Hlth bhv ivntj grp 1st 30 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$51.52
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.
$34.00
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.
$6.49 with ScriptGuideRX vs $85.86 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 |
|---|---|---|---|
| ScriptGuideRX | All Products | $6.49 | ↓ -87% |
| United Healthcare | Commercial-Behavioral Health-MA | $7.37 | ↓ -86% |
| Humana Military | Tricare-NonPhysician-FAC | $7.52 | ↓ -85% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $8.12 | ↓ -84% |
| United Healthcare | Commercial-Behavioral Health-RN | $8.36 | ↓ -84% |
| Humana Military | Tricare | $8.84 | ↓ -83% |
| Humana Military | Tricare-Physician-FAC | $8.84 | ↓ -83% |
| Pace SE MI | Medicare Advantage-FAC | $9.07 | ↓ -82% |
| Priority Health | Behavioral Health-Other Therapist-FAC | $9.19 | ↓ -82% |
| Amerihealth Caritas | Dual Products-FAC | $9.36 | ↓ -82% |
| WellCare | Medicare Advantage-FAC | $9.55 | ↓ -81% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $9.55 | ↓ -81% |
| HAP | Medicare Advantage-Physician-FAC | $9.55 | ↓ -81% |
| Humana | Medicare Advantage-FAC | $9.55 | ↓ -81% |
| United Healthcare | Medicare-Behavioral Health-FAC | $9.55 | ↓ -81% |
| United Healthcare | Medicare Advantage-FAC | $9.55 | ↓ -81% |
| Trinity Health Plan | Medicare Advantage-FAC | $9.55 | ↓ -81% |
| Priority Health | Medicare Advantage-FAC | $9.55 | ↓ -81% |
| Blue Cross | BCN Medicare Advantage -FAC | $9.55 | ↓ -81% |
| Blue Cross | Medicare Plus Blue-FAC | $9.55 | ↓ -81% |
| Molina | Medicare Advantage-FAC | $9.55 | ↓ -81% |
| Molina | Dual Product-FAC | $9.55 | ↓ -81% |
| HAP | HAP Dual Products-FAC | $9.55 | ↓ -81% |
| Aetna | Medicare Advantage-FAC | $9.55 | ↓ -81% |
| Meridian | Ambetter From Meridian-FAC | $9.55 | ↓ -81% |
| McLaren | Medicare Advantage-FAC | $9.55 | ↓ -81% |
| HAP | Medicare Advantage-FAC | $9.55 | ↓ -81% |
| Humana | Medicare Advantage-Physician-FAC | $9.71 | ↓ -81% |
| United Healthcare | Commercial-Behavioral Health-PhD | $9.83 | ↓ -81% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $10.03 | ↓ -81% |
| Priority Health | Behavioral Health-Other Therapist-NONFAC | $10.14 | ↓ -80% |
| Priority Health | Behavioral Health-Psychologist-FAC | $10.52 | ↓ -80% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $10.57 | ↓ -79% |
| Pace SE MI | Medicare Advantage-NONFAC | $11.21 | ↓ -78% |
| Amerihealth Caritas | Dual Products-NONFAC | $11.56 | ↓ -78% |
| Priority Health | Behavioral Health-Psychologist-NONFAC | $11.61 | ↓ -77% |
| HAP | Medicare Advantage-Physician-NONFAC | $11.80 | ↓ -77% |
| Aetna | Medicare Advantage-NONFAC | $11.80 | ↓ -77% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $11.80 | ↓ -77% |
| Blue Cross | Medicare Plus Blue-NONFAC | $11.80 | ↓ -77% |
| HAP | HAP Dual Products-NONFAC | $11.80 | ↓ -77% |
| HAP | Medicare Advantage-NONFAC | $11.80 | ↓ -77% |
| McLaren | Medicare Advantage-NONFAC | $11.80 | ↓ -77% |
| Meridian | Ambetter From Meridian-NONFAC | $11.80 | ↓ -77% |
| Molina | Dual Product-NONFAC | $11.80 | ↓ -77% |
| Molina | Medicare Advantage-NONFAC | $11.80 | ↓ -77% |
| Priority Health | Medicare Advantage-NONFAC | $11.80 | ↓ -77% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $11.80 | ↓ -77% |
| United Healthcare | Medicare Advantage-NONFAC | $11.80 | ↓ -77% |
| WellCare | Medicare Advantage-NONFAC | $11.80 | ↓ -77% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $11.80 | ↓ -77% |
