Fusion of tibiofibular joint at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$17,653.66
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.
$2,260.00
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.
$412.58 with United Healthcare vs $29,422.77 with Vitalcore — 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 |
|---|---|---|---|
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $412.58 | ↓ -98% |
| Meridian | Medicaid HMO-Adult-FAC | $412.58 | ↓ -98% |
| HAP | HAP Caresource Medicaid-FAC | $412.58 | ↓ -98% |
| McLaren | Medicaid HMO-Child-FAC | $412.58 | ↓ -98% |
| Meridian | Medicaid HMO-Child-FAC | $412.58 | ↓ -98% |
| McLaren | Medicaid HMO-Adult-FAC | $412.58 | ↓ -98% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $412.58 | ↓ -98% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $420.83 | ↓ -98% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $420.83 | ↓ -98% |
| Molina | Medicaid HMO-Child-FAC | $429.08 | ↓ -98% |
| Molina | Medicaid HMO-Adult-FAC | $429.08 | ↓ -98% |
| Priority Health | Medicaid HMO-Adult-FAC | $433.21 | ↓ -98% |
| Priority Health | Medicaid HMO-Child-FAC | $433.21 | ↓ -98% |
| ScriptGuideRX | All Products | $536.35 | ↓ -97% |
| Humana Military | Tricare-NonPhysician-FAC | $562.69 | ↓ -97% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $577.80 | ↓ -97% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $577.80 | ↓ -97% |
| Pace SE MI | Medicare Advantage-NONFAC | $645.77 | ↓ -96% |
| Pace SE MI | Medicare Advantage-FAC | $645.77 | ↓ -96% |
| Humana Military | Tricare | $661.99 | ↓ -96% |
| Humana Military | Tricare-Physician-FAC | $661.99 | ↓ -96% |
| Amerihealth Caritas | Dual Products-NONFAC | $666.16 | ↓ -96% |
| Amerihealth Caritas | Dual Products-FAC | $666.16 | ↓ -96% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $679.76 | ↓ -96% |
| Aetna | Medicare Advantage-FAC | $679.76 | ↓ -96% |
| Aetna | Medicare Advantage-NONFAC | $679.76 | ↓ -96% |
| Blue Cross | BCN Medicare Advantage -FAC | $679.76 | ↓ -96% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $679.76 | ↓ -96% |
| Blue Cross | Medicare Plus Blue-FAC | $679.76 | ↓ -96% |
| Blue Cross | Medicare Plus Blue-NONFAC | $679.76 | ↓ -96% |
| HAP | HAP Dual Products-FAC | $679.76 | ↓ -96% |
| HAP | HAP Dual Products-NONFAC | $679.76 | ↓ -96% |
| HAP | Medicare Advantage-FAC | $679.76 | ↓ -96% |
| HAP | Medicare Advantage-NONFAC | $679.76 | ↓ -96% |
| HAP | Medicare Advantage-Physician-FAC | $679.76 | ↓ -96% |
| HAP | Medicare Advantage-Physician-NONFAC | $679.76 | ↓ -96% |
| Humana | Medicare Advantage-FAC | $679.76 | ↓ -96% |
| McLaren | Medicare Advantage-FAC | $679.76 | ↓ -96% |
| McLaren | Medicare Advantage-NONFAC | $679.76 | ↓ -96% |
| Meridian | Ambetter From Meridian-FAC | $679.76 | ↓ -96% |
| Meridian | Ambetter From Meridian-NONFAC | $679.76 | ↓ -96% |
| Molina | Dual Product-FAC | $679.76 | ↓ -96% |
| Molina | Dual Product-NONFAC | $679.76 | ↓ -96% |
| Molina | Medicare Advantage-FAC | $679.76 | ↓ -96% |
| Molina | Medicare Advantage-NONFAC | $679.76 | ↓ -96% |
| Priority Health | Medicare Advantage-FAC | $679.76 | ↓ -96% |
| Priority Health | Medicare Advantage-NONFAC | $679.76 | ↓ -96% |
| Trinity Health Plan | Medicare Advantage-FAC | $679.76 | ↓ -96% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $679.76 | ↓ -96% |
| United Healthcare | Medicare Advantage-FAC | $679.76 | ↓ -96% |
| United Healthcare | Medicare Advantage-NONFAC | $679.76 | ↓ -96% |
| United Healthcare | Medicare-Behavioral Health-FAC | $679.76 | ↓ -96% |
