Fixation of knee joint at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$2,211.05
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.
?
What you pay up front if you don't use insurance.
$494.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$95.64 with United Healthcare vs $3,685.08 with Vitalcore — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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-Child-FAC | $95.64 | ↓ -96% |
| Meridian | Medicaid HMO-Adult-FAC | $95.64 | ↓ -96% |
| HAP | HAP Caresource Medicaid-FAC | $95.64 | ↓ -96% |
| McLaren | Medicaid HMO-Child-FAC | $95.64 | ↓ -96% |
| Meridian | Medicaid HMO-Child-FAC | $95.64 | ↓ -96% |
| McLaren | Medicaid HMO-Adult-FAC | $95.64 | ↓ -96% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $95.64 | ↓ -96% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $97.55 | ↓ -96% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $97.55 | ↓ -96% |
| Molina | Medicaid HMO-Child-FAC | $99.47 | ↓ -96% |
| Molina | Medicaid HMO-Adult-FAC | $99.47 | ↓ -96% |
| Priority Health | Medicaid HMO-Adult-FAC | $100.42 | ↓ -95% |
| Priority Health | Medicaid HMO-Child-FAC | $100.42 | ↓ -95% |
| ScriptGuideRX | All Products | $124.33 | ↓ -94% |
| Humana Military | Tricare-NonPhysician-FAC | $126.77 | ↓ -94% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $132.33 | ↓ -94% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $132.33 | ↓ -94% |
| Pace SE MI | Medicare Advantage-NONFAC | $147.90 | ↓ -93% |
| Pace SE MI | Medicare Advantage-FAC | $147.90 | ↓ -93% |
| Humana Military | Tricare | $149.14 | ↓ -93% |
| Humana Military | Tricare-Physician-FAC | $149.14 | ↓ -93% |
| Amerihealth Caritas | Dual Products-NONFAC | $152.57 | ↓ -93% |
| Amerihealth Caritas | Dual Products-FAC | $152.57 | ↓ -93% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $155.68 | ↓ -93% |
| Aetna | Medicare Advantage-FAC | $155.68 | ↓ -93% |
| Aetna | Medicare Advantage-NONFAC | $155.68 | ↓ -93% |
| Blue Cross | BCN Medicare Advantage -FAC | $155.68 | ↓ -93% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $155.68 | ↓ -93% |
| Blue Cross | Medicare Plus Blue-FAC | $155.68 | ↓ -93% |
| Blue Cross | Medicare Plus Blue-NONFAC | $155.68 | ↓ -93% |
| HAP | HAP Dual Products-FAC | $155.68 | ↓ -93% |
| HAP | HAP Dual Products-NONFAC | $155.68 | ↓ -93% |
| HAP | Medicare Advantage-FAC | $155.68 | ↓ -93% |
| HAP | Medicare Advantage-NONFAC | $155.68 | ↓ -93% |
| HAP | Medicare Advantage-Physician-FAC | $155.68 | ↓ -93% |
| HAP | Medicare Advantage-Physician-NONFAC | $155.68 | ↓ -93% |
| Humana | Medicare Advantage-FAC | $155.68 | ↓ -93% |
| McLaren | Medicare Advantage-FAC | $155.68 | ↓ -93% |
| McLaren | Medicare Advantage-NONFAC | $155.68 | ↓ -93% |
| Meridian | Ambetter From Meridian-FAC | $155.68 | ↓ -93% |
| Meridian | Ambetter From Meridian-NONFAC | $155.68 | ↓ -93% |
| Molina | Dual Product-FAC | $155.68 | ↓ -93% |
| Molina | Dual Product-NONFAC | $155.68 | ↓ -93% |
| Molina | Medicare Advantage-FAC | $155.68 | ↓ -93% |
| Molina | Medicare Advantage-NONFAC | $155.68 | ↓ -93% |
| Priority Health | Medicare Advantage-FAC | $155.68 | ↓ -93% |
| Priority Health | Medicare Advantage-NONFAC | $155.68 | ↓ -93% |
| Trinity Health Plan | Medicare Advantage-FAC | $155.68 | ↓ -93% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $155.68 | ↓ -93% |
| United Healthcare | Medicare Advantage-FAC | $155.68 | ↓ -93% |
| United Healthcare | Medicare Advantage-NONFAC | $155.68 | ↓ -93% |
| United Healthcare | Medicare-Behavioral Health-FAC | $155.68 | ↓ -93% |
