Interrog&prgrmg ipnss polysm at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$422.32
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.
$1,524.00
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.
$48.35 with HAP vs $1,111.00 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 |
|---|---|---|---|
| HAP | HAP Caresource Medicaid-FAC | $48.35 | ↓ -89% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $48.35 | ↓ -89% |
| Meridian | Medicaid HMO-Child-FAC | $48.35 | ↓ -89% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $48.35 | ↓ -89% |
| McLaren | Medicaid HMO-Adult-FAC | $48.35 | ↓ -89% |
| Meridian | Medicaid HMO-Adult-FAC | $48.35 | ↓ -89% |
| McLaren | Medicaid HMO-Child-FAC | $48.35 | ↓ -89% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $49.32 | ↓ -88% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $49.32 | ↓ -88% |
| Molina | Medicaid HMO-Adult-FAC | $50.28 | ↓ -88% |
| Molina | Medicaid HMO-Child-FAC | $50.28 | ↓ -88% |
| Priority Health | Medicaid HMO-Child-FAC | $50.77 | ↓ -88% |
| Priority Health | Medicaid HMO-Adult-FAC | $50.77 | ↓ -88% |
| ScriptGuideRX | All Products | $53.44 | ↓ -87% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $66.82 | ↓ -84% |
| Humana Military | Tricare-NonPhysician-FAC | $68.28 | ↓ -84% |
| Pace SE MI | Medicare Advantage-FAC | $74.68 | ↓ -82% |
| Amerihealth Caritas | Dual Products-FAC | $77.04 | ↓ -82% |
| United Healthcare | Medicare Advantage-FAC | $78.61 | ↓ -81% |
| Molina | Dual Product-FAC | $78.61 | ↓ -81% |
| Trinity Health Plan | Medicare Advantage-FAC | $78.61 | ↓ -81% |
| Humana | Medicare Advantage-FAC | $78.61 | ↓ -81% |
| HAP | Medicare Advantage-Physician-FAC | $78.61 | ↓ -81% |
| Priority Health | Medicare Advantage-FAC | $78.61 | ↓ -81% |
| Meridian | Ambetter From Meridian-FAC | $78.61 | ↓ -81% |
| Blue Cross | BCN Medicare Advantage -FAC | $78.61 | ↓ -81% |
| HAP | HAP Dual Products-FAC | $78.61 | ↓ -81% |
| Molina | Medicare Advantage-FAC | $78.61 | ↓ -81% |
| Blue Cross | Medicare Plus Blue-FAC | $78.61 | ↓ -81% |
| McLaren | Medicare Advantage-FAC | $78.61 | ↓ -81% |
| HAP | Medicare Advantage-FAC | $78.61 | ↓ -81% |
| Aetna | Medicare Advantage-FAC | $78.61 | ↓ -81% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $78.61 | ↓ -81% |
| WellCare | Medicare Advantage-FAC | $78.61 | ↓ -81% |
| United Healthcare | Medicare-Behavioral Health-FAC | $78.61 | ↓ -81% |
| Humana Military | Tricare-Physician-FAC | $80.33 | ↓ -81% |
| Humana Military | Tricare | $80.33 | ↓ -81% |
| McLaren | Medicaid HMO-Adult-NONFAC | $92.87 | ↓ -78% |
| HAP | HAP Caresource Medicaid-NONFAC | $92.87 | ↓ -78% |
| McLaren | Medicaid HMO-Child-NONFAC | $92.87 | ↓ -78% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $92.87 | ↓ -78% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $92.87 | ↓ -78% |
| Meridian | Medicaid HMO-Child-NONFAC | $92.87 | ↓ -78% |
| Meridian | Medicaid HMO-Adult-NONFAC | $92.87 | ↓ -78% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $94.73 | ↓ -78% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $94.73 | ↓ -78% |
| Molina | Medicaid HMO-Child-NONFAC | $96.58 | ↓ -77% |
| Molina | Medicaid HMO-Adult-NONFAC | $97.23 | ↓ -77% |
| Priority Health | Medicaid HMO-Child-NONFAC | $97.51 | ↓ -77% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $97.51 | ↓ -77% |
| Nomi | All Products | $110.05 | ↓ -74% |
| United Healthcare | All Products-Midlevel | $119.32 | ↓ -72% |
| Priority Health | All Products | $123.53 | ↓ -71% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $124.07 | ↓ -71% |
| Blue Cross | GM Connected Care | $125.11 | ↓ -70% |
| Priority Health | Priority Cigna | $135.88 | ↓ -68% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $138.67 | ↓ -67% |
| Pace SE MI | Medicare Advantage-NONFAC | $138.67 | ↓ -67% |
| Blue Cross | BCN Commercial-FAC | $139.01 | ↓ -67% |
| Humana | Medicare Advantage-Physician-FAC | $140.06 | ↓ -67% |
| Amerihealth Caritas | Dual Products-NONFAC | $143.05 | ↓ -66% |
