Path clin consltj mod 21-40 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$234.27
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.
$255.00
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.
$10.10 with Humana vs $390.45 with Vitalcore — 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 |
|---|---|---|---|
| Humana | Medicare Advantage-Physician-FAC | $10.10 | ↓ -96% |
| United Healthcare | All Products-Midlevel | $24.54 | ↓ -90% |
| United Healthcare | All Products-Prof | $24.54 | ↓ -90% |
| McLaren | Medicaid HMO-Child-FAC | $24.71 | ↓ -89% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $24.71 | ↓ -89% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $24.71 | ↓ -89% |
| Meridian | Medicaid HMO-Adult-FAC | $24.71 | ↓ -89% |
| Meridian | Medicaid HMO-Child-FAC | $24.71 | ↓ -89% |
| McLaren | Medicaid HMO-Adult-FAC | $24.71 | ↓ -89% |
| HAP | HAP Caresource Medicaid-FAC | $24.71 | ↓ -89% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $25.20 | ↓ -89% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $25.20 | ↓ -89% |
| Molina | Medicaid HMO-Child-FAC | $25.70 | ↓ -89% |
| Molina | Medicaid HMO-Adult-FAC | $25.70 | ↓ -89% |
| Priority Health | Medicaid HMO-Adult-FAC | $25.95 | ↓ -89% |
| Priority Health | Medicaid HMO-Child-FAC | $25.95 | ↓ -89% |
| ScriptGuideRX | All Products | $26.96 | ↓ -88% |
| HAP | HAP Caresource Medicaid-NONFAC | $32.59 | ↓ -86% |
| Meridian | Medicaid HMO-Child-NONFAC | $32.59 | ↓ -86% |
| Meridian | Medicaid HMO-Adult-NONFAC | $32.59 | ↓ -86% |
| McLaren | Medicaid HMO-Child-NONFAC | $32.59 | ↓ -86% |
| McLaren | Medicaid HMO-Adult-NONFAC | $32.59 | ↓ -86% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $32.59 | ↓ -86% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $32.59 | ↓ -86% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $33.24 | ↓ -86% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $33.24 | ↓ -86% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $33.71 | ↓ -86% |
| Molina | Medicaid HMO-Child-NONFAC | $33.89 | ↓ -86% |
| Priority Health | Medicaid HMO-Child-NONFAC | $34.22 | ↓ -85% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $34.22 | ↓ -85% |
| Humana Military | Tricare-NonPhysician-FAC | $35.80 | ↓ -85% |
| Molina | Medicaid HMO-Adult-NONFAC | $36.17 | ↓ -85% |
| Pace SE MI | Medicare Advantage-FAC | $37.68 | ↓ -84% |
| Amerihealth Caritas | Dual Products-FAC | $38.87 | ↓ -83% |
| McLaren | Medicare Advantage-FAC | $39.66 | ↓ -83% |
| Blue Cross | Medicare Plus Blue-FAC | $39.66 | ↓ -83% |
| Priority Health | Medicare Advantage-FAC | $39.66 | ↓ -83% |
| Meridian | Ambetter From Meridian-FAC | $39.66 | ↓ -83% |
| United Healthcare | Medicare-Behavioral Health-FAC | $39.66 | ↓ -83% |
| Trinity Health Plan | Medicare Advantage-FAC | $39.66 | ↓ -83% |
| Humana | Medicare Advantage-FAC | $39.66 | ↓ -83% |
| Aetna | Medicare Advantage-FAC | $39.66 | ↓ -83% |
| HAP | HAP Dual Products-FAC | $39.66 | ↓ -83% |
| Blue Cross | BCN Medicare Advantage -FAC | $39.66 | ↓ -83% |
| Molina | Dual Product-FAC | $39.66 | ↓ -83% |
| WellCare | Medicare Advantage-FAC | $39.66 | ↓ -83% |
| United Healthcare | Medicare Advantage-FAC | $39.66 | ↓ -83% |
| HAP | Medicare Advantage-FAC | $39.66 | ↓ -83% |
| HAP | Medicare Advantage-Physician-FAC | $39.66 | ↓ -83% |
| Molina | Medicare Advantage-FAC | $39.66 | ↓ -83% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $39.66 | ↓ -83% |
| Humana Military | Tricare-Physician-FAC | $42.12 | ↓ -82% |
| Humana Military | Tricare | $42.12 | ↓ -82% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $43.84 | ↓ -81% |
| Priority Health | All Products | $46.73 | ↓ -80% |
| Pace SE MI | Medicare Advantage-NONFAC | $49.00 | ↓ -79% |
| Amerihealth Caritas | Dual Products-NONFAC | $50.55 | ↓ -78% |
| Priority Health | Priority Cigna | $51.40 | ↓ -78% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $51.52 | ↓ -78% |
| Meridian | Ambetter From Meridian-NONFAC | $51.58 | ↓ -78% |
