Npsy tst eval phsy/qhp 1st hr at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$513.11
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.
$406.00
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.
$58.53 with United Healthcare vs $855.19 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 |
|---|---|---|---|
| United Healthcare | UHC Commercial | $58.53 | ↓ -89% |
| HAP | HAP HMO_AHL_Fully Insured | $61.28 | ↓ -88% |
| McLaren | Medicaid HMO-Adult-FAC | $62.84 | ↓ -88% |
| Meridian | Medicaid HMO-Adult-FAC | $62.84 | ↓ -88% |
| Meridian | Medicaid HMO-Child-FAC | $62.84 | ↓ -88% |
| McLaren | Medicaid HMO-Child-FAC | $62.84 | ↓ -88% |
| HAP | HAP Caresource Medicaid-FAC | $62.84 | ↓ -88% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $62.84 | ↓ -88% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $62.84 | ↓ -88% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $64.10 | ↓ -88% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $64.10 | ↓ -88% |
| Molina | Medicaid HMO-Adult-FAC | $65.35 | ↓ -87% |
| Molina | Medicaid HMO-Child-FAC | $65.35 | ↓ -87% |
| Priority Health | Medicaid HMO-Child-FAC | $65.98 | ↓ -87% |
| Priority Health | Medicaid HMO-Adult-FAC | $65.98 | ↓ -87% |
| ScriptGuideRX | All Products | $67.82 | ↓ -87% |
| Aetna | Commercial | $75.46 | ↓ -85% |
| HAP | Self-Funded | $75.59 | ↓ -85% |
| Amerihealth Caritas | Dual Products-FAC | $76.00 | ↓ -85% |
| Amerihealth Caritas | Dual Products-NONFAC | $76.00 | ↓ -85% |
| Multiplan | All Products | $77.88 | ↓ -85% |
| McLaren | Medicaid HMO-Child-NONFAC | $77.96 | ↓ -85% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $77.96 | ↓ -85% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $77.96 | ↓ -85% |
| McLaren | Medicaid HMO-Adult-NONFAC | $77.96 | ↓ -85% |
| Meridian | Medicaid HMO-Child-NONFAC | $77.96 | ↓ -85% |
| HAP | HAP Caresource Medicaid-NONFAC | $77.96 | ↓ -85% |
| Meridian | Medicaid HMO-Adult-NONFAC | $77.96 | ↓ -85% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $79.52 | ↓ -85% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $79.52 | ↓ -85% |
| Molina | Medicaid HMO-Child-NONFAC | $81.08 | ↓ -84% |
| Priority Health | Medicaid HMO-Child-NONFAC | $81.86 | ↓ -84% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $81.86 | ↓ -84% |
| Humana Military | Tricare-NonPhysician-FAC | $82.27 | ↓ -84% |
| Humana Military | Tricare | $82.60 | ↓ -84% |
| Cofinity | Commercial | $83.43 | ↓ -84% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $84.80 | ↓ -83% |
| United Healthcare | Baseline Benefit Plan | $86.02 | ↓ -83% |
| Molina | Medicaid HMO-Adult-NONFAC | $89.16 | ↓ -83% |
| Priority Health | Priority Cigna | $91.98 | ↓ -82% |
| Pace SE MI | Medicare Advantage-FAC | $94.77 | ↓ -82% |
| HAP | HAP HMO_AHL_Fully-Insured | $95.00 | ↓ -81% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $95.00 | ↓ -81% |
| Humana Military | Tricare-Physician-FAC | $96.78 | ↓ -81% |
| Humana | Medicare Advantage-FAC | $99.76 | ↓ -81% |
| Aetna | Medicare Advantage-FAC | $99.76 | ↓ -81% |
| Blue Cross | BCN Medicare Advantage -FAC | $99.76 | ↓ -81% |
| Blue Cross | Medicare Plus Blue-FAC | $99.76 | ↓ -81% |
| HAP | HAP Dual Products-FAC | $99.76 | ↓ -81% |
| HAP | Medicare Advantage-FAC | $99.76 | ↓ -81% |
| HAP | Medicare Advantage-Physician-FAC | $99.76 | ↓ -81% |
| McLaren | Medicare Advantage-FAC | $99.76 | ↓ -81% |
| Meridian | Ambetter From Meridian-FAC | $99.76 | ↓ -81% |
| Molina | Dual Product-FAC | $99.76 | ↓ -81% |
| Molina | Medicare Advantage-FAC | $99.76 | ↓ -81% |
| Priority Health | Medicare Advantage-FAC | $99.76 | ↓ -81% |
| Trinity Health Plan | Medicare Advantage-FAC | $99.76 | ↓ -81% |
| United Healthcare | Medicare Advantage-FAC | $99.76 | ↓ -81% |
| United Healthcare | Medicare-Behavioral Health-FAC | $99.76 | ↓ -81% |
| WellCare | Medicare Advantage-FAC | $99.76 | ↓ -81% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $99.76 | ↓ -81% |
| Humana | Medicare Advantage-Physician-FAC | $106.25 | ↓ -79% |
| Pace SE MI | Medicare Advantage-NONFAC | $116.52 | ↓ -77% |
| HAP | Henry Ford Select -HPN commercial | $118.00 | ↓ -77% |
| Priority Health | Commercial | $118.00 | ↓ -77% |
| Meridian | Ambetter From Meridian | $118.00 | ↓ -77% |
| HAP | Medicare Advantage | $118.00 | ↓ -77% |
