I125 iothalamate, dx at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$896.50
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.
not published by hospital
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.
$38.25 with Priority Health vs $1,601.04 with BCN — 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 | $38.25 | ↓ -96% |
| HAP | HAP HMO_AHL_Fully Insured | $61.22 | ↓ -93% |
| HAP | Self-Funded | $70.21 | ↓ -92% |
| Aetna | Commercial | $100.17 | ↓ -89% |
| HAP | HAP Caresource Medicaid | $339.76 | ↓ -62% |
| Meridian | Medicaid HMO | $339.76 | ↓ -62% |
| Priority Health | Medicaid HMO | $339.76 | ↓ -62% |
| McLaren | Medicaid HMO | $339.76 | ↓ -62% |
| Aetna Better Health | Medicaid HMO | $346.56 | ↓ -61% |
| Molina | Medicaid HMO | $366.94 | ↓ -59% |
| Pace SE MI | Medicare Advantage | $617.16 | ↓ -31% |
| Molina | Dual MI Coordinated Health | $649.64 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $649.64 | ↓ -28% |
| HAP | Medicare Advantage | $649.64 | ↓ -28% |
| Blue Cross | BCN Advantage | $649.64 | ↓ -28% |
| Aetna | Medicare Advantage | $649.64 | ↓ -28% |
| United Healthcare | VACCN | $649.64 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $649.64 | ↓ -28% |
| McLaren | Medicare Advantage | $649.64 | ↓ -28% |
| Priority Health | Medicare Advantage | $649.64 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $649.64 | ↓ -28% |
| Humana | Medicare Advantage | $656.14 | ↓ -27% |
| Aetna | Dual Products | $714.60 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $779.57 | ↓ -13% |
| United Healthcare | UHC Commercial | $1,071.91 | ↑ +20% |
| Nomi | All Products | $1,403.22 | ↑ +57% |
| Blue Cross | BCBSM GM Connected Care | $1,545.60 | ↑ +72% |
| Blue Cross | BCN Commercial | $1,601.04 | ↑ +79% |
| Blue Cross | BCBSM Commercial | $1,601.04 | ↑ +79% |
| BCN | HMO | $1,601.04 | ↑ +79% |
Visitor-reported prices
Comments
I125 iothalamate, dx at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Gross Pointe | Grosse Pointe | $941.32 | $20.53 – $1,282.71 |
| Corewell Health Taylor | Taylor | $941.32 | $20.53 – $1,358.79 |
| Corewell Health Trenton | Trenton | $941.32 | $20.53 – $1,294.34 |
| Corewell Health Troy | Troy | $941.32 | $20.53 – $1,461.92 |
| Corewell Health Wayne | Wayne | $941.32 | $20.53 – $1,279.72 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $896.50 | $38.25 – $1,953.21 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $896.50 | $38.25 – $1,596.11 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $896.50 | $38.25 – $1,611.23 |