Diagnostic radio unlisted proc at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$119.66
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.
?
What you pay up front if you don't use insurance.
$1,717.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$45.35 with ScriptGuideRX vs $1,534.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| ScriptGuideRX | All Products | $45.35 | ↓ -62% |
| HAP | HAP Caresource Medicaid | $46.50 | ↓ -61% |
| McLaren | Medicaid HMO | $46.50 | ↓ -61% |
| Meridian | Medicaid HMO | $46.50 | ↓ -61% |
| Priority Health | Medicaid HMO | $46.50 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $47.43 | ↓ -60% |
| Molina | Medicaid HMO | $48.97 | ↓ -59% |
| Pace SE MI | Medicare Advantage | $82.38 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $84.98 | ↓ -29% |
| HAP | HAP Dual Products | $86.27 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $86.71 | ↓ -28% |
| McLaren | Medicare Advantage | $86.71 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $86.71 | ↓ -28% |
| WellCare | Medicare Advantage | $86.71 | ↓ -28% |
| United Healthcare | VACCN | $86.71 | ↓ -28% |
| Blue Cross | BCN Advantage | $86.71 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $86.71 | ↓ -28% |
| Priority Health | Medicare Advantage | $86.71 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $86.71 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $86.71 | ↓ -28% |
| HAP | Medicare Advantage | $86.71 | ↓ -28% |
| Aetna | Medicare Advantage | $86.71 | ↓ -28% |
| Priority Health | Commercial | $86.91 | ↓ -27% |
| Humana | Medicare Advantage | $87.58 | ↓ -27% |
| Amerihealth Caritas | Dual Products-NONFAC | $88.00 | ↓ -26% |
| Amerihealth Caritas | Dual Products-FAC | $88.00 | ↓ -26% |
| Aetna | Dual Products | $95.38 | ↓ -20% |
| Aetna | Commercial | $103.60 | ↓ -13% |
| HAP | Henry Ford Select -HPN commercial | $104.05 | ↓ -13% |
| Multiplan | All Products | $106.92 | ↓ -11% |
| HAP | HAP HMO_AHL_Fully-Insured | $110.00 | ↓ -8% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $110.00 | ↓ -8% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $110.00 | ↓ -8% |
| HAP | Self-Funded | $110.00 | ↓ -8% |
| Cofinity | Commercial | $114.53 | ↓ -4% |
| Meridian | Ambetter From Meridian | $117.06 | ↓ -2% |
| Priority Health | Priority Cigna | $126.28 | ↑ +6% |
| Blue Cross | BCN Medicare Advantage -FAC | $143.00 | ↑ +20% |
| Blue Cross | Medicare Plus Blue-FAC | $143.00 | ↑ +20% |
| Blue Cross | Medicare Plus Blue-NONFAC | $143.00 | ↑ +20% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $143.00 | ↑ +20% |
| Humana Military | Tricare-NonPhysician-FAC | $154.00 | ↑ +29% |
| Nomi | All Products | $159.55 | ↑ +33% |
| Vitalcore | All Products | $199.43 | ↑ +67% |
| HAP | HAP HMO_AHL_Fully Insured | $356.53 | ↑ +198% |
| United Healthcare | UHC Commercial | $1,310.00 | ↑ +995% |
| United Healthcare | Baseline Benefit Plan | $1,534.00 | ↑ +1182% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | not published by hospital | — |
| Humana Military | Tricare | 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 | BCN Commercial | 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 | — |
| Blue Cross | BCBSM GM Connected Care | not published by hospital | — |
| Blue Cross | BCBSM Commercial | not published by hospital | — |
| BCN | HMO | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
Visitor-reported prices
Comments
Diagnostic radio unlisted proc at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $119.66 | $45.35 – $169.08 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $119.66 | $45.35 – $199.43 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $119.66 | $45.35 – $159.55 |
| Corewell Health Big Rapids | Big Rapids | not published | $86.71 – $156.08 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $87.65 – $131.48 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $86.71 – $130.07 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $86.71 – $156.08 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $86.71 – $156.08 |