healthcosts.net
Repair of heart defects incplt/prtl without av valve 33660 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$2,494.68
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.
$5,990.00
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.
$1,046.04 with McLaren vs $10,847.81 with BCN — 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 |
|---|---|---|---|
| McLaren | Medicaid HMO-Child-FAC | $1,046.04 | ↓ -58% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $1,046.04 | ↓ -58% |
| Meridian | Medicaid HMO-Child-FAC | $1,046.04 | ↓ -58% |
| Meridian | Medicaid HMO-Adult-FAC | $1,046.04 | ↓ -58% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $1,046.04 | ↓ -58% |
| HAP | HAP Caresource Medicaid-FAC | $1,046.04 | ↓ -58% |
| McLaren | Medicaid HMO-Adult-FAC | $1,046.04 | ↓ -58% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $1,066.96 | ↓ -57% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $1,066.96 | ↓ -57% |
| Molina | Medicaid HMO-Child-FAC | $1,087.88 | ↓ -56% |
| Molina | Medicaid HMO-Adult-FAC | $1,087.88 | ↓ -56% |
| Priority Health | Medicaid HMO-Child-FAC | $1,098.34 | ↓ -56% |
| Priority Health | Medicaid HMO-Adult-FAC | $1,098.34 | ↓ -56% |
| ScriptGuideRX | All Products | $1,359.85 | ↓ -45% |
| Humana Military | Tricare-NonPhysician-FAC | $1,451.36 | ↓ -42% |
| Priority Health | Commercial | $1,491.67 | ↓ -40% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $1,536.58 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $1,536.58 | ↓ -38% |
| Humana Military | Tricare | $1,707.48 | ↓ -32% |
| Humana Military | Tricare-Physician-FAC | $1,707.48 | ↓ -32% |
| Pace SE MI | Medicare Advantage-FAC | $1,717.35 | ↓ -31% |
| Pace SE MI | Medicare Advantage-NONFAC | $1,717.35 | ↓ -31% |
| Amerihealth Caritas | Dual Products-NONFAC | $1,771.59 | ↓ -29% |
| Amerihealth Caritas | Dual Products-FAC | $1,771.59 | ↓ -29% |
| Molina | Medicare Advantage-FAC | $1,807.74 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $1,807.74 | ↓ -28% |
| Aetna | Medicare Advantage-NONFAC | $1,807.74 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $1,807.74 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $1,807.74 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $1,807.74 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $1,807.74 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $1,807.74 | ↓ -28% |
| HAP | HAP Dual Products-NONFAC | $1,807.74 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $1,807.74 | ↓ -28% |
| HAP | Medicare Advantage-NONFAC | $1,807.74 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $1,807.74 | ↓ -28% |
| HAP | Medicare Advantage-Physician-NONFAC | $1,807.74 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $1,807.74 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $1,807.74 | ↓ -28% |
| McLaren | Medicare Advantage-NONFAC | $1,807.74 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $1,807.74 | ↓ -28% |
| Meridian | Ambetter From Meridian-NONFAC | $1,807.74 | ↓ -28% |
| Molina | Dual Product-FAC | $1,807.74 | ↓ -28% |
| Molina | Dual Product-NONFAC | $1,807.74 | ↓ -28% |
| Molina | Medicare Advantage-NONFAC | $1,807.74 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $1,807.74 | ↓ -28% |
| Priority Health | Medicare Advantage-NONFAC | $1,807.74 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $1,807.74 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $1,807.74 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $1,807.74 | ↓ -28% |
| United Healthcare | Medicare Advantage-NONFAC | $1,807.74 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $1,807.74 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $1,807.74 | ↓ -28% |
| WellCare | Medicare Advantage-NONFAC | $1,807.74 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $1,807.74 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $1,807.74 | ↓ -28% |
| Humana | Medicare Advantage-NONFAC | $1,843.89 | ↓ -26% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $1,855.96 | ↓ -26% |
| Humana | Medicare Advantage-Physician-FAC | $1,874.52 | ↓ -25% |
| United Healthcare | All Products-Midlevel | $1,892.49 | ↓ -24% |
| Blue Cross | GM Connected Care | $2,485.85 | ↓ -0% |
| Nomi | All Products | $2,530.84 | ↑ +1% |
| HAP | HAP HMO_AHL_Fully-Insured | $2,611.84 | ↑ +5% |
| Blue Cross | BCBSM Commercial | $2,754.07 | ↑ +10% |
| Blue Cross | BCN Commercial-FAC | $2,762.06 | ↑ +11% |
| Blue Cross | BCN Commercial-NONFAC | $2,762.06 | ↑ +11% |
| Priority Health | All Products | $2,777.18 | ↑ +11% |
| HAP | HAP HMO_AHL_Fully Insured | $3,012.65 | ↑ +21% |
| Aetna | All Products-NONFAC | $3,024.59 | ↑ +21% |
| HAP | Self-Funded | $3,050.01 | ↑ +22% |
| Priority Health | Priority Cigna | $3,054.90 | ↑ +22% |
| United Healthcare | All Products-Prof | $3,376.26 | ↑ +35% |
| Blue Cross | BCBSM GM Connected Care | $10,587.53 | ↑ +324% |
| Blue Cross | BCN Commercial | $10,847.81 | ↑ +335% |
| BCN | HMO | $10,847.81 | ↑ +335% |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
Visitor-reported prices
Comments
Repair of heart defects incplt/prtl without av valve 33660 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $2,494.68 | $1,046.04 – $14,616.86 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $2,494.68 | $1,046.04 – $10,819.53 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $2,494.68 | $1,046.04 – $10,903.21 |
| Corewell Health Big Rapids | Big Rapids | not published | $8,544.11 – $8,544.11 |
| Corewell Health Gerber | Fremont | not published | $8,544.11 – $8,544.11 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $13,056.58 – $13,056.58 |
| Corewell Health Greenville | Greenville | not published | $8,544.11 – $8,544.11 |
| Corewell Health Zeeland | Zeeland | not published | $8,544.11 – $8,544.11 |