Drainage mouth roof lesion at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$325.68
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.
$538.00
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.
$63.26 with United Healthcare vs $2,877.00 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 |
|---|---|---|---|
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $63.26 | ↓ -81% |
| HAP | HAP Caresource Medicaid-FAC | $63.26 | ↓ -81% |
| Meridian | Medicaid HMO-Child-FAC | $63.26 | ↓ -81% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $63.26 | ↓ -81% |
| Meridian | Medicaid HMO-Adult-FAC | $63.26 | ↓ -81% |
| McLaren | Medicaid HMO-Adult-FAC | $63.26 | ↓ -81% |
| McLaren | Medicaid HMO-Child-FAC | $63.26 | ↓ -81% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $64.53 | ↓ -80% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $64.53 | ↓ -80% |
| Molina | Medicaid HMO-Child-FAC | $65.79 | ↓ -80% |
| Molina | Medicaid HMO-Adult-FAC | $65.79 | ↓ -80% |
| Priority Health | Medicaid HMO-Adult-FAC | $66.42 | ↓ -80% |
| Priority Health | Medicaid HMO-Child-FAC | $66.42 | ↓ -80% |
| ScriptGuideRX | All Products | $69.02 | ↓ -79% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $86.29 | ↓ -74% |
| Humana Military | Tricare-NonPhysician-FAC | $86.69 | ↓ -73% |
| Pace SE MI | Medicare Advantage-FAC | $96.44 | ↓ -70% |
| Amerihealth Caritas | Dual Products-FAC | $99.49 | ↓ -69% |
| Humana | Medicare Advantage-FAC | $101.52 | ↓ -69% |
| Trinity Health Plan | Medicare Advantage-FAC | $101.52 | ↓ -69% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $101.52 | ↓ -69% |
| Aetna | Medicare Advantage-FAC | $101.52 | ↓ -69% |
| Priority Health | Medicare Advantage-FAC | $101.52 | ↓ -69% |
| WellCare | Medicare Advantage-FAC | $101.52 | ↓ -69% |
| Molina | Medicare Advantage-FAC | $101.52 | ↓ -69% |
| Blue Cross | BCN Medicare Advantage -FAC | $101.52 | ↓ -69% |
| Molina | Dual Product-FAC | $101.52 | ↓ -69% |
| Blue Cross | Medicare Plus Blue-FAC | $101.52 | ↓ -69% |
| United Healthcare | Medicare-Behavioral Health-FAC | $101.52 | ↓ -69% |
| Meridian | Ambetter From Meridian-FAC | $101.52 | ↓ -69% |
| McLaren | Medicare Advantage-FAC | $101.52 | ↓ -69% |
| HAP | HAP Dual Products-FAC | $101.52 | ↓ -69% |
| United Healthcare | Medicare Advantage-FAC | $101.52 | ↓ -69% |
| HAP | Medicare Advantage-FAC | $101.52 | ↓ -69% |
| HAP | Medicare Advantage-Physician-FAC | $101.52 | ↓ -69% |
| Humana Military | Tricare | $101.98 | ↓ -69% |
| Humana Military | Tricare-Physician-FAC | $101.98 | ↓ -69% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $102.03 | ↓ -69% |
| Meridian | Medicaid HMO-Adult-NONFAC | $102.03 | ↓ -69% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $102.03 | ↓ -69% |
| HAP | HAP Caresource Medicaid-NONFAC | $102.03 | ↓ -69% |
| McLaren | Medicaid HMO-Child-NONFAC | $102.03 | ↓ -69% |
| McLaren | Medicaid HMO-Adult-NONFAC | $102.03 | ↓ -69% |
| Meridian | Medicaid HMO-Child-NONFAC | $102.03 | ↓ -69% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $104.07 | ↓ -68% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $104.07 | ↓ -68% |
| Molina | Medicaid HMO-Child-NONFAC | $106.11 | ↓ -67% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $107.13 | ↓ -67% |
| Priority Health | Medicaid HMO-Child-NONFAC | $107.13 | ↓ -67% |
| Molina | Medicaid HMO-Adult-NONFAC | $110.36 | ↓ -66% |
| Humana | Medicare Advantage-Physician-FAC | $111.96 | ↓ -66% |
| HAP | HAP Caresource Medicaid | $126.56 | ↓ -61% |
| Priority Health | Medicaid HMO | $126.56 | ↓ -61% |
| McLaren | Medicaid HMO | $126.56 | ↓ -61% |
| Meridian | Medicaid HMO | $126.56 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $129.09 | ↓ -60% |
| Molina | Medicaid HMO | $133.29 | ↓ -59% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $136.16 | ↓ -58% |
| Nomi | All Products | $142.13 | ↓ -56% |
| Pace SE MI | Medicare Advantage-NONFAC | $152.18 | ↓ -53% |
| Amerihealth Caritas | Dual Products-NONFAC | $156.99 | ↓ -52% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $157.74 | ↓ -52% |
