Off/op cnsltj new/est mod 40 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$189.00
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.
$288.00
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.
$66.00 with Amerihealth Caritas vs $270.56 with HAP — 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-NONFAC | $66.00 | ↓ -65% |
| Amerihealth Caritas | Dual Products-FAC | $66.00 | ↓ -65% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $82.50 | ↓ -56% |
| HAP | Self-Funded | $82.50 | ↓ -56% |
| HAP | HAP HMO_AHL_Fully-Insured | $82.50 | ↓ -56% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $82.50 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $85.20 | ↓ -55% |
| McLaren | Medicaid HMO-Adult-FAC | $85.20 | ↓ -55% |
| HAP | HAP Caresource Medicaid-FAC | $85.20 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $85.20 | ↓ -55% |
| McLaren | Medicaid HMO-Child-FAC | $85.20 | ↓ -55% |
| Meridian | Medicaid HMO-Child-FAC | $85.20 | ↓ -55% |
| Meridian | Medicaid HMO-Adult-FAC | $85.20 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $86.90 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $86.90 | ↓ -54% |
| Molina | Medicaid HMO-Adult-FAC | $88.61 | ↓ -53% |
| Molina | Medicaid HMO-Child-FAC | $88.61 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-FAC | $89.46 | ↓ -53% |
| Priority Health | Medicaid HMO-Child-FAC | $89.46 | ↓ -53% |
| McLaren | Medicaid HMO-Child-NONFAC | $102.67 | ↓ -46% |
| HAP | HAP Caresource Medicaid-NONFAC | $102.67 | ↓ -46% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $102.67 | ↓ -46% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $102.67 | ↓ -46% |
| McLaren | Medicaid HMO-Adult-NONFAC | $102.67 | ↓ -46% |
| Meridian | Medicaid HMO-Adult-NONFAC | $102.67 | ↓ -46% |
| Meridian | Medicaid HMO-Child-NONFAC | $102.67 | ↓ -46% |
| Humana Military | Tricare-NonPhysician-FAC | $103.63 | ↓ -45% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $104.72 | ↓ -45% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $104.72 | ↓ -45% |
| Molina | Medicaid HMO-Child-NONFAC | $106.78 | ↓ -44% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $107.25 | ↓ -43% |
| Blue Cross | Medicare Plus Blue-FAC | $107.25 | ↓ -43% |
| Blue Cross | Medicare Plus Blue-NONFAC | $107.25 | ↓ -43% |
| Blue Cross | BCN Medicare Advantage -FAC | $107.25 | ↓ -43% |
| Priority Health | Medicaid HMO-Child-NONFAC | $107.80 | ↓ -43% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $107.80 | ↓ -43% |
| ScriptGuideRX | All Products | $110.76 | ↓ -41% |
| Molina | Medicaid HMO-Adult-NONFAC | $110.81 | ↓ -41% |
| Humana Military | Tricare-Physician-FAC | $121.92 | ↓ -35% |
| Humana Military | Tricare | $121.92 | ↓ -35% |
| Humana | Medicare Advantage-Physician-FAC | $133.85 | ↓ -29% |
| United Healthcare | Commercial-Behavioral Health-RN | $138.84 | ↓ -27% |
| United Healthcare | All Products-Midlevel | $145.22 | ↓ -23% |
| United Healthcare | Commercial-Behavioral Health-PhD | $163.34 | ↓ -14% |
| United Healthcare | Commercial-Behavioral Health-MD | $163.34 | ↓ -14% |
| United Healthcare | VACCN-NONFAC | $164.92 | ↓ -13% |
| Priority Health | All Products | $170.21 | ↓ -10% |
| United Healthcare | All Products-Prof | $170.73 | ↓ -10% |
| Blue Cross | GM Connected Care | $191.26 | ↑ +1% |
| Priority Health | Priority Cigna | $196.59 | ↑ +4% |
| Blue Cross | BCN Commercial-FAC | $212.51 | ↑ +12% |
| Aetna | All Products-NONFAC | $217.06 | ↑ +15% |
| Priority Health | Commercial | $248.41 | ↑ +31% |
| Blue Cross | BCN Commercial-NONFAC | $256.18 | ↑ +36% |
| Blue Cross | BCBSM Commercial | $256.18 | ↑ +36% |
| HAP | HAP HMO_AHL_Fully Insured | $270.56 | ↑ +43% |
| Nomi | All Products | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
Off/op cnsltj new/est mod 40 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $189.00 | $0.01 – $110.76 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $189.00 | $0.01 – $113.77 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $189.00 | $66.00 – $217.06 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $220.62 – $220.62 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $125.90 – $125.90 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $125.90 – $125.90 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $104.87 – $400.69 |
| Corewell Health Taylor | Taylor | not published | $104.87 – $705.17 |