Drainage of mouth lesion at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$2,133.48
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.
$1,931.00
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.
$131.63 with Meridian vs $3,555.80 with Vitalcore — 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 |
|---|---|---|---|
| Meridian | Medicaid HMO-Child-FAC | $131.63 | ↓ -94% |
| McLaren | Medicaid HMO-Adult-FAC | $131.63 | ↓ -94% |
| McLaren | Medicaid HMO-Child-FAC | $131.63 | ↓ -94% |
| HAP | HAP Caresource Medicaid-FAC | $131.63 | ↓ -94% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $131.63 | ↓ -94% |
| Meridian | Medicaid HMO-Adult-FAC | $131.63 | ↓ -94% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $131.63 | ↓ -94% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $134.26 | ↓ -94% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $134.26 | ↓ -94% |
| Molina | Medicaid HMO-Child-FAC | $136.90 | ↓ -94% |
| Molina | Medicaid HMO-Adult-FAC | $136.90 | ↓ -94% |
| Priority Health | Medicaid HMO-Child-FAC | $138.21 | ↓ -94% |
| Priority Health | Medicaid HMO-Adult-FAC | $138.21 | ↓ -94% |
| ScriptGuideRX | All Products | $143.81 | ↓ -93% |
| Humana Military | Tricare-NonPhysician-FAC | $176.35 | ↓ -92% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $179.78 | ↓ -92% |
| Pace SE MI | Medicare Advantage-FAC | $200.93 | ↓ -91% |
| Amerihealth Caritas | Dual Products-FAC | $207.28 | ↓ -90% |
| Humana Military | Tricare-Physician-FAC | $207.47 | ↓ -90% |
| Humana Military | Tricare | $207.47 | ↓ -90% |
| Molina | Medicare Advantage-FAC | $211.51 | ↓ -90% |
| Humana | Medicare Advantage-FAC | $211.51 | ↓ -90% |
| Molina | Dual Product-FAC | $211.51 | ↓ -90% |
| Blue Cross | Medicare Plus Blue-FAC | $211.51 | ↓ -90% |
| Meridian | Ambetter From Meridian-FAC | $211.51 | ↓ -90% |
| Priority Health | Medicare Advantage-FAC | $211.51 | ↓ -90% |
| McLaren | Medicare Advantage-FAC | $211.51 | ↓ -90% |
| United Healthcare | Medicare-Behavioral Health-FAC | $211.51 | ↓ -90% |
| Blue Cross | BCN Medicare Advantage -FAC | $211.51 | ↓ -90% |
| Trinity Health Plan | Medicare Advantage-FAC | $211.51 | ↓ -90% |
| HAP | HAP Dual Products-FAC | $211.51 | ↓ -90% |
| WellCare | Medicare Advantage-FAC | $211.51 | ↓ -90% |
| United Healthcare | Medicare Advantage-FAC | $211.51 | ↓ -90% |
| Aetna | Medicare Advantage-FAC | $211.51 | ↓ -90% |
| HAP | Medicare Advantage-Physician-FAC | $211.51 | ↓ -90% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $211.51 | ↓ -90% |
| HAP | Medicare Advantage-FAC | $211.51 | ↓ -90% |
| Meridian | Medicaid HMO-Child-NONFAC | $214.70 | ↓ -90% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $214.70 | ↓ -90% |
| Meridian | Medicaid HMO-Adult-NONFAC | $214.70 | ↓ -90% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $214.70 | ↓ -90% |
| McLaren | Medicaid HMO-Child-NONFAC | $214.70 | ↓ -90% |
| HAP | HAP Caresource Medicaid-NONFAC | $214.70 | ↓ -90% |
| McLaren | Medicaid HMO-Adult-NONFAC | $214.70 | ↓ -90% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $218.99 | ↓ -90% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $218.99 | ↓ -90% |
| Molina | Medicaid HMO-Child-NONFAC | $223.29 | ↓ -90% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $225.44 | ↓ -89% |
| Priority Health | Medicaid HMO-Child-NONFAC | $225.44 | ↓ -89% |
| Humana | Medicare Advantage-Physician-FAC | $227.76 | ↓ -89% |
| Molina | Medicaid HMO-Adult-NONFAC | $229.23 | ↓ -89% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $286.63 | ↓ -87% |
| Nomi | All Products | $296.11 | ↓ -86% |
| Pace SE MI | Medicare Advantage-NONFAC | $320.35 | ↓ -85% |
| Blue Cross | GM Connected Care | $325.95 | ↓ -85% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $325.97 | ↓ -85% |
| Amerihealth Caritas | Dual Products-NONFAC | $330.47 | ↓ -85% |
| Meridian | Ambetter From Meridian-NONFAC | $337.21 | ↓ -84% |
| Molina | Medicare Advantage-NONFAC | $337.21 | ↓ -84% |
| HAP | Medicare Advantage-Physician-NONFAC | $337.21 | ↓ -84% |
| HAP | Medicare Advantage-NONFAC | $337.21 | ↓ -84% |
