Npsy tst eval phsy/qhp ea l hr at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$97.68
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.
$371.00
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.
$30.27 with WellCare vs $155.52 with Blue Cross — 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 |
|---|---|---|---|
| WellCare | Medicare Advantage | $30.27 | ↓ -69% |
| Molina | Dual MI Coordinated Health | $35.40 | ↓ -64% |
| McLaren | Medicaid HMO-Child-FAC | $44.94 | ↓ -54% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $44.94 | ↓ -54% |
| Meridian | Medicaid HMO-Child-FAC | $44.94 | ↓ -54% |
| HAP | HAP Caresource Medicaid-FAC | $44.94 | ↓ -54% |
| Meridian | Medicaid HMO-Adult-FAC | $44.94 | ↓ -54% |
| McLaren | Medicaid HMO-Adult-FAC | $44.94 | ↓ -54% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $44.94 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $45.84 | ↓ -53% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $45.84 | ↓ -53% |
| Molina | Medicaid HMO-Adult-FAC | $46.74 | ↓ -52% |
| Molina | Medicaid HMO-Child-FAC | $46.74 | ↓ -52% |
| Priority Health | Medicaid HMO-Child-FAC | $47.19 | ↓ -52% |
| Priority Health | Medicaid HMO-Adult-FAC | $47.19 | ↓ -52% |
| Amerihealth Caritas | Dual Products | $47.20 | ↓ -52% |
| ScriptGuideRX | All Products | $48.13 | ↓ -51% |
| Humana Military | Tricare-NonPhysician-FAC | $57.70 | ↓ -41% |
| United Healthcare | UHC Commercial | $58.53 | ↓ -40% |
| Vitalcore | All Products | $59.00 | ↓ -40% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $60.16 | ↓ -38% |
| HAP | HAP HMO_AHL_Fully Insured | $61.28 | ↓ -37% |
| Amerihealth Caritas | Dual Products-NONFAC | $62.00 | ↓ -37% |
| Amerihealth Caritas | Dual Products-FAC | $62.00 | ↓ -37% |
| HAP | HAP Caresource Medicaid-NONFAC | $62.41 | ↓ -36% |
| Meridian | Medicaid HMO-Adult-NONFAC | $62.41 | ↓ -36% |
| Meridian | Medicaid HMO-Child-NONFAC | $62.41 | ↓ -36% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $62.41 | ↓ -36% |
| McLaren | Medicaid HMO-Adult-NONFAC | $62.41 | ↓ -36% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $62.41 | ↓ -36% |
| McLaren | Medicaid HMO-Child-NONFAC | $62.41 | ↓ -36% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $63.66 | ↓ -35% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $63.66 | ↓ -35% |
| Molina | Medicaid HMO-Child-NONFAC | $64.91 | ↓ -34% |
| Priority Health | Medicaid HMO-Child-NONFAC | $65.53 | ↓ -33% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $65.53 | ↓ -33% |
| Molina | Medicaid HMO-Adult-NONFAC | $66.58 | ↓ -32% |
| Pace SE MI | Medicare Advantage-FAC | $67.24 | ↓ -31% |
| Humana Military | Tricare-Physician-FAC | $67.89 | ↓ -30% |
| Humana Military | Tricare | $67.89 | ↓ -30% |
| McLaren | Medicare Advantage-FAC | $70.78 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $70.78 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $70.78 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $70.78 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $70.78 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $70.78 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $70.78 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $70.78 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $70.78 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $70.78 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $70.78 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $70.78 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $70.78 | ↓ -28% |
| Molina | Dual Product-FAC | $70.78 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $70.78 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $70.78 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $70.78 | ↓ -28% |
