Dest mal lesion tal <0.5 17260 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$275.88
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.
$242.00
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.
$37.70 with McLaren 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 |
|---|---|---|---|
| McLaren | Medicaid HMO-Child-FAC | $37.70 | ↓ -86% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $37.70 | ↓ -86% |
| Meridian | Medicaid HMO-Child-FAC | $37.70 | ↓ -86% |
| Meridian | Medicaid HMO-Adult-FAC | $37.70 | ↓ -86% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $37.70 | ↓ -86% |
| HAP | HAP Caresource Medicaid-FAC | $37.70 | ↓ -86% |
| McLaren | Medicaid HMO-Adult-FAC | $37.70 | ↓ -86% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $38.45 | ↓ -86% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $38.45 | ↓ -86% |
| Molina | Medicaid HMO-Adult-FAC | $39.21 | ↓ -86% |
| Molina | Medicaid HMO-Child-FAC | $39.21 | ↓ -86% |
| Priority Health | Medicaid HMO-Child-FAC | $39.59 | ↓ -86% |
| Priority Health | Medicaid HMO-Adult-FAC | $39.59 | ↓ -86% |
| ScriptGuideRX | All Products | $40.85 | ↓ -85% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $51.07 | ↓ -81% |
| Humana Military | Tricare-NonPhysician-FAC | $55.63 | ↓ -80% |
| Pace SE MI | Medicare Advantage-FAC | $57.08 | ↓ -79% |
| Amerihealth Caritas | Dual Products-FAC | $58.88 | ↓ -79% |
| United Healthcare | Medicare Advantage-FAC | $60.08 | ↓ -78% |
| Molina | Dual Product-FAC | $60.08 | ↓ -78% |
| United Healthcare | Medicare-Behavioral Health-FAC | $60.08 | ↓ -78% |
| HAP | Medicare Advantage-Physician-FAC | $60.08 | ↓ -78% |
| Blue Cross | BCN Medicare Advantage -FAC | $60.08 | ↓ -78% |
| Blue Cross | Medicare Plus Blue-FAC | $60.08 | ↓ -78% |
| Meridian | Ambetter From Meridian-FAC | $60.08 | ↓ -78% |
| McLaren | Medicare Advantage-FAC | $60.08 | ↓ -78% |
| Trinity Health Plan | Medicare Advantage-FAC | $60.08 | ↓ -78% |
| HAP | HAP Dual Products-FAC | $60.08 | ↓ -78% |
| Priority Health | Medicare Advantage-FAC | $60.08 | ↓ -78% |
| HAP | Medicare Advantage-FAC | $60.08 | ↓ -78% |
| Humana | Medicare Advantage-FAC | $60.08 | ↓ -78% |
| Molina | Medicare Advantage-FAC | $60.08 | ↓ -78% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $60.08 | ↓ -78% |
| WellCare | Medicare Advantage-FAC | $60.08 | ↓ -78% |
| Aetna | Medicare Advantage-FAC | $60.08 | ↓ -78% |
| McLaren | Medicaid HMO-Child-NONFAC | $61.77 | ↓ -78% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $61.77 | ↓ -78% |
| Meridian | Medicaid HMO-Child-NONFAC | $61.77 | ↓ -78% |
| Meridian | Medicaid HMO-Adult-NONFAC | $61.77 | ↓ -78% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $61.77 | ↓ -78% |
| HAP | HAP Caresource Medicaid-NONFAC | $61.77 | ↓ -78% |
| McLaren | Medicaid HMO-Adult-NONFAC | $61.77 | ↓ -78% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $63.01 | ↓ -77% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $63.01 | ↓ -77% |
| Molina | Medicaid HMO-Child-NONFAC | $64.24 | ↓ -77% |
| Priority Health | Medicaid HMO-Child-NONFAC | $64.86 | ↓ -76% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $64.86 | ↓ -76% |
| Humana Military | Tricare-Physician-FAC | $65.46 | ↓ -76% |
| Humana Military | Tricare | $65.46 | ↓ -76% |
| Molina | Medicaid HMO-Adult-NONFAC | $69.11 | ↓ -75% |
| Humana | Medicare Advantage-Physician-FAC | $71.86 | ↓ -74% |
| Blue Cross | GM Connected Care | $80.89 | ↓ -71% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $82.03 | ↓ -70% |
| Nomi | All Products | $84.11 | ↓ -70% |
| Blue Cross | BCN Commercial-FAC | $89.88 | ↓ -67% |
| Pace SE MI | Medicare Advantage-NONFAC | $91.68 | ↓ -67% |
| Amerihealth Caritas | Dual Products-NONFAC | $94.57 | ↓ -66% |
| McLaren | Medicare Advantage-NONFAC | $96.50 | ↓ -65% |
| Blue Cross | Medicare Plus Blue-NONFAC | $96.50 | ↓ -65% |
| Meridian | Ambetter From Meridian-NONFAC | $96.50 | ↓ -65% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $96.50 | ↓ -65% |
