Pr management transitional care high w/in 7 days of discharge at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$235.61
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.
$729.00
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.
$0.01 with Aetna vs $349.50 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 →
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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 |
|---|---|---|---|
| Aetna | Commercial | $0.01 | ↓ -100% |
| Priority Health | Medicaid HMO | $71.14 | ↓ -70% |
| McLaren | Medicaid HMO | $71.14 | ↓ -70% |
| HAP | HAP Caresource Medicaid | $71.14 | ↓ -70% |
| Meridian | Medicaid HMO | $71.14 | ↓ -70% |
| Aetna Better Health | Medicaid HMO | $72.56 | ↓ -69% |
| Molina | Medicaid HMO | $74.93 | ↓ -68% |
| Meridian | Medicaid HMO-Adult-FAC | $106.07 | ↓ -55% |
| McLaren | Medicaid HMO-Child-FAC | $106.07 | ↓ -55% |
| Meridian | Medicaid HMO-Child-FAC | $106.07 | ↓ -55% |
| HAP | HAP Caresource Medicaid-FAC | $106.07 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $106.07 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $106.07 | ↓ -55% |
| McLaren | Medicaid HMO-Adult-FAC | $106.07 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $108.19 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $108.19 | ↓ -54% |
| Molina | Medicaid HMO-Adult-FAC | $110.31 | ↓ -53% |
| Molina | Medicaid HMO-Child-FAC | $110.31 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-FAC | $111.37 | ↓ -53% |
| Priority Health | Medicaid HMO-Child-FAC | $111.37 | ↓ -53% |
| United Healthcare | UHC Commercial | $113.09 | ↓ -52% |
| ScriptGuideRX | All Products | $116.08 | ↓ -51% |
| HAP | HAP HMO_AHL_Fully Insured | $118.40 | ↓ -50% |
| Pace SE MI | Medicare Advantage | $126.02 | ↓ -47% |
| HAP | HAP Dual Products | $126.26 | ↓ -46% |
| Amerihealth Caritas | Dual Products | $130.01 | ↓ -45% |
| Molina | Dual MI Coordinated Health | $132.66 | ↓ -44% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $132.66 | ↓ -44% |
| WellCare | Medicare Advantage | $132.66 | ↓ -44% |
| United Healthcare | VACCN | $132.66 | ↓ -44% |
| Blue Cross | BCN Advantage | $132.66 | ↓ -44% |
| Blue Cross | Medicare Plus Blue | $132.66 | ↓ -44% |
| Trinity Health Plan | Medicare Advantage | $132.66 | ↓ -44% |
| Priority Health | Medicare Advantage | $132.66 | ↓ -44% |
| HAP | Medicare Advantage | $132.66 | ↓ -44% |
| Priority Health | Dual Premier_HIDE-SNP | $132.66 | ↓ -44% |
| Aetna | Medicare Advantage | $132.66 | ↓ -44% |
| McLaren | Medicare Advantage | $132.66 | ↓ -44% |
| Humana | Medicare Advantage | $133.98 | ↓ -43% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $145.12 | ↓ -38% |
| Aetna | Dual Products | $145.92 | ↓ -38% |
| HAP | Self-Funded | $146.06 | ↓ -38% |
| Humana Military | Tricare-NonPhysician-FAC | $146.73 | ↓ -38% |
| Multiplan | All Products | $150.48 | ↓ -36% |
| HAP | Henry Ford Select -HPN commercial | $159.19 | ↓ -32% |
| Humana Military | Tricare | $159.60 | ↓ -32% |
| Cofinity | Commercial | $161.20 | ↓ -32% |
| Pace SE MI | Medicare Advantage-FAC | $162.19 | ↓ -31% |
| United Healthcare | Baseline Benefit Plan | $166.21 | ↓ -29% |
| Amerihealth Caritas | Dual Products-FAC | $167.32 | ↓ -29% |
| McLaren | Medicare Advantage-FAC | $170.73 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $170.73 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $170.73 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $170.73 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $170.73 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $170.73 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $170.73 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $170.73 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $170.73 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $170.73 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $170.73 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $170.73 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $170.73 | ↓ -28% |
