Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$473.00
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.
$930.00
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.
$18.04 with United Healthcare vs $677.97 with United Healthcare — 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-Adult-NONFAC | $18.04 | ↓ -96% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $18.04 | ↓ -96% |
| McLaren | Medicaid HMO-Child-FAC | $18.04 | ↓ -96% |
| McLaren | Medicaid HMO-Adult-NONFAC | $18.04 | ↓ -96% |
| McLaren | Medicaid HMO-Adult-FAC | $18.04 | ↓ -96% |
| HAP | HAP Caresource Medicaid-NONFAC | $18.04 | ↓ -96% |
| HAP | HAP Caresource Medicaid-FAC | $18.04 | ↓ -96% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $18.04 | ↓ -96% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $18.04 | ↓ -96% |
| Meridian | Medicaid HMO-Child-NONFAC | $18.04 | ↓ -96% |
| Meridian | Medicaid HMO-Child-FAC | $18.04 | ↓ -96% |
| Meridian | Medicaid HMO-Adult-NONFAC | $18.04 | ↓ -96% |
| Meridian | Medicaid HMO-Adult-FAC | $18.04 | ↓ -96% |
| McLaren | Medicaid HMO-Child-NONFAC | $18.04 | ↓ -96% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $18.40 | ↓ -96% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $18.40 | ↓ -96% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $18.40 | ↓ -96% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $18.40 | ↓ -96% |
| Molina | Medicaid HMO-Child-FAC | $18.76 | ↓ -96% |
| Molina | Medicaid HMO-Adult-FAC | $18.76 | ↓ -96% |
| Molina | Medicaid HMO-Child-NONFAC | $18.76 | ↓ -96% |
| Priority Health | Medicaid HMO-Child-FAC | $18.94 | ↓ -96% |
| Priority Health | Medicaid HMO-Child-NONFAC | $18.94 | ↓ -96% |
| Priority Health | Medicaid HMO-Adult-FAC | $18.94 | ↓ -96% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $18.94 | ↓ -96% |
| Molina | Medicaid HMO-Adult-NONFAC | $19.51 | ↓ -96% |
| United Healthcare | VACCN-NONFAC | $23.03 | ↓ -95% |
| ScriptGuideRX | All Products | $23.45 | ↓ -95% |
| Humana | Medicare Advantage-Physician-FAC | $34.83 | ↓ -93% |
| HAP | HAP HMO_AHL_Fully-Insured | $57.61 | ↓ -88% |
| Priority Health | All Products | $59.25 | ↓ -87% |
| Aetna | All Products-NONFAC | $59.99 | ↓ -87% |
| Nomi | All Products | $60.38 | ↓ -87% |
| United Healthcare | All Products-Prof | $65.10 | ↓ -86% |
| Priority Health | Priority Cigna | $65.18 | ↓ -86% |
| HAP | Self-Funded | $67.28 | ↓ -86% |
| United Healthcare | All Products-Midlevel | $69.20 | ↓ -85% |
| Meridian | Medicaid HMO | $117.01 | ↓ -75% |
| Priority Health | Medicaid HMO | $117.01 | ↓ -75% |
| HAP | HAP Caresource Medicaid | $117.01 | ↓ -75% |
| McLaren | Medicaid HMO | $117.01 | ↓ -75% |
| Aetna Better Health | Medicaid HMO | $119.35 | ↓ -75% |
| Molina | Medicaid HMO | $123.23 | ↓ -74% |
| Blue Cross | GM Connected Care | $183.05 | ↓ -61% |
| HAP | HAP Dual Products | $199.28 | ↓ -58% |
| Blue Cross | BCBSM Commercial | $203.22 | ↓ -57% |
| Blue Cross | BCN Commercial-NONFAC | $203.39 | ↓ -57% |
| Blue Cross | BCN Commercial-FAC | $203.39 | ↓ -57% |
| Pace SE MI | Medicare Advantage | $207.28 | ↓ -56% |
| Amerihealth Caritas | Dual Products | $213.83 | ↓ -55% |
| HAP | Medicare Advantage | $218.19 | ↓ -54% |
| United Healthcare | VACCN | $218.19 | ↓ -54% |
| Trinity Health Plan | Medicare Advantage | $218.19 | ↓ -54% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $218.19 | ↓ -54% |
| Blue Cross | BCN Advantage | $218.19 | ↓ -54% |
| WellCare | Medicare Advantage | $218.19 | ↓ -54% |
| McLaren | Medicare Advantage | $218.19 | ↓ -54% |
| Molina | Dual MI Coordinated Health | $218.19 | ↓ -54% |
| Aetna | Medicare Advantage | $218.19 | ↓ -54% |
| Priority Health | Medicare Advantage | $218.19 | ↓ -54% |
| Priority Health | Dual Premier_HIDE-SNP | $218.19 | ↓ -54% |
| Blue Cross | Medicare Plus Blue | $218.19 | ↓ -54% |
| Humana Military | Tricare-NonPhysician-FAC | $219.36 | ↓ -54% |
| Humana | Medicare Advantage | $220.37 | ↓ -53% |
| Aetna | Dual Products | $240.01 | ↓ -49% |
| Humana Military | Tricare | $258.08 | ↓ -45% |
| Humana Military | Tricare-Physician-FAC | $258.08 | ↓ -45% |
| HAP | Henry Ford Select -HPN commercial | $261.83 | ↓ -45% |
| Meridian | Ambetter From Meridian | $294.56 | ↓ -38% |
| Amerihealth Caritas | Dual Products-FAC | $330.80 | ↓ -30% |
| Amerihealth Caritas | Dual Products-NONFAC | $330.80 | ↓ -30% |
| BCN | HMO | $357.42 | ↓ -24% |
| Blue Cross | BCN Commercial | $357.42 | ↓ -24% |
| Priority Health | Commercial | $378.45 | ↓ -20% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $413.50 | ↓ -13% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $413.50 | ↓ -13% |
| United Healthcare | UHC Commercial | $461.28 | ↓ -2% |
| HAP | HAP HMO_AHL_Fully Insured | $482.95 | ↑ +2% |
| Vitalcore | All Products | $501.84 | ↑ +6% |
| Blue Cross | Medicare Plus Blue-NONFAC | $537.55 | ↑ +14% |
| Blue Cross | BCN Medicare Advantage -FAC | $537.55 | ↑ +14% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $537.55 | ↑ +14% |
| Blue Cross | Medicare Plus Blue-FAC | $537.55 | ↑ +14% |
| Blue Cross | BCBSM GM Connected Care | $564.69 | ↑ +19% |
| Aetna | Commercial | $594.74 | ↑ +26% |
| Multiplan | All Products | $613.80 | ↑ +30% |
| Cofinity | Commercial | $657.51 | ↑ +39% |
| United Healthcare | Baseline Benefit Plan | $677.97 | ↑ +43% |
| 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 | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | not published by hospital | — |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $322.00 | $218.19 – $392.74 |
| Corewell Health Gerber | Fremont | $322.00 | not published |
| Corewell Health Lakeland Watervliet | Watervliet | $227.00 | not published |
| Corewell Health Lakeland St. Joseph | St Joseph | $227.00 | $218.19 – $327.28 |
| Corewell Health Butterworth Hospital | Grand Rapids | $322.00 | $59.49 – $392.74 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $322.00 | $59.49 – $392.74 |
| Corewell Health Reed City | Po Box 75 | $322.00 | not published |
| Corewell Health Greenville | Greenville | $322.00 | not published |