| HAP | Medicare Advantage-Physician-NONFAC | $96.50 | ↓ -65% |
| HAP | Medicare Advantage-NONFAC | $96.50 | ↓ -65% |
| Priority Health | Medicare Advantage-NONFAC | $96.50 | ↓ -65% |
| HAP | HAP Dual Products-NONFAC | $96.50 | ↓ -65% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $96.50 | ↓ -65% |
| United Healthcare | Medicare Advantage-NONFAC | $96.50 | ↓ -65% |
| Molina | Dual Product-NONFAC | $96.50 | ↓ -65% |
| Aetna | Medicare Advantage-NONFAC | $96.50 | ↓ -65% |
| WellCare | Medicare Advantage-NONFAC | $96.50 | ↓ -65% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $96.50 | ↓ -65% |
| Molina | Medicare Advantage-NONFAC | $96.50 | ↓ -65% |
| Priority Health | All Products | $97.54 | ↓ -65% |
| Humana | Medicare Advantage-NONFAC | $98.43 | ↓ -64% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $98.58 | ↓ -64% |
| HAP | HAP Caresource Medicaid | $107.20 | ↓ -61% |
| McLaren | Medicaid HMO | $107.20 | ↓ -61% |
| Meridian | Medicaid HMO | $107.20 | ↓ -61% |
| Priority Health | Medicaid HMO | $107.20 | ↓ -61% |
| Priority Health | Priority Cigna | $107.29 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $109.34 | ↓ -60% |
| Molina | Medicaid HMO | $112.91 | ↓ -59% |
| United Healthcare | All Products-Prof | $113.33 | ↓ -59% |
| HAP | Self-Funded | $114.01 | ↓ -59% |
| HAP | HAP HMO_AHL_Fully Insured | $114.25 | ↓ -59% |
| United Healthcare | UHC Commercial | $120.03 | ↓ -56% |
| HAP | HAP HMO_AHL_Fully-Insured | $125.51 | ↓ -55% |
| Blue Cross | BCN Commercial-NONFAC | $126.00 | ↓ -54% |
| Blue Cross | BCBSM Commercial | $126.42 | ↓ -54% |
| Aetna | All Products-NONFAC | $144.10 | ↓ -48% |
| United Healthcare | All Products-Midlevel | $146.90 | ↓ -47% |
| Multiplan | All Products | $159.72 | ↓ -42% |
| Cofinity | Commercial | $171.09 | ↓ -38% |
| United Healthcare | Baseline Benefit Plan | $176.42 | ↓ -36% |
| Pace SE MI | Medicare Advantage | $189.92 | ↓ -31% |
| HAP | HAP Dual Products | $194.68 | ↓ -29% |
| Amerihealth Caritas | Dual Products | $195.91 | ↓ -29% |
| Blue Cross | BCN Advantage | $199.91 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $199.91 | ↓ -28% |
| HAP | Medicare Advantage | $199.91 | ↓ -28% |
| McLaren | Medicare Advantage | $199.91 | ↓ -28% |
| Aetna | Medicare Advantage | $199.91 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $199.91 | ↓ -28% |
| WellCare | Medicare Advantage | $199.91 | ↓ -28% |
| United Healthcare | VACCN | $199.91 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $199.91 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $199.91 | ↓ -28% |
| Priority Health | Medicare Advantage | $199.91 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $199.91 | ↓ -28% |
| Humana | Medicare Advantage | $201.91 | ↓ -27% |
| Aetna | Dual Products | $219.90 | ↓ -20% |
| Blue Cross | BCBSM GM Connected Care | $233.93 | ↓ -15% |
| Blue Cross | BCN Commercial | $239.68 | ↓ -13% |
| BCN | HMO | $239.68 | ↓ -13% |
| HAP | Henry Ford Select -HPN commercial | $239.90 | ↓ -13% |
| Meridian | Ambetter From Meridian | $242.00 | ↓ -12% |
| Priority Health | Commercial | $242.00 | ↓ -12% |
| Vitalcore | All Products | $459.79 | ↑ +67% |
| Aetna | Commercial | $2,056.00 | ↑ +645% |
| United Healthcare | Commercial-Behavioral Health-RN | 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-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
Dest mal lesion tal <0.5 17260 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $275.88 | $37.70 – $242.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $275.88 | $37.70 – $459.79 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $275.88 | $37.70 – $240.90 |
| Corewell Health Big Rapids | Big Rapids | not published | $160.09 – $359.84 |
| Corewell Health Gerber | Fremont | not published | $160.09 – $160.09 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $202.08 – $303.12 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $199.91 – $303.31 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $137.48 – $359.84 |