Fna bx w/mr gdn 1st les at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$973.71
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.
$469.00
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.
$95.59 with BC3NP vs $1,622.86 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 |
|---|---|---|---|
| BC3NP | Medicaid HMO | $95.59 | ↓ -90% |
| Amerihealth Caritas | Dual Products-FAC | $187.60 | ↓ -81% |
| Amerihealth Caritas | Dual Products-NONFAC | $187.60 | ↓ -81% |
| HAP | HAP HMO_AHL_Fully-Insured | $234.50 | ↓ -76% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $234.50 | ↓ -76% |
| HAP | Self-Funded | $234.50 | ↓ -76% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $234.50 | ↓ -76% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $304.85 | ↓ -69% |
| Blue Cross | BCN Medicare Advantage -FAC | $304.85 | ↓ -69% |
| Blue Cross | Medicare Plus Blue-FAC | $304.85 | ↓ -69% |
| Blue Cross | Medicare Plus Blue-NONFAC | $304.85 | ↓ -69% |
| Humana Military | Tricare-NonPhysician-FAC | $328.30 | ↓ -66% |
| United Healthcare | VACCN-NONFAC | $340.09 | ↓ -65% |
| Humana | Medicare Advantage-Physician-FAC | $356.53 | ↓ -63% |
| ScriptGuideRX | All Products | $369.02 | ↓ -62% |
| Priority Health | All Products | $466.26 | ↓ -52% |
| Priority Health | Priority Cigna | $469.00 | ↓ -52% |
| Aetna | All Products-NONFAC | $478.51 | ↓ -51% |
| Blue Cross | BCBSM GM Connected Care | $507.58 | ↓ -48% |
| Blue Cross | BCN Commercial | $525.78 | ↓ -46% |
| Blue Cross | BCBSM Commercial | $525.78 | ↓ -46% |
| United Healthcare | All Products-Prof | $542.29 | ↓ -44% |
| Blue Cross | GM Connected Care | $633.23 | ↓ -35% |
| BCN | HMO | $648.16 | ↓ -33% |
| Pace SE MI | Medicare Advantage | $670.31 | ↓ -31% |
| HAP | HAP Dual Products | $689.36 | ↓ -29% |
| Amerihealth Caritas | Dual Products | $691.48 | ↓ -29% |
| United Healthcare | All Products-Midlevel | $702.91 | ↓ -28% |
| Blue Cross | BCN Commercial-FAC | $703.59 | ↓ -28% |
| Blue Cross | BCN Commercial-NONFAC | $703.59 | ↓ -28% |
| United Healthcare | VACCN | $705.59 | ↓ -28% |
| Aetna | Medicare Advantage | $705.59 | ↓ -28% |
| Blue Cross | BCN Advantage | $705.59 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $705.59 | ↓ -28% |
| HAP | Medicare Advantage | $705.59 | ↓ -28% |
| McLaren | Medicare Advantage | $705.59 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $705.59 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $705.59 | ↓ -28% |
| Priority Health | Medicare Advantage | $705.59 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $705.59 | ↓ -28% |
| WellCare | Medicare Advantage | $705.59 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $705.59 | ↓ -28% |
| Humana | Medicare Advantage | $712.64 | ↓ -27% |
| Aetna | Dual Products | $776.14 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $846.70 | ↓ -13% |
| Meridian | Ambetter From Meridian | $952.55 | ↓ -2% |
| Priority Health | Commercial | $1,083.92 | ↑ +11% |
| Nomi | All Products | $1,298.29 | ↑ +33% |
| Vitalcore | All Products | $1,622.86 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
Visitor-reported prices
Comments
Fna bx w/mr gdn 1st les at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $973.71 | $95.59 – $1,375.90 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $973.71 | $187.60 – $1,622.86 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $973.71 | $95.59 – $1,298.29 |
| Henry Ford Rochester Hospital | Rochester | $779.26 | $372.25 – $1,309.78 |
| Corewell Health Big Rapids | Big Rapids | not published | $605.77 – $1,270.05 |
| Corewell Health Gerber | Fremont | not published | $605.77 – $605.77 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $713.23 – $1,069.84 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $673.84 – $1,058.38 |