Off/op consltj new/est hi 55 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$247.00
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.
$370.00
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.
$82.80 with Amerihealth Caritas vs $334.47 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 |
|---|---|---|---|
| Amerihealth Caritas | Dual Products-NONFAC | $82.80 | ↓ -66% |
| Amerihealth Caritas | Dual Products-FAC | $82.80 | ↓ -66% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $103.50 | ↓ -58% |
| HAP | Self-Funded | $103.50 | ↓ -58% |
| HAP | HAP HMO_AHL_Fully-Insured | $103.50 | ↓ -58% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $103.50 | ↓ -58% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $113.96 | ↓ -54% |
| McLaren | Medicaid HMO-Adult-FAC | $113.96 | ↓ -54% |
| HAP | HAP Caresource Medicaid-FAC | $113.96 | ↓ -54% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $113.96 | ↓ -54% |
| McLaren | Medicaid HMO-Child-FAC | $113.96 | ↓ -54% |
| Meridian | Medicaid HMO-Child-FAC | $113.96 | ↓ -54% |
| Meridian | Medicaid HMO-Adult-FAC | $113.96 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $116.24 | ↓ -53% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $116.24 | ↓ -53% |
| Molina | Medicaid HMO-Child-FAC | $118.52 | ↓ -52% |
| Molina | Medicaid HMO-Adult-FAC | $118.52 | ↓ -52% |
| Priority Health | Medicaid HMO-Adult-FAC | $119.66 | ↓ -52% |
| Priority Health | Medicaid HMO-Child-FAC | $119.66 | ↓ -52% |
| McLaren | Medicaid HMO-Adult-NONFAC | $133.55 | ↓ -46% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $133.55 | ↓ -46% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $133.55 | ↓ -46% |
| Meridian | Medicaid HMO-Adult-NONFAC | $133.55 | ↓ -46% |
| HAP | HAP Caresource Medicaid-NONFAC | $133.55 | ↓ -46% |
| Meridian | Medicaid HMO-Child-NONFAC | $133.55 | ↓ -46% |
| McLaren | Medicaid HMO-Child-NONFAC | $133.55 | ↓ -46% |
| Blue Cross | BCN Medicare Advantage -FAC | $134.55 | ↓ -46% |
| Blue Cross | Medicare Plus Blue-NONFAC | $134.55 | ↓ -46% |
| Blue Cross | Medicare Plus Blue-FAC | $134.55 | ↓ -46% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $134.55 | ↓ -46% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $136.22 | ↓ -45% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $136.22 | ↓ -45% |
| Molina | Medicaid HMO-Child-NONFAC | $138.89 | ↓ -44% |
| Humana Military | Tricare-NonPhysician-FAC | $139.12 | ↓ -44% |
| Priority Health | Medicaid HMO-Child-NONFAC | $140.23 | ↓ -43% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $140.23 | ↓ -43% |
| Molina | Medicaid HMO-Adult-NONFAC | $144.45 | ↓ -42% |
| ScriptGuideRX | All Products | $148.15 | ↓ -40% |
| Humana Military | Tricare-Physician-FAC | $163.67 | ↓ -34% |
| Humana Military | Tricare | $163.67 | ↓ -34% |
| Humana | Medicare Advantage-Physician-FAC | $179.68 | ↓ -27% |
| United Healthcare | Commercial-Behavioral Health-RN | $180.60 | ↓ -27% |
| United Healthcare | All Products-Midlevel | $194.10 | ↓ -21% |
| United Healthcare | Commercial-Behavioral Health-MD | $212.47 | ↓ -14% |
| United Healthcare | Commercial-Behavioral Health-PhD | $212.47 | ↓ -14% |
| United Healthcare | VACCN-NONFAC | $214.98 | ↓ -13% |
| United Healthcare | All Products-Prof | $228.20 | ↓ -8% |
| Priority Health | All Products | $228.23 | ↓ -8% |
| Blue Cross | GM Connected Care | $256.45 | ↑ +4% |
| Priority Health | Priority Cigna | $263.60 | ↑ +7% |
| Aetna | All Products-NONFAC | $283.39 | ↑ +15% |
| Blue Cross | BCN Commercial-FAC | $284.94 | ↑ +15% |
| Priority Health | Commercial | $291.49 | ↑ +18% |
| HAP | HAP HMO_AHL_Fully Insured | $331.72 | ↑ +34% |
| Blue Cross | BCN Commercial-NONFAC | $333.94 | ↑ +35% |
| Blue Cross | BCBSM Commercial | $334.47 | ↑ +35% |
| Nomi | All Products | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | 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 | — |
Visitor-reported prices
Comments
Off/op consltj new/est hi 55 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $247.00 | $0.01 – $148.15 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $247.00 | $0.01 – $152.73 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $247.00 | $82.80 – $283.39 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $258.89 – $258.89 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $147.73 – $147.73 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $147.73 – $147.73 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $104.87 – $537.25 |
| Corewell Health Taylor | Taylor | not published | $104.87 – $945.51 |