Established Patient Office Visit (level 3) at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$81.60
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.
$415.00
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.
$0.01 with Aetna vs $114.48 with Aetna — 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 |
|---|---|---|---|
| Aetna | Commercial | $0.01 | ↓ -100% |
| WellCare | Medicare Advantage | $18.98 | ↓ -77% |
| Molina | Dual MI Coordinated Health | $22.20 | ↓ -73% |
| Amerihealth Caritas | Dual Products-FAC | $28.80 | ↓ -65% |
| Amerihealth Caritas | Dual Products-NONFAC | $28.80 | ↓ -65% |
| Amerihealth Caritas | Dual Products | $29.60 | ↓ -64% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $36.00 | ↓ -56% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $36.00 | ↓ -56% |
| HAP | HAP HMO_AHL_Fully-Insured | $36.00 | ↓ -56% |
| HAP | Self-Funded | $36.00 | ↓ -56% |
| HAP | HAP Caresource Medicaid-FAC | $36.64 | ↓ -55% |
| Meridian | Medicaid HMO-Child-FAC | $36.64 | ↓ -55% |
| Meridian | Medicaid HMO-Adult-FAC | $36.64 | ↓ -55% |
| McLaren | Medicaid HMO-Child-FAC | $36.64 | ↓ -55% |
| McLaren | Medicaid HMO-Adult-FAC | $36.64 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $36.64 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $36.64 | ↓ -55% |
| United Healthcare | UHC Commercial | $36.70 | ↓ -55% |
| Vitalcore | All Products | $37.00 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $37.37 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $37.37 | ↓ -54% |
| Molina | Medicaid HMO-Adult-FAC | $38.11 | ↓ -53% |
| Molina | Medicaid HMO-Child-FAC | $38.11 | ↓ -53% |
| HAP | HAP HMO_AHL_Fully Insured | $38.43 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-FAC | $38.47 | ↓ -53% |
| Priority Health | Medicaid HMO-Child-FAC | $38.47 | ↓ -53% |
| ScriptGuideRX | All Products | $40.20 | ↓ -51% |
| Blue Cross | BCN Medicare Advantage -FAC | $46.80 | ↓ -43% |
| Blue Cross | Medicare Plus Blue-FAC | $46.80 | ↓ -43% |
| Blue Cross | Medicare Plus Blue-NONFAC | $46.80 | ↓ -43% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $46.80 | ↓ -43% |
| Multiplan | All Products | $48.84 | ↓ -40% |
| Humana Military | Tricare-NonPhysician-FAC | $50.40 | ↓ -38% |
| Humana Military | Tricare | $51.80 | ↓ -37% |
| Cofinity | Commercial | $52.32 | ↓ -36% |
| United Healthcare | Baseline Benefit Plan | $53.95 | ↓ -34% |
| Pace SE MI | Medicare Advantage-FAC | $56.17 | ↓ -31% |
| Priority Health | Priority Cigna | $57.68 | ↓ -29% |
| United Healthcare | All Products-Midlevel | $58.30 | ↓ -29% |
| United Healthcare | Medicare-Behavioral Health-FAC | $59.13 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $59.13 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $59.13 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $59.13 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $59.13 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $59.13 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $59.13 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $59.13 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $59.13 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $59.13 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $59.13 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $59.13 | ↓ -28% |
| Molina | Dual Product-FAC | $59.13 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $59.13 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $59.13 | ↓ -28% |
