Nasal endoscopy dx uni/bi separate proc at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$274.47
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.
$210.00
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.
$34.93 with McLaren vs $2,877.00 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 |
|---|---|---|---|
| McLaren | Medicaid HMO-Adult-FAC | $34.93 | ↓ -87% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $34.93 | ↓ -87% |
| Meridian | Medicaid HMO-Adult-FAC | $34.93 | ↓ -87% |
| McLaren | Medicaid HMO-Child-FAC | $34.93 | ↓ -87% |
| Meridian | Medicaid HMO-Child-FAC | $34.93 | ↓ -87% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $34.93 | ↓ -87% |
| HAP | HAP Caresource Medicaid-FAC | $34.93 | ↓ -87% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $35.63 | ↓ -87% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $35.63 | ↓ -87% |
| Molina | Medicaid HMO-Child-FAC | $36.33 | ↓ -87% |
| Molina | Medicaid HMO-Adult-FAC | $36.33 | ↓ -87% |
| Priority Health | Medicaid HMO-Adult-FAC | $36.68 | ↓ -87% |
| Priority Health | Medicaid HMO-Child-FAC | $36.68 | ↓ -87% |
| ScriptGuideRX | All Products | $39.40 | ↓ -86% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $49.27 | ↓ -82% |
| Humana Military | Tricare-NonPhysician-FAC | $51.58 | ↓ -81% |
| Pace SE MI | Medicare Advantage-FAC | $55.06 | ↓ -80% |
| Amerihealth Caritas | Dual Products-FAC | $56.80 | ↓ -79% |
| WellCare | Medicare Advantage-FAC | $57.96 | ↓ -79% |
| Aetna | Medicare Advantage-FAC | $57.96 | ↓ -79% |
| United Healthcare | Medicare-Behavioral Health-FAC | $57.96 | ↓ -79% |
| United Healthcare | Medicare Advantage-FAC | $57.96 | ↓ -79% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $57.96 | ↓ -79% |
| Blue Cross | BCN Medicare Advantage -FAC | $57.96 | ↓ -79% |
| Blue Cross | Medicare Plus Blue-FAC | $57.96 | ↓ -79% |
| Trinity Health Plan | Medicare Advantage-FAC | $57.96 | ↓ -79% |
| HAP | HAP Dual Products-FAC | $57.96 | ↓ -79% |
| Priority Health | Medicare Advantage-FAC | $57.96 | ↓ -79% |
| HAP | Medicare Advantage-FAC | $57.96 | ↓ -79% |
| HAP | Medicare Advantage-Physician-FAC | $57.96 | ↓ -79% |
| Humana | Medicare Advantage-FAC | $57.96 | ↓ -79% |
| McLaren | Medicare Advantage-FAC | $57.96 | ↓ -79% |
| Molina | Medicare Advantage-FAC | $57.96 | ↓ -79% |
| Meridian | Ambetter From Meridian-FAC | $57.96 | ↓ -79% |
| Molina | Dual Product-FAC | $57.96 | ↓ -79% |
| Humana Military | Tricare-Physician-FAC | $60.67 | ↓ -78% |
| Humana Military | Tricare | $60.67 | ↓ -78% |
| Humana | Medicare Advantage-Physician-FAC | $66.61 | ↓ -76% |
| Blue Cross | GM Connected Care | $72.95 | ↓ -73% |
| Blue Cross | BCN Commercial-FAC | $81.06 | ↓ -70% |
| Nomi | All Products | $81.14 | ↓ -70% |
| HAP | Self-Funded | $84.80 | ↓ -69% |
| HAP | HAP HMO_AHL_Fully Insured | $84.98 | ↓ -69% |
| Priority Health | All Products | $86.12 | ↓ -69% |
| United Healthcare | UHC Commercial | $89.28 | ↓ -67% |
| Priority Health | Priority Cigna | $94.73 | ↓ -65% |
| Priority Health | Medicaid HMO | $106.66 | ↓ -61% |
| Meridian | Medicaid HMO | $106.66 | ↓ -61% |
| McLaren | Medicaid HMO | $106.66 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $106.66 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $108.79 | ↓ -60% |
| Molina | Medicaid HMO | $112.33 | ↓ -59% |
| Multiplan | All Products | $118.80 | ↓ -57% |
| United Healthcare | All Products-Midlevel | $119.44 | ↓ -56% |
| McLaren | Medicaid HMO-Adult-NONFAC | $123.33 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $123.33 | ↓ -55% |
| Meridian | Medicaid HMO-Adult-NONFAC | $123.33 | ↓ -55% |
| McLaren | Medicaid HMO-Child-NONFAC | $123.33 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $123.33 | ↓ -55% |
| Meridian | Medicaid HMO-Child-NONFAC | $123.33 | ↓ -55% |
| HAP | HAP Caresource Medicaid-NONFAC | $123.33 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $125.80 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $125.80 | ↓ -54% |
