Off/op cnsltj new/est low 30 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$111.00
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.
$216.00
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.
$43.20 with Amerihealth Caritas vs $185.05 with Priority Health — 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 |
|---|---|---|---|
| Amerihealth Caritas | Dual Products-FAC | $43.20 | ↓ -61% |
| Amerihealth Caritas | Dual Products-NONFAC | $43.20 | ↓ -61% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $54.00 | ↓ -51% |
| HAP | Self-Funded | $54.00 | ↓ -51% |
| HAP | HAP HMO_AHL_Fully-Insured | $54.00 | ↓ -51% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $54.00 | ↓ -51% |
| Meridian | Medicaid HMO-Adult-FAC | $55.81 | ↓ -50% |
| HAP | HAP Caresource Medicaid-FAC | $55.81 | ↓ -50% |
| McLaren | Medicaid HMO-Child-FAC | $55.81 | ↓ -50% |
| McLaren | Medicaid HMO-Adult-FAC | $55.81 | ↓ -50% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $55.81 | ↓ -50% |
| Meridian | Medicaid HMO-Child-FAC | $55.81 | ↓ -50% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $55.81 | ↓ -50% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $56.93 | ↓ -49% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $56.93 | ↓ -49% |
| Molina | Medicaid HMO-Child-FAC | $58.04 | ↓ -48% |
| Molina | Medicaid HMO-Adult-FAC | $58.04 | ↓ -48% |
| Priority Health | Medicaid HMO-Adult-FAC | $58.60 | ↓ -47% |
| Priority Health | Medicaid HMO-Child-FAC | $58.60 | ↓ -47% |
| Humana Military | Tricare-NonPhysician-FAC | $68.60 | ↓ -38% |
| Blue Cross | Medicare Plus Blue-FAC | $70.20 | ↓ -37% |
| Blue Cross | Medicare Plus Blue-NONFAC | $70.20 | ↓ -37% |
| Blue Cross | BCN Medicare Advantage -FAC | $70.20 | ↓ -37% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $70.20 | ↓ -37% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $71.78 | ↓ -35% |
| McLaren | Medicaid HMO-Adult-NONFAC | $71.78 | ↓ -35% |
| Meridian | Medicaid HMO-Child-NONFAC | $71.78 | ↓ -35% |
| McLaren | Medicaid HMO-Child-NONFAC | $71.78 | ↓ -35% |
| Meridian | Medicaid HMO-Adult-NONFAC | $71.78 | ↓ -35% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $71.78 | ↓ -35% |
| HAP | HAP Caresource Medicaid-NONFAC | $71.78 | ↓ -35% |
| ScriptGuideRX | All Products | $72.55 | ↓ -35% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $73.22 | ↓ -34% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $73.22 | ↓ -34% |
| Molina | Medicaid HMO-Child-NONFAC | $74.65 | ↓ -33% |
| Priority Health | Medicaid HMO-Child-NONFAC | $75.37 | ↓ -32% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $75.37 | ↓ -32% |
| Molina | Medicaid HMO-Adult-NONFAC | $77.86 | ↓ -30% |
| Humana Military | Tricare-Physician-FAC | $80.69 | ↓ -27% |
| Humana Military | Tricare | $80.69 | ↓ -27% |
| Humana | Medicare Advantage-Physician-FAC | $88.59 | ↓ -20% |
| United Healthcare | All Products-Midlevel | $95.10 | ↓ -14% |
| United Healthcare | Commercial-Behavioral Health-RN | $97.07 | ↓ -13% |
| United Healthcare | All Products-Prof | $111.80 | ↑ +1% |
| Priority Health | All Products | $112.20 | ↑ +1% |
| United Healthcare | Commercial-Behavioral Health-MD | $114.20 | ↑ +3% |
| United Healthcare | Commercial-Behavioral Health-PhD | $114.20 | ↑ +3% |
| United Healthcare | VACCN-NONFAC | $115.89 | ↑ +4% |
| Blue Cross | GM Connected Care | $126.06 | ↑ +14% |
| Priority Health | Priority Cigna | $129.59 | ↑ +17% |
| Blue Cross | BCN Commercial-FAC | $140.07 | ↑ +26% |
| Aetna | All Products-NONFAC | $151.36 | ↑ +36% |
| Blue Cross | BCBSM Commercial | $179.49 | ↑ +62% |
| Blue Cross | BCN Commercial-NONFAC | $180.02 | ↑ +62% |
| HAP | HAP HMO_AHL_Fully Insured | $184.37 | ↑ +66% |
| Priority Health | Commercial | $185.05 | ↑ +67% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
| Nomi | All Products | 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 | — |
Visitor-reported prices
Comments
Off/op cnsltj new/est low 30 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $111.00 | $0.01 – $88.24 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $111.00 | $0.01 – $83.27 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $111.00 | $43.20 – $151.36 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $164.33 – $164.33 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $93.79 – $93.79 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $93.79 – $93.79 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $72.10 – $264.10 |
| Corewell Health Taylor | Taylor | not published | $72.10 – $464.79 |