Ghs intermed repair 12.6 - 20.0 cm-12035 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$558.97
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.
$790.00
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.
$143.14 with United Healthcare vs $2,877.00 with Aetna — 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 | $143.14 | ↓ -74% |
| Meridian | Medicaid HMO-Child-FAC | $143.14 | ↓ -74% |
| HAP | HAP Caresource Medicaid-FAC | $143.14 | ↓ -74% |
| Meridian | Medicaid HMO-Adult-FAC | $143.14 | ↓ -74% |
| McLaren | Medicaid HMO-Adult-FAC | $143.14 | ↓ -74% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $143.14 | ↓ -74% |
| McLaren | Medicaid HMO-Child-FAC | $143.14 | ↓ -74% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $146.00 | ↓ -74% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $146.00 | ↓ -74% |
| Molina | Medicaid HMO-Child-FAC | $148.87 | ↓ -73% |
| Molina | Medicaid HMO-Adult-FAC | $148.87 | ↓ -73% |
| Priority Health | Medicaid HMO-Adult-FAC | $150.30 | ↓ -73% |
| Priority Health | Medicaid HMO-Child-FAC | $150.30 | ↓ -73% |
| ScriptGuideRX | All Products | $160.13 | ↓ -71% |
| HAP | Self-Funded | $189.85 | ↓ -66% |
| HAP | HAP HMO_AHL_Fully Insured | $190.26 | ↓ -66% |
| Humana Military | Tricare-NonPhysician-FAC | $195.24 | ↓ -65% |
| United Healthcare | UHC Commercial | $199.89 | ↓ -64% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $200.19 | ↓ -64% |
| McLaren | Medicaid HMO | $217.21 | ↓ -61% |
| Meridian | Medicaid HMO | $217.21 | ↓ -61% |
| Priority Health | Medicaid HMO | $217.21 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $217.21 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $221.55 | ↓ -60% |
| Pace SE MI | Medicare Advantage-FAC | $223.74 | ↓ -60% |
| Molina | Medicaid HMO | $228.77 | ↓ -59% |
| Humana Military | Tricare-Physician-FAC | $229.70 | ↓ -59% |
| Humana Military | Tricare | $229.70 | ↓ -59% |
| Amerihealth Caritas | Dual Products-FAC | $230.81 | ↓ -59% |
| Molina | Medicare Advantage-FAC | $235.52 | ↓ -58% |
| Priority Health | Medicare Advantage-FAC | $235.52 | ↓ -58% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $235.52 | ↓ -58% |
| Blue Cross | BCN Medicare Advantage -FAC | $235.52 | ↓ -58% |
| Blue Cross | Medicare Plus Blue-FAC | $235.52 | ↓ -58% |
| Molina | Dual Product-FAC | $235.52 | ↓ -58% |
| Meridian | Ambetter From Meridian-FAC | $235.52 | ↓ -58% |
| McLaren | Medicare Advantage-FAC | $235.52 | ↓ -58% |
| HAP | Medicare Advantage-FAC | $235.52 | ↓ -58% |
| Aetna | Medicare Advantage-FAC | $235.52 | ↓ -58% |
| HAP | Medicare Advantage-Physician-FAC | $235.52 | ↓ -58% |
| United Healthcare | Medicare Advantage-FAC | $235.52 | ↓ -58% |
| United Healthcare | Medicare-Behavioral Health-FAC | $235.52 | ↓ -58% |
| Humana | Medicare Advantage-FAC | $235.52 | ↓ -58% |
| WellCare | Medicare Advantage-FAC | $235.52 | ↓ -58% |
| HAP | HAP Dual Products-FAC | $235.52 | ↓ -58% |
| Trinity Health Plan | Medicare Advantage-FAC | $235.52 | ↓ -58% |
| Humana | Medicare Advantage-Physician-FAC | $252.17 | ↓ -55% |
| McLaren | Medicaid HMO-Child-NONFAC | $264.12 | ↓ -53% |
| HAP | HAP Caresource Medicaid-NONFAC | $264.12 | ↓ -53% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $264.12 | ↓ -53% |
| Meridian | Medicaid HMO-Child-NONFAC | $264.12 | ↓ -53% |
| McLaren | Medicaid HMO-Adult-NONFAC | $264.12 | ↓ -53% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $264.12 | ↓ -53% |
| Meridian | Medicaid HMO-Adult-NONFAC | $264.12 | ↓ -53% |
| Multiplan | All Products | $265.98 | ↓ -52% |
| Molina | Medicaid HMO-Adult-NONFAC | $269.08 | ↓ -52% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $269.40 | ↓ -52% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $269.40 | ↓ -52% |
| Molina | Medicaid HMO-Child-NONFAC | $274.68 | ↓ -51% |
| Blue Cross | GM Connected Care | $275.94 | ↓ -51% |
| Priority Health | Medicaid HMO-Child-NONFAC | $277.33 | ↓ -50% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $277.33 | ↓ -50% |
