Extraction erupted tooth/exr at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$888.94
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.
$260.00
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.
$70.37 with Humana vs $1,629.01 with HAP — 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 |
|---|---|---|---|
| Humana | Medicare Advantage-Physician-FAC | $70.37 | ↓ -92% |
| Aetna | All Products-NONFAC | $74.95 | ↓ -92% |
| HAP | HAP HMO_AHL_Fully-Insured | $97.22 | ↓ -89% |
| Amerihealth Caritas | Dual Products-FAC | $104.00 | ↓ -88% |
| Amerihealth Caritas | Dual Products-NONFAC | $104.00 | ↓ -88% |
| Priority Health | Commercial | $105.64 | ↓ -88% |
| HAP | HAP HMO_AHL_Fully Insured | $112.13 | ↓ -87% |
| HAP | Self-Funded | $113.53 | ↓ -87% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $130.00 | ↓ -85% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $130.00 | ↓ -85% |
| United Healthcare | All Products-Prof | $137.95 | ↓ -84% |
| United Healthcare | All Products-Midlevel | $146.66 | ↓ -84% |
| Blue Cross | Medicare Plus Blue-FAC | $169.00 | ↓ -81% |
| Blue Cross | Medicare Plus Blue-NONFAC | $169.00 | ↓ -81% |
| Blue Cross | BCN Medicare Advantage -FAC | $169.00 | ↓ -81% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $169.00 | ↓ -81% |
| Humana Military | Tricare-NonPhysician-FAC | $182.00 | ↓ -80% |
| ScriptGuideRX | All Products | $336.90 | ↓ -62% |
| Pace SE MI | Medicare Advantage | $611.95 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $631.28 | ↓ -29% |
| McLaren | Medicare Advantage | $644.16 | ↓ -28% |
| HAP | Medicare Advantage | $644.16 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $644.16 | ↓ -28% |
| Blue Cross | BCN Advantage | $644.16 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $644.16 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $644.16 | ↓ -28% |
| Priority Health | Medicare Advantage | $644.16 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $644.16 | ↓ -28% |
| Aetna | Medicare Advantage | $644.16 | ↓ -28% |
| United Healthcare | VACCN | $644.16 | ↓ -28% |
| WellCare | Medicare Advantage | $644.16 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $644.16 | ↓ -28% |
| Humana | Medicare Advantage | $650.60 | ↓ -27% |
| Aetna | Dual Products | $708.58 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $773.00 | ↓ -13% |
| Meridian | Ambetter From Meridian | $869.62 | ↓ -2% |
| Nomi | All Products | $1,185.25 | ↑ +33% |
| Vitalcore | All Products | $1,481.57 | ↑ +67% |
| HAP | HAP Dual Products | $1,629.01 | ↑ +83% |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| 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 | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
Visitor-reported prices
Comments
Extraction erupted tooth/exr at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $888.94 | $59.81 – $1,256.11 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $888.94 | $59.81 – $1,481.57 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $888.94 | $59.81 – $1,185.25 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $503.07 – $1,159.49 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $503.07 – $1,159.49 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $102.93 – $869.99 |
| Corewell Health Troy | Troy | not published | $102.44 – $869.62 |