| Blue Cross | GM Connected Care | $159.14 | ↓ -51% |
| United Healthcare | Medicare Advantage-NONFAC | $160.19 | ↓ -51% |
| Meridian | Ambetter From Meridian-NONFAC | $160.19 | ↓ -51% |
| McLaren | Medicare Advantage-NONFAC | $160.19 | ↓ -51% |
| Blue Cross | Medicare Plus Blue-NONFAC | $160.19 | ↓ -51% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $160.19 | ↓ -51% |
| Molina | Dual Product-NONFAC | $160.19 | ↓ -51% |
| HAP | HAP Dual Products-NONFAC | $160.19 | ↓ -51% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $160.19 | ↓ -51% |
| Molina | Medicare Advantage-NONFAC | $160.19 | ↓ -51% |
| WellCare | Medicare Advantage-NONFAC | $160.19 | ↓ -51% |
| HAP | Medicare Advantage-NONFAC | $160.19 | ↓ -51% |
| HAP | Medicare Advantage-Physician-NONFAC | $160.19 | ↓ -51% |
| Aetna | Medicare Advantage-NONFAC | $160.19 | ↓ -51% |
| Priority Health | Medicare Advantage-NONFAC | $160.19 | ↓ -51% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $160.19 | ↓ -51% |
| Humana | Medicare Advantage-NONFAC | $163.39 | ↓ -50% |
| Blue Cross | BCN Commercial-FAC | $176.82 | ↓ -46% |
| United Healthcare | All Products-Midlevel | $196.71 | ↓ -40% |
| Priority Health | All Products | $201.44 | ↓ -38% |
| HAP | HAP HMO_AHL_Fully-Insured | $211.63 | ↓ -35% |
| Priority Health | Priority Cigna | $221.58 | ↓ -32% |
| Pace SE MI | Medicare Advantage | $224.20 | ↓ -31% |
| HAP | HAP Dual Products | $227.52 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $231.28 | ↓ -29% |
| United Healthcare | All Products-Prof | $235.48 | ↓ -28% |
| United Healthcare | VACCN | $236.00 | ↓ -28% |
| Blue Cross | BCN Advantage | $236.00 | ↓ -28% |
| WellCare | Medicare Advantage | $236.00 | ↓ -28% |
| Priority Health | Medicare Advantage | $236.00 | ↓ -28% |
| Aetna | Medicare Advantage | $236.00 | ↓ -28% |
| HAP | Medicare Advantage | $236.00 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $236.00 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $236.00 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $236.00 | ↓ -28% |
| McLaren | Medicare Advantage | $236.00 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $236.00 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $236.00 | ↓ -28% |
| Humana | Medicare Advantage | $238.36 | ↓ -27% |
| HAP | Self-Funded | $247.13 | ↓ -24% |
| Aetna | All Products-NONFAC | $252.31 | ↓ -23% |
| HAP | HAP HMO_AHL_Fully Insured | $253.99 | ↓ -22% |
| Blue Cross | BCN Commercial-NONFAC | $255.12 | ↓ -22% |
| Blue Cross | BCBSM Commercial | $258.84 | ↓ -21% |
| Aetna | Dual Products | $259.60 | ↓ -20% |
| United Healthcare | UHC Commercial | $266.85 | ↓ -18% |
| HAP | Henry Ford Select -HPN commercial | $283.20 | ↓ -13% |
| Meridian | Ambetter From Meridian | $318.60 | ↓ -2% |
| Multiplan | All Products | $355.08 | ↑ +9% |
| Priority Health | Commercial | $361.82 | ↑ +11% |
| Cofinity | Commercial | $380.37 | ↑ +17% |
| United Healthcare | Baseline Benefit Plan | $392.20 | ↑ +20% |
| Blue Cross | BCBSM GM Connected Care | $434.43 | ↑ +33% |
| Blue Cross | BCN Commercial | $445.11 | ↑ +37% |
| BCN | HMO | $445.11 | ↑ +37% |
| Vitalcore | All Products | $542.80 | ↑ +67% |
| Aetna | Commercial | $2,877.00 | ↑ +783% |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | 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
Drainage mouth roof lesion at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $299.00 | $236.00 – $433.87 |
| Corewell Health Gerber | Fremont | $299.00 | $433.87 – $433.87 |
| Corewell Health Lakeland Watervliet | Watervliet | $547.00 | not published |
| Corewell Health Lakeland St. Joseph | St Joseph | $547.00 | $236.00 – $754.00 |
| Corewell Health Butterworth Hospital | Grand Rapids | $324.00 | $171.38 – $424.80 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $324.00 | $171.38 – $424.80 |
| Corewell Health Reed City | Po Box 75 | $299.00 | not published |
| Corewell Health Greenville | Greenville | $299.00 | $236.00 – $433.87 |