| Molina | Dual Product-NONFAC | $145.97 | ↓ -65% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $145.97 | ↓ -65% |
| WellCare | Medicare Advantage-NONFAC | $145.97 | ↓ -65% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $145.97 | ↓ -65% |
| United Healthcare | Medicare Advantage-NONFAC | $145.97 | ↓ -65% |
| HAP | Medicare Advantage-Physician-NONFAC | $145.97 | ↓ -65% |
| Blue Cross | Medicare Plus Blue-NONFAC | $145.97 | ↓ -65% |
| Aetna | Medicare Advantage-NONFAC | $145.97 | ↓ -65% |
| HAP | Medicare Advantage-NONFAC | $145.97 | ↓ -65% |
| Priority Health | Medicare Advantage-NONFAC | $145.97 | ↓ -65% |
| HAP | HAP Dual Products-NONFAC | $145.97 | ↓ -65% |
| McLaren | Medicare Advantage-NONFAC | $145.97 | ↓ -65% |
| Meridian | Ambetter From Meridian-NONFAC | $145.97 | ↓ -65% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $145.97 | ↓ -65% |
| Molina | Medicare Advantage-NONFAC | $145.97 | ↓ -65% |
| Humana | Medicare Advantage-NONFAC | $148.89 | ↓ -65% |
| McLaren | Medicaid HMO | $164.11 | ↓ -61% |
| Priority Health | Medicaid HMO | $164.11 | ↓ -61% |
| Meridian | Medicaid HMO | $164.11 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $164.11 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $167.39 | ↓ -60% |
| Molina | Medicaid HMO | $172.85 | ↓ -59% |
| HAP | HAP HMO_AHL_Fully-Insured | $200.63 | ↓ -52% |
| United Healthcare | All Products-Prof | $204.51 | ↓ -52% |
| Blue Cross | BCN Commercial-NONFAC | $224.76 | ↓ -47% |
| HAP | Self-Funded | $234.29 | ↓ -45% |
| Blue Cross | BCBSM Commercial | $251.39 | ↓ -40% |
| Aetna | All Products-NONFAC | $258.56 | ↓ -39% |
| Pace SE MI | Medicare Advantage | $290.73 | ↓ -31% |
| Aetna | Commercial | $293.12 | ↓ -31% |
| HAP | HAP Dual Products | $293.85 | ↓ -30% |
| Priority Health | Commercial | $295.14 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $299.91 | ↓ -29% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $306.03 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $306.03 | ↓ -28% |
| McLaren | Medicare Advantage | $306.03 | ↓ -28% |
| Aetna | Medicare Advantage | $306.03 | ↓ -28% |
| HAP | Medicare Advantage | $306.03 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $306.03 | ↓ -28% |
| Blue Cross | BCN Advantage | $306.03 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $306.03 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $306.03 | ↓ -28% |
| WellCare | Medicare Advantage | $306.03 | ↓ -28% |
| Priority Health | Medicare Advantage | $306.03 | ↓ -28% |
| United Healthcare | VACCN | $306.03 | ↓ -28% |
| Humana | Medicare Advantage | $309.09 | ↓ -27% |
| Aetna | Dual Products | $336.64 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $367.24 | ↓ -13% |
| Meridian | Ambetter From Meridian | $413.14 | ↓ -2% |
| Vitalcore | All Products | $703.87 | ↑ +67% |
| HAP | HAP HMO_AHL_Fully Insured | $719.48 | ↑ +70% |
| United Healthcare | UHC Commercial | $755.90 | ↑ +79% |
| Multiplan | All Products | $1,005.84 | ↑ +138% |
| Cofinity | Commercial | $1,077.47 | ↑ +155% |
| United Healthcare | Baseline Benefit Plan | $1,111.00 | ↑ +163% |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| BCN | HMO | not published by hospital | — |
| Blue Cross | BCBSM GM Connected Care | not published by hospital | — |
| Blue Cross | BCN Commercial | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Interrog&prgrmg ipnss polysm at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $422.32 | $48.35 – $1,245.11 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $422.32 | $48.35 – $1,175.00 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $422.32 | $48.35 – $1,033.27 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $295.14 – $459.05 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $306.03 – $550.86 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $306.03 – $550.86 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $212.42 – $413.32 |
| Corewell Health Taylor | Taylor | not published | $284.73 – $461.27 |