| WellCare | Medicare Advantage-FAC | $679.76 | ↓ -96% |
| WellCare | Medicare Advantage-NONFAC | $679.76 | ↓ -96% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $679.76 | ↓ -96% |
| Humana | Medicare Advantage-NONFAC | $693.36 | ↓ -96% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $719.55 | ↓ -96% |
| Humana | Medicare Advantage-Physician-FAC | $726.75 | ↓ -96% |
| Nomi | All Products | $951.66 | ↓ -95% |
| HAP | HAP HMO_AHL_Fully-Insured | $954.08 | ↓ -95% |
| Blue Cross | GM Connected Care | $1,009.49 | ↓ -94% |
| HAP | HAP HMO_AHL_Fully Insured | $1,100.49 | ↓ -94% |
| HAP | Self-Funded | $1,114.14 | ↓ -94% |
| Blue Cross | BCBSM Commercial | $1,117.39 | ↓ -94% |
| Priority Health | All Products | $1,121.09 | ↓ -94% |
| Blue Cross | BCN Commercial-FAC | $1,121.66 | ↓ -94% |
| Blue Cross | BCN Commercial-NONFAC | $1,121.66 | ↓ -94% |
| Aetna | All Products-NONFAC | $1,149.45 | ↓ -93% |
| United Healthcare | All Products-Midlevel | $1,214.56 | ↓ -93% |
| Priority Health | Priority Cigna | $1,233.20 | ↓ -93% |
| United Healthcare | All Products-Prof | $1,333.07 | ↓ -92% |
| McLaren | Medicaid HMO | $6,860.07 | ↓ -61% |
| Priority Health | Medicaid HMO | $6,860.07 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $6,860.07 | ↓ -61% |
| Meridian | Medicaid HMO | $6,860.07 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $6,997.27 | ↓ -60% |
| Molina | Medicaid HMO | $7,225.21 | ↓ -59% |
| Blue Cross | BCBSM GM Connected Care | $11,171.47 | ↓ -37% |
| BCN | HMO | $11,446.09 | ↓ -35% |
| Blue Cross | BCN Commercial | $11,446.09 | ↓ -35% |
| Pace SE MI | Medicare Advantage | $12,152.89 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $12,536.66 | ↓ -29% |
| HAP | HAP Dual Products | $12,606.65 | ↓ -29% |
| Blue Cross | Medicare Plus Blue | $12,792.51 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $12,792.51 | ↓ -28% |
| Aetna | Medicare Advantage | $12,792.51 | ↓ -28% |
| Blue Cross | BCN Advantage | $12,792.51 | ↓ -28% |
| WellCare | Medicare Advantage | $12,792.51 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $12,792.51 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $12,792.51 | ↓ -28% |
| Priority Health | Medicare Advantage | $12,792.51 | ↓ -28% |
| HAP | Medicare Advantage | $12,792.51 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $12,792.51 | ↓ -28% |
| United Healthcare | VACCN | $12,792.51 | ↓ -28% |
| McLaren | Medicare Advantage | $12,792.51 | ↓ -28% |
| Humana | Medicare Advantage | $12,920.44 | ↓ -27% |
| Aetna | Dual Products | $14,071.77 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $15,351.02 | ↓ -13% |
| Meridian | Ambetter From Meridian | $17,269.89 | ↓ -2% |
| Priority Health | Commercial | $28,632.76 | ↑ +62% |
| Vitalcore | All Products | $29,422.77 | ↑ +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
Fusion of tibiofibular joint at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $17,653.66 | $412.58 – $15,423.03 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $17,653.66 | $412.58 – $29,422.77 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $17,653.66 | $412.58 – $11,504.55 |
| Corewell Health Big Rapids | Big Rapids | not published | $8,758.85 – $23,026.52 |
| Corewell Health Gerber | Fremont | not published | $8,758.85 – $8,758.85 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $12,931.03 – $19,396.54 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $12,792.51 – $19,188.77 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $8,378.58 – $23,026.52 |