healthcosts.net
ER Visit (level 4) at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$573.75
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.
$1,731.00
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.
$75.40 with United Healthcare vs $1,424.00 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 |
|---|---|---|---|
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $75.40 | ↓ -87% |
| HAP | HAP Caresource Medicaid-FAC | $75.40 | ↓ -87% |
| Meridian | Medicaid HMO-Adult-FAC | $75.40 | ↓ -87% |
| McLaren | Medicaid HMO-Child-FAC | $75.40 | ↓ -87% |
| McLaren | Medicaid HMO-Adult-FAC | $75.40 | ↓ -87% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $75.40 | ↓ -87% |
| Meridian | Medicaid HMO-Child-FAC | $75.40 | ↓ -87% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $76.91 | ↓ -87% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $76.91 | ↓ -87% |
| Molina | Medicaid HMO-Adult-FAC | $78.42 | ↓ -86% |
| Molina | Medicaid HMO-Child-FAC | $78.42 | ↓ -86% |
| Priority Health | Medicaid HMO-Child-FAC | $79.17 | ↓ -86% |
| Priority Health | Medicaid HMO-Adult-FAC | $79.17 | ↓ -86% |
| ScriptGuideRX | All Products | $85.49 | ↓ -85% |
| United Healthcare | Commercial-Behavioral Health-MA | $90.99 | ↓ -84% |
| Humana Military | Tricare-NonPhysician-FAC | $96.33 | ↓ -83% |
| United Healthcare | Commercial-Behavioral Health-RN | $103.12 | ↓ -82% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $106.87 | ↓ -81% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $106.87 | ↓ -81% |
| Humana Military | Tricare | $113.33 | ↓ -80% |
| Humana Military | Tricare-Physician-FAC | $113.33 | ↓ -80% |
| Pace SE MI | Medicare Advantage-FAC | $119.44 | ↓ -79% |
| Pace SE MI | Medicare Advantage-NONFAC | $119.44 | ↓ -79% |
| United Healthcare | Commercial-Behavioral Health-MD | $121.32 | ↓ -79% |
| United Healthcare | Commercial-Behavioral Health-PhD | $121.32 | ↓ -79% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $123.19 | ↓ -79% |
| Amerihealth Caritas | Dual Products-FAC | $123.22 | ↓ -79% |
| Amerihealth Caritas | Dual Products-NONFAC | $123.22 | ↓ -79% |
| Humana | Medicare Advantage-Physician-FAC | $124.42 | ↓ -78% |
| Blue Cross | Medicare Plus Blue-FAC | $125.73 | ↓ -78% |
| United Healthcare | Medicare-Behavioral Health-FAC | $125.73 | ↓ -78% |
| Meridian | Ambetter From Meridian-FAC | $125.73 | ↓ -78% |
| Blue Cross | Medicare Plus Blue-NONFAC | $125.73 | ↓ -78% |
| HAP | Medicare Advantage-FAC | $125.73 | ↓ -78% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $125.73 | ↓ -78% |
| Aetna | Medicare Advantage-NONFAC | $125.73 | ↓ -78% |
| WellCare | Medicare Advantage-FAC | $125.73 | ↓ -78% |
| HAP | HAP Dual Products-FAC | $125.73 | ↓ -78% |
| Molina | Medicare Advantage-NONFAC | $125.73 | ↓ -78% |
| HAP | HAP Dual Products-NONFAC | $125.73 | ↓ -78% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $125.73 | ↓ -78% |
| McLaren | Medicare Advantage-FAC | $125.73 | ↓ -78% |
| WellCare | Medicare Advantage-NONFAC | $125.73 | ↓ -78% |
| Priority Health | Medicare Advantage-FAC | $125.73 | ↓ -78% |
| Molina | Medicare Advantage-FAC | $125.73 | ↓ -78% |
| Priority Health | Medicare Advantage-NONFAC | $125.73 | ↓ -78% |
| HAP | Medicare Advantage-Physician-NONFAC | $125.73 | ↓ -78% |
| Blue Cross | BCN Medicare Advantage -FAC | $125.73 | ↓ -78% |
| HAP | Medicare Advantage-NONFAC | $125.73 | ↓ -78% |
| McLaren | Medicare Advantage-NONFAC | $125.73 | ↓ -78% |
| Humana | Medicare Advantage-FAC | $125.73 | ↓ -78% |
| Trinity Health Plan | Medicare Advantage-FAC | $125.73 | ↓ -78% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $125.73 | ↓ -78% |
| Meridian | Ambetter From Meridian-NONFAC | $125.73 | ↓ -78% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $125.73 | ↓ -78% |