| Humana | Medicare Advantage-Physician-FAC | $74.53 | ↓ -24% |
| Aetna | Commercial | $75.46 | ↓ -23% |
| HAP | Self-Funded | $75.59 | ↓ -23% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $77.50 | ↓ -21% |
| HAP | HAP HMO_AHL_Fully-Insured | $77.50 | ↓ -21% |
| Multiplan | All Products | $77.88 | ↓ -20% |
| Cofinity | Commercial | $83.43 | ↓ -15% |
| United Healthcare | Baseline Benefit Plan | $86.02 | ↓ -12% |
| Priority Health | Priority Cigna | $91.98 | ↓ -6% |
| Carelon Behavioral Health | Behavior Health-Psychologist | $92.00 | ↓ -6% |
| Pace SE MI | Medicare Advantage-NONFAC | $92.35 | ↓ -5% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $94.20 | ↓ -4% |
| HAP | Medicare Advantage-Physician-NONFAC | $97.21 | ↓ -0% |
| HAP | Medicare Advantage-NONFAC | $97.21 | ↓ -0% |
| Molina | Dual Product-NONFAC | $97.21 | ↓ -0% |
| United Healthcare | Medicare Advantage-NONFAC | $97.21 | ↓ -0% |
| HAP | HAP Dual Products-NONFAC | $97.21 | ↓ -0% |
| Molina | Medicare Advantage-NONFAC | $97.21 | ↓ -0% |
| Blue Cross | Medicare Plus Blue-NONFAC | $97.21 | ↓ -0% |
| McLaren | Medicare Advantage-NONFAC | $97.21 | ↓ -0% |
| Meridian | Ambetter From Meridian-NONFAC | $97.21 | ↓ -0% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $97.21 | ↓ -0% |
| WellCare | Medicare Advantage-NONFAC | $97.21 | ↓ -0% |
| Aetna | Medicare Advantage-NONFAC | $97.21 | ↓ -0% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $97.21 | ↓ -0% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $97.21 | ↓ -0% |
| Priority Health | Medicare Advantage-NONFAC | $97.21 | ↓ -0% |
| United Healthcare | Commercial-Behavioral Health-PhD | $98.95 | ↑ +1% |
| United Healthcare | Commercial-Behavioral Health-MD | $98.95 | ↑ +1% |
| Nomi | All Products | $99.09 | ↑ +1% |
| Humana | Medicare Advantage-NONFAC | $99.15 | ↑ +2% |
| Priority Health | Commercial | $101.38 | ↑ +4% |
| Priority Health | All Products | $103.33 | ↑ +6% |
| Priority Health | Behavioral Health-MD/DO-FAC | $103.33 | ↑ +6% |
| Priority Health | Behavioral Health-Psychologist-FAC | $103.33 | ↑ +6% |
| Priority Health | Behavioral Health-Psychologist-NONFAC | $132.72 | ↑ +36% |
| Priority Health | Behavioral Health-MD/DO-NONFAC | $132.72 | ↑ +36% |
| Blue Cross | GM Connected Care | $138.53 | ↑ +42% |
| Aetna | All Products-NONFAC | $144.41 | ↑ +48% |
| United Healthcare | All Products-Prof | $146.12 | ↑ +50% |
| Blue Cross | BCN Commercial-FAC | $153.92 | ↑ +58% |
| Blue Cross | BCN Commercial-NONFAC | $153.92 | ↑ +58% |
| United Healthcare | All Products-Midlevel | $155.34 | ↑ +59% |
| Blue Cross | BCBSM Commercial | $155.52 | ↑ +59% |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| Blue Cross | BCN Commercial | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Blue Cross | BCBSM GM Connected Care | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| BCN | HMO | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Npsy tst eval phsy/qhp ea l hr at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $765.00 | not published |
| Corewell Health Gerber | Fremont | $765.00 | not published |
| Corewell Health Lakeland Watervliet | Watervliet | $612.00 | not published |
| Corewell Health Lakeland St. Joseph | St Joseph | $612.00 | not published |
| Corewell Health Butterworth Hospital | Grand Rapids | $765.00 | not published |
| Corewell Health Blodgett Hospital | East Grand Rapids | $765.00 | not published |
| Corewell Health Reed City | Po Box 75 | $765.00 | not published |
| Corewell Health Greenville | Greenville | $765.00 | not published |