| Humana Military | Tricare-Physician-FAC | $60.64 | ↓ -26% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $60.71 | ↓ -26% |
| HAP | HAP Caresource Medicaid-NONFAC | $60.71 | ↓ -26% |
| Meridian | Medicaid HMO-Child-NONFAC | $60.71 | ↓ -26% |
| McLaren | Medicaid HMO-Adult-NONFAC | $60.71 | ↓ -26% |
| Meridian | Medicaid HMO-Adult-NONFAC | $60.71 | ↓ -26% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $60.71 | ↓ -26% |
| McLaren | Medicaid HMO-Child-NONFAC | $60.71 | ↓ -26% |
| Carelon Behavioral Health | Behavior Health-APN/PA | $61.00 | ↓ -25% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $61.92 | ↓ -24% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $61.92 | ↓ -24% |
| Molina | Medicaid HMO-Child-NONFAC | $63.14 | ↓ -23% |
| Molina | Medicaid HMO-Adult-NONFAC | $63.36 | ↓ -22% |
| Priority Health | Medicaid HMO-Child-NONFAC | $63.75 | ↓ -22% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $63.75 | ↓ -22% |
| Humana | Medicare Advantage-Physician-FAC | $66.57 | ↓ -18% |
| United Healthcare | All Products-Prof | $68.61 | ↓ -16% |
| Priority Health | All Products | $71.12 | ↓ -13% |
| Blue Cross | BCBSM Commercial | $74.00 | ↓ -9% |
| Priority Health | Commercial | $74.00 | ↓ -9% |
| BCN | HMO | $74.00 | ↓ -9% |
| Blue Cross | BCBSM GM Connected Care | $74.00 | ↓ -9% |
| Blue Cross | BCN Commercial | $74.00 | ↓ -9% |
| Carelon Behavioral Health | Behavior Health-MD/DO | $77.00 | ↓ -6% |
| United Healthcare | Commercial-Behavioral Health-RN | $77.20 | ↓ -5% |
| Blue Cross | GM Connected Care | $77.24 | ↓ -5% |
| Nomi | All Products | $82.78 | ↑ +1% |
| Blue Cross | BCN Commercial-FAC | $85.82 | ↑ +5% |
| Blue Cross | BCN Commercial-NONFAC | $85.82 | ↑ +5% |
| BC3NP | Medicaid HMO | $87.68 | ↑ +7% |
| Pace SE MI | Medicare Advantage-NONFAC | $90.77 | ↑ +11% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $90.79 | ↑ +11% |
| United Healthcare | Commercial-Behavioral Health-MD | $90.82 | ↑ +11% |
| United Healthcare | VACCN-NONFAC | $93.97 | ↑ +15% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $95.55 | ↑ +17% |
| Aetna | Medicare Advantage-NONFAC | $95.55 | ↑ +17% |
| HAP | HAP Dual Products-NONFAC | $95.55 | ↑ +17% |
| HAP | Medicare Advantage-NONFAC | $95.55 | ↑ +17% |
| HAP | Medicare Advantage-Physician-NONFAC | $95.55 | ↑ +17% |
| McLaren | Medicare Advantage-NONFAC | $95.55 | ↑ +17% |
| Meridian | Ambetter From Meridian-NONFAC | $95.55 | ↑ +17% |
| Molina | Dual Product-NONFAC | $95.55 | ↑ +17% |
| Molina | Medicare Advantage-NONFAC | $95.55 | ↑ +17% |
| Priority Health | Medicare Advantage-NONFAC | $95.55 | ↑ +17% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $95.55 | ↑ +17% |
| United Healthcare | Medicare Advantage-NONFAC | $95.55 | ↑ +17% |
| WellCare | Medicare Advantage-NONFAC | $95.55 | ↑ +17% |
| Humana | Medicare Advantage-NONFAC | $97.46 | ↑ +19% |
| Aetna | All Products-NONFAC | $114.48 | ↑ +40% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 3) at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $114.33 | not published |
| Corewell Health Gerber | Fremont | $114.33 | not published |
| Corewell Health Butterworth Hospital | Grand Rapids | $114.33 | $64.66 – $64.66 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $114.33 | $64.66 – $64.66 |
| Corewell Health Reed City | Po Box 75 | $114.33 | not published |
| Corewell Health Greenville | Greenville | $114.33 | not published |
| Corewell Health Zeeland | Zeeland | $114.33 | not published |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $81.60 | $0.01 – $87.68 |