Hypothermia ill neonate at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$262.13
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.
$764.00
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.
$145.07 with Blue Cross vs $337.67 with Blue Cross — 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 |
|---|---|---|---|
| Blue Cross | BCBSM Commercial | $145.07 | ↓ -45% |
| Blue Cross | BCN Commercial | $145.07 | ↓ -45% |
| BCN | HMO | $145.07 | ↓ -45% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $161.46 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $161.46 | ↓ -38% |
| Humana Military | Tricare-NonPhysician-FAC | $165.43 | ↓ -37% |
| Pace SE MI | Medicare Advantage-FAC | $180.45 | ↓ -31% |
| Pace SE MI | Medicare Advantage-NONFAC | $180.45 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $186.15 | ↓ -29% |
| Amerihealth Caritas | Dual Products-NONFAC | $186.15 | ↓ -29% |
| Meridian | Ambetter From Meridian-FAC | $189.95 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $189.95 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $189.95 | ↓ -28% |
| HAP | Medicare Advantage-Physician-NONFAC | $189.95 | ↓ -28% |
| HAP | HAP Dual Products-NONFAC | $189.95 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $189.95 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $189.95 | ↓ -28% |
| McLaren | Medicare Advantage-NONFAC | $189.95 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $189.95 | ↓ -28% |
| United Healthcare | Medicare Advantage-NONFAC | $189.95 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $189.95 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $189.95 | ↓ -28% |
| WellCare | Medicare Advantage-NONFAC | $189.95 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $189.95 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $189.95 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $189.95 | ↓ -28% |
| Aetna | Medicare Advantage-NONFAC | $189.95 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $189.95 | ↓ -28% |
| Priority Health | Medicare Advantage-NONFAC | $189.95 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $189.95 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $189.95 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $189.95 | ↓ -28% |
| Molina | Medicare Advantage-NONFAC | $189.95 | ↓ -28% |
| Molina | Dual Product-NONFAC | $189.95 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $189.95 | ↓ -28% |
| Molina | Dual Product-FAC | $189.95 | ↓ -28% |
| HAP | Medicare Advantage-NONFAC | $189.95 | ↓ -28% |
| Meridian | Ambetter From Meridian-NONFAC | $189.95 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $189.95 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $189.95 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $189.95 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $189.95 | ↓ -28% |
| Humana | Medicare Advantage-NONFAC | $193.75 | ↓ -26% |
| Priority Health | Commercial | $193.90 | ↓ -26% |
| Humana Military | Tricare | $194.63 | ↓ -26% |
| Humana Military | Tricare-Physician-FAC | $194.63 | ↓ -26% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $211.55 | ↓ -19% |
| Humana | Medicare Advantage-Physician-FAC | $213.67 | ↓ -18% |
| United Healthcare | All Products-Midlevel | $222.38 | ↓ -15% |
| Blue Cross | BCBSM GM Connected Care | $229.19 | ↓ -13% |
| United Healthcare | All Products-Prof | $229.71 | ↓ -12% |
| HAP | HAP HMO_AHL_Fully-Insured | $239.68 | ↓ -9% |
| Nomi | All Products | $265.93 | ↑ +1% |
| HAP | HAP HMO_AHL_Fully Insured | $276.46 | ↑ +5% |
| HAP | Self-Funded | $279.89 | ↑ +7% |
| Priority Health | All Products | $291.17 | ↑ +11% |
| Blue Cross | GM Connected Care | $303.90 | ↑ +16% |
| Aetna | All Products-NONFAC | $316.00 | ↑ +21% |
| Priority Health | Priority Cigna | $320.29 | ↑ +22% |
| Blue Cross | BCN Commercial-FAC | $337.67 | ↑ +29% |
| Blue Cross | BCN Commercial-NONFAC | $337.67 | ↑ +29% |
| 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-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
Hypothermia ill neonate at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $262.13 | $161.46 – $333.28 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $262.13 | $161.46 – $265.93 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $262.13 | $161.46 – $265.93 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $193.60 – $193.60 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $253.77 – $636.67 |
| Corewell Health Taylor | Taylor | not published | $1,120.48 – $1,120.48 |
| Corewell Health Trenton | Trenton | not published | $853.36 – $853.36 |
| Corewell Health Troy | Troy | not published | $252.55 – $1,073.01 |