Observation direct referral from physician office for admission at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$818.88
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.
?
What you pay up front if you don't use insurance.
$193.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$25.80 with HAP vs $1,922.58 with Nomi — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| HAP | HAP HMO_AHL_Fully-Insured | $25.80 | ↓ -97% |
| HAP | Self-Funded | $30.12 | ↓ -96% |
| Amerihealth Caritas | Dual Products-FAC | $38.00 | ↓ -95% |
| Amerihealth Caritas | Dual Products-NONFAC | $38.00 | ↓ -95% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $47.50 | ↓ -94% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $47.50 | ↓ -94% |
| Aetna | All Products-NONFAC | $55.74 | ↓ -93% |
| Blue Cross | BCN Medicare Advantage -FAC | $61.75 | ↓ -92% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $61.75 | ↓ -92% |
| Blue Cross | Medicare Plus Blue-FAC | $61.75 | ↓ -92% |
| Blue Cross | Medicare Plus Blue-NONFAC | $61.75 | ↓ -92% |
| Humana Military | Tricare-NonPhysician-FAC | $66.50 | ↓ -92% |
| Blue Cross | BCBSM Commercial | $71.17 | ↓ -91% |
| Blue Cross | BCN Commercial | $71.17 | ↓ -91% |
| BCN | HMO | $71.17 | ↓ -91% |
| United Healthcare | UHC Commercial | $95.73 | ↓ -88% |
| HAP | HAP HMO_AHL_Fully Insured | $109.33 | ↓ -87% |
| Blue Cross | BCBSM GM Connected Care | $112.44 | ↓ -86% |
| Aetna | Commercial | $123.42 | ↓ -85% |
| Multiplan | All Products | $127.38 | ↓ -84% |
| Cofinity | Commercial | $136.45 | ↓ -83% |
| United Healthcare | Baseline Benefit Plan | $140.70 | ↓ -83% |
| Priority Health | Priority Cigna | $150.44 | ↓ -82% |
| HAP | Henry Ford Select -HPN commercial | $193.00 | ↓ -76% |
| HAP | Medicare Advantage | $193.00 | ↓ -76% |
| Meridian | Ambetter From Meridian | $193.00 | ↓ -76% |
| Priority Health | Commercial | $193.00 | ↓ -76% |
| Humana | Medicare Advantage | $193.00 | ↓ -76% |
| United Healthcare | VACCN-NONFAC | $298.59 | ↓ -64% |
| ScriptGuideRX | All Products | $310.34 | ↓ -62% |
| HAP | HAP Caresource Medicaid | $318.21 | ↓ -61% |
| McLaren | Medicaid HMO | $318.21 | ↓ -61% |
| Meridian | Medicaid HMO | $318.21 | ↓ -61% |
| Priority Health | Medicaid HMO | $318.21 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $324.57 | ↓ -60% |
| Blue Cross | GM Connected Care | $551.79 | ↓ -33% |
| Pace SE MI | Medicare Advantage | $563.72 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $581.52 | ↓ -29% |
| Molina | Dual MI Coordinated Health | $593.39 | ↓ -28% |
| Aetna | Medicare Advantage | $593.39 | ↓ -28% |
| United Healthcare | VACCN | $593.39 | ↓ -28% |
| WellCare | Medicare Advantage | $593.39 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $593.39 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $593.39 | ↓ -28% |
| Priority Health | Medicare Advantage | $593.39 | ↓ -28% |
| Blue Cross | BCN Advantage | $593.39 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $593.39 | ↓ -28% |
| McLaren | Medicare Advantage | $593.39 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $593.39 | ↓ -28% |
| HAP | HAP Dual Products | $600.70 | ↓ -27% |
| Blue Cross | BCN Commercial-FAC | $613.10 | ↓ -25% |
| Blue Cross | BCN Commercial-NONFAC | $613.10 | ↓ -25% |
| Aetna | Dual Products | $652.73 | ↓ -20% |
| Vitalcore | All Products | $1,364.80 | ↑ +67% |
| Molina | Medicaid HMO | $1,650.00 | ↑ +101% |
| Nomi | All Products | $1,922.58 | ↑ +135% |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | 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 | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Humana Military | Tricare | not published by hospital | — |
Visitor-reported prices
Comments
Observation direct referral from physician office for admission at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $818.88 | $25.80 – $1,922.58 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $818.88 | $25.80 – $1,922.58 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $818.88 | $25.80 – $1,922.58 |
| Henry Ford Rochester Hospital | Rochester | $104.34 | $68.57 – $73.57 |
| OSF St Francis Hospital | Escanaba | $515.20 | not published |
| Corewell Health Big Rapids | Big Rapids | not published | $593.39 – $1,068.10 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $599.81 – $899.72 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $125.98 – $890.08 |