Endoluminal bx biliary tree at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$179.39
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.
$470.00
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.
$78.38 with Meridian vs $3,466.30 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 |
|---|---|---|---|
| Meridian | Medicaid HMO-Adult-FAC | $78.38 | ↓ -56% |
| HAP | HAP Caresource Medicaid-FAC | $78.38 | ↓ -56% |
| McLaren | Medicaid HMO-Child-FAC | $78.38 | ↓ -56% |
| McLaren | Medicaid HMO-Adult-FAC | $78.38 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $78.38 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $78.38 | ↓ -56% |
| Meridian | Medicaid HMO-Child-FAC | $78.38 | ↓ -56% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $79.95 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $79.95 | ↓ -55% |
| Molina | Medicaid HMO-Adult-FAC | $81.52 | ↓ -55% |
| Molina | Medicaid HMO-Child-FAC | $81.52 | ↓ -55% |
| Priority Health | Medicaid HMO-Adult-FAC | $82.30 | ↓ -54% |
| Priority Health | Medicaid HMO-Child-FAC | $82.30 | ↓ -54% |
| ScriptGuideRX | All Products | $101.89 | ↓ -43% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $110.49 | ↓ -38% |
| Humana Military | Tricare-NonPhysician-FAC | $110.66 | ↓ -38% |
| Pace SE MI | Medicare Advantage-FAC | $123.49 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $127.39 | ↓ -29% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $129.99 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $129.99 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $129.99 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $129.99 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $129.99 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $129.99 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $129.99 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $129.99 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $129.99 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $129.99 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $129.99 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $129.99 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $129.99 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $129.99 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $129.99 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $129.99 | ↓ -28% |
| Molina | Dual Product-FAC | $129.99 | ↓ -28% |
| Humana Military | Tricare | $130.19 | ↓ -27% |
| Humana Military | Tricare-Physician-FAC | $130.19 | ↓ -27% |
| Humana | Medicare Advantage-Physician-FAC | $142.93 | ↓ -20% |
| Nomi | All Products | $181.99 | ↑ +1% |
| Blue Cross | GM Connected Care | $199.88 | ↑ +11% |
| Blue Cross | BCN Commercial-FAC | $222.09 | ↑ +24% |
| HAP | HAP Caresource Medicaid-NONFAC | $238.35 | ↑ +33% |
| McLaren | Medicaid HMO-Child-NONFAC | $238.35 | ↑ +33% |
| Meridian | Medicaid HMO-Child-NONFAC | $238.35 | ↑ +33% |
| McLaren | Medicaid HMO-Adult-NONFAC | $238.35 | ↑ +33% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $238.35 | ↑ +33% |
| Meridian | Medicaid HMO-Adult-NONFAC | $238.35 | ↑ +33% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $238.35 | ↑ +33% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $243.12 | ↑ +36% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $243.12 | ↑ +36% |
| Molina | Medicaid HMO-Child-NONFAC | $247.88 | ↑ +38% |
| Priority Health | Medicaid HMO-Child-NONFAC | $250.27 | ↑ +40% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $250.27 | ↑ +40% |
| Priority Health | All Products | $253.01 | ↑ +41% |
| United Healthcare | All Products-Midlevel | $254.33 | ↑ +42% |
| Molina | Medicaid HMO-Adult-NONFAC | $261.25 | ↑ +46% |
| Priority Health | Priority Cigna | $278.31 | ↑ +55% |
| United Healthcare | All Products-Prof | $304.46 | ↑ +70% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $316.24 | ↑ +76% |
| Pace SE MI | Medicare Advantage-NONFAC | $353.45 | ↑ +97% |
| Amerihealth Caritas | Dual Products-NONFAC | $364.61 | ↑ +103% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $370.19 | ↑ +106% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $372.05 | ↑ +107% |
| Aetna | Medicare Advantage-NONFAC | $372.05 | ↑ +107% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $372.05 | ↑ +107% |
| Blue Cross | Medicare Plus Blue-NONFAC | $372.05 | ↑ +107% |
| HAP | HAP Dual Products-NONFAC | $372.05 | ↑ +107% |
| HAP | Medicare Advantage-NONFAC | $372.05 | ↑ +107% |
| HAP | Medicare Advantage-Physician-NONFAC | $372.05 | ↑ +107% |
| McLaren | Medicare Advantage-NONFAC | $372.05 | ↑ +107% |
| Meridian | Ambetter From Meridian-NONFAC | $372.05 | ↑ +107% |
| Molina | Dual Product-NONFAC | $372.05 | ↑ +107% |
| Molina | Medicare Advantage-NONFAC | $372.05 | ↑ +107% |
| Priority Health | Medicare Advantage-NONFAC | $372.05 | ↑ +107% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $372.05 | ↑ +107% |
| United Healthcare | Medicare Advantage-NONFAC | $372.05 | ↑ +107% |
| WellCare | Medicare Advantage-NONFAC | $372.05 | ↑ +107% |
| Humana | Medicare Advantage-NONFAC | $379.49 | ↑ +112% |
| Blue Cross | BCN Commercial-NONFAC | $603.97 | ↑ +237% |
| Aetna | All Products-NONFAC | $610.39 | ↑ +240% |
| Blue Cross | BCBSM Commercial | $615.15 | ↑ +243% |
| Priority Health | Commercial | $1,257.23 | ↑ +601% |
| HAP | HAP HMO_AHL_Fully-Insured | $1,697.21 | ↑ +846% |
| HAP | HAP HMO_AHL_Fully Insured | $1,957.67 | ↑ +991% |
| HAP | Self-Funded | $1,981.95 | ↑ +1005% |
| Blue Cross | BCBSM GM Connected Care | $2,714.47 | ↑ +1413% |
| Blue Cross | BCN Commercial | $2,811.84 | ↑ +1467% |
| BCN | HMO | $3,466.30 | ↑ +1832% |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
Visitor-reported prices
Comments
Endoluminal bx biliary tree at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $2,236.00 | not published |
| Corewell Health Gerber | Fremont | $2,236.00 | not published |
| Corewell Health Butterworth Hospital | Grand Rapids | $2,548.00 | not published |
| Corewell Health Blodgett Hospital | East Grand Rapids | $2,548.00 | not published |
| Corewell Health Reed City | Po Box 75 | $2,236.00 | not published |
| Corewell Health Greenville | Greenville | $2,236.00 | not published |
| Corewell Health Zeeland | Zeeland | $2,236.00 | not published |
| Corewell Health Gross Pointe | Grosse Pointe | $14,108.00 | $282.44 – $1,797.00 |