Perq nl/pl lithotrp smpl<2cm at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$13,016.74
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.
$2,840.00
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.
$400.87 with United Healthcare vs $21,694.57 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 |
|---|---|---|---|
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $400.87 | ↓ -97% |
| Meridian | Medicaid HMO-Adult-FAC | $400.87 | ↓ -97% |
| HAP | HAP Caresource Medicaid-FAC | $400.87 | ↓ -97% |
| McLaren | Medicaid HMO-Child-FAC | $400.87 | ↓ -97% |
| Meridian | Medicaid HMO-Child-FAC | $400.87 | ↓ -97% |
| McLaren | Medicaid HMO-Adult-FAC | $400.87 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $400.87 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $408.89 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $408.89 | ↓ -97% |
| Molina | Medicaid HMO-Child-FAC | $416.90 | ↓ -97% |
| Molina | Medicaid HMO-Adult-FAC | $416.90 | ↓ -97% |
| Priority Health | Medicaid HMO-Adult-FAC | $420.91 | ↓ -97% |
| Priority Health | Medicaid HMO-Child-FAC | $420.91 | ↓ -97% |
| ScriptGuideRX | All Products | $521.13 | ↓ -96% |
| Humana Military | Tricare-NonPhysician-FAC | $555.30 | ↓ -96% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $559.57 | ↓ -96% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $559.57 | ↓ -96% |
| Pace SE MI | Medicare Advantage-NONFAC | $625.40 | ↓ -95% |
| Pace SE MI | Medicare Advantage-FAC | $625.40 | ↓ -95% |
| Amerihealth Caritas | Dual Products-NONFAC | $645.15 | ↓ -95% |
| Amerihealth Caritas | Dual Products-FAC | $645.15 | ↓ -95% |
| Humana Military | Tricare | $653.30 | ↓ -95% |
| Humana Military | Tricare-Physician-FAC | $653.30 | ↓ -95% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $658.32 | ↓ -95% |
| Aetna | Medicare Advantage-FAC | $658.32 | ↓ -95% |
| Aetna | Medicare Advantage-NONFAC | $658.32 | ↓ -95% |
| Blue Cross | BCN Medicare Advantage -FAC | $658.32 | ↓ -95% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $658.32 | ↓ -95% |
| Blue Cross | Medicare Plus Blue-FAC | $658.32 | ↓ -95% |
| Blue Cross | Medicare Plus Blue-NONFAC | $658.32 | ↓ -95% |
| HAP | HAP Dual Products-FAC | $658.32 | ↓ -95% |
| HAP | HAP Dual Products-NONFAC | $658.32 | ↓ -95% |
| HAP | Medicare Advantage-FAC | $658.32 | ↓ -95% |
| HAP | Medicare Advantage-NONFAC | $658.32 | ↓ -95% |
| HAP | Medicare Advantage-Physician-FAC | $658.32 | ↓ -95% |
| HAP | Medicare Advantage-Physician-NONFAC | $658.32 | ↓ -95% |
| Humana | Medicare Advantage-FAC | $658.32 | ↓ -95% |
| McLaren | Medicare Advantage-FAC | $658.32 | ↓ -95% |
| McLaren | Medicare Advantage-NONFAC | $658.32 | ↓ -95% |
| Meridian | Ambetter From Meridian-FAC | $658.32 | ↓ -95% |
| Meridian | Ambetter From Meridian-NONFAC | $658.32 | ↓ -95% |
| Molina | Dual Product-FAC | $658.32 | ↓ -95% |
| Molina | Dual Product-NONFAC | $658.32 | ↓ -95% |
| Molina | Medicare Advantage-FAC | $658.32 | ↓ -95% |
| Molina | Medicare Advantage-NONFAC | $658.32 | ↓ -95% |
| Priority Health | Medicare Advantage-FAC | $658.32 | ↓ -95% |
| Priority Health | Medicare Advantage-NONFAC | $658.32 | ↓ -95% |
| Trinity Health Plan | Medicare Advantage-FAC | $658.32 | ↓ -95% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $658.32 | ↓ -95% |
| United Healthcare | Medicare Advantage-FAC | $658.32 | ↓ -95% |
| United Healthcare | Medicare Advantage-NONFAC | $658.32 | ↓ -95% |
| United Healthcare | Medicare-Behavioral Health-FAC | $658.32 | ↓ -95% |
| WellCare | Medicare Advantage-FAC | $658.32 | ↓ -95% |
