healthcosts.net
Pr planning advance care 1st 30 minutes at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$139.68
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.
$273.00
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 $232.81 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 |
|---|---|---|---|
| Aetna | Commercial | $0.01 | ↓ -100% |
| HAP | HAP HMO_AHL_Fully-Insured | $16.49 | ↓ -88% |
| HAP | Self-Funded | $19.26 | ↓ -86% |
| United Healthcare | UHC Commercial | $32.74 | ↓ -77% |
| HAP | HAP HMO_AHL_Fully Insured | $34.27 | ↓ -75% |
| McLaren | Medicaid HMO-Child-FAC | $41.96 | ↓ -70% |
| Meridian | Medicaid HMO-Child-FAC | $41.96 | ↓ -70% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $41.96 | ↓ -70% |
| McLaren | Medicaid HMO-Adult-FAC | $41.96 | ↓ -70% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $41.96 | ↓ -70% |
| HAP | HAP Caresource Medicaid-FAC | $41.96 | ↓ -70% |
| Meridian | Medicaid HMO-Adult-FAC | $41.96 | ↓ -70% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $42.80 | ↓ -69% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $42.80 | ↓ -69% |
| Multiplan | All Products | $43.56 | ↓ -69% |
| Molina | Medicaid HMO-Adult-FAC | $43.64 | ↓ -69% |
| Molina | Medicaid HMO-Child-FAC | $43.64 | ↓ -69% |
| Priority Health | Medicaid HMO-Adult-FAC | $44.06 | ↓ -68% |
| Priority Health | Medicaid HMO-Child-FAC | $44.06 | ↓ -68% |
| ScriptGuideRX | All Products | $45.84 | ↓ -67% |
| Humana Military | Tricare | $46.20 | ↓ -67% |
| Cofinity | Commercial | $46.66 | ↓ -67% |
| United Healthcare | Baseline Benefit Plan | $48.11 | ↓ -66% |
| Priority Health | Priority Cigna | $51.45 | ↓ -63% |
| Meridian | Medicaid HMO | $54.28 | ↓ -61% |
| McLaren | Medicaid HMO | $54.28 | ↓ -61% |
| Priority Health | Medicaid HMO | $54.28 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $54.28 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $55.37 | ↓ -60% |
| McLaren | Medicaid HMO-Adult-NONFAC | $55.38 | ↓ -60% |
| Meridian | Medicaid HMO-Child-NONFAC | $55.38 | ↓ -60% |
| Meridian | Medicaid HMO-Adult-NONFAC | $55.38 | ↓ -60% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $55.38 | ↓ -60% |
| HAP | HAP Caresource Medicaid-NONFAC | $55.38 | ↓ -60% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $55.38 | ↓ -60% |
| McLaren | Medicaid HMO-Child-NONFAC | $55.38 | ↓ -60% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $56.49 | ↓ -60% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $56.49 | ↓ -60% |
| Molina | Medicaid HMO-Adult-NONFAC | $56.68 | ↓ -59% |
| Molina | Medicaid HMO | $57.17 | ↓ -59% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $57.31 | ↓ -59% |
| Molina | Medicaid HMO-Child-NONFAC | $57.60 | ↓ -59% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $58.15 | ↓ -58% |
| Priority Health | Medicaid HMO-Child-NONFAC | $58.15 | ↓ -58% |
| Humana Military | Tricare-NonPhysician-FAC | $58.36 | ↓ -58% |
| Pace SE MI | Medicare Advantage-FAC | $64.05 | ↓ -54% |
| HAP | Henry Ford Select -HPN commercial | $66.00 | ↓ -53% |
| Humana | Medicare Advantage | $66.00 | ↓ -53% |
| Priority Health | Commercial | $66.00 | ↓ -53% |
| Meridian | Ambetter From Meridian | $66.00 | ↓ -53% |
| HAP | Medicare Advantage | $66.00 | ↓ -53% |
| Amerihealth Caritas | Dual Products-FAC | $66.07 | ↓ -53% |
| Priority Health | Medicare Advantage-FAC | $67.42 | ↓ -52% |
| Aetna | Medicare Advantage-FAC | $67.42 | ↓ -52% |
| Blue Cross | BCN Medicare Advantage -FAC | $67.42 | ↓ -52% |
| Blue Cross | Medicare Plus Blue-FAC | $67.42 | ↓ -52% |
| HAP | HAP Dual Products-FAC | $67.42 | ↓ -52% |
| HAP | Medicare Advantage-FAC | $67.42 | ↓ -52% |
| HAP | Medicare Advantage-Physician-FAC | $67.42 | ↓ -52% |
| Humana | Medicare Advantage-FAC | $67.42 | ↓ -52% |
| McLaren | Medicare Advantage-FAC | $67.42 | ↓ -52% |
| Meridian | Ambetter From Meridian-FAC | $67.42 | ↓ -52% |
| Molina | Dual Product-FAC | $67.42 | ↓ -52% |
| Molina | Medicare Advantage-FAC | $67.42 | ↓ -52% |