| HAP | HAP Dual Products-NONFAC | $51.58 | ↓ -78% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $51.58 | ↓ -78% |
| HAP | Medicare Advantage-NONFAC | $51.58 | ↓ -78% |
| HAP | Medicare Advantage-Physician-NONFAC | $51.58 | ↓ -78% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $51.58 | ↓ -78% |
| United Healthcare | Medicare Advantage-NONFAC | $51.58 | ↓ -78% |
| Priority Health | Medicare Advantage-NONFAC | $51.58 | ↓ -78% |
| McLaren | Medicare Advantage-NONFAC | $51.58 | ↓ -78% |
| Blue Cross | Medicare Plus Blue-NONFAC | $51.58 | ↓ -78% |
| Molina | Dual Product-NONFAC | $51.58 | ↓ -78% |
| WellCare | Medicare Advantage-NONFAC | $51.58 | ↓ -78% |
| Aetna | Medicare Advantage-NONFAC | $51.58 | ↓ -78% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $51.58 | ↓ -78% |
| Molina | Medicare Advantage-NONFAC | $51.58 | ↓ -78% |
| Humana | Medicare Advantage-NONFAC | $52.61 | ↓ -78% |
| Aetna | All Products-NONFAC | $61.08 | ↓ -74% |
| Blue Cross | GM Connected Care | $66.63 | ↓ -72% |
| HAP | HAP HMO_AHL_Fully-Insured | $69.62 | ↓ -70% |
| Blue Cross | BCN Commercial-FAC | $74.03 | ↓ -68% |
| HAP | HAP HMO_AHL_Fully Insured | $80.30 | ↓ -66% |
| Aetna | Commercial | $80.63 | ↓ -66% |
| HAP | Self-Funded | $81.30 | ↓ -65% |
| Blue Cross | BCN Commercial-NONFAC | $83.62 | ↓ -64% |
| Blue Cross | BCBSM Commercial | $84.15 | ↓ -64% |
| McLaren | Medicaid HMO | $91.03 | ↓ -61% |
| Meridian | Medicaid HMO | $91.03 | ↓ -61% |
| Priority Health | Medicaid HMO | $91.03 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $91.03 | ↓ -61% |
| Blue Cross | BCBSM GM Connected Care | $92.32 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $92.85 | ↓ -60% |
| Blue Cross | BCN Commercial | $95.64 | ↓ -59% |
| BCN | HMO | $95.64 | ↓ -59% |
| Molina | Medicaid HMO | $95.88 | ↓ -59% |
| Pace SE MI | Medicare Advantage | $161.27 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $166.36 | ↓ -29% |
| HAP | HAP Dual Products | $167.90 | ↓ -28% |
| Multiplan | All Products | $168.30 | ↓ -28% |
| WellCare | Medicare Advantage | $169.76 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $169.76 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $169.76 | ↓ -28% |
| Priority Health | Medicare Advantage | $169.76 | ↓ -28% |
| McLaren | Medicare Advantage | $169.76 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $169.76 | ↓ -28% |
| HAP | Medicare Advantage | $169.76 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $169.76 | ↓ -28% |
| Blue Cross | BCN Advantage | $169.76 | ↓ -28% |
| United Healthcare | VACCN | $169.76 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $169.76 | ↓ -28% |
| Aetna | Medicare Advantage | $169.76 | ↓ -28% |
| Humana | Medicare Advantage | $171.45 | ↓ -27% |
| Priority Health | Commercial | $172.97 | ↓ -26% |
| Cofinity | Commercial | $180.29 | ↓ -23% |
| United Healthcare | UHC Commercial | $182.78 | ↓ -22% |
| Aetna | Dual Products | $186.73 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $203.71 | ↓ -13% |
| United Healthcare | Baseline Benefit Plan | $219.34 | ↓ -6% |
| Meridian | Ambetter From Meridian | $229.18 | ↓ -2% |
| Nomi | All Products | $312.36 | ↑ +33% |
| Vitalcore | All Products | $390.45 | ↑ +67% |
| 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 | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
Path clin consltj mod 21-40 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $234.27 | $8.59 – $331.03 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $234.27 | $8.59 – $390.45 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $234.27 | $8.59 – $312.36 |
| Corewell Health Big Rapids | Big Rapids | not published | $43.88 – $305.56 |
| Corewell Health Gerber | Fremont | not published | $43.88 – $43.88 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $171.60 – $257.39 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $169.76 – $254.64 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $43.88 – $305.56 |