| Humana | Medicare Advantage-NONFAC | $12.04 | ↓ -77% |
| HAP | HAP HMO_AHL_Fully-Insured | $13.19 | ↓ -74% |
| Priority Health | All Products | $13.32 | ↓ -74% |
| Priority Health | Behavioral Health-MD/DO-FAC | $13.32 | ↓ -74% |
| Nomi | All Products | $13.37 | ↓ -74% |
| Blue Cross | GM Connected Care | $13.91 | ↓ -73% |
| Aetna | All Products-NONFAC | $14.46 | ↓ -72% |
| Priority Health | Priority Cigna | $14.65 | ↓ -72% |
| Priority Health | Behavioral Health-MD/DO-NONFAC | $14.69 | ↓ -71% |
| HAP | Self-Funded | $15.40 | ↓ -70% |
| Blue Cross | BCN Commercial-FAC | $15.45 | ↓ -70% |
| Blue Cross | BCBSM Commercial | $16.51 | ↓ -68% |
| United Healthcare | UHC Commercial | $16.86 | ↓ -67% |
| Blue Cross | BCN Commercial-NONFAC | $17.04 | ↓ -67% |
| United Healthcare | All Products-Prof | $17.04 | ↓ -67% |
| HAP | HAP HMO_AHL_Fully Insured | $17.66 | ↓ -66% |
| United Healthcare | All Products-Midlevel | $18.12 | ↓ -65% |
| Priority Health | Medicaid HMO | $20.02 | ↓ -61% |
| McLaren | Medicaid HMO | $20.02 | ↓ -61% |
| Meridian | Medicaid HMO | $20.02 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $20.02 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $20.42 | ↓ -60% |
| Molina | Medicaid HMO | $21.08 | ↓ -59% |
| Aetna | Commercial | $21.74 | ↓ -58% |
| Multiplan | All Products | $22.44 | ↓ -56% |
| Cofinity | Commercial | $24.04 | ↓ -53% |
| United Healthcare | Baseline Benefit Plan | $24.79 | ↓ -52% |
| HAP | HAP Dual Products | $29.19 | ↓ -43% |
| HAP | Medicare Advantage | $34.00 | ↓ -34% |
| Humana | Medicare Advantage | $34.00 | ↓ -34% |
| Priority Health | Commercial | $34.00 | ↓ -34% |
| HAP | Henry Ford Select -HPN commercial | $34.00 | ↓ -34% |
| Meridian | Ambetter From Meridian | $34.00 | ↓ -34% |
| Pace SE MI | Medicare Advantage | $35.47 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $36.58 | ↓ -29% |
| Priority Health | Dual Premier_HIDE-SNP | $37.33 | ↓ -28% |
| Priority Health | Medicare Advantage | $37.33 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $37.33 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $37.33 | ↓ -28% |
| Blue Cross | BCN Advantage | $37.33 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $37.33 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $37.33 | ↓ -28% |
| Aetna | Medicare Advantage | $37.33 | ↓ -28% |
| United Healthcare | VACCN | $37.33 | ↓ -28% |
| WellCare | Medicare Advantage | $37.33 | ↓ -28% |
| McLaren | Medicare Advantage | $37.33 | ↓ -28% |
| Aetna | Dual Products | $41.07 | ↓ -20% |
| Vitalcore | All Products | $85.86 | ↑ +67% |
| BCN | HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Blue Cross | BCN Commercial | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| Blue Cross | BCBSM GM Connected Care | not published by hospital | — |
Visitor-reported prices
Comments
Hlth bhv ivntj grp 1st 30 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $51.52 | $7.37 – $325.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $51.52 | $6.49 – $85.86 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $51.52 | $6.49 – $22.78 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $31.77 – $56.00 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $34.79 – $67.20 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $34.79 – $67.20 |
| Corewell Health Greenville | Greenville | not published | $37.33 – $67.20 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $13.97 – $50.42 |