Gastrostomy open neonatal at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$1,247.13
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.
$2,020.00
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.
$381.91 with United Healthcare vs $2,078.56 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-Adult-FAC | $381.91 | ↓ -69% |
| McLaren | Medicaid HMO-Child-FAC | $381.91 | ↓ -69% |
| Meridian | Medicaid HMO-Adult-FAC | $381.91 | ↓ -69% |
| HAP | HAP Caresource Medicaid-FAC | $381.91 | ↓ -69% |
| Meridian | Medicaid HMO-Child-FAC | $381.91 | ↓ -69% |
| McLaren | Medicaid HMO-Adult-FAC | $381.91 | ↓ -69% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $381.91 | ↓ -69% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $389.55 | ↓ -69% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $389.55 | ↓ -69% |
| Molina | Medicaid HMO-Adult-FAC | $397.19 | ↓ -68% |
| Molina | Medicaid HMO-Child-FAC | $397.19 | ↓ -68% |
| Priority Health | Medicaid HMO-Child-FAC | $401.01 | ↓ -68% |
| Priority Health | Medicaid HMO-Adult-FAC | $401.01 | ↓ -68% |
| ScriptGuideRX | All Products | $472.65 | ↓ -62% |
| Meridian | Medicaid HMO | $484.63 | ↓ -61% |
| McLaren | Medicaid HMO | $484.63 | ↓ -61% |
| Priority Health | Medicaid HMO | $484.63 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $484.63 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $494.32 | ↓ -60% |
| Humana Military | Tricare-NonPhysician-FAC | $505.86 | ↓ -59% |
| Molina | Medicaid HMO | $510.42 | ↓ -59% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $544.49 | ↓ -56% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $544.49 | ↓ -56% |
| Humana Military | Tricare | $595.13 | ↓ -52% |
| Humana Military | Tricare-Physician-FAC | $595.13 | ↓ -52% |
| Pace SE MI | Medicare Advantage-FAC | $608.55 | ↓ -51% |
| Pace SE MI | Medicare Advantage-NONFAC | $608.55 | ↓ -51% |
| Amerihealth Caritas | Dual Products-FAC | $627.77 | ↓ -50% |
| Amerihealth Caritas | Dual Products-NONFAC | $627.77 | ↓ -50% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $640.58 | ↓ -49% |
| Aetna | Medicare Advantage-FAC | $640.58 | ↓ -49% |
| Aetna | Medicare Advantage-NONFAC | $640.58 | ↓ -49% |
| Blue Cross | BCN Medicare Advantage -FAC | $640.58 | ↓ -49% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $640.58 | ↓ -49% |
| Blue Cross | Medicare Plus Blue-FAC | $640.58 | ↓ -49% |
| Blue Cross | Medicare Plus Blue-NONFAC | $640.58 | ↓ -49% |
| HAP | HAP Dual Products-FAC | $640.58 | ↓ -49% |
| HAP | HAP Dual Products-NONFAC | $640.58 | ↓ -49% |
| HAP | Medicare Advantage-FAC | $640.58 | ↓ -49% |
| HAP | Medicare Advantage-NONFAC | $640.58 | ↓ -49% |
| HAP | Medicare Advantage-Physician-FAC | $640.58 | ↓ -49% |
| HAP | Medicare Advantage-Physician-NONFAC | $640.58 | ↓ -49% |
| Humana | Medicare Advantage-FAC | $640.58 | ↓ -49% |
| McLaren | Medicare Advantage-FAC | $640.58 | ↓ -49% |
| McLaren | Medicare Advantage-NONFAC | $640.58 | ↓ -49% |
| Meridian | Ambetter From Meridian-FAC | $640.58 | ↓ -49% |
| Meridian | Ambetter From Meridian-NONFAC | $640.58 | ↓ -49% |
| Molina | Dual Product-FAC | $640.58 | ↓ -49% |
| Molina | Dual Product-NONFAC | $640.58 | ↓ -49% |
| Molina | Medicare Advantage-FAC | $640.58 | ↓ -49% |
| Molina | Medicare Advantage-NONFAC | $640.58 | ↓ -49% |
| Priority Health | Medicare Advantage-FAC | $640.58 | ↓ -49% |
| Priority Health | Medicare Advantage-NONFAC | $640.58 | ↓ -49% |