| Cofinity | Commercial | $284.92 | ↓ -49% |
| United Healthcare | Baseline Benefit Plan | $293.79 | ↓ -47% |
| Blue Cross | BCN Commercial-FAC | $306.60 | ↓ -45% |
| Priority Health | Priority Cigna | $314.14 | ↓ -44% |
| Nomi | All Products | $329.73 | ↓ -41% |
| Priority Health | All Products | $332.72 | ↓ -40% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $355.80 | ↓ -36% |
| Pace SE MI | Medicare Advantage | $384.80 | ↓ -31% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $389.36 | ↓ -30% |
| HAP | HAP Dual Products | $391.45 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $396.95 | ↓ -29% |
| Pace SE MI | Medicare Advantage-NONFAC | $397.66 | ↓ -29% |
| United Healthcare | All Products-Prof | $398.20 | ↓ -29% |
| BCN | HMO | $403.00 | ↓ -28% |
| HAP | Henry Ford Select -HPN commercial | $403.00 | ↓ -28% |
| Blue Cross | BCBSM GM Connected Care | $403.00 | ↓ -28% |
| Meridian | Ambetter From Meridian | $403.00 | ↓ -28% |
| HAP | Medicare Advantage | $403.00 | ↓ -28% |
| Blue Cross | BCN Commercial | $403.00 | ↓ -28% |
| Humana | Medicare Advantage | $403.00 | ↓ -28% |
| Blue Cross | BCBSM Commercial | $403.00 | ↓ -28% |
| Priority Health | Commercial | $403.00 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $405.05 | ↓ -28% |
| McLaren | Medicare Advantage | $405.05 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $405.05 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $405.05 | ↓ -28% |
| Blue Cross | BCN Advantage | $405.05 | ↓ -28% |
| Priority Health | Medicare Advantage | $405.05 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $405.05 | ↓ -28% |
| Aetna | Medicare Advantage | $405.05 | ↓ -28% |
| United Healthcare | VACCN | $405.05 | ↓ -28% |
| WellCare | Medicare Advantage | $405.05 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $405.05 | ↓ -28% |
| Amerihealth Caritas | Dual Products-NONFAC | $410.22 | ↓ -27% |
| Molina | Dual Product-NONFAC | $418.59 | ↓ -25% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $418.59 | ↓ -25% |
| HAP | HAP Dual Products-NONFAC | $418.59 | ↓ -25% |
| Meridian | Ambetter From Meridian-NONFAC | $418.59 | ↓ -25% |
| McLaren | Medicare Advantage-NONFAC | $418.59 | ↓ -25% |
| Aetna | Medicare Advantage-NONFAC | $418.59 | ↓ -25% |
| WellCare | Medicare Advantage-NONFAC | $418.59 | ↓ -25% |
| United Healthcare | Medicare Advantage-NONFAC | $418.59 | ↓ -25% |
| HAP | Medicare Advantage-NONFAC | $418.59 | ↓ -25% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $418.59 | ↓ -25% |
| Molina | Medicare Advantage-NONFAC | $418.59 | ↓ -25% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $418.59 | ↓ -25% |
| Blue Cross | Medicare Plus Blue-NONFAC | $418.59 | ↓ -25% |
| HAP | Medicare Advantage-Physician-NONFAC | $418.59 | ↓ -25% |
| Priority Health | Medicare Advantage-NONFAC | $418.59 | ↓ -25% |
| Humana | Medicare Advantage-NONFAC | $426.96 | ↓ -24% |
| Aetna | Dual Products | $445.56 | ↓ -20% |
| Blue Cross | BCN Commercial-NONFAC | $490.56 | ↓ -12% |
| HAP | HAP HMO_AHL_Fully-Insured | $507.36 | ↓ -9% |
| United Healthcare | All Products-Midlevel | $516.15 | ↓ -8% |
| Aetna | All Products-NONFAC | $563.45 | ↑ +1% |
| Vitalcore | All Products | $931.62 | ↑ +67% |
| Aetna | Commercial | $2,877.00 | ↑ +415% |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | 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
Ghs intermed repair 12.6 - 20.0 cm-12035 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $703.00 | $260.06 – $729.10 |
| Corewell Health Gerber | Fremont | $703.00 | $260.06 – $260.06 |
| Corewell Health Lakeland Watervliet | Watervliet | $482.00 | $409.44 – $614.16 |
| Corewell Health Lakeland St. Joseph | St Joseph | $482.00 | $405.05 – $892.69 |
| Corewell Health Butterworth Hospital | Grand Rapids | $633.00 | $283.19 – $729.10 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $633.00 | $283.19 – $729.10 |
| Corewell Health Reed City | Po Box 75 | $703.00 | not published |
| Corewell Health Greenville | Greenville | $703.00 | $260.06 – $729.10 |