| Priority Health | Medicare Advantage-NONFAC | $337.21 | ↓ -84% |
| HAP | HAP Dual Products-NONFAC | $337.21 | ↓ -84% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $337.21 | ↓ -84% |
| McLaren | Medicare Advantage-NONFAC | $337.21 | ↓ -84% |
| Blue Cross | Medicare Plus Blue-NONFAC | $337.21 | ↓ -84% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $337.21 | ↓ -84% |
| United Healthcare | Medicare Advantage-NONFAC | $337.21 | ↓ -84% |
| Molina | Dual Product-NONFAC | $337.21 | ↓ -84% |
| Aetna | Medicare Advantage-NONFAC | $337.21 | ↓ -84% |
| WellCare | Medicare Advantage-NONFAC | $337.21 | ↓ -84% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $337.21 | ↓ -84% |
| Humana | Medicare Advantage-NONFAC | $343.95 | ↓ -84% |
| Blue Cross | BCN Commercial-FAC | $362.17 | ↓ -83% |
| United Healthcare | All Products-Midlevel | $392.29 | ↓ -82% |
| Priority Health | All Products | $412.60 | ↓ -81% |
| Priority Health | Priority Cigna | $453.86 | ↓ -79% |
| United Healthcare | All Products-Prof | $469.61 | ↓ -78% |
| HAP | HAP HMO_AHL_Fully-Insured | $483.09 | ↓ -77% |
| Aetna | All Products-NONFAC | $512.04 | ↓ -76% |
| Blue Cross | BCBSM Commercial | $525.68 | ↓ -75% |
| Blue Cross | BCN Commercial-NONFAC | $529.94 | ↓ -75% |
| HAP | Self-Funded | $564.13 | ↓ -74% |
| Priority Health | Medicaid HMO | $829.05 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $829.05 | ↓ -61% |
| Meridian | Medicaid HMO | $829.05 | ↓ -61% |
| McLaren | Medicaid HMO | $829.05 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $845.63 | ↓ -60% |
| Molina | Medicaid HMO | $873.18 | ↓ -59% |
| HAP | HAP HMO_AHL_Fully Insured | $911.63 | ↓ -57% |
| United Healthcare | UHC Commercial | $957.78 | ↓ -55% |
| Multiplan | All Products | $1,274.46 | ↓ -40% |
| Cofinity | Commercial | $1,365.22 | ↓ -36% |
| United Healthcare | Baseline Benefit Plan | $1,407.70 | ↓ -34% |
| HAP | HAP Dual Products | $1,451.33 | ↓ -32% |
| Pace SE MI | Medicare Advantage | $1,468.70 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $1,515.08 | ↓ -29% |
| Trinity Health Plan | Medicare Advantage | $1,546.00 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $1,546.00 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $1,546.00 | ↓ -28% |
| McLaren | Medicare Advantage | $1,546.00 | ↓ -28% |
| Priority Health | Medicare Advantage | $1,546.00 | ↓ -28% |
| HAP | Medicare Advantage | $1,546.00 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $1,546.00 | ↓ -28% |
| Blue Cross | BCN Advantage | $1,546.00 | ↓ -28% |
| United Healthcare | VACCN | $1,546.00 | ↓ -28% |
| WellCare | Medicare Advantage | $1,546.00 | ↓ -28% |
| Aetna | Medicare Advantage | $1,546.00 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $1,546.00 | ↓ -28% |
| Humana | Medicare Advantage | $1,561.46 | ↓ -27% |
| Blue Cross | BCBSM GM Connected Care | $1,668.04 | ↓ -22% |
| Aetna | Dual Products | $1,700.60 | ↓ -20% |
| Blue Cross | BCN Commercial | $1,709.04 | ↓ -20% |
| BCN | HMO | $1,709.04 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $1,855.20 | ↓ -13% |
| Priority Health | Commercial | $1,887.01 | ↓ -12% |
| Meridian | Ambetter From Meridian | $1,931.00 | ↓ -9% |
| Aetna | Commercial | $2,056.00 | ↓ -4% |
| Vitalcore | All Products | $3,555.80 | ↑ +67% |
| Detroit Wayne Integrated Health | Medicaid HMO | 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 | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Drainage of mouth lesion at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $2,133.48 | $123.57 – $1,931.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $2,133.48 | $123.57 – $3,555.80 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $2,133.48 | $131.63 – $1,717.77 |
| Corewell Health Big Rapids | Big Rapids | not published | $956.13 – $2,782.81 |
| Corewell Health Gerber | Fremont | not published | $956.13 – $956.13 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $1,562.74 – $2,344.12 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $1,546.00 – $4,039.23 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $1,546.00 – $2,782.81 |