Peritoneogram rs&i at Henry Ford Macomb Hospital

15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634

Source: hospital's published price file ↗ · Published Jun 28, 2026 · Ingested Aug 13, 2026

$751.34

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$703.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$13.85 with United Healthcare vs $1,299.82 with Aetna — 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 →

Payer
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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
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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
United Healthcare Medicaid-Behavioral Health-Adult-FAC $13.85 ↓ -98%
United Healthcare Medicaid-Behavioral Health-Adult-NONFAC $13.85 ↓ -98%
United Healthcare Medicaid-Behavioral Health-Child-FAC $13.85 ↓ -98%
United Healthcare Medicaid-Behavioral Health-Child-NONFAC $13.85 ↓ -98%
Meridian Medicaid HMO-Adult-FAC $13.85 ↓ -98%
McLaren Medicaid HMO-Child-NONFAC $13.85 ↓ -98%
McLaren Medicaid HMO-Child-FAC $13.85 ↓ -98%
Meridian Medicaid HMO-Child-NONFAC $13.85 ↓ -98%
Meridian Medicaid HMO-Child-FAC $13.85 ↓ -98%
McLaren Medicaid HMO-Adult-NONFAC $13.85 ↓ -98%
Meridian Medicaid HMO-Adult-NONFAC $13.85 ↓ -98%
McLaren Medicaid HMO-Adult-FAC $13.85 ↓ -98%
HAP HAP Caresource Medicaid-NONFAC $13.85 ↓ -98%
HAP HAP Caresource Medicaid-FAC $13.85 ↓ -98%
Aetna Better Health Medicaid HMO-Child-FAC $14.13 ↓ -98%
Aetna Better Health Medicaid HMO-Adult-FAC $14.13 ↓ -98%
Aetna Better Health Medicaid HMO-Adult-NONFAC $14.13 ↓ -98%
Aetna Better Health Medicaid HMO-Child-NONFAC $14.13 ↓ -98%
Molina Medicaid HMO-Child-NONFAC $14.40 ↓ -98%
Molina Medicaid HMO-Adult-FAC $14.40 ↓ -98%
Molina Medicaid HMO-Child-FAC $14.40 ↓ -98%
Priority Health Medicaid HMO-Adult-NONFAC $14.54 ↓ -98%
Priority Health Medicaid HMO-Child-NONFAC $14.54 ↓ -98%
Priority Health Medicaid HMO-Child-FAC $14.54 ↓ -98%
Priority Health Medicaid HMO-Adult-FAC $14.54 ↓ -98%
Molina Medicaid HMO-Adult-NONFAC $15.56 ↓ -98%
United Healthcare All Products-Midlevel $16.74 ↓ -98%
ScriptGuideRX All Products $18.01 ↓ -98%
HAP Medicare Advantage HMO/PPO-NonPhysician-NONFAC $18.89 ↓ -97%
HAP Medicare Advantage HMO/PPO-NonPhysician-FAC $18.89 ↓ -97%
Humana Military Tricare-Physician-FAC $19.97 ↓ -97%
Humana Military Tricare-NonPhysician-FAC $19.97 ↓ -97%
United Healthcare All Products-Prof $20.12 ↓ -97%
Pace SE MI Medicare Advantage-NONFAC $21.11 ↓ -97%
Pace SE MI Medicare Advantage-FAC $21.11 ↓ -97%
United Healthcare Medicare-Behavioral Health-NONFAC $21.71 ↓ -97%
Amerihealth Caritas Dual Products-NONFAC $21.78 ↓ -97%
Amerihealth Caritas Dual Products-FAC $21.78 ↓ -97%
Humana Medicare Advantage-Physician-FAC $21.93 ↓ -97%
Aetna Medicare Advantage-NONFAC $22.22 ↓ -97%
McLaren Medicare Advantage-FAC $22.22 ↓ -97%
McLaren Medicare Advantage-NONFAC $22.22 ↓ -97%
Meridian Ambetter From Meridian-FAC $22.22 ↓ -97%
Meridian Ambetter From Meridian-NONFAC $22.22 ↓ -97%
Molina Medicare Advantage-FAC $22.22 ↓ -97%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC $22.22 ↓ -97%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-FAC $22.22 ↓ -97%
Blue Cross BCN Medicare Advantage -FAC $22.22 ↓ -97%
Blue Cross BCN Medicare Advantage -NONFAC $22.22 ↓ -97%
United Healthcare Medicare Advantage-NONFAC $22.22 ↓ -97%
Blue Cross Medicare Plus Blue-FAC $22.22 ↓ -97%
Blue Cross Medicare Plus Blue-NONFAC $22.22 ↓ -97%
United Healthcare Medicare-Behavioral Health-FAC $22.22 ↓ -97%
Trinity Health Plan Medicare Advantage-NONFAC $22.22 ↓ -97%
HAP HAP Dual Products-FAC $22.22 ↓ -97%
HAP HAP Dual Products-NONFAC $22.22 ↓ -97%
Trinity Health Plan Medicare Advantage-FAC $22.22 ↓ -97%
Priority Health Medicare Advantage-NONFAC $22.22 ↓ -97%
HAP Medicare Advantage-FAC $22.22 ↓ -97%
HAP Medicare Advantage-NONFAC $22.22 ↓ -97%
