Noninv pace analysis at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$422.32
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.
$1,366.00
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.
$30.63 with ScriptGuideRX vs $995.81 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 | $30.63 | ↓ -93% |
| Humana Military | Tricare | $41.00 | ↓ -90% |
| BCN | HMO | $130.09 | ↓ -69% |
| Blue Cross | BCBSM Commercial | $130.09 | ↓ -69% |
| Blue Cross | BCN Commercial | $130.09 | ↓ -69% |
| Priority Health | Commercial | $136.88 | ↓ -68% |
| McLaren | Medicaid HMO-Child-NONFAC | $147.18 | ↓ -65% |
| Meridian | Medicaid HMO-Child-FAC | $147.18 | ↓ -65% |
| Meridian | Medicaid HMO-Adult-NONFAC | $147.18 | ↓ -65% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $147.18 | ↓ -65% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $147.18 | ↓ -65% |
| HAP | HAP Caresource Medicaid-NONFAC | $147.18 | ↓ -65% |
| HAP | HAP Caresource Medicaid-FAC | $147.18 | ↓ -65% |
| McLaren | Medicaid HMO-Adult-FAC | $147.18 | ↓ -65% |
| McLaren | Medicaid HMO-Adult-NONFAC | $147.18 | ↓ -65% |
| McLaren | Medicaid HMO-Child-FAC | $147.18 | ↓ -65% |
| Meridian | Medicaid HMO-Adult-FAC | $147.18 | ↓ -65% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $147.18 | ↓ -65% |
| Meridian | Medicaid HMO-Child-NONFAC | $147.18 | ↓ -65% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $147.18 | ↓ -65% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $150.12 | ↓ -64% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $150.12 | ↓ -64% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $150.12 | ↓ -64% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $150.12 | ↓ -64% |
| Molina | Medicaid HMO-Child-NONFAC | $153.07 | ↓ -64% |
| Molina | Medicaid HMO-Adult-FAC | $153.07 | ↓ -64% |
| Molina | Medicaid HMO-Child-FAC | $153.07 | ↓ -64% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $154.54 | ↓ -63% |
| Priority Health | Medicaid HMO-Child-NONFAC | $154.54 | ↓ -63% |
| Priority Health | Medicaid HMO-Child-FAC | $154.54 | ↓ -63% |
| Priority Health | Medicaid HMO-Adult-FAC | $154.54 | ↓ -63% |
| HAP | HAP Caresource Medicaid | $164.11 | ↓ -61% |
| Priority Health | Medicaid HMO | $164.11 | ↓ -61% |
| Meridian | Medicaid HMO | $164.11 | ↓ -61% |
| McLaren | Medicaid HMO | $164.11 | ↓ -61% |
| Molina | Medicaid HMO-Adult-NONFAC | $165.56 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $167.39 | ↓ -60% |
| Molina | Medicaid HMO | $172.85 | ↓ -59% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $197.32 | ↓ -53% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $197.32 | ↓ -53% |
| Blue Cross | BCBSM GM Connected Care | $205.54 | ↓ -51% |
| Humana Military | Tricare-NonPhysician-FAC | $209.01 | ↓ -51% |
| Humana Military | Tricare-Physician-FAC | $209.01 | ↓ -51% |
| Pace SE MI | Medicare Advantage-FAC | $220.53 | ↓ -48% |
| Pace SE MI | Medicare Advantage-NONFAC | $220.53 | ↓ -48% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $227.18 | ↓ -46% |
| Amerihealth Caritas | Dual Products-NONFAC | $227.50 | ↓ -46% |
| Amerihealth Caritas | Dual Products-FAC | $227.50 | ↓ -46% |
| Humana | Medicare Advantage-Physician-FAC | $229.45 | ↓ -46% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $232.14 | ↓ -45% |
| Aetna | Medicare Advantage-FAC | $232.14 | ↓ -45% |
| Aetna | Medicare Advantage-NONFAC | $232.14 | ↓ -45% |
| Blue Cross | BCN Medicare Advantage -FAC | $232.14 | ↓ -45% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $232.14 | ↓ -45% |
| Blue Cross | Medicare Plus Blue-FAC | $232.14 | ↓ -45% |
| Blue Cross | Medicare Plus Blue-NONFAC | $232.14 | ↓ -45% |
| HAP | HAP Dual Products-FAC | $232.14 | ↓ -45% |
| HAP | HAP Dual Products-NONFAC | $232.14 | ↓ -45% |
| HAP | Medicare Advantage-FAC | $232.14 | ↓ -45% |
| HAP | Medicare Advantage-NONFAC | $232.14 | ↓ -45% |
| HAP | Medicare Advantage-Physician-FAC | $232.14 | ↓ -45% |
| HAP | Medicare Advantage-Physician-NONFAC | $232.14 | ↓ -45% |
