Endoluminl ivus oct c ea at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$109.09
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.
$1,081.00
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.
$46.86 with Meridian vs $1,952.00 with United Healthcare — 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-NONFAC | $46.86 | ↓ -57% |
| Meridian | Medicaid HMO-Child-FAC | $46.86 | ↓ -57% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $46.86 | ↓ -57% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $46.86 | ↓ -57% |
| Meridian | Medicaid HMO-Adult-NONFAC | $46.86 | ↓ -57% |
| McLaren | Medicaid HMO-Adult-FAC | $46.86 | ↓ -57% |
| McLaren | Medicaid HMO-Adult-NONFAC | $46.86 | ↓ -57% |
| McLaren | Medicaid HMO-Child-FAC | $46.86 | ↓ -57% |
| McLaren | Medicaid HMO-Child-NONFAC | $46.86 | ↓ -57% |
| Meridian | Medicaid HMO-Adult-FAC | $46.86 | ↓ -57% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $46.86 | ↓ -57% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $46.86 | ↓ -57% |
| HAP | HAP Caresource Medicaid-FAC | $46.86 | ↓ -57% |
| HAP | HAP Caresource Medicaid-NONFAC | $46.86 | ↓ -57% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $47.80 | ↓ -56% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $47.80 | ↓ -56% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $47.80 | ↓ -56% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $47.80 | ↓ -56% |
| Molina | Medicaid HMO-Child-FAC | $48.73 | ↓ -55% |
| Molina | Medicaid HMO-Child-NONFAC | $48.73 | ↓ -55% |
| Molina | Medicaid HMO-Adult-FAC | $48.73 | ↓ -55% |
| Priority Health | Medicaid HMO-Child-NONFAC | $49.20 | ↓ -55% |
| Priority Health | Medicaid HMO-Adult-FAC | $49.20 | ↓ -55% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $49.20 | ↓ -55% |
| Priority Health | Medicaid HMO-Child-FAC | $49.20 | ↓ -55% |
| Molina | Medicaid HMO-Adult-NONFAC | $52.87 | ↓ -52% |
| ScriptGuideRX | All Products | $60.92 | ↓ -44% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $67.19 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $67.19 | ↓ -38% |
| Humana Military | Tricare-NonPhysician-FAC | $71.46 | ↓ -34% |
| Humana Military | Tricare-Physician-FAC | $71.46 | ↓ -34% |
| Pace SE MI | Medicare Advantage-FAC | $75.10 | ↓ -31% |
| Pace SE MI | Medicare Advantage-NONFAC | $75.10 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $77.47 | ↓ -29% |
| Amerihealth Caritas | Dual Products-NONFAC | $77.47 | ↓ -29% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $77.67 | ↓ -29% |
| Humana | Medicare Advantage-Physician-FAC | $78.45 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $79.05 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $79.05 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $79.05 | ↓ -28% |
| WellCare | Medicare Advantage-NONFAC | $79.05 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $79.05 | ↓ -28% |
| Aetna | Medicare Advantage-NONFAC | $79.05 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $79.05 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $79.05 | ↓ -28% |
| United Healthcare | Medicare Advantage-NONFAC | $79.05 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $79.05 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $79.05 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $79.05 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $79.05 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $79.05 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $79.05 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $79.05 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $79.05 | ↓ -28% |
| HAP | HAP Dual Products-NONFAC | $79.05 | ↓ -28% |
| Priority Health | Medicare Advantage-NONFAC | $79.05 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $79.05 | ↓ -28% |
| HAP | Medicare Advantage-NONFAC | $79.05 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $79.05 | ↓ -28% |
| HAP | Medicare Advantage-Physician-NONFAC | $79.05 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $79.05 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $79.05 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $79.05 | ↓ -28% |
| McLaren | Medicare Advantage-NONFAC | $79.05 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $79.05 | ↓ -28% |
| Meridian | Ambetter From Meridian-NONFAC | $79.05 | ↓ -28% |
| Molina | Dual Product-FAC | $79.05 | ↓ -28% |
| Molina | Dual Product-NONFAC | $79.05 | ↓ -28% |
| Molina | Medicare Advantage-NONFAC | $79.05 | ↓ -28% |
| Humana | Medicare Advantage-NONFAC | $80.63 | ↓ -26% |
| HAP | HAP HMO_AHL_Fully-Insured | $97.72 | ↓ -10% |
| United Healthcare | All Products-Midlevel | $98.87 | ↓ -9% |
| Priority Health | All Products | $104.61 | ↓ -4% |
| Blue Cross | GM Connected Care | $105.93 | ↓ -3% |
| Nomi | All Products | $110.67 | ↑ +1% |
| Priority Health | Priority Cigna | $115.07 | ↑ +5% |
| Blue Cross | BCBSM Commercial | $116.64 | ↑ +7% |
| Blue Cross | BCN Commercial-NONFAC | $117.70 | ↑ +8% |
| Blue Cross | BCN Commercial-FAC | $117.70 | ↑ +8% |
| Aetna | All Products-NONFAC | $124.39 | ↑ +14% |
| HAP | Self-Funded | $155.00 | ↑ +42% |
| United Healthcare | All Products-Prof | $169.47 | ↑ +55% |
| WellCare | Medicare Advantage | $277.28 | ↑ +154% |
| Molina | Dual MI Coordinated Health | $324.30 | ↑ +197% |
| Priority Health | Commercial | $328.24 | ↑ +201% |
| Amerihealth Caritas | Dual Products | $432.40 | ↑ +296% |
| HAP | HAP HMO_AHL_Fully Insured | $510.34 | ↑ +368% |
| Vitalcore | All Products | $540.50 | ↑ +395% |
| Aetna | Commercial | $691.30 | ↑ +534% |
| Multiplan | All Products | $713.46 | ↑ +554% |
| Cofinity | Commercial | $764.27 | ↑ +601% |
| BCN | HMO | $853.89 | ↑ +683% |
| Blue Cross | BCN Commercial | $853.89 | ↑ +683% |
| Blue Cross | BCBSM GM Connected Care | $1,081.00 | ↑ +891% |
| United Healthcare | UHC Commercial | $1,507.00 | ↑ +1281% |
| United Healthcare | Baseline Benefit Plan | $1,952.00 | ↑ +1689% |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Meridian | Ambetter From Meridian | 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 | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| Humana Military | Tricare | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Endoluminl ivus oct c ea at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $2,237.00 | not published |
| Corewell Health Gerber | Fremont | $2,237.00 | not published |
| Corewell Health Lakeland Watervliet | Watervliet | $3,782.00 | not published |
| Corewell Health Lakeland St. Joseph | St Joseph | $3,782.00 | $298.27 – $298.27 |
| Corewell Health Butterworth Hospital | Grand Rapids | $2,013.00 | $168.31 – $168.31 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $2,013.00 | $168.31 – $168.31 |
| Corewell Health Reed City | Po Box 75 | $2,237.00 | not published |
| Corewell Health Greenville | Greenville | $2,237.00 | not published |