HAP Medicare Advantage-Physician-FAC $22.22 ↓ -97%
HAP Medicare Advantage-Physician-NONFAC $22.22 ↓ -97%
Priority Health Medicare Advantage-FAC $22.22 ↓ -97%
Humana Medicare Advantage-FAC $22.22 ↓ -97%
WellCare Medicare Advantage-FAC $22.22 ↓ -97%
Aetna Medicare Advantage-FAC $22.22 ↓ -97%
WellCare Medicare Advantage-NONFAC $22.22 ↓ -97%
Molina Medicare Advantage-NONFAC $22.22 ↓ -97%
United Healthcare Medicare Advantage-FAC $22.22 ↓ -97%
Molina Dual Product-FAC $22.22 ↓ -97%
Molina Dual Product-NONFAC $22.22 ↓ -97%
Humana Medicare Advantage-NONFAC $22.66 ↓ -97%
HAP HAP HMO_AHL_Fully-Insured $25.81 ↓ -97%
Nomi All Products $26.22 ↓ -97%
Blue Cross GM Connected Care $31.16 ↓ -96%
Priority Health All Products $32.62 ↓ -96%
Aetna All Products-NONFAC $33.08 ↓ -96%
Blue Cross BCBSM Commercial $34.62 ↓ -95%
Blue Cross BCN Commercial-FAC $34.62 ↓ -95%
Blue Cross BCN Commercial-NONFAC $34.62 ↓ -95%
Priority Health Priority Cigna $35.88 ↓ -95%
HAP Self-Funded $43.00 ↓ -94%
HAP HAP HMO_AHL_Fully Insured $44.37 ↓ -94%
Priority Health Commercial $125.47 ↓ -83%
Priority Health Medicaid HMO $291.96 ↓ -61%
HAP HAP Caresource Medicaid $291.96 ↓ -61%
McLaren Medicaid HMO $291.96 ↓ -61%
Meridian Medicaid HMO $291.96 ↓ -61%
Aetna Better Health Medicaid HMO $297.80 ↓ -60%
Molina Medicaid HMO $307.51 ↓ -59%
United Healthcare UHC Commercial $348.69 ↓ -54%
Multiplan All Products $463.98 ↓ -38%
Humana Military Tricare $492.10 ↓ -35%
Cofinity Commercial $497.02 ↓ -34%
United Healthcare Baseline Benefit Plan $512.49 ↓ -32%
Pace SE MI Medicare Advantage $517.23 ↓ -31%
Amerihealth Caritas Dual Products $533.56 ↓ -29%
HAP HAP Dual Products $537.21 ↓ -28%
Blue Cross BCN Advantage $544.45 ↓ -28%
Priority Health Dual Premier_HIDE-SNP $544.45 ↓ -28%
McLaren Medicare Advantage $544.45 ↓ -28%
Priority Health Medicare Advantage $544.45 ↓ -28%
HAP Medicare Advantage $544.45 ↓ -28%
Trinity Health Plan Medicare Advantage $544.45 ↓ -28%
WellCare Wellcare Meridian Dual Align (HMO D-SNP) $544.45 ↓ -28%
Aetna Medicare Advantage $544.45 ↓ -28%
United Healthcare VACCN $544.45 ↓ -28%
Blue Cross Medicare Plus Blue $544.45 ↓ -28%
Molina Dual MI Coordinated Health $544.45 ↓ -28%
WellCare Medicare Advantage $544.45 ↓ -28%
Humana Medicare Advantage $549.89 ↓ -27%
Aetna Dual Products $598.90 ↓ -20%
HAP Henry Ford Select -HPN commercial $653.34 ↓ -13%
BCN HMO $703.00 ↓ -6%
Meridian Ambetter From Meridian $703.00 ↓ -6%
Blue Cross BCN Commercial $703.00 ↓ -6%
Blue Cross BCBSM GM Connected Care $703.00 ↓ -6%
Vitalcore All Products $1,252.24 ↑ +67%
Aetna Commercial $1,299.82 ↑ +73%
United Healthcare Commercial-Behavioral Health-PhD not published by hospital
Carelon Behavioral Health Behavioral Health not published by hospital
United Healthcare Commercial-Behavioral Health-MA not published by hospital
Detroit Wayne Integrated Health Medicaid HMO not published by hospital
United Healthcare Commercial-Behavioral Health-MD not published by hospital
United Healthcare Commercial-Behavioral Health-RN not published by hospital

Visitor-reported prices

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Peritoneogram rs&i at other Michigan hospitals

Hospital City Cash price Negotiated range
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr. $751.34 $13.85 – $703.00
Henry Ford West Bloomfield Hospital West Bloomfield $751.34 $13.85 – $1,252.24
Henry Ford Wyandotte Hospital: Wyandotte $751.34 $13.85 – $703.00
Henry Ford Genesys Hospital Grand Blanc Twp $633.78 $61.62 – $857.34
Corewell Health Big Rapids Big Rapids not published $544.45 – $980.01
Corewell Health Lakeland Watervliet Watervliet not published $550.35 – $825.52
Corewell Health Lakeland St. Joseph St Joseph not published $114.82 – $816.68
Corewell Health Butterworth Hospital Grand Rapids not published $64.88 – $980.01

All Michigan hospitals for this procedure →