Inj proc lumbr disk ea lvl at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$203.30
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.
$1,268.00
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.
$90.95 with Meridian vs $2,056.00 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 |
|---|---|---|---|
| Meridian | Medicaid HMO-Child-FAC | $90.95 | ↓ -55% |
| Meridian | Medicaid HMO-Adult-FAC | $90.95 | ↓ -55% |
| McLaren | Medicaid HMO-Adult-FAC | $90.95 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $90.95 | ↓ -55% |
| McLaren | Medicaid HMO-Child-FAC | $90.95 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $90.95 | ↓ -55% |
| HAP | HAP Caresource Medicaid-FAC | $90.95 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $92.77 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $92.77 | ↓ -54% |
| Molina | Medicaid HMO-Adult-FAC | $94.59 | ↓ -53% |
| Molina | Medicaid HMO-Child-FAC | $94.59 | ↓ -53% |
| Priority Health | Medicaid HMO-Child-FAC | $95.50 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-FAC | $95.50 | ↓ -53% |
| ScriptGuideRX | All Products | $100.17 | ↓ -51% |
| Humana Military | Tricare-NonPhysician-FAC | $123.20 | ↓ -39% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $125.22 | ↓ -38% |
| Pace SE MI | Medicare Advantage-FAC | $139.95 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $144.37 | ↓ -29% |
| Humana Military | Tricare-Physician-FAC | $144.94 | ↓ -29% |
| Humana Military | Tricare | $144.94 | ↓ -29% |
| Trinity Health Plan | Medicare Advantage-FAC | $147.32 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $147.32 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $147.32 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $147.32 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $147.32 | ↓ -28% |
| Molina | Dual Product-FAC | $147.32 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $147.32 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $147.32 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $147.32 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $147.32 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $147.32 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $147.32 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $147.32 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $147.32 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $147.32 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $147.32 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $147.32 | ↓ -28% |
| Humana | Medicare Advantage-Physician-FAC | $159.12 | ↓ -22% |
| United Healthcare | All Products-Midlevel | $169.99 | ↓ -16% |
| Nomi | All Products | $206.25 | ↑ +1% |
| Molina | Medicaid HMO-Adult-NONFAC | $233.15 | ↑ +15% |
| HAP | HAP Caresource Medicaid-NONFAC | $236.00 | ↑ +16% |
| McLaren | Medicaid HMO-Child-NONFAC | $236.00 | ↑ +16% |
| McLaren | Medicaid HMO-Adult-NONFAC | $236.00 | ↑ +16% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $236.00 | ↑ +16% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $236.00 | ↑ +16% |
| Meridian | Medicaid HMO-Adult-NONFAC | $236.00 | ↑ +16% |
| Meridian | Medicaid HMO-Child-NONFAC | $236.00 | ↑ +16% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $240.72 | ↑ +18% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $240.72 | ↑ +18% |
| Molina | Medicaid HMO-Child-NONFAC | $245.44 | ↑ +21% |
| Blue Cross | GM Connected Care | $246.45 | ↑ +21% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $247.80 | ↑ +22% |
| Priority Health | Medicaid HMO-Child-NONFAC | $247.80 | ↑ +22% |
| United Healthcare | All Products-Prof | $251.07 | ↑ +23% |
| Priority Health | All Products | $270.69 | ↑ +33% |
| Blue Cross | BCN Commercial-FAC | $273.83 | ↑ +35% |
| Priority Health | Priority Cigna | $297.76 | ↑ +46% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $311.80 | ↑ +53% |
| WellCare | Medicare Advantage | $325.24 | ↑ +60% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $331.04 | ↑ +63% |
| Pace SE MI | Medicare Advantage-NONFAC | $348.48 | ↑ +71% |
| Amerihealth Caritas | Dual Products-NONFAC | $359.48 | ↑ +77% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $366.82 | ↑ +80% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $366.82 | ↑ +80% |
| United Healthcare | Medicare Advantage-NONFAC | $366.82 | ↑ +80% |
| Molina | Dual Product-NONFAC | $366.82 | ↑ +80% |
| WellCare | Medicare Advantage-NONFAC | $366.82 | ↑ +80% |
| HAP | HAP Dual Products-NONFAC | $366.82 | ↑ +80% |
| McLaren | Medicare Advantage-NONFAC | $366.82 | ↑ +80% |
| Priority Health | Medicare Advantage-NONFAC | $366.82 | ↑ +80% |
| Blue Cross | Medicare Plus Blue-NONFAC | $366.82 | ↑ +80% |
| Meridian | Ambetter From Meridian-NONFAC | $366.82 | ↑ +80% |
| HAP | Medicare Advantage-NONFAC | $366.82 | ↑ +80% |
| Molina | Medicare Advantage-NONFAC | $366.82 | ↑ +80% |
| Aetna | Medicare Advantage-NONFAC | $366.82 | ↑ +80% |
| HAP | Medicare Advantage-Physician-NONFAC | $366.82 | ↑ +80% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $366.82 | ↑ +80% |
| Humana | Medicare Advantage-NONFAC | $374.16 | ↑ +84% |
| Molina | Dual MI Coordinated Health | $380.40 | ↑ +87% |
| HAP | HAP HMO_AHL_Fully-Insured | $451.85 | ↑ +122% |
| Amerihealth Caritas | Dual Products | $507.20 | ↑ +149% |
| HAP | Self-Funded | $527.65 | ↑ +160% |
| Aetna | All Products-NONFAC | $565.34 | ↑ +178% |
| Blue Cross | BCN Commercial-NONFAC | $592.12 | ↑ +191% |
| HAP | HAP HMO_AHL_Fully Insured | $598.62 | ↑ +194% |
| Blue Cross | BCBSM Commercial | $601.48 | ↑ +196% |
| Vitalcore | All Products | $634.00 | ↑ +212% |
| Multiplan | All Products | $836.88 | ↑ +312% |
| Priority Health | Commercial | $861.81 | ↑ +324% |
| Cofinity | Commercial | $896.48 | ↑ +341% |
| Blue Cross | BCBSM GM Connected Care | $1,268.00 | ↑ +524% |
| BCN | HMO | $1,268.00 | ↑ +524% |
| Blue Cross | BCN Commercial | $1,268.00 | ↑ +524% |
| United Healthcare | UHC Commercial | $1,507.00 | ↑ +641% |
| United Healthcare | Baseline Benefit Plan | $1,952.00 | ↑ +860% |
| Aetna | Commercial | $2,056.00 | ↑ +911% |
| Humana | Medicare Advantage | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Inj proc lumbr disk ea lvl at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $1,521.00 | $553.95 – $553.95 |
| Corewell Health Gerber | Fremont | $1,521.00 | $553.95 – $553.95 |
| Corewell Health Butterworth Hospital | Grand Rapids | $1,749.00 | $391.20 – $391.20 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $1,749.00 | $391.20 – $391.20 |
| Corewell Health Reed City | Po Box 75 | $1,521.00 | not published |
| Corewell Health Greenville | Greenville | $1,521.00 | $553.95 – $553.95 |
| Corewell Health Zeeland | Zeeland | $1,521.00 | $553.95 – $553.95 |
| Corewell Health Gross Pointe | Grosse Pointe | $4,163.00 | $348.24 – $478.41 |