| Aetna | Medicare Advantage-FAC | $125.73 | ↓ -78% |
| Molina | Dual Product-NONFAC | $125.73 | ↓ -78% |
| United Healthcare | Medicare Advantage-NONFAC | $125.73 | ↓ -78% |
| Molina | Dual Product-FAC | $125.73 | ↓ -78% |
| United Healthcare | Medicare Advantage-FAC | $125.73 | ↓ -78% |
| HAP | Medicare Advantage-Physician-FAC | $125.73 | ↓ -78% |
| Humana | Medicare Advantage-NONFAC | $128.24 | ↓ -78% |
| United Healthcare | All Products-Midlevel | $129.78 | ↓ -77% |
| United Healthcare | All Products-Prof | $152.72 | ↓ -73% |
| HAP | HAP HMO_AHL_Fully-Insured | $154.60 | ↓ -73% |
| Aetna | All Products-NONFAC | $157.89 | ↓ -72% |
| Blue Cross | GM Connected Care | $172.57 | ↓ -70% |
| Nomi | All Products | $176.02 | ↓ -69% |
| HAP | Self-Funded | $180.54 | ↓ -69% |
| Blue Cross | BCBSM Commercial | $191.20 | ↓ -67% |
| Blue Cross | BCN Commercial-NONFAC | $191.74 | ↓ -67% |
| Blue Cross | BCN Commercial-FAC | $191.74 | ↓ -67% |
| Priority Health | All Products | $193.43 | ↓ -66% |
| Meridian | Medicaid HMO | $222.95 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $222.95 | ↓ -61% |
| McLaren | Medicaid HMO | $222.95 | ↓ -61% |
| Priority Health | Medicaid HMO | $222.95 | ↓ -61% |
| Priority Health | Priority Cigna | $223.41 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $227.41 | ↓ -60% |
| Carelon Behavioral Health | Behavioral Health | $266.00 | ↓ -54% |
| Molina | Medicaid HMO | $342.00 | ↓ -40% |
| Pace SE MI | Medicare Advantage | $394.97 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $407.44 | ↓ -29% |
| Blue Cross | Medicare Plus Blue | $415.76 | ↓ -28% |
| McLaren | Medicare Advantage | $415.76 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $415.76 | ↓ -28% |
| HAP | Medicare Advantage | $415.76 | ↓ -28% |
| United Healthcare | VACCN | $415.76 | ↓ -28% |
| Priority Health | Medicare Advantage | $415.76 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $415.76 | ↓ -28% |
| WellCare | Medicare Advantage | $415.76 | ↓ -28% |
| Aetna | Medicare Advantage | $415.76 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $415.76 | ↓ -28% |
| Blue Cross | BCN Advantage | $415.76 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $415.76 | ↓ -28% |
| HAP | HAP Dual Products | $417.21 | ↓ -27% |
| Humana | Medicare Advantage | $419.92 | ↓ -27% |
| Aetna | Dual Products | $457.34 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $498.91 | ↓ -13% |
| Meridian | Ambetter From Meridian | $561.28 | ↓ -2% |
| Priority Health | Commercial | $723.71 | ↑ +26% |
| Vitalcore | All Products | $956.25 | ↑ +67% |
| BCN | HMO | $965.42 | ↑ +68% |
| Blue Cross | BCN Commercial | $965.42 | ↑ +68% |
| HAP | HAP HMO_AHL_Fully Insured | $980.61 | ↑ +71% |
| Blue Cross | BCBSM GM Connected Care | $989.41 | ↑ +72% |
| Aetna | Commercial | $1,106.97 | ↑ +93% |
| Multiplan | All Products | $1,142.46 | ↑ +99% |
| United Healthcare | UHC Commercial | $1,214.00 | ↑ +112% |
| Cofinity | Commercial | $1,223.82 | ↑ +113% |
| United Healthcare | Baseline Benefit Plan | $1,424.00 | ↑ +148% |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
ER Visit (level 4) at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Gerber | Fremont | $2,185.00 | not published |
| Corewell Health Reed City | Po Box 75 | $2,185.00 | not published |
| Corewell Health Butterworth Hospital | Grand Rapids | $2,338.00 | $325.92 – $748.37 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $2,338.00 | $325.92 – $748.37 |
| Corewell Health Greenville | Greenville | $2,185.00 | $415.76 – $748.37 |
| Corewell Health Zeeland | Zeeland | $2,185.00 | $415.76 – $748.37 |
| Corewell Health Gross Pointe | Grosse Pointe | $2,235.00 | $163.69 – $561.52 |
| Corewell Health Taylor | Taylor | $2,235.00 | $235.01 – $561.52 |