Pulse ox multiple at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$6.11
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.
$127.00
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.
$3.02 with ScriptGuideRX vs $99.00 with Priority Health — 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 |
|---|---|---|---|
| ScriptGuideRX | All Products | $3.02 | ↓ -51% |
| Humana Military | Tricare | $3.74 | ↓ -39% |
| Blue Cross | BCN Commercial | $10.30 | ↑ +69% |
| BCN | HMO | $10.30 | ↑ +69% |
| Blue Cross | BCBSM Commercial | $10.30 | ↑ +69% |
| Priority Health | Commercial | $13.92 | ↑ +128% |
| Blue Cross | BCBSM GM Connected Care | $16.27 | ↑ +166% |
| WellCare | Medicare Advantage | $32.58 | ↑ +433% |
| Molina | Dual MI Coordinated Health | $38.10 | ↑ +524% |
| Amerihealth Caritas | Dual Products | $50.80 | ↑ +731% |
| United Healthcare | UHC Commercial | $62.99 | ↑ +931% |
| Vitalcore | All Products | $63.50 | ↑ +939% |
| HAP | HAP HMO_AHL_Fully Insured | $65.95 | ↑ +979% |
| Aetna | Commercial | $81.22 | ↑ +1229% |
| HAP | Self-Funded | $81.36 | ↑ +1232% |
| Multiplan | All Products | $83.82 | ↑ +1272% |
| Cofinity | Commercial | $89.79 | ↑ +1370% |
| United Healthcare | Baseline Benefit Plan | $92.58 | ↑ +1415% |
| Priority Health | Priority Cigna | $99.00 | ↑ +1520% |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Nomi | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Pulse ox multiple at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Lakeland Watervliet | Watervliet | $371.00 | not published |
| Corewell Health Lakeland St. Joseph | St Joseph | $371.00 | $177.35 – $177.35 |
| Henry Ford Providence Novi Hospital | Novi | $57.68 | $5.53 – $58.93 |
| Henry Ford St John Hospital | Detroit | $29.68 | $5.53 – $17.52 |
| Henry Ford Rochester Hospital | Rochester | $31.96 | $10.31 – $11.06 |
| Henry Ford River District Hospital | China Township | $29.68 | $5.53 – $17.52 |
| Henry Ford Warren Hospital | Warren | $28.56 | $5.53 – $17.52 |
| OSF St Francis Hospital | Escanaba | $214.40 | not published |