| Trinity Health Plan | Medicare Advantage-FAC | $67.42 | ↓ -52% |
| United Healthcare | Medicare Advantage-FAC | $67.42 | ↓ -52% |
| United Healthcare | Medicare-Behavioral Health-FAC | $67.42 | ↓ -52% |
| WellCare | Medicare Advantage-FAC | $67.42 | ↓ -52% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $67.42 | ↓ -52% |
| Humana Military | Tricare-Physician-FAC | $68.67 | ↓ -51% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $74.56 | ↓ -47% |
| Humana | Medicare Advantage-Physician-FAC | $75.38 | ↓ -46% |
| Blue Cross | GM Connected Care | $78.32 | ↓ -44% |
| United Healthcare | All Products-Midlevel | $81.09 | ↓ -42% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $81.65 | ↓ -42% |
| Amerihealth Caritas | Dual Products-NONFAC | $82.80 | ↓ -41% |
| Pace SE MI | Medicare Advantage-NONFAC | $83.33 | ↓ -40% |
| Blue Cross | BCN Commercial-FAC | $87.02 | ↓ -38% |
| HAP | Medicare Advantage-NONFAC | $87.72 | ↓ -37% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $87.72 | ↓ -37% |
| Molina | Dual Product-NONFAC | $87.72 | ↓ -37% |
| HAP | HAP Dual Products-NONFAC | $87.72 | ↓ -37% |
| Meridian | Ambetter From Meridian-NONFAC | $87.72 | ↓ -37% |
| Molina | Medicare Advantage-NONFAC | $87.72 | ↓ -37% |
| Blue Cross | Medicare Plus Blue-NONFAC | $87.72 | ↓ -37% |
| McLaren | Medicare Advantage-NONFAC | $87.72 | ↓ -37% |
| HAP | Medicare Advantage-Physician-NONFAC | $87.72 | ↓ -37% |
| WellCare | Medicare Advantage-NONFAC | $87.72 | ↓ -37% |
| Aetna | Medicare Advantage-NONFAC | $87.72 | ↓ -37% |
| Priority Health | Medicare Advantage-NONFAC | $87.72 | ↓ -37% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $87.72 | ↓ -37% |
| United Healthcare | Medicare Advantage-NONFAC | $87.72 | ↓ -37% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $87.72 | ↓ -37% |
| Humana | Medicare Advantage-NONFAC | $89.47 | ↓ -36% |
| HAP | HAP Dual Products | $90.63 | ↓ -35% |
| Priority Health | All Products | $92.92 | ↓ -33% |
| Nomi | All Products | $94.39 | ↓ -32% |
| United Healthcare | All Products-Prof | $95.33 | ↓ -32% |
| Blue Cross | BCBSM Commercial | $95.57 | ↓ -32% |
| Blue Cross | BCN Commercial-NONFAC | $95.57 | ↓ -32% |
| Pace SE MI | Medicare Advantage | $96.16 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $99.20 | ↓ -29% |
| Trinity Health Plan | Medicare Advantage | $101.22 | ↓ -28% |
| Priority Health | Medicare Advantage | $101.22 | ↓ -28% |
| Blue Cross | BCN Advantage | $101.22 | ↓ -28% |
| Aetna | Medicare Advantage | $101.22 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $101.22 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $101.22 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $101.22 | ↓ -28% |
| McLaren | Medicare Advantage | $101.22 | ↓ -28% |
| United Healthcare | VACCN | $101.22 | ↓ -28% |
| WellCare | Medicare Advantage | $101.22 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $101.22 | ↓ -28% |
| Aetna | All Products-NONFAC | $105.94 | ↓ -24% |
| Aetna | Dual Products | $111.35 | ↓ -20% |
| Vitalcore | All Products | $232.81 | ↑ +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 | — |
| Blue Cross | BCBSM GM Connected Care | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Blue Cross | BCN Commercial | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| BCN | HMO | not published by hospital | — |
Visitor-reported prices
Comments
Pr planning advance care 1st 30 minutes at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $139.68 | $0.01 – $103.50 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $139.68 | $0.01 – $232.81 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $139.68 | $0.01 – $94.39 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $93.69 – $151.84 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $68.90 – $182.20 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $68.90 – $182.20 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $17.46 – $164.08 |
| Corewell Health Taylor | Taylor | not published | $94.18 – $288.76 |