| WellCare | Medicare Advantage-FAC | $155.68 | ↓ -93% |
| WellCare | Medicare Advantage-NONFAC | $155.68 | ↓ -93% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $155.68 | ↓ -93% |
| Humana | Medicare Advantage-NONFAC | $158.79 | ↓ -93% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $162.11 | ↓ -93% |
| Humana | Medicare Advantage-Physician-FAC | $163.73 | ↓ -93% |
| HAP | HAP HMO_AHL_Fully-Insured | $203.26 | ↓ -91% |
| Nomi | All Products | $217.95 | ↓ -90% |
| Blue Cross | GM Connected Care | $228.65 | ↓ -90% |
| HAP | HAP HMO_AHL_Fully Insured | $234.45 | ↓ -89% |
| HAP | Self-Funded | $237.36 | ↓ -89% |
| Blue Cross | BCBSM Commercial | $250.32 | ↓ -89% |
| Aetna | All Products-NONFAC | $253.71 | ↓ -89% |
| Priority Health | All Products | $253.92 | ↓ -89% |
| Blue Cross | BCN Commercial-FAC | $254.05 | ↓ -89% |
| Blue Cross | BCN Commercial-NONFAC | $254.05 | ↓ -89% |
| United Healthcare | All Products-Midlevel | $268.73 | ↓ -88% |
| Priority Health | Priority Cigna | $279.31 | ↓ -87% |
| United Healthcare | All Products-Prof | $294.95 | ↓ -87% |
| McLaren | Medicaid HMO | $859.19 | ↓ -61% |
| Meridian | Medicaid HMO | $859.19 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $859.19 | ↓ -61% |
| Priority Health | Medicaid HMO | $859.19 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $876.37 | ↓ -60% |
| Molina | Medicaid HMO | $904.93 | ↓ -59% |
| Pace SE MI | Medicare Advantage | $1,522.10 | ↓ -31% |
| HAP | HAP Dual Products | $1,568.05 | ↓ -29% |
| Amerihealth Caritas | Dual Products | $1,570.17 | ↓ -29% |
| Blue Cross | Medicare Plus Blue | $1,602.21 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $1,602.21 | ↓ -28% |
| Aetna | Medicare Advantage | $1,602.21 | ↓ -28% |
| Blue Cross | BCN Advantage | $1,602.21 | ↓ -28% |
| WellCare | Medicare Advantage | $1,602.21 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $1,602.21 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $1,602.21 | ↓ -28% |
| Priority Health | Medicare Advantage | $1,602.21 | ↓ -28% |
| HAP | Medicare Advantage | $1,602.21 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $1,602.21 | ↓ -28% |
| United Healthcare | VACCN | $1,602.21 | ↓ -28% |
| McLaren | Medicare Advantage | $1,602.21 | ↓ -28% |
| Humana | Medicare Advantage | $1,618.23 | ↓ -27% |
| Aetna | Dual Products | $1,762.43 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $1,922.65 | ↓ -13% |
| Meridian | Ambetter From Meridian | $2,162.98 | ↓ -2% |
| Priority Health | Commercial | $2,507.35 | ↑ +13% |
| Blue Cross | BCBSM GM Connected Care | $2,923.67 | ↑ +32% |
| Blue Cross | BCN Commercial | $2,995.55 | ↑ +35% |
| BCN | HMO | $2,995.55 | ↑ +35% |
| Vitalcore | All Products | $3,685.08 | ↑ +67% |
| 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 | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
Visitor-reported prices
Comments
Fixation of knee joint at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Gross Pointe | Grosse Pointe | $5,093.00 | $215.21 – $2,163.91 |
| Corewell Health Taylor | Taylor | $5,093.00 | $324.55 – $2,163.91 |
| Corewell Health Trenton | Trenton | $5,093.00 | $322.75 – $2,163.91 |
| Corewell Health Troy | Troy | $5,093.00 | $214.17 – $2,162.98 |
| Corewell Health Wayne | Wayne | $5,093.00 | $321.53 – $2,163.91 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $2,211.05 | $95.64 – $4,036.35 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $2,211.05 | $95.64 – $3,685.08 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $2,211.05 | $95.64 – $3,010.85 |