Exam of vagina w/scope 57420 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$419.01
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.
$325.00
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.
$51.76 with McLaren vs $2,056.00 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 |
|---|---|---|---|
| McLaren | Medicaid HMO-Adult-FAC | $51.76 | ↓ -88% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $51.76 | ↓ -88% |
| Meridian | Medicaid HMO-Adult-FAC | $51.76 | ↓ -88% |
| Meridian | Medicaid HMO-Child-FAC | $51.76 | ↓ -88% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $51.76 | ↓ -88% |
| McLaren | Medicaid HMO-Child-FAC | $51.76 | ↓ -88% |
| HAP | HAP Caresource Medicaid-FAC | $51.76 | ↓ -88% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $52.80 | ↓ -87% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $52.80 | ↓ -87% |
| Molina | Medicaid HMO-Child-FAC | $53.83 | ↓ -87% |
| Molina | Medicaid HMO-Adult-FAC | $53.83 | ↓ -87% |
| Priority Health | Medicaid HMO-Adult-FAC | $54.35 | ↓ -87% |
| Priority Health | Medicaid HMO-Child-FAC | $54.35 | ↓ -87% |
| ScriptGuideRX | All Products | $59.40 | ↓ -86% |
| Humana Military | Tricare-NonPhysician-FAC | $73.28 | ↓ -83% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $74.26 | ↓ -82% |
| Pace SE MI | Medicare Advantage-FAC | $83.00 | ↓ -80% |
| Amerihealth Caritas | Dual Products-FAC | $85.62 | ↓ -80% |
| Humana Military | Tricare | $86.21 | ↓ -79% |
| Humana Military | Tricare-Physician-FAC | $86.21 | ↓ -79% |
| United Healthcare | Medicare Advantage-FAC | $87.37 | ↓ -79% |
| Trinity Health Plan | Medicare Advantage-FAC | $87.37 | ↓ -79% |
| Aetna | Medicare Advantage-FAC | $87.37 | ↓ -79% |
| Molina | Medicare Advantage-FAC | $87.37 | ↓ -79% |
| WellCare | Medicare Advantage-FAC | $87.37 | ↓ -79% |
| Priority Health | Medicare Advantage-FAC | $87.37 | ↓ -79% |
| Molina | Dual Product-FAC | $87.37 | ↓ -79% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $87.37 | ↓ -79% |
| United Healthcare | Medicare-Behavioral Health-FAC | $87.37 | ↓ -79% |
| Blue Cross | BCN Medicare Advantage -FAC | $87.37 | ↓ -79% |
| Meridian | Ambetter From Meridian-FAC | $87.37 | ↓ -79% |
| McLaren | Medicare Advantage-FAC | $87.37 | ↓ -79% |
| Blue Cross | Medicare Plus Blue-FAC | $87.37 | ↓ -79% |
| HAP | Medicare Advantage-Physician-FAC | $87.37 | ↓ -79% |
| HAP | HAP Dual Products-FAC | $87.37 | ↓ -79% |
| HAP | Medicare Advantage-FAC | $87.37 | ↓ -79% |
| Humana | Medicare Advantage-FAC | $87.37 | ↓ -79% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $87.76 | ↓ -79% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $87.76 | ↓ -79% |
| McLaren | Medicaid HMO-Child-NONFAC | $87.76 | ↓ -79% |
| Meridian | Medicaid HMO-Child-NONFAC | $87.76 | ↓ -79% |
| Meridian | Medicaid HMO-Adult-NONFAC | $87.76 | ↓ -79% |
| HAP | HAP Caresource Medicaid-NONFAC | $87.76 | ↓ -79% |
| McLaren | Medicaid HMO-Adult-NONFAC | $87.76 | ↓ -79% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $89.52 | ↓ -79% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $89.52 | ↓ -79% |
| Molina | Medicaid HMO-Child-NONFAC | $91.27 | ↓ -78% |
| Priority Health | Medicaid HMO-Child-NONFAC | $92.15 | ↓ -78% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $92.15 | ↓ -78% |
| Molina | Medicaid HMO-Adult-NONFAC | $92.38 | ↓ -78% |
| Humana | Medicare Advantage-Physician-FAC | $94.64 | ↓ -77% |
| Blue Cross | BCBSM GM Connected Care | $117.27 | ↓ -72% |
| Blue Cross | BCBSM Commercial | $120.15 | ↓ -71% |
| BCN | HMO | $120.15 | ↓ -71% |
| Blue Cross | BCN Commercial | $120.15 | ↓ -71% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $120.56 | ↓ -71% |
| Nomi | All Products | $122.32 | ↓ -71% |
| Blue Cross | GM Connected Care | $129.90 | ↓ -69% |
| Pace SE MI | Medicare Advantage-NONFAC | $134.75 | ↓ -68% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $135.17 | ↓ -68% |
| Priority Health | All Products | $136.68 | ↓ -67% |
