advantage-FAC | $152.15 | ↓ -79% |
| HAP | Medicare Advantage-NONFAC | $152.15 | ↓ -79% |
| HAP | Medicare Advantage-Physician-FAC | $152.15 | ↓ -79% |
| HAP | Medicare Advantage-Physician-NONFAC | $152.15 | ↓ -79% |
| Humana | Medicare Advantage-FAC | $152.15 | ↓ -79% |
| McLaren | Medicare Advantage-FAC | $152.15 | ↓ -79% |
| McLaren | Medicare Advantage-NONFAC | $152.15 | ↓ -79% |
| Meridian | Ambetter From Meridian-FAC | $152.15 | ↓ -79% |
| Meridian | Ambetter From Meridian-NONFAC | $152.15 | ↓ -79% |
| Molina | Dual Product-FAC | $152.15 | ↓ -79% |
| Molina | Dual Product-NONFAC | $152.15 | ↓ -79% |
| Molina | Medicare Advantage-FAC | $152.15 | ↓ -79% |
| Molina | Medicare Advantage-NONFAC | $152.15 | ↓ -79% |
| Priority Health | Medicare Advantage-FAC | $152.15 | ↓ -79% |
| Priority Health | Medicare Advantage-NONFAC | $152.15 | ↓ -79% |
| Trinity Health Plan | Medicare Advantage-FAC | $152.15 | ↓ -79% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $152.15 | ↓ -79% |
| United Healthcare | Medicare Advantage-FAC | $152.15 | ↓ -79% |
| United Healthcare | Medicare Advantage-NONFAC | $152.15 | ↓ -79% |
| United Healthcare | Medicare-Behavioral Health-FAC | $152.15 | ↓ -79% |
| WellCare | Medicare Advantage-FAC | $152.15 | ↓ -79% |
| WellCare | Medicare Advantage-NONFAC | $152.15 | ↓ -79% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $152.15 | ↓ -79% |
| Humana Military | Tricare-Physician-FAC | $152.61 | ↓ -79% |
| Humana | Medicare Advantage-NONFAC | $155.19 | ↓ -79% |
| United Healthcare | Baseline Benefit Plan | $156.01 | ↓ -79% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $165.87 | ↓ -78% |
| Priority Health | Priority Cigna | $166.81 | ↓ -78% |
| Humana | Medicare Advantage-Physician-FAC | $167.53 | ↓ -77% |
| Nomi | All Products | $213.01 | ↓ -71% |
| Priority Health | Commercial | $214.00 | ↓ -71% |
| BCN | HMO | $214.00 | ↓ -71% |
| Blue Cross | BCBSM Commercial | $214.00 | ↓ -71% |
| HAP | Medicare Advantage | $214.00 | ↓ -71% |
| HAP | Henry Ford Select -HPN commercial | $214.00 | ↓ -71% |
| Blue Cross | BCN Commercial | $214.00 | ↓ -71% |
| Meridian | Ambetter From Meridian | $214.00 | ↓ -71% |
| Humana | Medicare Advantage | $214.00 | ↓ -71% |
| Blue Cross | BCBSM GM Connected Care | $214.00 | ↓ -71% |
| HAP | HAP HMO_AHL_Fully-Insured | $233.26 | ↓ -69% |
| Blue Cross | GM Connected Care | $234.87 | ↓ -68% |
| Aetna | All Products-NONFAC | $256.19 | ↓ -65% |
| Blue Cross | BCN Commercial-FAC | $260.97 | ↓ -65% |
| Blue Cross | BCN Commercial-NONFAC | $260.97 | ↓ -65% |
| Meridian | Medicaid HMO | $288.18 | ↓ -61% |
| Priority Health | Medicaid HMO | $288.18 | ↓ -61% |
| McLaren | Medicaid HMO | $288.18 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $288.18 | ↓ -61% |
| United Healthcare | All Products-Midlevel | $290.97 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $293.94 | ↓ -60% |
| Priority Health | All Products | $297.32 | ↓ -60% |
| Molina | Medicaid HMO | $303.52 | ↓ -59% |
| United Healthcare | All Products-Prof | $348.31 | ↓ -53% |
| HAP | HAP Dual Products | $498.95 | ↓ -33% |
| Pace SE MI | Medicare Advantage | $510.52 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $526.64 | ↓ -29% |
| Blue Cross | Medicare Plus Blue | $537.39 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $537.39 | ↓ -28% |
| WellCare | Medicare Advantage | $537.39 | ↓ -28% |
| Blue Cross | BCN Advantage | $537.39 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $537.39 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $537.39 | ↓ -28% |
| Priority Health | Medicare Advantage | $537.39 | ↓ -28% |
| Aetna | Medicare Advantage | $537.39 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $537.39 | ↓ -28% |
| United Healthcare | VACCN | $537.39 | ↓ -28% |
| McLaren | Medicare Advantage | $537.39 | ↓ -28% |
| Aetna | Dual Products | $591.13 | ↓ -20% |
| Vitalcore | All Products | $1,236.00 | ↑ +67% |
| Aetna | Commercial | $2,056.00 | ↑ +177% |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
Visitor-reported prices
Comments
Control oropharyngeal hemorr/simp 42960 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Gross Pointe | Grosse Pointe | $2,212.00 | $171.64 – $725.79 |
| Corewell Health Taylor | Taylor | $2,212.00 | $171.64 – $725.79 |
| Corewell Health Trenton | Trenton | $2,212.00 | $171.64 – $725.79 |
| Corewell Health Troy | Troy | $2,212.00 | $171.64 – $725.48 |
| Corewell Health Wayne | Wayne | $2,212.00 | $171.64 – $725.79 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $741.60 | $92.87 – $251.71 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $741.60 | $92.87 – $1,236.00 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $741.60 | $92.87 – $214.00 |