healthcosts.net
Egd w/transmural drain cyst at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$8,347.72
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.
$3,187.00
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.
$218.11 with McLaren vs $13,912.86 with Vitalcore — 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 |
|---|---|---|---|
| McLaren | Medicaid HMO-Adult-FAC | $218.11 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $218.11 | ↓ -97% |
| HAP | HAP Caresource Medicaid-FAC | $218.11 | ↓ -97% |
| Meridian | Medicaid HMO-Child-FAC | $218.11 | ↓ -97% |
| Meridian | Medicaid HMO-Adult-FAC | $218.11 | ↓ -97% |
| McLaren | Medicaid HMO-Child-FAC | $218.11 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $218.11 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $222.47 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $222.47 | ↓ -97% |
| Molina | Medicaid HMO-Child-FAC | $226.83 | ↓ -97% |
| Molina | Medicaid HMO-Adult-FAC | $226.83 | ↓ -97% |
| Priority Health | Medicaid HMO-Adult-FAC | $229.02 | ↓ -97% |
| Priority Health | Medicaid HMO-Child-FAC | $229.02 | ↓ -97% |
| ScriptGuideRX | All Products | $242.88 | ↓ -97% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $303.65 | ↓ -96% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $303.65 | ↓ -96% |
| Humana Military | Tricare-NonPhysician-FAC | $306.26 | ↓ -96% |
| Pace SE MI | Medicare Advantage-FAC | $339.37 | ↓ -96% |
| Pace SE MI | Medicare Advantage-NONFAC | $339.37 | ↓ -96% |
| Amerihealth Caritas | Dual Products-FAC | $350.09 | ↓ -96% |
| Amerihealth Caritas | Dual Products-NONFAC | $350.09 | ↓ -96% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $357.23 | ↓ -96% |
| Aetna | Medicare Advantage-FAC | $357.23 | ↓ -96% |
| Aetna | Medicare Advantage-NONFAC | $357.23 | ↓ -96% |
| Blue Cross | BCN Medicare Advantage -FAC | $357.23 | ↓ -96% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $357.23 | ↓ -96% |
| Blue Cross | Medicare Plus Blue-FAC | $357.23 | ↓ -96% |
| Blue Cross | Medicare Plus Blue-NONFAC | $357.23 | ↓ -96% |
| HAP | HAP Dual Products-FAC | $357.23 | ↓ -96% |
| HAP | HAP Dual Products-NONFAC | $357.23 | ↓ -96% |
| HAP | Medicare Advantage-FAC | $357.23 | ↓ -96% |
| HAP | Medicare Advantage-NONFAC | $357.23 | ↓ -96% |
| HAP | Medicare Advantage-Physician-FAC | $357.23 | ↓ -96% |
| HAP | Medicare Advantage-Physician-NONFAC | $357.23 | ↓ -96% |
| Humana | Medicare Advantage-FAC | $357.23 | ↓ -96% |
| McLaren | Medicare Advantage-FAC | $357.23 | ↓ -96% |
| McLaren | Medicare Advantage-NONFAC | $357.23 | ↓ -96% |
| Meridian | Ambetter From Meridian-FAC | $357.23 | ↓ -96% |
| Meridian | Ambetter From Meridian-NONFAC | $357.23 | ↓ -96% |
| Molina | Dual Product-FAC | $357.23 | ↓ -96% |
| Molina | Dual Product-NONFAC | $357.23 | ↓ -96% |
| Molina | Medicare Advantage-FAC | $357.23 | ↓ -96% |
| Molina | Medicare Advantage-NONFAC | $357.23 | ↓ -96% |
| Priority Health | Medicare Advantage-FAC | $357.23 | ↓ -96% |
| Priority Health | Medicare Advantage-NONFAC | $357.23 | ↓ -96% |
| Trinity Health Plan | Medicare Advantage-FAC | $357.23 | ↓ -96% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $357.23 | ↓ -96% |
| United Healthcare | Medicare Advantage-FAC | $357.23 | ↓ -96% |
| United Healthcare | Medicare Advantage-NONFAC | $357.23 | ↓ -96% |
| United Healthcare | Medicare-Behavioral Health-FAC | $357.23 | ↓ -96% |
| WellCare | Medicare Advantage-FAC | $357.23 | ↓ -96% |
| WellCare | Medicare Advantage-NONFAC | $357.23 | ↓ -96% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $357.23 | ↓ -96% |
| Humana Military | Tricare-Physician-FAC | $360.31 | ↓ -96% |
| Humana Military | Tricare | $360.31 | ↓ -96% |
