Psytx pt w/e&m 38-52 min at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$116.91
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.
$225.00
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.
$24.37 with WellCare vs $161.20 with United Healthcare — 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 |
|---|---|---|---|
| WellCare | Medicare Advantage | $24.37 | ↓ -79% |
| Molina | Dual MI Coordinated Health | $28.50 | ↓ -76% |
| Amerihealth Caritas | Dual Products | $38.00 | ↓ -67% |
| Blue Cross | GM Connected Care | $44.24 | ↓ -62% |
| United Healthcare | UHC Commercial | $47.12 | ↓ -60% |
| Vitalcore | All Products | $47.50 | ↓ -59% |
| Blue Cross | BCN Commercial-FAC | $49.15 | ↓ -58% |
| HAP | HAP HMO_AHL_Fully Insured | $49.33 | ↓ -58% |
| Carelon Behavioral Health | Behavior Health-APN/PA | $52.00 | ↓ -56% |
| Amerihealth Caritas | Dual Products-NONFAC | $52.00 | ↓ -56% |
| Amerihealth Caritas | Dual Products-FAC | $52.00 | ↓ -56% |
| Blue Cross | BCBSM Commercial | $53.03 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $53.04 | ↓ -55% |
| Meridian | Medicaid HMO-Adult-FAC | $53.04 | ↓ -55% |
| McLaren | Medicaid HMO-Adult-FAC | $53.04 | ↓ -55% |
| HAP | HAP Caresource Medicaid-FAC | $53.04 | ↓ -55% |
| HAP | HAP HMO_AHL_Fully-Insured | $53.76 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $54.10 | ↓ -54% |
| Molina | Medicaid HMO-Adult-FAC | $55.16 | ↓ -53% |
| Blue Cross | BCN Commercial-NONFAC | $55.56 | ↓ -52% |
| Priority Health | Medicaid HMO-Adult-FAC | $55.69 | ↓ -52% |
| McLaren | Medicaid HMO-Child-FAC | $56.09 | ↓ -52% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $56.09 | ↓ -52% |
| Meridian | Medicaid HMO-Child-FAC | $56.09 | ↓ -52% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $57.21 | ↓ -51% |
| ScriptGuideRX | All Products | $57.60 | ↓ -51% |
| Humana Military | Tricare-NonPhysician-FAC | $57.78 | ↓ -51% |
| Molina | Medicaid HMO-Child-FAC | $58.33 | ↓ -50% |
| Priority Health | Medicaid HMO-Child-FAC | $58.89 | ↓ -50% |
| Aetna | Commercial | $60.75 | ↓ -48% |
| HAP | Self-Funded | $60.86 | ↓ -48% |
| Multiplan | All Products | $62.70 | ↓ -46% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $65.00 | ↓ -44% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $65.00 | ↓ -44% |
| HAP | HAP Caresource Medicaid-NONFAC | $65.82 | ↓ -44% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $65.82 | ↓ -44% |
| Meridian | Medicaid HMO-Adult-NONFAC | $65.82 | ↓ -44% |
| McLaren | Medicaid HMO-Adult-NONFAC | $65.82 | ↓ -44% |
| Molina | Medicaid HMO-Adult-NONFAC | $65.89 | ↓ -44% |
| Humana Military | Tricare | $66.50 | ↓ -43% |
| Carelon Behavioral Health | Behavior Health-MD/DO | $67.00 | ↓ -43% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $67.14 | ↓ -43% |
| Cofinity | Commercial | $67.17 | ↓ -43% |
| McLaren | Medicaid HMO-Child-NONFAC | $68.48 | ↓ -41% |
| Meridian | Medicaid HMO-Child-NONFAC | $68.48 | ↓ -41% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $68.48 | ↓ -41% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $69.11 | ↓ -41% |
| United Healthcare | Baseline Benefit Plan | $69.26 | ↓ -41% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $69.85 | ↓ -40% |
| Molina | Medicaid HMO-Child-NONFAC | $71.22 | ↓ -39% |
| Priority Health | Medicaid HMO-Child-NONFAC | $71.90 | ↓ -38% |
| Priority Health | Commercial | $73.49 | ↓ -37% |
| Priority Health | Priority Cigna | $74.05 | ↓ -37% |
| United Healthcare | Commercial-Behavioral Health-RN | $74.89 | ↓ -36% |
| Humana Military | Tricare-Physician-FAC | $77.03 | ↓ -34% |
| Pace SE MI | Medicare Advantage-FAC | $80.48 | ↓ -31% |
