Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$970.61
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.
$1,186.00
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.
$56.87 with United Healthcare 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 |
|---|---|---|---|
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $56.87 | ↓ -94% |
| McLaren | Medicaid HMO-Child-FAC | $56.87 | ↓ -94% |
| McLaren | Medicaid HMO-Adult-FAC | $56.87 | ↓ -94% |
| HAP | HAP Caresource Medicaid-FAC | $56.87 | ↓ -94% |
| Meridian | Medicaid HMO-Child-FAC | $56.87 | ↓ -94% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $56.87 | ↓ -94% |
| Meridian | Medicaid HMO-Adult-FAC | $56.87 | ↓ -94% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $58.01 | ↓ -94% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $58.01 | ↓ -94% |
| Molina | Medicaid HMO-Adult-FAC | $59.14 | ↓ -94% |
| Molina | Medicaid HMO-Child-FAC | $59.14 | ↓ -94% |
| Priority Health | Medicaid HMO-Child-FAC | $59.71 | ↓ -94% |
| Priority Health | Medicaid HMO-Adult-FAC | $59.71 | ↓ -94% |
| ScriptGuideRX | All Products | $62.70 | ↓ -94% |
| Humana Military | Tricare-NonPhysician-FAC | $78.00 | ↓ -92% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $78.38 | ↓ -92% |
| Pace SE MI | Medicare Advantage-FAC | $87.60 | ↓ -91% |
| Amerihealth Caritas | Dual Products-FAC | $90.37 | ↓ -91% |
| Humana Military | Tricare | $91.76 | ↓ -91% |
| Humana Military | Tricare-Physician-FAC | $91.76 | ↓ -91% |
| Aetna | Medicare Advantage-FAC | $92.21 | ↓ -90% |
| Molina | Medicare Advantage-FAC | $92.21 | ↓ -90% |
| Molina | Dual Product-FAC | $92.21 | ↓ -90% |
| Meridian | Ambetter From Meridian-FAC | $92.21 | ↓ -90% |
| McLaren | Medicare Advantage-FAC | $92.21 | ↓ -90% |
| Priority Health | Medicare Advantage-FAC | $92.21 | ↓ -90% |
| Trinity Health Plan | Medicare Advantage-FAC | $92.21 | ↓ -90% |
| Humana | Medicare Advantage-FAC | $92.21 | ↓ -90% |
| United Healthcare | Medicare Advantage-FAC | $92.21 | ↓ -90% |
| HAP | Medicare Advantage-Physician-FAC | $92.21 | ↓ -90% |
| United Healthcare | Medicare-Behavioral Health-FAC | $92.21 | ↓ -90% |
| HAP | Medicare Advantage-FAC | $92.21 | ↓ -90% |
| HAP | HAP Dual Products-FAC | $92.21 | ↓ -90% |
| WellCare | Medicare Advantage-FAC | $92.21 | ↓ -90% |
| Blue Cross | Medicare Plus Blue-FAC | $92.21 | ↓ -90% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $92.21 | ↓ -90% |
| Blue Cross | BCN Medicare Advantage -FAC | $92.21 | ↓ -90% |
| Humana | Medicare Advantage-Physician-FAC | $100.74 | ↓ -90% |
| United Healthcare | All Products-Midlevel | $106.97 | ↓ -89% |
| Nomi | All Products | $129.09 | ↓ -87% |
| Blue Cross | GM Connected Care | $142.36 | ↓ -85% |
| United Healthcare | All Products-Prof | $157.99 | ↓ -84% |
| Blue Cross | BCN Commercial-FAC | $158.18 | ↓ -84% |
| Priority Health | All Products | $171.79 | ↓ -82% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $174.23 | ↓ -82% |
| HAP | HAP Caresource Medicaid-NONFAC | $174.23 | ↓ -82% |
| Meridian | Medicaid HMO-Child-NONFAC | $174.23 | ↓ -82% |
| McLaren | Medicaid HMO-Adult-NONFAC | $174.23 | ↓ -82% |
| McLaren | Medicaid HMO-Child-NONFAC | $174.23 | ↓ -82% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $174.23 | ↓ -82% |
| Meridian | Medicaid HMO-Adult-NONFAC | $174.23 | ↓ -82% |
| Molina | Medicaid HMO-Adult-NONFAC | $175.78 | ↓ -82% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $177.71 | ↓ -82% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $177.71 | ↓ -82% |
| Molina | Medicaid HMO-Child-NONFAC | $181.20 | ↓ -81% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $182.94 | ↓ -81% |
| Priority Health | Medicaid HMO-Child-NONFAC | $182.94 | ↓ -81% |
| Priority Health | Priority Cigna | $188.97 | ↓ -81% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $229.34 | ↓ -76% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $248.36 | ↓ -74% |
