Diagnostic digital breast tomosynthesis bil at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
not published by hospital
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.
$182.00
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.
$35.62 with HAP vs $292.48 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 |
|---|---|---|---|
| HAP | HAP HMO_AHL_Fully-Insured | $35.62 | — |
| United Healthcare | All Products-Midlevel | $40.85 | — |
| United Healthcare | All Products-Prof | $40.85 | — |
| Humana | Medicare Advantage-Physician-FAC | $46.61 | — |
| WellCare | Medicare Advantage | $46.68 | — |
| Molina | Dual MI Coordinated Health | $54.60 | — |
| Blue Cross | GM Connected Care | $57.04 | — |
| Amerihealth Caritas | Dual Products-FAC | $60.00 | — |
| Amerihealth Caritas | Dual Products-NONFAC | $60.00 | — |
| United Healthcare | VACCN-NONFAC | $60.47 | — |
| Blue Cross | BCBSM Commercial | $62.64 | — |
| Blue Cross | BCN Commercial-NONFAC | $63.38 | — |
| Blue Cross | BCN Commercial-FAC | $63.38 | — |
| Humana Military | Tricare-NonPhysician-FAC | $68.36 | — |
| Humana Military | Tricare-Physician-FAC | $68.36 | — |
| Aetna | All Products-NONFAC | $69.69 | — |
| Priority Health | All Products | $70.25 | — |
| Amerihealth Caritas | Dual Products | $72.80 | — |
| HAP | Self-Funded | $75.00 | — |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $75.00 | — |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $75.00 | — |
| Priority Health | Priority Cigna | $77.28 | — |
| Blue Cross | BCBSM GM Connected Care | $79.03 | — |
| Nomi | All Products | $79.75 | — |
| Blue Cross | BCN Commercial | $81.87 | — |
| BCN | HMO | $81.87 | — |
| United Healthcare | UHC Commercial | $90.27 | — |
| Vitalcore | All Products | $91.00 | — |
| Blue Cross | BCN Medicare Advantage -NONFAC | $97.50 | — |
| Blue Cross | BCN Medicare Advantage -FAC | $97.50 | — |
| Blue Cross | Medicare Plus Blue-FAC | $97.50 | — |
| Blue Cross | Medicare Plus Blue-NONFAC | $97.50 | — |
| HAP | HAP HMO_AHL_Fully Insured | $107.36 | — |
| Humana Military | Tricare | $112.53 | — |
| Multiplan | All Products | $120.12 | — |
| Cofinity | Commercial | $128.67 | — |
| United Healthcare | Baseline Benefit Plan | $132.68 | — |
| Priority Health | Commercial | $182.00 | — |
| Aetna | Commercial | $292.48 | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| ScriptGuideRX | All Products | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| Blue Cross | BCN 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 | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | 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 | — |
| McLaren | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic digital breast tomosynthesis bil at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $296.01 – $296.01 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $217.76 – $217.76 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $217.76 – $217.76 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $65.59 – $115.16 |
| Corewell Health Taylor | Taylor | not published | $69.48 – $115.16 |
| Corewell Health Trenton | Trenton | not published | $66.18 – $115.16 |
| Corewell Health Troy | Troy | not published | $74.75 – $115.16 |
| Corewell Health Wayne | Wayne | not published | $65.44 – $115.16 |