| Trinity Health Plan | Medicare Advantage-FAC | $640.58 | ↓ -49% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $640.58 | ↓ -49% |
| United Healthcare | Medicare Advantage-FAC | $640.58 | ↓ -49% |
| United Healthcare | Medicare Advantage-NONFAC | $640.58 | ↓ -49% |
| United Healthcare | Medicare-Behavioral Health-FAC | $640.58 | ↓ -49% |
| WellCare | Medicare Advantage-FAC | $640.58 | ↓ -49% |
| WellCare | Medicare Advantage-NONFAC | $640.58 | ↓ -49% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $640.58 | ↓ -49% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $646.88 | ↓ -48% |
| Humana | Medicare Advantage-Physician-FAC | $653.35 | ↓ -48% |
| Humana | Medicare Advantage-NONFAC | $653.39 | ↓ -48% |
| HAP | HAP HMO_AHL_Fully-Insured | $819.05 | ↓ -34% |
| Pace SE MI | Medicare Advantage | $858.54 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $885.65 | ↓ -29% |
| Blue Cross | GM Connected Care | $888.70 | ↓ -29% |
| Nomi | All Products | $896.81 | ↓ -28% |
| McLaren | Medicare Advantage | $903.72 | ↓ -28% |
| WellCare | Medicare Advantage | $903.72 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $903.72 | ↓ -28% |
| Blue Cross | BCN Advantage | $903.72 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $903.72 | ↓ -28% |
| Priority Health | Medicare Advantage | $903.72 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $903.72 | ↓ -28% |
| United Healthcare | VACCN | $903.72 | ↓ -28% |
| HAP | Medicare Advantage | $903.72 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $903.72 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $903.72 | ↓ -28% |
| Aetna | Medicare Advantage | $903.72 | ↓ -28% |
| Humana | Medicare Advantage | $912.76 | ↓ -27% |
| HAP | HAP Dual Products | $918.60 | ↓ -26% |
| HAP | HAP HMO_AHL_Fully Insured | $944.74 | ↓ -24% |
| HAP | Self-Funded | $956.46 | ↓ -23% |
| Aetna | All Products-NONFAC | $980.50 | ↓ -21% |
| Blue Cross | BCBSM Commercial | $982.65 | ↓ -21% |
| Blue Cross | BCN Commercial-NONFAC | $987.44 | ↓ -21% |
| Blue Cross | BCN Commercial-FAC | $987.44 | ↓ -21% |
| Aetna | Dual Products | $994.10 | ↓ -20% |
| Blue Cross | BCBSM GM Connected Care | $1,069.06 | ↓ -14% |
| HAP | Henry Ford Select -HPN commercial | $1,084.47 | ↓ -13% |
| Blue Cross | BCN Commercial | $1,095.34 | ↓ -12% |
| BCN | HMO | $1,095.34 | ↓ -12% |
| Priority Health | All Products | $1,124.92 | ↓ -10% |
| United Healthcare | All Products-Midlevel | $1,145.23 | ↓ -8% |
| Meridian | Ambetter From Meridian | $1,220.02 | ↓ -2% |
| Priority Health | Priority Cigna | $1,237.41 | ↓ -1% |
| United Healthcare | All Products-Prof | $1,370.95 | ↑ +10% |
| Priority Health | Commercial | $1,616.79 | ↑ +30% |
| Vitalcore | All Products | $2,078.56 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
Visitor-reported prices
Comments
Gastrostomy open neonatal at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $1,247.13 | $381.91 – $1,475.91 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $1,247.13 | $381.91 – $2,078.56 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $1,247.13 | $381.91 – $1,100.93 |
| Corewell Health Big Rapids | Big Rapids | not published | $903.72 – $1,626.70 |
| Corewell Health Gerber | Fremont | not published | $1,012.73 – $1,012.73 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $903.72 – $1,547.47 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $686.12 – $1,626.70 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $686.12 – $1,626.70 |