| Amerihealth Caritas | Dual Products-NONFAC | $139.00 | ↓ -67% |
| United Healthcare | Medicare Advantage-NONFAC | $141.84 | ↓ -66% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $141.84 | ↓ -66% |
| Meridian | Ambetter From Meridian-NONFAC | $141.84 | ↓ -66% |
| Molina | Medicare Advantage-NONFAC | $141.84 | ↓ -66% |
| Blue Cross | Medicare Plus Blue-NONFAC | $141.84 | ↓ -66% |
| HAP | HAP Dual Products-NONFAC | $141.84 | ↓ -66% |
| WellCare | Medicare Advantage-NONFAC | $141.84 | ↓ -66% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $141.84 | ↓ -66% |
| Priority Health | Medicare Advantage-NONFAC | $141.84 | ↓ -66% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $141.84 | ↓ -66% |
| Molina | Dual Product-NONFAC | $141.84 | ↓ -66% |
| Aetna | Medicare Advantage-NONFAC | $141.84 | ↓ -66% |
| HAP | Medicare Advantage-NONFAC | $141.84 | ↓ -66% |
| McLaren | Medicare Advantage-NONFAC | $141.84 | ↓ -66% |
| HAP | Medicare Advantage-Physician-NONFAC | $141.84 | ↓ -66% |
| Blue Cross | BCN Commercial-FAC | $144.33 | ↓ -66% |
| Humana | Medicare Advantage-NONFAC | $144.68 | ↓ -65% |
| United Healthcare | All Products-Midlevel | $145.62 | ↓ -65% |
| Priority Health | Priority Cigna | $150.35 | ↓ -64% |
| HAP | Self-Funded | $153.11 | ↓ -63% |
| HAP | HAP HMO_AHL_Fully Insured | $153.43 | ↓ -63% |
| HAP | HAP HMO_AHL_Fully-Insured | $159.50 | ↓ -62% |
| United Healthcare | UHC Commercial | $161.20 | ↓ -62% |
| HAP | HAP Caresource Medicaid | $162.83 | ↓ -61% |
| McLaren | Medicaid HMO | $162.83 | ↓ -61% |
| Meridian | Medicaid HMO | $162.83 | ↓ -61% |
| Priority Health | Medicaid HMO | $162.83 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $166.09 | ↓ -60% |
| Molina | Medicaid HMO | $171.49 | ↓ -59% |
| United Healthcare | All Products-Prof | $194.01 | ↓ -54% |
| Aetna | All Products-NONFAC | $201.70 | ↓ -52% |
| Blue Cross | BCN Commercial-NONFAC | $213.57 | ↓ -49% |
| Multiplan | All Products | $214.50 | ↓ -49% |
| Priority Health | Commercial | $222.10 | ↓ -47% |
| Cofinity | Commercial | $229.78 | ↓ -45% |
| United Healthcare | Baseline Benefit Plan | $236.93 | ↓ -43% |
| Pace SE MI | Medicare Advantage | $288.45 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $297.56 | ↓ -29% |
| HAP | HAP Dual Products | $298.04 | ↓ -29% |
| United Healthcare | VACCN | $303.63 | ↓ -28% |
| Priority Health | Medicare Advantage | $303.63 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $303.63 | ↓ -28% |
| McLaren | Medicare Advantage | $303.63 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $303.63 | ↓ -28% |
| HAP | Medicare Advantage | $303.63 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $303.63 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $303.63 | ↓ -28% |
| Aetna | Medicare Advantage | $303.63 | ↓ -28% |
| WellCare | Medicare Advantage | $303.63 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $303.63 | ↓ -28% |
| Blue Cross | BCN Advantage | $303.63 | ↓ -28% |
| Humana | Medicare Advantage | $306.67 | ↓ -27% |
| Meridian | Ambetter From Meridian | $325.00 | ↓ -22% |
| HAP | Henry Ford Select -HPN commercial | $325.00 | ↓ -22% |
| Aetna | Dual Products | $334.00 | ↓ -20% |
| Vitalcore | All Products | $698.35 | ↑ +67% |
| Aetna | Commercial | $2,056.00 | ↑ +391% |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
Exam of vagina w/scope 57420 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $630.00 | $132.31 – $546.54 |
| Corewell Health Gerber | Fremont | $630.00 | $132.31 – $132.31 |
| Corewell Health Butterworth Hospital | Grand Rapids | $630.00 | $130.49 – $546.54 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $630.00 | $130.49 – $546.54 |
| Corewell Health Reed City | Po Box 75 | $630.00 | not published |
| Corewell Health Greenville | Greenville | $630.00 | $132.31 – $546.54 |
| Corewell Health Zeeland | Zeeland | $630.00 | $132.31 – $546.54 |
| Corewell Health Gross Pointe | Grosse Pointe | $1,120.00 | $168.88 – $410.08 |