Lamiotoiotiotinotomy addl cervical 63043 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
not published by hospital
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.
$999.00
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.
$191.17 with McLaren vs $18,095.89 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 |
|---|---|---|---|
| McLaren | Medicaid HMO-Child-FAC | $191.17 | — |
| Meridian | Medicaid HMO-Adult-FAC | $191.17 | — |
| Meridian | Medicaid HMO-Child-FAC | $191.17 | — |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $191.17 | — |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $191.17 | — |
| HAP | HAP Caresource Medicaid-FAC | $191.17 | — |
| McLaren | Medicaid HMO-Adult-FAC | $191.17 | — |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $194.99 | — |
| Aetna Better Health | Medicaid HMO-Child-FAC | $194.99 | — |
| Molina | Medicaid HMO-Child-FAC | $198.82 | — |
| Molina | Medicaid HMO-Adult-FAC | $198.82 | — |
| Priority Health | Medicaid HMO-Child-FAC | $200.73 | — |
| Priority Health | Medicaid HMO-Adult-FAC | $200.73 | — |
| ScriptGuideRX | All Products | $248.52 | — |
| United Healthcare | VACCN-NONFAC | $307.75 | — |
| Blue Cross | GM Connected Care | $364.52 | — |
| Humana | Medicare Advantage-Physician-FAC | $379.82 | — |
| United Healthcare | All Products-Midlevel | $391.40 | — |
| Amerihealth Caritas | Dual Products-NONFAC | $399.60 | — |
| Amerihealth Caritas | Dual Products-FAC | $399.60 | — |
| Blue Cross | BCBSM Commercial | $405.02 | — |
| Blue Cross | BCN Commercial-NONFAC | $405.02 | — |
| Blue Cross | BCN Commercial-FAC | $405.02 | — |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $499.50 | — |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $499.50 | — |
| Nomi | All Products | $539.33 | — |
| United Healthcare | All Products-Prof | $578.08 | — |
| Blue Cross | BCN Medicare Advantage -NONFAC | $649.35 | — |
| Blue Cross | BCN Medicare Advantage -FAC | $649.35 | — |
| Blue Cross | Medicare Plus Blue-FAC | $649.35 | — |
| Blue Cross | Medicare Plus Blue-NONFAC | $649.35 | — |
| Humana Military | Tricare-Physician-FAC | $699.30 | — |
| Humana Military | Tricare-NonPhysician-FAC | $699.30 | — |
| HAP | HAP HMO_AHL_Fully-Insured | $820.33 | — |
| Priority Health | Commercial | $936.59 | — |
| HAP | HAP HMO_AHL_Fully Insured | $946.22 | — |
| HAP | Self-Funded | $957.96 | — |
| Priority Health | All Products | $999.00 | — |
| Priority Health | Priority Cigna | $999.00 | — |
| Aetna | All Products-NONFAC | $1,002.46 | — |
| Humana Military | Tricare | $1,373.27 | — |
| Blue Cross | BCBSM GM Connected Care | $17,661.71 | — |
| Blue Cross | BCN Commercial | $18,095.89 | — |
| BCN | HMO | $18,095.89 | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
Visitor-reported prices
Comments
Lamiotoiotiotinotomy addl cervical 63043 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $807.00 – $807.00 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $515.07 – $868.56 |
| Corewell Health Taylor | Taylor | not published | $517.42 – $517.42 |
| Corewell Health Trenton | Trenton | not published | $514.54 – $514.54 |
| Corewell Health Troy | Troy | not published | $580.84 – $864.39 |
| Corewell Health Wayne | Wayne | not published | $512.61 – $512.61 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | not published | $191.17 – $24,383.29 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | not published | $191.17 – $18,048.72 |