| Humana | Medicare Advantage-NONFAC | $364.37 | ↓ -96% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $391.64 | ↓ -95% |
| Humana | Medicare Advantage-Physician-FAC | $395.56 | ↓ -95% |
| Nomi | All Products | $500.12 | ↓ -94% |
| HAP | HAP HMO_AHL_Fully-Insured | $551.94 | ↓ -93% |
| Blue Cross | GM Connected Care | $553.16 | ↓ -93% |
| Blue Cross | BCN Commercial-NONFAC | $614.62 | ↓ -93% |
| Blue Cross | BCN Commercial-FAC | $614.62 | ↓ -93% |
| Blue Cross | BCBSM Commercial | $614.62 | ↓ -93% |
| Aetna | All Products-NONFAC | $617.39 | ↓ -93% |
| HAP | Self-Funded | $644.54 | ↓ -92% |
| United Healthcare | All Products-Midlevel | $696.69 | ↓ -92% |
| Priority Health | All Products | $700.20 | ↓ -92% |
| Priority Health | Priority Cigna | $770.22 | ↓ -91% |
| United Healthcare | All Products-Prof | $834.01 | ↓ -90% |
| HAP | HAP HMO_AHL_Fully Insured | $1,504.58 | ↓ -82% |
| United Healthcare | UHC Commercial | $1,580.75 | ↓ -81% |
| Multiplan | All Products | $2,103.42 | ↓ -75% |
| Cofinity | Commercial | $2,253.21 | ↓ -73% |
| United Healthcare | Baseline Benefit Plan | $2,323.32 | ↓ -72% |
| Blue Cross | BCBSM GM Connected Care | $2,349.79 | ↓ -72% |
| Blue Cross | BCN Commercial | $2,407.56 | ↓ -71% |
| BCN | HMO | $2,407.56 | ↓ -71% |
| Aetna | Commercial | $2,877.00 | ↓ -66% |
| Meridian | Ambetter From Meridian | $3,187.00 | ↓ -62% |
| Priority Health | Commercial | $3,187.00 | ↓ -62% |
| HAP | Medicare Advantage | $3,187.00 | ↓ -62% |
| HAP | Henry Ford Select -HPN commercial | $3,187.00 | ↓ -62% |
| Humana | Medicare Advantage | $3,187.00 | ↓ -62% |
| Meridian | Medicaid HMO | $3,243.85 | ↓ -61% |
| Priority Health | Medicaid HMO | $3,243.85 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $3,243.85 | ↓ -61% |
| McLaren | Medicaid HMO | $3,243.85 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $3,308.73 | ↓ -60% |
| Molina | Medicaid HMO | $3,416.51 | ↓ -59% |
| Pace SE MI | Medicare Advantage | $5,746.61 | ↓ -31% |
| HAP | HAP Dual Products | $5,832.44 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $5,928.09 | ↓ -29% |
| McLaren | Medicare Advantage | $6,049.07 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $6,049.07 | ↓ -28% |
| United Healthcare | VACCN | $6,049.07 | ↓ -28% |
| Priority Health | Medicare Advantage | $6,049.07 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $6,049.07 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $6,049.07 | ↓ -28% |
| Blue Cross | BCN Advantage | $6,049.07 | ↓ -28% |
| WellCare | Medicare Advantage | $6,049.07 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $6,049.07 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $6,049.07 | ↓ -28% |
| Aetna | Medicare Advantage | $6,049.07 | ↓ -28% |
| Aetna | Dual Products | $6,653.97 | ↓ -20% |
| Vitalcore | All Products | $13,912.86 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| 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 | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Egd w/transmural drain cyst at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $8,347.72 | $218.11 – $3,187.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $8,347.72 | $218.11 – $13,912.86 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $8,347.72 | $218.11 – $2,419.85 |
| Corewell Health Big Rapids | Big Rapids | not published | $2,002.90 – $10,888.32 |
| Corewell Health Gerber | Fremont | not published | $2,002.90 – $2,002.90 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $3,974.83 – $9,073.60 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $2,032.81 – $10,888.32 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $2,032.81 – $10,888.32 |