| Humana | Medicare Advantage | $118.00 | ↓ -77% |
| Carelon Behavioral Health | Behavior Health-Psychologist | $120.00 | ↓ -77% |
| HAP | Medicare Advantage-NONFAC | $122.65 | ↓ -76% |
| HAP | Medicare Advantage-Physician-NONFAC | $122.65 | ↓ -76% |
| McLaren | Medicare Advantage-NONFAC | $122.65 | ↓ -76% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $122.65 | ↓ -76% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $122.65 | ↓ -76% |
| Priority Health | Medicare Advantage-NONFAC | $122.65 | ↓ -76% |
| HAP | HAP Dual Products-NONFAC | $122.65 | ↓ -76% |
| Molina | Dual Product-NONFAC | $122.65 | ↓ -76% |
| WellCare | Medicare Advantage-NONFAC | $122.65 | ↓ -76% |
| Aetna | Medicare Advantage-NONFAC | $122.65 | ↓ -76% |
| Blue Cross | Medicare Plus Blue-NONFAC | $122.65 | ↓ -76% |
| Meridian | Ambetter From Meridian-NONFAC | $122.65 | ↓ -76% |
| Molina | Medicare Advantage-NONFAC | $122.65 | ↓ -76% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $122.65 | ↓ -76% |
| United Healthcare | Medicare Advantage-NONFAC | $122.65 | ↓ -76% |
| Humana | Medicare Advantage-NONFAC | $125.10 | ↓ -76% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $127.20 | ↓ -75% |
| United Healthcare | Commercial-Behavioral Health-PhD | $130.13 | ↓ -75% |
| United Healthcare | Commercial-Behavioral Health-MD | $130.13 | ↓ -75% |
| Nomi | All Products | $139.66 | ↓ -73% |
| Priority Health | Behavioral Health-MD/DO-FAC | $146.04 | ↓ -72% |
| Priority Health | Behavioral Health-Psychologist-FAC | $146.04 | ↓ -72% |
| Priority Health | All Products | $146.04 | ↓ -72% |
| Priority Health | Behavioral Health-Psychologist-NONFAC | $177.73 | ↓ -65% |
| Priority Health | Behavioral Health-MD/DO-NONFAC | $177.73 | ↓ -65% |
| Blue Cross | GM Connected Care | $185.51 | ↓ -64% |
| Aetna | All Products-NONFAC | $190.24 | ↓ -63% |
| HAP | HAP Caresource Medicaid | $199.39 | ↓ -61% |
| McLaren | Medicaid HMO | $199.39 | ↓ -61% |
| Priority Health | Medicaid HMO | $199.39 | ↓ -61% |
| Meridian | Medicaid HMO | $199.39 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $203.38 | ↓ -60% |
| United Healthcare | All Products-Prof | $204.24 | ↓ -60% |
| Blue Cross | BCBSM Commercial | $205.05 | ↓ -60% |
| Blue Cross | BCN Commercial-FAC | $206.12 | ↓ -60% |
| Blue Cross | BCN Commercial-NONFAC | $206.12 | ↓ -60% |
| Molina | Medicaid HMO | $210.00 | ↓ -59% |
| United Healthcare | All Products-Midlevel | $217.12 | ↓ -58% |
| Pace SE MI | Medicare Advantage | $353.22 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $364.38 | ↓ -29% |
| McLaren | Medicare Advantage | $371.82 | ↓ -28% |
| WellCare | Medicare Advantage | $371.82 | ↓ -28% |
| Priority Health | Medicare Advantage | $371.82 | ↓ -28% |
| Blue Cross | BCN Advantage | $371.82 | ↓ -28% |
| Aetna | Medicare Advantage | $371.82 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $371.82 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $371.82 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $371.82 | ↓ -28% |
| United Healthcare | VACCN | $371.82 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $371.82 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $371.82 | ↓ -28% |
| Aetna | Dual Products | $409.00 | ↓ -20% |
| HAP | HAP Dual Products | $519.87 | ↑ +1% |
| Vitalcore | All Products | $855.19 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Blue Cross | BCN Commercial | not published by hospital | — |
| Blue Cross | BCBSM GM Connected Care | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| BCN | HMO | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Npsy tst eval phsy/qhp 1st hr at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $1,529.00 | $371.82 – $669.27 |
| Corewell Health Gerber | Fremont | $1,529.00 | not published |
| Corewell Health Lakeland Watervliet | Watervliet | $1,225.00 | not published |
| Corewell Health Lakeland St. Joseph | St Joseph | $1,225.00 | $158.14 – $557.72 |
| Corewell Health Butterworth Hospital | Grand Rapids | $1,529.00 | $233.99 – $669.27 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $1,529.00 | $233.99 – $669.27 |
| Corewell Health Reed City | Po Box 75 | $1,529.00 | not published |
| Corewell Health Greenville | Greenville | $1,529.00 | $371.82 – $669.27 |