Ghs simple repair over 30 cm - 12007 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$275.88
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.
$606.00
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.
$85.41 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 | $85.41 | ↓ -69% |
| Meridian | Medicaid HMO-Child-FAC | $85.41 | ↓ -69% |
| Meridian | Medicaid HMO-Adult-FAC | $85.41 | ↓ -69% |
| McLaren | Medicaid HMO-Child-FAC | $85.41 | ↓ -69% |
| McLaren | Medicaid HMO-Adult-FAC | $85.41 | ↓ -69% |
| HAP | HAP Caresource Medicaid-FAC | $85.41 | ↓ -69% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $85.41 | ↓ -69% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $87.12 | ↓ -68% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $87.12 | ↓ -68% |
| Molina | Medicaid HMO-Child-FAC | $88.83 | ↓ -68% |
| Molina | Medicaid HMO-Adult-FAC | $88.83 | ↓ -68% |
| Priority Health | Medicaid HMO-Adult-FAC | $89.68 | ↓ -67% |
| Priority Health | Medicaid HMO-Child-FAC | $89.68 | ↓ -67% |
| ScriptGuideRX | All Products | $100.28 | ↓ -64% |
| McLaren | Medicaid HMO | $107.20 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $107.20 | ↓ -61% |
| Priority Health | Medicaid HMO | $107.20 | ↓ -61% |
| Meridian | Medicaid HMO | $107.20 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $109.34 | ↓ -60% |
| Molina | Medicaid HMO | $112.91 | ↓ -59% |
| Humana Military | Tricare-NonPhysician-FAC | $120.16 | ↓ -56% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $125.37 | ↓ -55% |
| Pace SE MI | Medicare Advantage-FAC | $140.12 | ↓ -49% |
| Humana Military | Tricare | $141.37 | ↓ -49% |
| Humana Military | Tricare-Physician-FAC | $141.37 | ↓ -49% |
| Amerihealth Caritas | Dual Products-FAC | $144.54 | ↓ -48% |
| Blue Cross | BCN Medicare Advantage -FAC | $147.49 | ↓ -47% |
| HAP | HAP Dual Products-FAC | $147.49 | ↓ -47% |
| McLaren | Medicare Advantage-FAC | $147.49 | ↓ -47% |
| Aetna | Medicare Advantage-FAC | $147.49 | ↓ -47% |
| Meridian | Ambetter From Meridian-FAC | $147.49 | ↓ -47% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $147.49 | ↓ -47% |
| Priority Health | Medicare Advantage-FAC | $147.49 | ↓ -47% |
| Trinity Health Plan | Medicare Advantage-FAC | $147.49 | ↓ -47% |
| United Healthcare | Medicare-Behavioral Health-FAC | $147.49 | ↓ -47% |
| United Healthcare | Medicare Advantage-FAC | $147.49 | ↓ -47% |
| Blue Cross | Medicare Plus Blue-FAC | $147.49 | ↓ -47% |
| HAP | Medicare Advantage-FAC | $147.49 | ↓ -47% |
| Molina | Dual Product-FAC | $147.49 | ↓ -47% |
| HAP | Medicare Advantage-Physician-FAC | $147.49 | ↓ -47% |
| Humana | Medicare Advantage-FAC | $147.49 | ↓ -47% |
| Molina | Medicare Advantage-FAC | $147.49 | ↓ -47% |
| WellCare | Medicare Advantage-FAC | $147.49 | ↓ -47% |
| Humana | Medicare Advantage-Physician-FAC | $155.20 | ↓ -44% |
| Molina | Medicaid HMO-Adult-NONFAC | $158.50 | ↓ -43% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $163.16 | ↓ -41% |
| McLaren | Medicaid HMO-Child-NONFAC | $163.16 | ↓ -41% |
| HAP | HAP Caresource Medicaid-NONFAC | $163.16 | ↓ -41% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $163.16 | ↓ -41% |
| Meridian | Medicaid HMO-Child-NONFAC | $163.16 | ↓ -41% |
| Meridian | Medicaid HMO-Adult-NONFAC | $163.16 | ↓ -41% |
| McLaren | Medicaid HMO-Adult-NONFAC | $163.16 | ↓ -41% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $166.42 | ↓ -40% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $166.42 | ↓ -40% |
| Molina | Medicaid HMO-Child-NONFAC | $169.69 | ↓ -38% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $171.32 | ↓ -38% |
| Priority Health | Medicaid HMO-Child-NONFAC | $171.32 | ↓ -38% |
| Pace SE MI | Medicare Advantage | $189.92 | ↓ -31% |
| HAP | HAP Dual Products | $194.68 | ↓ -29% |
| Amerihealth Caritas | Dual Products | $195.91 | ↓ -29% |
| Priority Health | All Products | $197.35 | ↓ -28% |
| Blue Cross | BCN Advantage | $199.91 | ↓ -28% |
