Ol dig e/m svc 21+ min at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$49.65
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.
$35.00
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.
$22.37 with McLaren vs $77.52 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 |
|---|---|---|---|
| McLaren | Medicaid HMO-Adult-FAC | $22.37 | ↓ -55% |
| HAP | HAP Caresource Medicaid-FAC | $22.37 | ↓ -55% |
| Meridian | Medicaid HMO-Child-FAC | $22.37 | ↓ -55% |
| McLaren | Medicaid HMO-Child-FAC | $22.37 | ↓ -55% |
| Meridian | Medicaid HMO-Adult-FAC | $22.37 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $22.37 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $22.37 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $22.82 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $22.82 | ↓ -54% |
| Molina | Medicaid HMO-Child-FAC | $23.26 | ↓ -53% |
| Molina | Medicaid HMO-Adult-FAC | $23.26 | ↓ -53% |
| Priority Health | Medicaid HMO-Child-FAC | $23.49 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-FAC | $23.49 | ↓ -53% |
| Humana Military | Tricare-Physician-FAC | $24.50 | ↓ -51% |
| Humana Military | Tricare-NonPhysician-FAC | $24.50 | ↓ -51% |
| ScriptGuideRX | All Products | $29.08 | ↓ -41% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $30.58 | ↓ -38% |
| Meridian | Medicaid HMO-Adult-NONFAC | $31.10 | ↓ -37% |
| Meridian | Medicaid HMO-Child-NONFAC | $31.10 | ↓ -37% |
| McLaren | Medicaid HMO-Child-NONFAC | $31.10 | ↓ -37% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $31.10 | ↓ -37% |
| McLaren | Medicaid HMO-Adult-NONFAC | $31.10 | ↓ -37% |
| HAP | HAP Caresource Medicaid-NONFAC | $31.10 | ↓ -37% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $31.10 | ↓ -37% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $31.72 | ↓ -36% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $31.72 | ↓ -36% |
| Molina | Medicaid HMO-Adult-NONFAC | $32.03 | ↓ -35% |
| Molina | Medicaid HMO-Child-NONFAC | $32.34 | ↓ -35% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $32.66 | ↓ -34% |
| Priority Health | Medicaid HMO-Child-NONFAC | $32.66 | ↓ -34% |
| Pace SE MI | Medicare Advantage-FAC | $34.18 | ↓ -31% |
| Priority Health | All Products | $35.00 | ↓ -30% |
| Priority Health | Priority Cigna | $35.00 | ↓ -30% |
| Amerihealth Caritas | Dual Products-FAC | $35.26 | ↓ -29% |
| Humana Military | Tricare | $35.90 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $35.98 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $35.98 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $35.98 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $35.98 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $35.98 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $35.98 | ↓ -28% |
| Molina | Dual Product-FAC | $35.98 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $35.98 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $35.98 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $35.98 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $35.98 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $35.98 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $35.98 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $35.98 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $35.98 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $35.98 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $35.98 | ↓ -28% |
| Humana | Medicare Advantage-Physician-FAC | $39.41 | ↓ -21% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $41.82 | ↓ -16% |
| United Healthcare | All Products-Midlevel | $43.43 | ↓ -13% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $45.72 | ↓ -8% |
| Pace SE MI | Medicare Advantage-NONFAC | $46.74 | ↓ -6% |
| Amerihealth Caritas | Dual Products-NONFAC | $48.22 | ↓ -3% |
| Blue Cross | GM Connected Care | $48.60 | ↓ -2% |
| Aetna | Medicare Advantage-NONFAC | $49.20 | ↓ -1% |
| HAP | Medicare Advantage-Physician-NONFAC | $49.20 | ↓ -1% |
| HAP | HAP Dual Products-NONFAC | $49.20 | ↓ -1% |
| McLaren | Medicare Advantage-NONFAC | $49.20 | ↓ -1% |
| United Healthcare | Medicare Advantage-NONFAC | $49.20 | ↓ -1% |
| WellCare | Medicare Advantage-NONFAC | $49.20 | ↓ -1% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $49.20 | ↓ -1% |
| HAP | Medicare Advantage-NONFAC | $49.20 | ↓ -1% |
| Priority Health | Medicare Advantage-NONFAC | $49.20 | ↓ -1% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $49.20 | ↓ -1% |
| Molina | Medicare Advantage-NONFAC | $49.20 | ↓ -1% |
| Molina | Dual Product-NONFAC | $49.20 | ↓ -1% |
| Meridian | Ambetter From Meridian-NONFAC | $49.20 | ↓ -1% |
| Blue Cross | Medicare Plus Blue-NONFAC | $49.20 | ↓ -1% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $49.20 | ↓ -1% |
| Humana | Medicare Advantage-NONFAC | $50.18 | ↑ +1% |
| Nomi | All Products | $50.37 | ↑ +1% |
| United Healthcare | All Products-Prof | $51.06 | ↑ +3% |
| Blue Cross | BCN Commercial-FAC | $54.00 | ↑ +9% |
| Blue Cross | BCN Commercial-NONFAC | $54.00 | ↑ +9% |
| Blue Cross | BCBSM Commercial | $54.39 | ↑ +10% |
| Aetna | All Products-NONFAC | $59.93 | ↑ +21% |
| Priority Health | Commercial | $64.63 | ↑ +30% |
| HAP | HAP HMO_AHL_Fully-Insured | $66.39 | ↑ +34% |
| HAP | HAP HMO_AHL_Fully Insured | $76.57 | ↑ +54% |
| HAP | Self-Funded | $77.52 | ↑ +56% |
| 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-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
Visitor-reported prices
Comments
Ol dig e/m svc 21+ min at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $49.65 | $19.25 – $63.96 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $49.65 | $19.25 – $50.37 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $49.65 | $22.37 – $50.37 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $50.81 – $50.81 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $55.61 – $55.61 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $55.61 – $55.61 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $47.22 – $101.82 |
| Corewell Health Taylor | Taylor | not published | $47.22 – $179.19 |