| United Healthcare | All Products-Prof | $126.93 | ↓ -54% |
| Cofinity | Commercial | $127.26 | ↓ -54% |
| Molina | Medicaid HMO-Child-NONFAC | $128.26 | ↓ -53% |
| Priority Health | Medicaid HMO-Child-NONFAC | $129.50 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $129.50 | ↓ -53% |
| Molina | Medicaid HMO-Adult-NONFAC | $131.09 | ↓ -52% |
| United Healthcare | Baseline Benefit Plan | $131.22 | ↓ -52% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $162.97 | ↓ -41% |
| Blue Cross | BCBSM GM Connected Care | $163.17 | ↓ -41% |
| Blue Cross | BCBSM Commercial | $167.18 | ↓ -39% |
| BCN | HMO | $167.18 | ↓ -39% |
| Blue Cross | BCN Commercial | $167.18 | ↓ -39% |
| HAP | Medicare Advantage | $180.00 | ↓ -34% |
| HAP | Henry Ford Select -HPN commercial | $180.00 | ↓ -34% |
| Humana | Medicare Advantage | $180.00 | ↓ -34% |
| Priority Health | Commercial | $180.00 | ↓ -34% |
| Meridian | Ambetter From Meridian | $180.00 | ↓ -34% |
| Pace SE MI | Medicare Advantage-NONFAC | $182.14 | ↓ -34% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $185.87 | ↓ -32% |
| Amerihealth Caritas | Dual Products-NONFAC | $187.90 | ↓ -32% |
| Pace SE MI | Medicare Advantage | $188.94 | ↓ -31% |
| HAP | HAP Dual Products | $190.21 | ↓ -31% |
| Molina | Dual Product-NONFAC | $191.73 | ↓ -30% |
| HAP | HAP Dual Products-NONFAC | $191.73 | ↓ -30% |
| Priority Health | Medicare Advantage-NONFAC | $191.73 | ↓ -30% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $191.73 | ↓ -30% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $191.73 | ↓ -30% |
| Blue Cross | Medicare Plus Blue-NONFAC | $191.73 | ↓ -30% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $191.73 | ↓ -30% |
| Meridian | Ambetter From Meridian-NONFAC | $191.73 | ↓ -30% |
| Molina | Medicare Advantage-NONFAC | $191.73 | ↓ -30% |
| McLaren | Medicare Advantage-NONFAC | $191.73 | ↓ -30% |
| WellCare | Medicare Advantage-NONFAC | $191.73 | ↓ -30% |
| Aetna | Medicare Advantage-NONFAC | $191.73 | ↓ -30% |
| HAP | Medicare Advantage-Physician-NONFAC | $191.73 | ↓ -30% |
| HAP | Medicare Advantage-NONFAC | $191.73 | ↓ -30% |
| United Healthcare | Medicare Advantage-NONFAC | $191.73 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $194.91 | ↓ -29% |
| Humana | Medicare Advantage-NONFAC | $195.56 | ↓ -29% |
| Blue Cross | Medicare Plus Blue | $198.89 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $198.89 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $198.89 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $198.89 | ↓ -28% |
| McLaren | Medicare Advantage | $198.89 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $198.89 | ↓ -28% |
| Priority Health | Medicare Advantage | $198.89 | ↓ -28% |
| Aetna | Medicare Advantage | $198.89 | ↓ -28% |
| Blue Cross | BCN Advantage | $198.89 | ↓ -28% |
| WellCare | Medicare Advantage | $198.89 | ↓ -28% |
| United Healthcare | VACCN | $198.89 | ↓ -28% |
| Aetna | Dual Products | $218.78 | ↓ -20% |
| Blue Cross | BCN Commercial-NONFAC | $238.98 | ↓ -13% |
| HAP | HAP HMO_AHL_Fully-Insured | $257.04 | ↓ -6% |
| Aetna | All Products-NONFAC | $304.15 | ↑ +11% |
| Vitalcore | All Products | $457.45 | ↑ +67% |
| Aetna | Commercial | $2,877.00 | ↑ +948% |
| 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 | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
Visitor-reported prices
Comments
Nasal endoscopy dx uni/bi separate proc at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $342.00 | $195.94 – $358.00 |
| Corewell Health Gerber | Fremont | $342.00 | $195.94 – $195.94 |
| Corewell Health Butterworth Hospital | Grand Rapids | $390.00 | $141.48 – $358.00 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $390.00 | $141.48 – $358.00 |
| Corewell Health Reed City | Po Box 75 | $342.00 | not published |
| Corewell Health Greenville | Greenville | $342.00 | $195.94 – $358.00 |
| Corewell Health Zeeland | Zeeland | $342.00 | $195.94 – $358.00 |
| Corewell Health Gross Pointe | Grosse Pointe | $542.00 | $103.09 – $272.15 |