Nasal/sinus maxillary endoscopy dx 31233 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$537.80
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.
$440.00
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.
$74.76 with McLaren vs $896.33 with Vitalcore — 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 | $74.76 | ↓ -86% |
| Meridian | Medicaid HMO-Adult-FAC | $74.76 | ↓ -86% |
| McLaren | Medicaid HMO-Child-FAC | $74.76 | ↓ -86% |
| HAP | HAP Caresource Medicaid-FAC | $74.76 | ↓ -86% |
| Meridian | Medicaid HMO-Child-FAC | $74.76 | ↓ -86% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $74.76 | ↓ -86% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $74.76 | ↓ -86% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $76.26 | ↓ -86% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $76.26 | ↓ -86% |
| Molina | Medicaid HMO-Child-FAC | $77.75 | ↓ -86% |
| Molina | Medicaid HMO-Adult-FAC | $77.75 | ↓ -86% |
| Priority Health | Medicaid HMO-Adult-FAC | $78.50 | ↓ -85% |
| Priority Health | Medicaid HMO-Child-FAC | $78.50 | ↓ -85% |
| ScriptGuideRX | All Products | $97.19 | ↓ -82% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $104.42 | ↓ -81% |
| Humana Military | Tricare-NonPhysician-FAC | $107.76 | ↓ -80% |
| Pace SE MI | Medicare Advantage-FAC | $116.71 | ↓ -78% |
| Amerihealth Caritas | Dual Products-FAC | $120.39 | ↓ -78% |
| Meridian | Ambetter From Meridian-FAC | $122.85 | ↓ -77% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $122.85 | ↓ -77% |
| WellCare | Medicare Advantage-FAC | $122.85 | ↓ -77% |
| Aetna | Medicare Advantage-FAC | $122.85 | ↓ -77% |
| United Healthcare | Medicare-Behavioral Health-FAC | $122.85 | ↓ -77% |
| United Healthcare | Medicare Advantage-FAC | $122.85 | ↓ -77% |
| Trinity Health Plan | Medicare Advantage-FAC | $122.85 | ↓ -77% |
| Priority Health | Medicare Advantage-FAC | $122.85 | ↓ -77% |
| Blue Cross | BCN Medicare Advantage -FAC | $122.85 | ↓ -77% |
| Molina | Medicare Advantage-FAC | $122.85 | ↓ -77% |
| Blue Cross | Medicare Plus Blue-FAC | $122.85 | ↓ -77% |
| Molina | Dual Product-FAC | $122.85 | ↓ -77% |
| HAP | HAP Dual Products-FAC | $122.85 | ↓ -77% |
| HAP | Medicare Advantage-FAC | $122.85 | ↓ -77% |
| McLaren | Medicare Advantage-FAC | $122.85 | ↓ -77% |
| HAP | Medicare Advantage-Physician-FAC | $122.85 | ↓ -77% |
| Humana | Medicare Advantage-FAC | $122.85 | ↓ -77% |
| Humana Military | Tricare | $126.77 | ↓ -76% |
| Humana Military | Tricare-Physician-FAC | $126.77 | ↓ -76% |
| Humana | Medicare Advantage-Physician-FAC | $139.17 | ↓ -74% |
| Nomi | All Products | $171.99 | ↓ -68% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $173.81 | ↓ -68% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $173.81 | ↓ -68% |
| McLaren | Medicaid HMO-Child-NONFAC | $173.81 | ↓ -68% |
| McLaren | Medicaid HMO-Adult-NONFAC | $173.81 | ↓ -68% |
| HAP | HAP Caresource Medicaid-NONFAC | $173.81 | ↓ -68% |
| Meridian | Medicaid HMO-Adult-NONFAC | $173.81 | ↓ -68% |
| Meridian | Medicaid HMO-Child-NONFAC | $173.81 | ↓ -68% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $177.29 | ↓ -67% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $177.29 | ↓ -67% |
| Molina | Medicaid HMO-Child-NONFAC | $180.76 | ↓ -66% |
| Priority Health | Medicaid HMO-Child-NONFAC | $182.50 | ↓ -66% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $182.50 | ↓ -66% |
| Molina | Medicaid HMO-Adult-NONFAC | $186.61 | ↓ -65% |
| Priority Health | All Products | $190.40 | ↓ -65% |
| Blue Cross | GM Connected Care | $194.62 | ↓ -64% |
| Meridian | Medicaid HMO | $208.99 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $208.99 | ↓ -61% |
| Priority Health | Medicaid HMO | $208.99 | ↓ -61% |
| McLaren | Medicaid HMO | $208.99 | ↓ -61% |
| Priority Health | Priority Cigna | $209.44 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $213.17 | ↓ -60% |
