Ghs layered repair 12.6 - 20.0 cm -12055 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.
?
What you pay up front if you don't use insurance.
$990.00
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.
$187.65 with United Healthcare vs $2,877.00 with Aetna — 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 | $187.65 | ↓ -66% |
| HAP | HAP Caresource Medicaid-FAC | $187.65 | ↓ -66% |
| Meridian | Medicaid HMO-Child-FAC | $187.65 | ↓ -66% |
| Meridian | Medicaid HMO-Adult-FAC | $187.65 | ↓ -66% |
| McLaren | Medicaid HMO-Adult-FAC | $187.65 | ↓ -66% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $187.65 | ↓ -66% |
| McLaren | Medicaid HMO-Child-FAC | $187.65 | ↓ -66% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $191.40 | ↓ -66% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $191.40 | ↓ -66% |
| Molina | Medicaid HMO-Adult-FAC | $195.16 | ↓ -65% |
| Molina | Medicaid HMO-Child-FAC | $195.16 | ↓ -65% |
| Priority Health | Medicaid HMO-Child-FAC | $197.03 | ↓ -65% |
| Priority Health | Medicaid HMO-Adult-FAC | $197.03 | ↓ -65% |
| ScriptGuideRX | All Products | $210.96 | ↓ -62% |
| HAP | Self-Funded | $213.88 | ↓ -62% |
| HAP | HAP HMO_AHL_Fully Insured | $214.33 | ↓ -62% |
| McLaren | Medicaid HMO | $217.21 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $217.21 | ↓ -61% |
| Meridian | Medicaid HMO | $217.21 | ↓ -61% |
| Priority Health | Medicaid HMO | $217.21 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $221.55 | ↓ -60% |
| United Healthcare | UHC Commercial | $225.18 | ↓ -60% |
| Molina | Medicaid HMO | $228.77 | ↓ -59% |
| Humana Military | Tricare-NonPhysician-FAC | $243.83 | ↓ -56% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $263.75 | ↓ -53% |
| Humana Military | Tricare | $286.86 | ↓ -49% |
| Humana Military | Tricare-Physician-FAC | $286.86 | ↓ -49% |
| Pace SE MI | Medicare Advantage-FAC | $294.78 | ↓ -47% |
| Multiplan | All Products | $299.64 | ↓ -46% |
| Amerihealth Caritas | Dual Products-FAC | $304.08 | ↓ -46% |
| McLaren | Medicare Advantage-FAC | $310.29 | ↓ -44% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $310.29 | ↓ -44% |
| Aetna | Medicare Advantage-FAC | $310.29 | ↓ -44% |
| WellCare | Medicare Advantage-FAC | $310.29 | ↓ -44% |
| United Healthcare | Medicare-Behavioral Health-FAC | $310.29 | ↓ -44% |
| United Healthcare | Medicare Advantage-FAC | $310.29 | ↓ -44% |
| Blue Cross | BCN Medicare Advantage -FAC | $310.29 | ↓ -44% |
| Blue Cross | Medicare Plus Blue-FAC | $310.29 | ↓ -44% |
| Trinity Health Plan | Medicare Advantage-FAC | $310.29 | ↓ -44% |
| HAP | HAP Dual Products-FAC | $310.29 | ↓ -44% |
| Priority Health | Medicare Advantage-FAC | $310.29 | ↓ -44% |
| HAP | Medicare Advantage-FAC | $310.29 | ↓ -44% |
| HAP | Medicare Advantage-Physician-FAC | $310.29 | ↓ -44% |
| Humana | Medicare Advantage-FAC | $310.29 | ↓ -44% |
| Meridian | Ambetter From Meridian-FAC | $310.29 | ↓ -44% |
| Molina | Dual Product-FAC | $310.29 | ↓ -44% |
| Molina | Medicare Advantage-FAC | $310.29 | ↓ -44% |
| Humana | Medicare Advantage-Physician-FAC | $314.92 | ↓ -44% |
| Cofinity | Commercial | $320.98 | ↓ -43% |
| United Healthcare | Baseline Benefit Plan | $330.97 | ↓ -41% |
| Molina | Medicaid HMO-Adult-NONFAC | $345.80 | ↓ -38% |
| Meridian | Medicaid HMO-Adult-NONFAC | $348.04 | ↓ -38% |
| HAP | HAP Caresource Medicaid-NONFAC | $348.04 | ↓ -38% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $348.04 | ↓ -38% |
| McLaren | Medicaid HMO-Child-NONFAC | $348.04 | ↓ -38% |
| Meridian | Medicaid HMO-Child-NONFAC | $348.04 | ↓ -38% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $348.04 | ↓ -38% |
| McLaren | Medicaid HMO-Adult-NONFAC | $348.04 | ↓ -38% |
| Priority Health | Priority Cigna | $353.89 | ↓ -37% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $355.00 | ↓ -36% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $355.00 | ↓ -36% |