| Humana | Medicare Advantage-FAC | $232.14 | ↓ -45% |
| McLaren | Medicare Advantage-FAC | $232.14 | ↓ -45% |
| McLaren | Medicare Advantage-NONFAC | $232.14 | ↓ -45% |
| Meridian | Ambetter From Meridian-FAC | $232.14 | ↓ -45% |
| Meridian | Ambetter From Meridian-NONFAC | $232.14 | ↓ -45% |
| Molina | Dual Product-FAC | $232.14 | ↓ -45% |
| Molina | Dual Product-NONFAC | $232.14 | ↓ -45% |
| Molina | Medicare Advantage-FAC | $232.14 | ↓ -45% |
| Molina | Medicare Advantage-NONFAC | $232.14 | ↓ -45% |
| Priority Health | Medicare Advantage-FAC | $232.14 | ↓ -45% |
| Priority Health | Medicare Advantage-NONFAC | $232.14 | ↓ -45% |
| Trinity Health Plan | Medicare Advantage-FAC | $232.14 | ↓ -45% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $232.14 | ↓ -45% |
| United Healthcare | Medicare Advantage-FAC | $232.14 | ↓ -45% |
| United Healthcare | Medicare Advantage-NONFAC | $232.14 | ↓ -45% |
| United Healthcare | Medicare-Behavioral Health-FAC | $232.14 | ↓ -45% |
| WellCare | Medicare Advantage-FAC | $232.14 | ↓ -45% |
| WellCare | Medicare Advantage-NONFAC | $232.14 | ↓ -45% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $232.14 | ↓ -45% |
| Humana | Medicare Advantage-NONFAC | $236.78 | ↓ -44% |
| Pace SE MI | Medicare Advantage | $290.73 | ↓ -31% |
| HAP | HAP Dual Products | $293.85 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $299.91 | ↓ -29% |
| Molina | Dual MI Coordinated Health | $306.03 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $306.03 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $306.03 | ↓ -28% |
| Priority Health | Medicare Advantage | $306.03 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $306.03 | ↓ -28% |
| United Healthcare | VACCN | $306.03 | ↓ -28% |
| Blue Cross | BCN Advantage | $306.03 | ↓ -28% |
| Aetna | Medicare Advantage | $306.03 | ↓ -28% |
| McLaren | Medicare Advantage | $306.03 | ↓ -28% |
| WellCare | Medicare Advantage | $306.03 | ↓ -28% |
| HAP | Medicare Advantage | $306.03 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $306.03 | ↓ -28% |
| Humana | Medicare Advantage | $309.09 | ↓ -27% |
| HAP | HAP HMO_AHL_Fully-Insured | $317.91 | ↓ -25% |
| Nomi | All Products | $325.00 | ↓ -23% |
| Priority Health | All Products | $327.53 | ↓ -22% |
| Blue Cross | GM Connected Care | $331.70 | ↓ -21% |
| Aetna | Dual Products | $336.64 | ↓ -20% |
| Aetna | All Products-NONFAC | $347.19 | ↓ -18% |
| Priority Health | Priority Cigna | $360.28 | ↓ -15% |
| HAP | Henry Ford Select -HPN commercial | $367.24 | ↓ -13% |
| Blue Cross | BCN Commercial-FAC | $368.56 | ↓ -13% |
| Blue Cross | BCN Commercial-NONFAC | $368.56 | ↓ -13% |
| HAP | Self-Funded | $380.00 | ↓ -10% |
| Meridian | Ambetter From Meridian | $413.14 | ↓ -2% |
| United Healthcare | All Products-Prof | $453.38 | ↑ +7% |
| United Healthcare | All Products-Midlevel | $481.98 | ↑ +14% |
| HAP | HAP HMO_AHL_Fully Insured | $644.89 | ↑ +53% |
| United Healthcare | UHC Commercial | $677.54 | ↑ +60% |
| Vitalcore | All Products | $703.87 | ↑ +67% |
| Aetna | Commercial | $873.56 | ↑ +107% |
| Multiplan | All Products | $901.56 | ↑ +113% |
| Cofinity | Commercial | $965.76 | ↑ +129% |
| United Healthcare | Baseline Benefit Plan | $995.81 | ↑ +136% |
| Detroit Wayne Integrated Health | Medicaid HMO | 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-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
Noninv pace analysis at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $422.32 | $41.00 – $915.22 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $422.32 | $30.63 – $915.22 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $422.32 | $30.63 – $915.22 |
| Henry Ford Providence Novi Hospital | Novi | $1,740.48 | $41.14 – $405.51 |
| Henry Ford Rochester Hospital | Rochester | $430.99 | $130.22 – $558.32 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $90.04 – $459.05 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $50.74 – $550.86 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $50.74 – $550.86 |