| Blue Cross | BCN Commercial-FAC | $216.24 | ↓ -60% |
| Molina | Medicaid HMO | $220.11 | ↓ -59% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $231.82 | ↓ -57% |
| United Healthcare | All Products-Midlevel | $246.59 | ↓ -54% |
| Pace SE MI | Medicare Advantage-NONFAC | $259.09 | ↓ -52% |
| United Healthcare | All Products-Prof | $262.05 | ↓ -51% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $266.64 | ↓ -50% |
| Amerihealth Caritas | Dual Products-NONFAC | $267.28 | ↓ -50% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $272.73 | ↓ -49% |
| HAP | Medicare Advantage-Physician-NONFAC | $272.73 | ↓ -49% |
| HAP | Medicare Advantage-NONFAC | $272.73 | ↓ -49% |
| McLaren | Medicare Advantage-NONFAC | $272.73 | ↓ -49% |
| Meridian | Ambetter From Meridian-NONFAC | $272.73 | ↓ -49% |
| HAP | HAP Dual Products-NONFAC | $272.73 | ↓ -49% |
| Molina | Dual Product-NONFAC | $272.73 | ↓ -49% |
| Blue Cross | Medicare Plus Blue-NONFAC | $272.73 | ↓ -49% |
| Molina | Medicare Advantage-NONFAC | $272.73 | ↓ -49% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $272.73 | ↓ -49% |
| Priority Health | Medicare Advantage-NONFAC | $272.73 | ↓ -49% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $272.73 | ↓ -49% |
| United Healthcare | Medicare Advantage-NONFAC | $272.73 | ↓ -49% |
| Aetna | Medicare Advantage-NONFAC | $272.73 | ↓ -49% |
| WellCare | Medicare Advantage-NONFAC | $272.73 | ↓ -49% |
| Humana | Medicare Advantage-NONFAC | $278.18 | ↓ -48% |
| HAP | HAP HMO_AHL_Fully-Insured | $359.77 | ↓ -33% |
| Pace SE MI | Medicare Advantage | $370.23 | ↓ -31% |
| HAP | HAP Dual Products | $380.46 | ↓ -29% |
| Amerihealth Caritas | Dual Products | $381.92 | ↓ -29% |
| Trinity Health Plan | Medicare Advantage | $389.71 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $389.71 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $389.71 | ↓ -28% |
| Priority Health | Medicare Advantage | $389.71 | ↓ -28% |
| Aetna | Medicare Advantage | $389.71 | ↓ -28% |
| Blue Cross | BCN Advantage | $389.71 | ↓ -28% |
| HAP | Medicare Advantage | $389.71 | ↓ -28% |
| McLaren | Medicare Advantage | $389.71 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $389.71 | ↓ -28% |
| United Healthcare | VACCN | $389.71 | ↓ -28% |
| WellCare | Medicare Advantage | $389.71 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $389.71 | ↓ -28% |
| Humana | Medicare Advantage | $393.61 | ↓ -27% |
| HAP | HAP HMO_AHL_Fully Insured | $414.98 | ↓ -23% |
| HAP | Self-Funded | $420.13 | ↓ -22% |
| Aetna | Dual Products | $428.68 | ↓ -20% |
| Blue Cross | BCN Commercial-NONFAC | $431.41 | ↓ -20% |
| Blue Cross | BCBSM Commercial | $439.40 | ↓ -18% |
| Aetna | All Products-NONFAC | $445.28 | ↓ -17% |
| HAP | Henry Ford Select -HPN commercial | $467.65 | ↓ -13% |
| Blue Cross | BCBSM GM Connected Care | $498.24 | ↓ -7% |
| Blue Cross | BCN Commercial | $510.49 | ↓ -5% |
| BCN | HMO | $510.49 | ↓ -5% |
| Meridian | Ambetter From Meridian | $526.11 | ↓ -2% |
| Priority Health | Commercial | $671.49 | ↑ +25% |
| Vitalcore | All Products | $896.33 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
Visitor-reported prices
Comments
Nasal/sinus maxillary endoscopy dx 31233 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $537.80 | $74.76 – $687.86 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $537.80 | $74.76 – $896.33 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $537.80 | $74.76 – $513.10 |
| Corewell Health Big Rapids | Big Rapids | not published | $389.71 – $701.48 |
| Corewell Health Gerber | Fremont | not published | $520.09 – $520.09 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $389.71 – $801.97 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $350.29 – $701.48 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $350.29 – $701.48 |