| Molina | Medicaid HMO-Child-NONFAC | $361.96 | ↓ -35% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $365.44 | ↓ -35% |
| Priority Health | Medicaid HMO-Child-NONFAC | $365.44 | ↓ -35% |
| Pace SE MI | Medicare Advantage | $384.80 | ↓ -31% |
| HAP | HAP Dual Products | $391.45 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $396.95 | ↓ -29% |
| Blue Cross | BCN Advantage | $405.05 | ↓ -28% |
| McLaren | Medicare Advantage | $405.05 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $405.05 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $405.05 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $405.05 | ↓ -28% |
| Priority Health | Medicare Advantage | $405.05 | ↓ -28% |
| Aetna | Medicare Advantage | $405.05 | ↓ -28% |
| HAP | Medicare Advantage | $405.05 | ↓ -28% |
| United Healthcare | VACCN | $405.05 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $405.05 | ↓ -28% |
| WellCare | Medicare Advantage | $405.05 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $405.05 | ↓ -28% |
| Humana | Medicare Advantage | $409.10 | ↓ -27% |
| Priority Health | All Products | $414.31 | ↓ -26% |
| Nomi | All Products | $434.41 | ↓ -22% |
| Blue Cross | GM Connected Care | $435.72 | ↓ -22% |
| Aetna | Dual Products | $445.56 | ↓ -20% |
| Meridian | Ambetter From Meridian | $454.00 | ↓ -19% |
| Blue Cross | BCBSM Commercial | $454.00 | ↓ -19% |
| Blue Cross | BCBSM GM Connected Care | $454.00 | ↓ -19% |
| Blue Cross | BCN Commercial | $454.00 | ↓ -19% |
| HAP | Henry Ford Select -HPN commercial | $454.00 | ↓ -19% |
| Priority Health | Commercial | $454.00 | ↓ -19% |
| BCN | HMO | $454.00 | ↓ -19% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $470.04 | ↓ -16% |
| Blue Cross | BCN Commercial-FAC | $484.13 | ↓ -13% |
| United Healthcare | All Products-Prof | $496.69 | ↓ -11% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $500.61 | ↓ -10% |
| Pace SE MI | Medicare Advantage-NONFAC | $525.34 | ↓ -6% |
| Amerihealth Caritas | Dual Products-NONFAC | $541.93 | ↓ -3% |
| HAP | HAP Dual Products-NONFAC | $552.99 | ↓ -1% |
| Molina | Dual Product-NONFAC | $552.99 | ↓ -1% |
| Meridian | Ambetter From Meridian-NONFAC | $552.99 | ↓ -1% |
| McLaren | Medicare Advantage-NONFAC | $552.99 | ↓ -1% |
| HAP | Medicare Advantage-Physician-NONFAC | $552.99 | ↓ -1% |
| HAP | Medicare Advantage-NONFAC | $552.99 | ↓ -1% |
| Priority Health | Medicare Advantage-NONFAC | $552.99 | ↓ -1% |
| Molina | Medicare Advantage-NONFAC | $552.99 | ↓ -1% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $552.99 | ↓ -1% |
| Blue Cross | Medicare Plus Blue-NONFAC | $552.99 | ↓ -1% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $552.99 | ↓ -1% |
| United Healthcare | Medicare Advantage-NONFAC | $552.99 | ↓ -1% |
| Aetna | Medicare Advantage-NONFAC | $552.99 | ↓ -1% |
| WellCare | Medicare Advantage-NONFAC | $552.99 | ↓ -1% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $552.99 | ↓ -1% |
| Humana | Medicare Advantage-NONFAC | $564.05 | ↑ +1% |
| HAP | HAP HMO_AHL_Fully-Insured | $619.28 | ↑ +11% |
| United Healthcare | All Products-Midlevel | $643.81 | ↑ +15% |
| Aetna | All Products-NONFAC | $735.26 | ↑ +32% |
| Blue Cross | BCN Commercial-NONFAC | $799.43 | ↑ +43% |
| Vitalcore | All Products | $931.62 | ↑ +67% |
| Aetna | Commercial | $2,877.00 | ↑ +415% |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
Ghs layered repair 12.6 - 20.0 cm -12055 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $725.00 | $312.73 – $729.10 |
| Corewell Health Gerber | Fremont | $725.00 | $312.73 – $312.73 |
| Corewell Health Butterworth Hospital | Grand Rapids | $747.00 | $283.19 – $729.10 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $747.00 | $283.19 – $729.10 |
| Corewell Health Reed City | Po Box 75 | $725.00 | not published |
| Corewell Health Greenville | Greenville | $725.00 | $312.73 – $729.10 |
| Corewell Health Zeeland | Zeeland | $725.00 | $312.73 – $729.10 |
| Corewell Health Gross Pointe | Grosse Pointe | $1,322.00 | $217.45 – $655.69 |