healthcosts.net
Lower Back (Lumbar Spine) MRI (without contrast) at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$328.08
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.
$2,834.00
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.
$43.67 with Meridian vs $2,003.64 with Cofinity — 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-Adult-NONFAC | $43.67 | ↓ -87% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $43.67 | ↓ -87% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $43.67 | ↓ -87% |
| HAP | HAP Caresource Medicaid-FAC | $43.67 | ↓ -87% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $43.67 | ↓ -87% |
| Meridian | Medicaid HMO-Adult-FAC | $43.67 | ↓ -87% |
| McLaren | Medicaid HMO-Child-NONFAC | $43.67 | ↓ -87% |
| McLaren | Medicaid HMO-Child-FAC | $43.67 | ↓ -87% |
| HAP | HAP Caresource Medicaid-NONFAC | $43.67 | ↓ -87% |
| McLaren | Medicaid HMO-Adult-FAC | $43.67 | ↓ -87% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $43.67 | ↓ -87% |
| Meridian | Medicaid HMO-Child-NONFAC | $43.67 | ↓ -87% |
| McLaren | Medicaid HMO-Adult-NONFAC | $43.67 | ↓ -87% |
| Meridian | Medicaid HMO-Child-FAC | $43.67 | ↓ -87% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $44.54 | ↓ -86% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $44.54 | ↓ -86% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $44.54 | ↓ -86% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $44.54 | ↓ -86% |
| Molina | Medicaid HMO-Adult-FAC | $45.42 | ↓ -86% |
| Molina | Medicaid HMO-Child-FAC | $45.42 | ↓ -86% |
| Molina | Medicaid HMO-Child-NONFAC | $45.42 | ↓ -86% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $45.85 | ↓ -86% |
| Priority Health | Medicaid HMO-Child-NONFAC | $45.85 | ↓ -86% |
| Priority Health | Medicaid HMO-Child-FAC | $45.85 | ↓ -86% |
| Priority Health | Medicaid HMO-Adult-FAC | $45.85 | ↓ -86% |
| Molina | Medicaid HMO-Adult-NONFAC | $50.00 | ↓ -85% |
| United Healthcare | All Products-Midlevel | $51.89 | ↓ -84% |
| ScriptGuideRX | All Products | $56.77 | ↓ -83% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $59.24 | ↓ -82% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $59.24 | ↓ -82% |
| Humana Military | Tricare-Physician-FAC | $63.59 | ↓ -81% |
| Humana Military | Tricare-NonPhysician-FAC | $63.59 | ↓ -81% |
| Pace SE MI | Medicare Advantage-FAC | $66.21 | ↓ -80% |
| Pace SE MI | Medicare Advantage-NONFAC | $66.21 | ↓ -80% |
| Amerihealth Caritas | Dual Products-FAC | $68.30 | ↓ -79% |
| Amerihealth Caritas | Dual Products-NONFAC | $68.30 | ↓ -79% |
| United Healthcare | All Products-Prof | $68.60 | ↓ -79% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $69.13 | ↓ -79% |
| Blue Cross | Medicare Plus Blue-FAC | $69.69 | ↓ -79% |
| United Healthcare | Medicare-Behavioral Health-FAC | $69.69 | ↓ -79% |
| Meridian | Ambetter From Meridian-FAC | $69.69 | ↓ -79% |
| Blue Cross | Medicare Plus Blue-NONFAC | $69.69 | ↓ -79% |
| HAP | Medicare Advantage-FAC | $69.69 | ↓ -79% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $69.69 | ↓ -79% |
| Aetna | Medicare Advantage-NONFAC | $69.69 | ↓ -79% |
| WellCare | Medicare Advantage-FAC | $69.69 | ↓ -79% |
| HAP | HAP Dual Products-FAC | $69.69 | ↓ -79% |
| Molina | Medicare Advantage-NONFAC | $69.69 | ↓ -79% |
| HAP | HAP Dual Products-NONFAC | $69.69 | ↓ -79% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $69.69 | ↓ -79% |
| McLaren | Medicare Advantage-FAC | $69.69 | ↓ -79% |
| WellCare | Medicare Advantage-NONFAC | $69.69 | ↓ -79% |
| Priority Health | Medicare Advantage-FAC | $69.69 | ↓ -79% |
| Molina | Medicare Advantage-FAC | $69.69 | ↓ -79% |
| Priority Health | Medicare Advantage-NONFAC | $69.69 | ↓ -79% |
| HAP | Medicare Advantage-Physician-NONFAC | $69.69 | ↓ -79% |
| Blue Cross | BCN Medicare Advantage -FAC | $69.69 | ↓ -79% |
| HAP | Medicare Advantage-NONFAC | $69.69 | ↓ -79% |
| McLaren | Medicare Advantage-NONFAC | $69.69 | ↓ -79% |
| Humana | Medicare Advantage-FAC | $69.69 | ↓ -79% |
