Cystourethro w/addl implant 52442 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$64.61
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.
$200.00
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.
$28.12 with Meridian vs $3,429.47 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 |
|---|---|---|---|
| Meridian | Medicaid HMO-Adult-FAC | $28.12 | ↓ -56% |
| McLaren | Medicaid HMO-Child-FAC | $28.12 | ↓ -56% |
| McLaren | Medicaid HMO-Adult-FAC | $28.12 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $28.12 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $28.12 | ↓ -56% |
| Meridian | Medicaid HMO-Child-FAC | $28.12 | ↓ -56% |
| HAP | HAP Caresource Medicaid-FAC | $28.12 | ↓ -56% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $28.68 | ↓ -56% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $28.68 | ↓ -56% |
| Molina | Medicaid HMO-Child-FAC | $29.24 | ↓ -55% |
| Molina | Medicaid HMO-Adult-FAC | $29.24 | ↓ -55% |
| Priority Health | Medicaid HMO-Adult-FAC | $29.53 | ↓ -54% |
| Priority Health | Medicaid HMO-Child-FAC | $29.53 | ↓ -54% |
| ScriptGuideRX | All Products | $36.56 | ↓ -43% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $39.80 | ↓ -38% |
| Humana Military | Tricare-NonPhysician-FAC | $40.50 | ↓ -37% |
| Pace SE MI | Medicare Advantage-FAC | $44.48 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $45.88 | ↓ -29% |
| Molina | Medicare Advantage-FAC | $46.82 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $46.82 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $46.82 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $46.82 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $46.82 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $46.82 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $46.82 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $46.82 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $46.82 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $46.82 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $46.82 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $46.82 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $46.82 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $46.82 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $46.82 | ↓ -28% |
| Molina | Dual Product-FAC | $46.82 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $46.82 | ↓ -28% |
| Humana Military | Tricare-Physician-FAC | $47.65 | ↓ -26% |
| Humana Military | Tricare | $47.65 | ↓ -26% |
| Humana | Medicare Advantage-Physician-FAC | $52.31 | ↓ -19% |
| United Healthcare | All Products-Midlevel | $53.19 | ↓ -18% |
| Nomi | All Products | $65.55 | ↑ +1% |
| Blue Cross | GM Connected Care | $72.38 | ↑ +12% |
| Blue Cross | BCN Commercial-FAC | $80.42 | ↑ +24% |
| Priority Health | All Products | $81.91 | ↑ +27% |
| United Healthcare | All Products-Prof | $88.81 | ↑ +37% |
| Priority Health | Priority Cigna | $90.10 | ↑ +39% |
| HAP | HAP Caresource Medicaid-NONFAC | $551.24 | ↑ +753% |
| McLaren | Medicaid HMO-Child-NONFAC | $551.24 | ↑ +753% |
| Meridian | Medicaid HMO-Child-NONFAC | $551.24 | ↑ +753% |
| Meridian | Medicaid HMO-Adult-NONFAC | $551.24 | ↑ +753% |
| McLaren | Medicaid HMO-Adult-NONFAC | $551.24 | ↑ +753% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $551.24 | ↑ +753% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $551.24 | ↑ +753% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $562.26 | ↑ +770% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $562.26 | ↑ +770% |
| Molina | Medicaid HMO-Adult-NONFAC | $564.21 | ↑ +773% |
| Molina | Medicaid HMO-Child-NONFAC | $573.29 | ↑ +787% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $578.80 | ↑ +796% |
| Priority Health | Medicaid HMO-Child-NONFAC | $578.80 | ↑ +796% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $712.67 | ↑ +1003% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $784.71 | ↑ +1115% |
| Pace SE MI | Medicare Advantage-NONFAC | $796.52 | ↑ +1133% |
| Amerihealth Caritas | Dual Products-NONFAC | $821.67 | ↑ +1172% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $838.44 | ↑ +1198% |
| Aetna | Medicare Advantage-NONFAC | $838.44 | ↑ +1198% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $838.44 | ↑ +1198% |
| Blue Cross | Medicare Plus Blue-NONFAC | $838.44 | ↑ +1198% |
| HAP | HAP Dual Products-NONFAC | $838.44 | ↑ +1198% |
| HAP | Medicare Advantage-NONFAC | $838.44 | ↑ +1198% |
| HAP | Medicare Advantage-Physician-NONFAC | $838.44 | ↑ +1198% |
| McLaren | Medicare Advantage-NONFAC | $838.44 | ↑ +1198% |
| Meridian | Ambetter From Meridian-NONFAC | $838.44 | ↑ +1198% |
| Molina | Dual Product-NONFAC | $838.44 | ↑ +1198% |
| Molina | Medicare Advantage-NONFAC | $838.44 | ↑ +1198% |
| Priority Health | Medicare Advantage-NONFAC | $838.44 | ↑ +1198% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $838.44 | ↑ +1198% |
| United Healthcare | Medicare Advantage-NONFAC | $838.44 | ↑ +1198% |
| WellCare | Medicare Advantage-NONFAC | $838.44 | ↑ +1198% |
| Humana | Medicare Advantage-NONFAC | $855.21 | ↑ +1224% |
| HAP | HAP HMO_AHL_Fully-Insured | $1,169.10 | ↑ +1709% |
| Blue Cross | BCN Commercial-NONFAC | $1,304.34 | ↑ +1919% |
| Aetna | All Products-NONFAC | $1,316.38 | ↑ +1937% |
| HAP | HAP HMO_AHL_Fully Insured | $1,348.51 | ↑ +1987% |
| HAP | Self-Funded | $1,365.24 | ↑ +2013% |
| Blue Cross | BCBSM Commercial | $1,365.59 | ↑ +2014% |
| Priority Health | Commercial | $3,429.47 | ↑ +5208% |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| 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-MD | not published by hospital | — |
Visitor-reported prices
Comments
Cystourethro w/addl implant 52442 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $4,326.99 – $4,326.99 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $102.27 – $1,237.84 |
| Corewell Health Taylor | Taylor | not published | $102.74 – $430.89 |
| Corewell Health Trenton | Trenton | not published | $102.17 – $430.89 |
| Corewell Health Troy | Troy | not published | $115.33 – $1,231.88 |
| Corewell Health Wayne | Wayne | not published | $101.78 – $430.89 |
| Henry Ford Providence Novi Hospital | Novi | not published | $1,002.56 – $4,159.75 |
| Henry Ford St John Hospital | Detroit | not published | $2,680.32 – $2,680.32 |