Ghs moderate sedation < 5 yr, 30 min, other at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$119.58
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.
$296.00
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.
$40.55 with Priority Health vs $233.76 with Priority Health — 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 |
|---|---|---|---|
| Priority Health | Commercial | $40.55 | ↓ -66% |
| HAP | HAP Caresource Medicaid-FAC | $51.97 | ↓ -57% |
| McLaren | Medicaid HMO-Child-FAC | $51.97 | ↓ -57% |
| McLaren | Medicaid HMO-Adult-FAC | $51.97 | ↓ -57% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $51.97 | ↓ -57% |
| Meridian | Medicaid HMO-Adult-FAC | $51.97 | ↓ -57% |
| Meridian | Medicaid HMO-Child-FAC | $51.97 | ↓ -57% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $51.97 | ↓ -57% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $53.01 | ↓ -56% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $53.01 | ↓ -56% |
| Molina | Medicaid HMO-Adult-FAC | $54.05 | ↓ -55% |
| Molina | Medicaid HMO-Child-FAC | $54.05 | ↓ -55% |
| Priority Health | Medicaid HMO-Adult-FAC | $54.57 | ↓ -54% |
| Priority Health | Medicaid HMO-Child-FAC | $54.57 | ↓ -54% |
| ScriptGuideRX | All Products | $58.92 | ↓ -51% |
| Humana Military | Tricare-NonPhysician-FAC | $66.06 | ↓ -45% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $73.65 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $73.65 | ↓ -38% |
| WellCare | Medicare Advantage | $75.92 | ↓ -37% |
| Humana Military | Tricare | $77.71 | ↓ -35% |
| Humana Military | Tricare-Physician-FAC | $77.71 | ↓ -35% |
| Pace SE MI | Medicare Advantage-NONFAC | $82.32 | ↓ -31% |
| Pace SE MI | Medicare Advantage-FAC | $82.32 | ↓ -31% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $84.48 | ↓ -29% |
| Amerihealth Caritas | Dual Products-FAC | $84.92 | ↓ -29% |
| Amerihealth Caritas | Dual Products-NONFAC | $84.92 | ↓ -29% |
| Humana | Medicare Advantage-Physician-FAC | $85.32 | ↓ -29% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $86.65 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $86.65 | ↓ -28% |
| Aetna | Medicare Advantage-NONFAC | $86.65 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $86.65 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $86.65 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $86.65 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $86.65 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $86.65 | ↓ -28% |
| HAP | HAP Dual Products-NONFAC | $86.65 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $86.65 | ↓ -28% |
| HAP | Medicare Advantage-NONFAC | $86.65 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $86.65 | ↓ -28% |
| HAP | Medicare Advantage-Physician-NONFAC | $86.65 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $86.65 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $86.65 | ↓ -28% |
| McLaren | Medicare Advantage-NONFAC | $86.65 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $86.65 | ↓ -28% |
| Meridian | Ambetter From Meridian-NONFAC | $86.65 | ↓ -28% |
| Molina | Dual Product-FAC | $86.65 | ↓ -28% |
| Molina | Dual Product-NONFAC | $86.65 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $86.65 | ↓ -28% |
| Molina | Medicare Advantage-NONFAC | $86.65 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $86.65 | ↓ -28% |
| Priority Health | Medicare Advantage-NONFAC | $86.65 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $86.65 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $86.65 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $86.65 | ↓ -28% |
| United Healthcare | Medicare Advantage-NONFAC | $86.65 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $86.65 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $86.65 | ↓ -28% |
| WellCare | Medicare Advantage-NONFAC | $86.65 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $86.65 | ↓ -28% |
| Humana | Medicare Advantage-NONFAC | $88.38 | ↓ -26% |
| Molina | Dual MI Coordinated Health | $88.80 | ↓ -26% |
| Amerihealth Caritas | Dual Products | $118.40 | ↓ -1% |
| Nomi | All Products | $121.31 | ↑ +1% |
| HAP | HAP HMO_AHL_Fully-Insured | $122.28 | ↑ +2% |
| Aetna | All Products-NONFAC | $123.26 | ↑ +3% |
| Blue Cross | GM Connected Care | $129.54 | ↑ +8% |
| HAP | Self-Funded | $142.79 | ↑ +19% |
| Blue Cross | BCBSM Commercial | $143.35 | ↑ +20% |
| Blue Cross | BCN Commercial-FAC | $143.93 | ↑ +20% |
| Blue Cross | BCN Commercial-NONFAC | $143.93 | ↑ +20% |
| United Healthcare | UHC Commercial | $146.82 | ↑ +23% |
| Vitalcore | All Products | $148.00 | ↑ +24% |
| HAP | HAP HMO_AHL_Fully Insured | $153.71 | ↑ +29% |
| United Healthcare | All Products-Prof | $164.45 | ↑ +38% |
| United Healthcare | All Products-Midlevel | $174.83 | ↑ +46% |
| Aetna | Commercial | $189.29 | ↑ +58% |
| Multiplan | All Products | $195.36 | ↑ +63% |
| Cofinity | Commercial | $209.27 | ↑ +75% |
| United Healthcare | Baseline Benefit Plan | $215.78 | ↑ +80% |
| Priority Health | Priority Cigna | $230.73 | ↑ +93% |
| Priority Health | All Products | $233.76 | ↑ +95% |
| BCN | HMO | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| Blue Cross | BCN Commercial | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Blue Cross | BCBSM GM Connected Care | not published by hospital | — |
Visitor-reported prices
Comments
Ghs moderate sedation < 5 yr, 30 min, other at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $140.00 | not published |
| Corewell Health Gerber | Fremont | $140.00 | not published |
| Corewell Health Butterworth Hospital | Grand Rapids | $161.00 | $35.97 – $35.97 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $161.00 | $35.97 – $35.97 |
| Corewell Health Reed City | Po Box 75 | $140.00 | not published |
| Corewell Health Greenville | Greenville | $140.00 | not published |
| Corewell Health Zeeland | Zeeland | $140.00 | not published |
| Corewell Health Gross Pointe | Grosse Pointe | $604.00 | $129.47 – $271.38 |