| Trinity Health Plan | Medicare Advantage-FAC | $69.69 | ↓ -79% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $69.69 | ↓ -79% |
| Meridian | Ambetter From Meridian-NONFAC | $69.69 | ↓ -79% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $69.69 | ↓ -79% |
| Aetna | Medicare Advantage-FAC | $69.69 | ↓ -79% |
| Molina | Dual Product-NONFAC | $69.69 | ↓ -79% |
| United Healthcare | Medicare Advantage-NONFAC | $69.69 | ↓ -79% |
| Molina | Dual Product-FAC | $69.69 | ↓ -79% |
| United Healthcare | Medicare Advantage-FAC | $69.69 | ↓ -79% |
| HAP | Medicare Advantage-Physician-FAC | $69.69 | ↓ -79% |
| Humana | Medicare Advantage-Physician-FAC | $69.82 | ↓ -79% |
| Humana | Medicare Advantage-NONFAC | $71.08 | ↓ -78% |
| HAP | HAP HMO_AHL_Fully-Insured | $78.30 | ↓ -76% |
| Nomi | All Products | $82.23 | ↓ -75% |
| Blue Cross | GM Connected Care | $100.18 | ↓ -69% |
| Priority Health | All Products | $104.86 | ↓ -68% |
| Humana Military | Tricare | $109.89 | ↓ -67% |
| Blue Cross | BCN Commercial-NONFAC | $111.31 | ↓ -66% |
| Blue Cross | BCBSM Commercial | $111.31 | ↓ -66% |
| Blue Cross | BCN Commercial-FAC | $111.31 | ↓ -66% |
| Aetna | All Products-NONFAC | $113.33 | ↓ -65% |
| Priority Health | Priority Cigna | $115.35 | ↓ -65% |
| Meridian | Medicaid HMO | $127.49 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $127.49 | ↓ -61% |
| McLaren | Medicaid HMO | $127.49 | ↓ -61% |
| Priority Health | Medicaid HMO | $127.49 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $130.04 | ↓ -60% |
| Molina | Medicaid HMO | $134.28 | ↓ -59% |
| HAP | Self-Funded | $137.50 | ↓ -58% |
| Pace SE MI | Medicare Advantage | $225.86 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $232.99 | ↓ -29% |
| HAP | HAP Dual Products | $236.83 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $237.74 | ↓ -28% |
| McLaren | Medicare Advantage | $237.74 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $237.74 | ↓ -28% |
| HAP | Medicare Advantage | $237.74 | ↓ -28% |
| United Healthcare | VACCN | $237.74 | ↓ -28% |
| Priority Health | Medicare Advantage | $237.74 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $237.74 | ↓ -28% |
| WellCare | Medicare Advantage | $237.74 | ↓ -28% |
| Aetna | Medicare Advantage | $237.74 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $237.74 | ↓ -28% |
| Blue Cross | BCN Advantage | $237.74 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $237.74 | ↓ -28% |
| Humana | Medicare Advantage | $240.12 | ↓ -27% |
| Aetna | Dual Products | $261.52 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $285.29 | ↓ -13% |
| Blue Cross | BCBSM GM Connected Care | $292.43 | ↓ -11% |
| BCN | HMO | $302.92 | ↓ -8% |
| Blue Cross | BCN Commercial | $302.92 | ↓ -8% |
| Meridian | Ambetter From Meridian | $320.95 | ↓ -2% |
| HAP | HAP HMO_AHL_Fully Insured | $430.30 | ↑ +31% |
| Aetna | Commercial | $488.44 | ↑ +49% |
| Priority Health | Commercial | $508.21 | ↑ +55% |
| Vitalcore | All Products | $546.80 | ↑ +67% |
| United Healthcare | Baseline Benefit Plan | $1,786.00 | ↑ +444% |
| Multiplan | All Products | $1,870.44 | ↑ +470% |
| United Healthcare | UHC Commercial | $1,899.00 | ↑ +479% |
| Cofinity | Commercial | $2,003.64 | ↑ +511% |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) MRI (without contrast) at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Butterworth Hospital | Grand Rapids | $1,830.00 | $237.74 – $427.94 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $1,830.00 | $237.74 – $427.94 |
| Corewell Health Reed City | Po Box 75 | $1,902.00 | $402.31 – $402.31 |
| Corewell Health Greenville | Greenville | $1,902.00 | $237.74 – $427.94 |
| Corewell Health Zeeland | Zeeland | $1,902.00 | $237.74 – $427.94 |
| Corewell Health Taylor | Taylor | $3,780.00 | $221.20 – $852.34 |
| Corewell Health Gross Pointe | Grosse Pointe | $3,780.00 | $221.20 – $852.34 |
| Corewell Health Big Rapids | Big Rapids | $1,902.00 | $237.74 – $427.94 |