| United Healthcare | VACCN | $199.91 | ↓ -28% |
| WellCare | Medicare Advantage | $199.91 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $199.91 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $199.91 | ↓ -28% |
| Priority Health | Medicare Advantage | $199.91 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $199.91 | ↓ -28% |
| HAP | Medicare Advantage | $199.91 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $199.91 | ↓ -28% |
| McLaren | Medicare Advantage | $199.91 | ↓ -28% |
| Aetna | Medicare Advantage | $199.91 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $199.91 | ↓ -28% |
| Humana | Medicare Advantage | $201.91 | ↓ -27% |
| Nomi | All Products | $206.49 | ↓ -25% |
| Blue Cross | GM Connected Care | $207.56 | ↓ -25% |
| Priority Health | Priority Cigna | $217.09 | ↓ -21% |
| Aetna | Dual Products | $219.90 | ↓ -20% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $225.37 | ↓ -18% |
| Blue Cross | BCN Commercial-FAC | $230.62 | ↓ -16% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $234.99 | ↓ -15% |
| HAP | Henry Ford Select -HPN commercial | $239.90 | ↓ -13% |
| United Healthcare | All Products-Prof | $245.10 | ↓ -11% |
| Pace SE MI | Medicare Advantage-NONFAC | $251.88 | ↓ -9% |
| Amerihealth Caritas | Dual Products-NONFAC | $259.84 | ↓ -6% |
| Priority Health | Medicare Advantage-NONFAC | $265.14 | ↓ -4% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $265.14 | ↓ -4% |
| Meridian | Ambetter From Meridian-NONFAC | $265.14 | ↓ -4% |
| McLaren | Medicare Advantage-NONFAC | $265.14 | ↓ -4% |
| Molina | Medicare Advantage-NONFAC | $265.14 | ↓ -4% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $265.14 | ↓ -4% |
| HAP | Medicare Advantage-Physician-NONFAC | $265.14 | ↓ -4% |
| Molina | Dual Product-NONFAC | $265.14 | ↓ -4% |
| HAP | Medicare Advantage-NONFAC | $265.14 | ↓ -4% |
| WellCare | Medicare Advantage-NONFAC | $265.14 | ↓ -4% |
| HAP | HAP Dual Products-NONFAC | $265.14 | ↓ -4% |
| Aetna | Medicare Advantage-NONFAC | $265.14 | ↓ -4% |
| Blue Cross | Medicare Plus Blue-NONFAC | $265.14 | ↓ -4% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $265.14 | ↓ -4% |
| United Healthcare | Medicare Advantage-NONFAC | $265.14 | ↓ -4% |
| Blue Cross | BCBSM GM Connected Care | $267.63 | ↓ -3% |
| Meridian | Ambetter From Meridian | $269.88 | ↓ -2% |
| Humana | Medicare Advantage-NONFAC | $270.44 | ↓ -2% |
| Blue Cross | BCN Commercial | $274.21 | ↓ -1% |
| Blue Cross | BCBSM Commercial | $274.21 | ↓ -1% |
| BCN | HMO | $274.21 | ↓ -1% |
| HAP | Self-Funded | $285.49 | ↑ +3% |
| HAP | HAP HMO_AHL_Fully Insured | $286.09 | ↑ +4% |
| United Healthcare | UHC Commercial | $300.58 | ↑ +9% |
| Priority Health | Commercial | $310.48 | ↑ +13% |
| United Healthcare | All Products-Midlevel | $317.70 | ↑ +15% |
| HAP | HAP HMO_AHL_Fully-Insured | $322.69 | ↑ +17% |
| Aetna | All Products-NONFAC | $339.65 | ↑ +23% |
| Blue Cross | BCN Commercial-NONFAC | $366.43 | ↑ +33% |
| Multiplan | All Products | $399.96 | ↑ +45% |
| Cofinity | Commercial | $428.44 | ↑ +55% |
| United Healthcare | Baseline Benefit Plan | $441.77 | ↑ +60% |
| Vitalcore | All Products | $459.79 | ↑ +67% |
| Aetna | Commercial | $2,877.00 | ↑ +943% |
| 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 | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Ghs simple repair over 30 cm - 12007 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $524.00 | $199.91 – $359.84 |
| Corewell Health Gerber | Fremont | $524.00 | $312.73 – $312.73 |
| Corewell Health Butterworth Hospital | Grand Rapids | $582.00 | $148.19 – $359.84 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $582.00 | $148.19 – $359.84 |
| Corewell Health Reed City | Po Box 75 | $524.00 | not published |
| Corewell Health Greenville | Greenville | $524.00 | $199.91 – $359.84 |
| Corewell Health Zeeland | Zeeland | $524.00 | $199.91 – $359.84 |
| Corewell Health Gross Pointe | Grosse Pointe | $758.00 | $186.00 – $341.66 |