| Molina | Dual Product-FAC | $170.73 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $170.73 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $170.73 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $170.73 | ↓ -28% |
| Humana Military | Tricare-Physician-FAC | $172.63 | ↓ -27% |
| Priority Health | Priority Cigna | $177.73 | ↓ -25% |
| Meridian | Ambetter From Meridian | $179.09 | ↓ -24% |
| Humana | Medicare Advantage-Physician-FAC | $189.53 | ↓ -20% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $190.42 | ↓ -19% |
| HAP | HAP Caresource Medicaid-NONFAC | $190.42 | ↓ -19% |
| McLaren | Medicaid HMO-Adult-NONFAC | $190.42 | ↓ -19% |
| McLaren | Medicaid HMO-Child-NONFAC | $190.42 | ↓ -19% |
| Meridian | Medicaid HMO-Adult-NONFAC | $190.42 | ↓ -19% |
| Meridian | Medicaid HMO-Child-NONFAC | $190.42 | ↓ -19% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $190.42 | ↓ -19% |
| Molina | Medicaid HMO-Adult-NONFAC | $194.21 | ↓ -18% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $194.23 | ↓ -18% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $194.23 | ↓ -18% |
| Blue Cross | GM Connected Care | $197.20 | ↓ -16% |
| Molina | Medicaid HMO-Child-NONFAC | $198.04 | ↓ -16% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $199.94 | ↓ -15% |
| Priority Health | Medicaid HMO-Child-NONFAC | $199.94 | ↓ -15% |
| Amerihealth Caritas | Dual Products-NONFAC | $200.40 | ↓ -15% |
| United Healthcare | All Products-Midlevel | $204.66 | ↓ -13% |
| Blue Cross | BCN Commercial-FAC | $219.11 | ↓ -7% |
| Priority Health | Commercial | $228.00 | ↓ -3% |
| Nomi | All Products | $239.02 | ↑ +1% |
| Priority Health | All Products | $240.60 | ↑ +2% |
| United Healthcare | All Products-Prof | $240.61 | ↑ +2% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $250.50 | ↑ +6% |
| HAP | HAP HMO_AHL_Fully-Insured | $250.50 | ↑ +6% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $276.63 | ↑ +17% |
| Pace SE MI | Medicare Advantage-NONFAC | $283.44 | ↑ +20% |
| HAP | Medicare Advantage-Physician-NONFAC | $298.36 | ↑ +27% |
| Molina | Medicare Advantage-NONFAC | $298.36 | ↑ +27% |
| Molina | Dual Product-NONFAC | $298.36 | ↑ +27% |
| Meridian | Ambetter From Meridian-NONFAC | $298.36 | ↑ +27% |
| McLaren | Medicare Advantage-NONFAC | $298.36 | ↑ +27% |
| HAP | Medicare Advantage-NONFAC | $298.36 | ↑ +27% |
| HAP | HAP Dual Products-NONFAC | $298.36 | ↑ +27% |
| Priority Health | Medicare Advantage-NONFAC | $298.36 | ↑ +27% |
| Blue Cross | Medicare Plus Blue-NONFAC | $298.36 | ↑ +27% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $298.36 | ↑ +27% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $298.36 | ↑ +27% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $298.36 | ↑ +27% |
| United Healthcare | Medicare Advantage-NONFAC | $298.36 | ↑ +27% |
| WellCare | Medicare Advantage-NONFAC | $298.36 | ↑ +27% |
| Aetna | Medicare Advantage-NONFAC | $298.36 | ↑ +27% |
| Humana | Medicare Advantage-NONFAC | $304.33 | ↑ +29% |
| Vitalcore | All Products | $305.12 | ↑ +30% |
| Blue Cross | BCBSM Commercial | $326.34 | ↑ +39% |
| Blue Cross | BCN Commercial-NONFAC | $327.51 | ↑ +39% |
| Aetna | All Products-NONFAC | $349.50 | ↑ +48% |
| BCN | HMO | not published by hospital | — |
| Blue Cross | BCN Commercial | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| Blue Cross | BCBSM GM Connected Care | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
Visitor-reported prices
Comments
Pr management transitional care high w/in 7 days of discharge at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $627.00 | $132.66 – $238.78 |
| Corewell Health Gerber | Fremont | $627.00 | not published |
| Corewell Health Butterworth Hospital | Grand Rapids | $627.00 | $104.51 – $238.78 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $627.00 | $104.51 – $238.78 |
| Corewell Health Reed City | Po Box 75 | $627.00 | not published |
| Corewell Health Greenville | Greenville | $627.00 | $132.66 – $238.78 |
| Corewell Health Zeeland | Zeeland | $627.00 | $132.66 – $238.78 |
| Corewell Health Gross Pointe | Grosse Pointe | $300.00 | $123.42 – $413.13 |