| Pace SE MI | Medicare Advantage-NONFAC | $256.32 | ↓ -74% |
| Amerihealth Caritas | Dual Products-NONFAC | $264.41 | ↓ -73% |
| McLaren | Medicare Advantage-NONFAC | $269.81 | ↓ -72% |
| Priority Health | Medicare Advantage-NONFAC | $269.81 | ↓ -72% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $269.81 | ↓ -72% |
| HAP | Medicare Advantage-Physician-NONFAC | $269.81 | ↓ -72% |
| United Healthcare | Medicare Advantage-NONFAC | $269.81 | ↓ -72% |
| HAP | Medicare Advantage-NONFAC | $269.81 | ↓ -72% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $269.81 | ↓ -72% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $269.81 | ↓ -72% |
| WellCare | Medicare Advantage-NONFAC | $269.81 | ↓ -72% |
| HAP | HAP Dual Products-NONFAC | $269.81 | ↓ -72% |
| Blue Cross | Medicare Plus Blue-NONFAC | $269.81 | ↓ -72% |
| Aetna | Medicare Advantage-NONFAC | $269.81 | ↓ -72% |
| Molina | Medicare Advantage-NONFAC | $269.81 | ↓ -72% |
| Molina | Dual Product-NONFAC | $269.81 | ↓ -72% |
| Meridian | Ambetter From Meridian-NONFAC | $269.81 | ↓ -72% |
| Humana | Medicare Advantage-NONFAC | $275.21 | ↓ -72% |
| HAP | HAP HMO_AHL_Fully-Insured | $315.24 | ↓ -68% |
| HAP | Self-Funded | $368.13 | ↓ -62% |
| McLaren | Medicaid HMO | $377.17 | ↓ -61% |
| Meridian | Medicaid HMO | $377.17 | ↓ -61% |
| Priority Health | Medicaid HMO | $377.17 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $377.17 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $384.71 | ↓ -60% |
| Molina | Medicaid HMO | $397.25 | ↓ -59% |
| Blue Cross | BCN Commercial-NONFAC | $406.37 | ↓ -58% |
| Blue Cross | BCBSM Commercial | $413.30 | ↓ -57% |
| Aetna | All Products-NONFAC | $414.08 | ↓ -57% |
| HAP | HAP HMO_AHL_Fully Insured | $559.91 | ↓ -42% |
| United Healthcare | UHC Commercial | $588.26 | ↓ -39% |
| Pace SE MI | Medicare Advantage | $668.18 | ↓ -31% |
| HAP | HAP Dual Products | $678.52 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $689.27 | ↓ -29% |
| Aetna | Medicare Advantage | $703.34 | ↓ -28% |
| WellCare | Medicare Advantage | $703.34 | ↓ -28% |
| United Healthcare | VACCN | $703.34 | ↓ -28% |
| HAP | Medicare Advantage | $703.34 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $703.34 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $703.34 | ↓ -28% |
| Blue Cross | BCN Advantage | $703.34 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $703.34 | ↓ -28% |
| McLaren | Medicare Advantage | $703.34 | ↓ -28% |
| Priority Health | Medicare Advantage | $703.34 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $703.34 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $703.34 | ↓ -28% |
| Humana | Medicare Advantage | $710.38 | ↓ -27% |
| Aetna | Dual Products | $773.68 | ↓ -20% |
| Multiplan | All Products | $782.76 | ↓ -19% |
| Cofinity | Commercial | $838.50 | ↓ -14% |
| HAP | Henry Ford Select -HPN commercial | $844.01 | ↓ -13% |
| United Healthcare | Baseline Benefit Plan | $864.59 | ↓ -11% |
| Meridian | Ambetter From Meridian | $949.51 | ↓ -2% |
| Blue Cross | BCBSM GM Connected Care | $966.63 | ↓ -0% |
| Blue Cross | BCN Commercial | $990.40 | ↑ +2% |
| BCN | HMO | $990.40 | ↑ +2% |
| Priority Health | Commercial | $1,110.64 | ↑ +14% |
| Vitalcore | All Products | $1,617.68 | ↑ +67% |
| Aetna | Commercial | $2,056.00 | ↑ +112% |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $1,431.00 | $628.50 – $1,266.02 |
| Corewell Health Gerber | Fremont | $1,431.00 | $628.50 – $628.50 |
| Corewell Health Lakeland Watervliet | Watervliet | $1,102.00 | $710.96 – $1,066.44 |
| Corewell Health Lakeland St. Joseph | St Joseph | $1,102.00 | $589.68 – $1,055.01 |
| Corewell Health Butterworth Hospital | Grand Rapids | $1,288.00 | $465.37 – $1,266.02 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $1,288.00 | $465.37 – $1,266.02 |
| Corewell Health Reed City | Po Box 75 | $1,431.00 | not published |
| Corewell Health Greenville | Greenville | $1,431.00 | $628.50 – $1,266.02 |