| WellCare | Medicare Advantage-NONFAC | $658.32 | ↓ -95% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $658.32 | ↓ -95% |
| Humana | Medicare Advantage-NONFAC | $671.49 | ↓ -95% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $710.11 | ↓ -95% |
| Humana | Medicare Advantage-Physician-FAC | $717.21 | ↓ -94% |
| United Healthcare | All Products-Midlevel | $734.02 | ↓ -94% |
| Nomi | All Products | $921.65 | ↓ -93% |
| Blue Cross | GM Connected Care | $1,003.26 | ↓ -92% |
| Aetna | All Products-NONFAC | $1,105.26 | ↓ -92% |
| Blue Cross | BCBSM Commercial | $1,107.28 | ↓ -91% |
| Blue Cross | BCN Commercial-NONFAC | $1,114.73 | ↓ -91% |
| Blue Cross | BCN Commercial-FAC | $1,114.73 | ↓ -91% |
| Priority Health | All Products | $1,135.37 | ↓ -91% |
| HAP | HAP HMO_AHL_Fully-Insured | $1,178.37 | ↓ -91% |
| United Healthcare | All Products-Prof | $1,225.70 | ↓ -91% |
| Priority Health | Priority Cigna | $1,248.91 | ↓ -90% |
| HAP | HAP HMO_AHL_Fully Insured | $1,359.20 | ↓ -90% |
| HAP | Self-Funded | $1,376.06 | ↓ -89% |
| McLaren | Medicaid HMO | $5,058.19 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $5,058.19 | ↓ -61% |
| Priority Health | Medicaid HMO | $5,058.19 | ↓ -61% |
| Meridian | Medicaid HMO | $5,058.19 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $5,159.35 | ↓ -60% |
| Molina | Medicaid HMO | $5,327.43 | ↓ -59% |
| Pace SE MI | Medicare Advantage | $8,960.80 | ↓ -31% |
| HAP | HAP Dual Products | $9,060.17 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $9,243.77 | ↓ -29% |
| Blue Cross | Medicare Plus Blue | $9,432.42 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $9,432.42 | ↓ -28% |
| Aetna | Medicare Advantage | $9,432.42 | ↓ -28% |
| Blue Cross | BCN Advantage | $9,432.42 | ↓ -28% |
| WellCare | Medicare Advantage | $9,432.42 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $9,432.42 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $9,432.42 | ↓ -28% |
| Priority Health | Medicare Advantage | $9,432.42 | ↓ -28% |
| HAP | Medicare Advantage | $9,432.42 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $9,432.42 | ↓ -28% |
| United Healthcare | VACCN | $9,432.42 | ↓ -28% |
| McLaren | Medicare Advantage | $9,432.42 | ↓ -28% |
| Humana | Medicare Advantage | $9,526.74 | ↓ -27% |
| Aetna | Dual Products | $10,375.66 | ↓ -20% |
| Blue Cross | BCBSM GM Connected Care | $11,084.97 | ↓ -15% |
| HAP | Henry Ford Select -HPN commercial | $11,318.90 | ↓ -13% |
| Blue Cross | BCN Commercial | $11,357.47 | ↓ -13% |
| BCN | HMO | $11,357.47 | ↓ -13% |
| Meridian | Ambetter From Meridian | $12,733.77 | ↓ -2% |
| Priority Health | Commercial | $14,051.09 | ↑ +8% |
| Vitalcore | All Products | $21,694.57 | ↑ +67% |
| 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-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
Visitor-reported prices
Comments
Perq nl/pl lithotrp smpl<2cm at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $13,016.74 | $400.87 – $15,303.61 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $13,016.74 | $400.87 – $21,694.57 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $13,016.74 | $400.87 – $11,415.47 |
| Henry Ford Providence Novi Hospital | Novi | $7,430.08 | $1,010.51 – $9,473.35 |
| Corewell Health Big Rapids | Big Rapids | not published | $9,432.42 – $16,978.36 |
| Corewell Health Gerber | Fremont | not published | $14,693.12 – $14,693.12 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $6,462.47 – $14,148.63 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $4,126.14 – $16,978.36 |