Dlyd plmt xtn prosth ea addl at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$409.79
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.
$1,030.00
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.
$164.77 with Priority Health vs $1,833.70 with BCN — 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 |
|---|---|---|---|
| Priority Health | Commercial | $164.77 | ↓ -60% |
| McLaren | Medicaid HMO-Child-FAC | $168.48 | ↓ -59% |
| Meridian | Medicaid HMO-Child-FAC | $168.48 | ↓ -59% |
| Meridian | Medicaid HMO-Adult-FAC | $168.48 | ↓ -59% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $168.48 | ↓ -59% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $168.48 | ↓ -59% |
| HAP | HAP Caresource Medicaid-FAC | $168.48 | ↓ -59% |
| McLaren | Medicaid HMO-Adult-FAC | $168.48 | ↓ -59% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $171.85 | ↓ -58% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $171.85 | ↓ -58% |
| Molina | Medicaid HMO-Child-FAC | $175.22 | ↓ -57% |
| Molina | Medicaid HMO-Adult-FAC | $175.22 | ↓ -57% |
| Priority Health | Medicaid HMO-Child-FAC | $176.90 | ↓ -57% |
| Priority Health | Medicaid HMO-Adult-FAC | $176.90 | ↓ -57% |
| ScriptGuideRX | All Products | $219.02 | ↓ -47% |
| Humana Military | Tricare-NonPhysician-FAC | $244.35 | ↓ -40% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $252.41 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $252.41 | ↓ -38% |
| Pace SE MI | Medicare Advantage-FAC | $282.10 | ↓ -31% |
| Pace SE MI | Medicare Advantage-NONFAC | $282.10 | ↓ -31% |
| Humana Military | Tricare-Physician-FAC | $287.47 | ↓ -30% |
| Humana Military | Tricare | $287.47 | ↓ -30% |
| Amerihealth Caritas | Dual Products-FAC | $291.01 | ↓ -29% |
| Amerihealth Caritas | Dual Products-NONFAC | $291.01 | ↓ -29% |
| Molina | Medicare Advantage-FAC | $296.95 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $296.95 | ↓ -28% |
| Aetna | Medicare Advantage-NONFAC | $296.95 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $296.95 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $296.95 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $296.95 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $296.95 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $296.95 | ↓ -28% |
| HAP | HAP Dual Products-NONFAC | $296.95 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $296.95 | ↓ -28% |
| HAP | Medicare Advantage-NONFAC | $296.95 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $296.95 | ↓ -28% |
| HAP | Medicare Advantage-Physician-NONFAC | $296.95 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $296.95 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $296.95 | ↓ -28% |
| McLaren | Medicare Advantage-NONFAC | $296.95 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $296.95 | ↓ -28% |
| Meridian | Ambetter From Meridian-NONFAC | $296.95 | ↓ -28% |
| Molina | Dual Product-FAC | $296.95 | ↓ -28% |
| Molina | Dual Product-NONFAC | $296.95 | ↓ -28% |
| Molina | Medicare Advantage-NONFAC | $296.95 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $296.95 | ↓ -28% |
| Priority Health | Medicare Advantage-NONFAC | $296.95 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $296.95 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $296.95 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $296.95 | ↓ -28% |
| United Healthcare | Medicare Advantage-NONFAC | $296.95 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $296.95 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $296.95 | ↓ -28% |
| WellCare | Medicare Advantage-NONFAC | $296.95 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $296.95 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $296.95 | ↓ -28% |
| Humana | Medicare Advantage-NONFAC | $302.89 | ↓ -26% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $312.47 | ↓ -24% |
| Humana | Medicare Advantage-Physician-FAC | $315.59 | ↓ -23% |
| United Healthcare | All Products-Midlevel | $317.72 | ↓ -22% |
| Blue Cross | GM Connected Care | $412.71 | ↑ +1% |
| Nomi | All Products | $415.73 | ↑ +1% |
| HAP | HAP HMO_AHL_Fully-Insured | $431.24 | ↑ +5% |
| Blue Cross | BCBSM Commercial | $456.97 | ↑ +12% |
| Blue Cross | BCN Commercial-NONFAC | $458.57 | ↑ +12% |
| Blue Cross | BCN Commercial-FAC | $458.57 | ↑ +12% |
| Priority Health | All Products | $461.07 | ↑ +13% |
| HAP | HAP HMO_AHL_Fully Insured | $497.42 | ↑ +21% |
| HAP | Self-Funded | $503.59 | ↑ +23% |
| Priority Health | Priority Cigna | $507.18 | ↑ +24% |
| Aetna | All Products-NONFAC | $507.81 | ↑ +24% |
| United Healthcare | All Products-Prof | $566.83 | ↑ +38% |
| Blue Cross | BCBSM GM Connected Care | $1,435.98 | ↑ +250% |
| Blue Cross | BCN Commercial | $1,487.49 | ↑ +263% |
| BCN | HMO | $1,833.70 | ↑ +347% |
| 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 | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
Visitor-reported prices
Comments
Dlyd plmt xtn prosth ea addl at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $409.79 | $164.77 – $1,814.68 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $409.79 | $164.77 – $1,828.92 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $409.79 | $164.77 – $1,496.95 |
| Henry Ford St John Hospital | Detroit | $386.96 | $447.77 – $861.28 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $456.60 – $583.18 |
| Corewell Health Taylor | Taylor | not published | $585.83 – $585.83 |
| Corewell Health Trenton | Trenton | not published | $582.57 – $582.57 |
| Corewell Health Troy | Troy | not published | $454.40 – $657.64 |