Mnt subs tx for change dx at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$30.42
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.
$236.00
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.
$14.99 with ScriptGuideRX vs $172.04 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 |
|---|---|---|---|
| ScriptGuideRX | All Products | $14.99 | ↓ -51% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $18.73 | ↓ -38% |
| Humana Military | Tricare-NonPhysician-FAC | $20.82 | ↓ -32% |
| Pace SE MI | Medicare Advantage-FAC | $20.94 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $21.60 | ↓ -29% |
| HAP | Medicare Advantage-Physician-FAC | $22.04 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $22.04 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $22.04 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $22.04 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $22.04 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $22.04 | ↓ -28% |
| Molina | Dual Product-FAC | $22.04 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $22.04 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $22.04 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $22.04 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $22.04 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $22.04 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $22.04 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $22.04 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $22.04 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $22.04 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $22.04 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $22.04 | ↓ -28% |
| WellCare | Medicare Advantage | $22.04 | ↓ -28% |
| Humana Military | Tricare-Physician-FAC | $24.50 | ↓ -19% |
| Humana Military | Tricare | $24.50 | ↓ -19% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $26.68 | ↓ -12% |
| Humana | Medicare Advantage-Physician-FAC | $26.91 | ↓ -12% |
| Pace SE MI | Medicare Advantage | $28.35 | ↓ -7% |
| Pace SE MI | Medicare Advantage-NONFAC | $29.82 | ↓ -2% |
| Trinity Health Plan | Medicare Advantage | $29.84 | ↓ -2% |
| Molina | Dual MI Coordinated Health | $29.84 | ↓ -2% |
| HAP | Medicare Advantage | $29.84 | ↓ -2% |
| Blue Cross | BCN Advantage | $29.84 | ↓ -2% |
| Priority Health | Dual Premier_HIDE-SNP | $29.84 | ↓ -2% |
| Priority Health | Medicare Advantage | $29.84 | ↓ -2% |
| Aetna | Medicare Advantage | $29.84 | ↓ -2% |
| United Healthcare | VACCN | $29.84 | ↓ -2% |
| McLaren | Medicare Advantage | $29.84 | ↓ -2% |
| Humana | Medicare Advantage | $30.14 | ↓ -1% |
| Amerihealth Caritas | Dual Products-NONFAC | $30.76 | ↑ +1% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $31.10 | ↑ +2% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $31.39 | ↑ +3% |
| Aetna | Medicare Advantage-NONFAC | $31.39 | ↑ +3% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $31.39 | ↑ +3% |
| Blue Cross | Medicare Plus Blue-NONFAC | $31.39 | ↑ +3% |
| HAP | HAP Dual Products-NONFAC | $31.39 | ↑ +3% |
| HAP | Medicare Advantage-NONFAC | $31.39 | ↑ +3% |
| HAP | Medicare Advantage-Physician-NONFAC | $31.39 | ↑ +3% |
| McLaren | Medicare Advantage-NONFAC | $31.39 | ↑ +3% |
| Meridian | Ambetter From Meridian-NONFAC | $31.39 | ↑ +3% |
| Molina | Dual Product-NONFAC | $31.39 | ↑ +3% |
| Molina | Medicare Advantage-NONFAC | $31.39 | ↑ +3% |
| Priority Health | Medicare Advantage-NONFAC | $31.39 | ↑ +3% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $31.39 | ↑ +3% |
| United Healthcare | Medicare Advantage-NONFAC | $31.39 | ↑ +3% |
| WellCare | Medicare Advantage-NONFAC | $31.39 | ↑ +3% |
| Humana | Medicare Advantage-NONFAC | $32.02 | ↑ +5% |
| United Healthcare | VACCN-NONFAC | $32.19 | ↑ +6% |
| Aetna | Dual Products | $32.82 | ↑ +8% |
| HAP | HAP Dual Products | $34.61 | ↑ +14% |
| HAP | Henry Ford Select -HPN commercial | $35.81 | ↑ +18% |
| Priority Health | All Products | $37.65 | ↑ +24% |
| HAP | HAP HMO_AHL_Fully-Insured | $39.01 | ↑ +28% |
| Aetna | All Products-NONFAC | $39.29 | ↑ +29% |
| Blue Cross | GM Connected Care | $39.30 | ↑ +29% |
| Priority Health | Priority Cigna | $41.42 | ↑ +36% |
| Blue Cross | BCN Commercial-FAC | $43.67 | ↑ +44% |
| HAP | Self-Funded | $45.56 | ↑ +50% |
| Blue Cross | BCN Commercial | $46.80 | ↑ +54% |
| Blue Cross | BCBSM Commercial | $46.80 | ↑ +54% |
| BCN | HMO | $46.80 | ↑ +54% |
| Nomi | All Products | $47.61 | ↑ +57% |
| Blue Cross | BCN Commercial-NONFAC | $51.13 | ↑ +68% |
| United Healthcare | All Products-Prof | $52.05 | ↑ +71% |
| United Healthcare | All Products-Midlevel | $55.34 | ↑ +82% |
| Priority Health | Commercial | $57.04 | ↑ +88% |
| Blue Cross | BCBSM GM Connected Care | $73.94 | ↑ +143% |
| Amerihealth Caritas | Dual Products | $94.40 | ↑ +210% |
| United Healthcare | UHC Commercial | $117.06 | ↑ +285% |
| Vitalcore | All Products | $118.00 | ↑ +288% |
| HAP | HAP HMO_AHL_Fully Insured | $122.55 | ↑ +303% |
| Aetna | Commercial | $150.92 | ↑ +396% |
| Multiplan | All Products | $155.76 | ↑ +412% |
| Cofinity | Commercial | $166.85 | ↑ +448% |
| United Healthcare | Baseline Benefit Plan | $172.04 | ↑ +466% |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Mnt subs tx for change dx at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $30.42 | $14.99 – $192.81 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $30.42 | $14.99 – $181.96 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $30.42 | $14.99 – $158.12 |
| Henry Ford Warren Hospital | Warren | $25.76 | $31.02 – $46.00 |
| Corewell Health Big Rapids | Big Rapids | not published | $22.04 – $39.67 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $22.04 – $33.06 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $22.04 – $42.78 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $22.04 – $39.67 |