| Blue Cross | Medicare Plus Blue-FAC | $84.50 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $84.50 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $84.50 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $84.50 | ↓ -28% |
| Humana | Medicare Advantage-Physician-FAC | $84.57 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $84.72 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $84.72 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $84.72 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $84.72 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $84.72 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $84.72 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $84.72 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $84.72 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $84.72 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $84.72 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $84.72 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $84.72 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $84.72 | ↓ -28% |
| Molina | Dual Product-FAC | $84.72 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $84.72 | ↓ -28% |
| United Healthcare | Commercial-Behavioral Health-MD | $88.11 | ↓ -25% |
| United Healthcare | Commercial-Behavioral Health-PhD | $88.11 | ↓ -25% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $94.25 | ↓ -19% |
| United Healthcare | VACCN-NONFAC | $97.55 | ↓ -17% |
| Pace SE MI | Medicare Advantage-NONFAC | $98.86 | ↓ -15% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $104.06 | ↓ -11% |
| Aetna | Medicare Advantage-NONFAC | $104.06 | ↓ -11% |
| HAP | HAP Dual Products-NONFAC | $104.06 | ↓ -11% |
| HAP | Medicare Advantage-NONFAC | $104.06 | ↓ -11% |
| HAP | Medicare Advantage-Physician-NONFAC | $104.06 | ↓ -11% |
| McLaren | Medicare Advantage-NONFAC | $104.06 | ↓ -11% |
| Meridian | Ambetter From Meridian-NONFAC | $104.06 | ↓ -11% |
| Molina | Dual Product-NONFAC | $104.06 | ↓ -11% |
| Molina | Medicare Advantage-NONFAC | $104.06 | ↓ -11% |
| Priority Health | Medicare Advantage-NONFAC | $104.06 | ↓ -11% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $104.06 | ↓ -11% |
| United Healthcare | Medicare Advantage-NONFAC | $104.06 | ↓ -11% |
| WellCare | Medicare Advantage-NONFAC | $104.06 | ↓ -11% |
| Humana | Medicare Advantage-NONFAC | $106.14 | ↓ -9% |
| Priority Health | All Products | $106.67 | ↓ -9% |
| Priority Health | Behavioral Health-MD/DO-FAC | $106.67 | ↓ -9% |
| Nomi | All Products | $118.61 | ↑ +1% |
| Priority Health | Behavioral Health-MD/DO-NONFAC | $120.07 | ↑ +3% |
| Aetna | All Products-NONFAC | $126.78 | ↑ +8% |
| United Healthcare | All Products-Prof | $151.63 | ↑ +30% |
| United Healthcare | All Products-Midlevel | $161.20 | ↑ +38% |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| Blue Cross | BCN Commercial | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Blue Cross | BCBSM GM Connected Care | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| BCN | HMO | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
Visitor-reported prices
Comments
Psytx pt w/e&m 38-52 min at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $116.91 | $28.50 – $325.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $116.91 | $28.50 – $118.61 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $116.91 | $18.14 – $118.61 |
| Henry Ford Rochester Hospital | Rochester | $62.51 | $46.00 – $46.00 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $40.51 – $40.51 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $23.77 – $23.77 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $23.77 – $23.77 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $0.01 – $92.67 |