Replace aortic valve w/byp prq aprch 33367 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$854.11
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.
$2,180.00
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.
$356.14 with Meridian vs $3,853.82 with Blue Cross — 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 |
|---|---|---|---|
| Meridian | Medicaid HMO-Adult-FAC | $356.14 | ↓ -58% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $356.14 | ↓ -58% |
| Meridian | Medicaid HMO-Child-FAC | $356.14 | ↓ -58% |
| McLaren | Medicaid HMO-Adult-FAC | $356.14 | ↓ -58% |
| McLaren | Medicaid HMO-Child-FAC | $356.14 | ↓ -58% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $356.14 | ↓ -58% |
| HAP | HAP Caresource Medicaid-FAC | $356.14 | ↓ -58% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $363.26 | ↓ -57% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $363.26 | ↓ -57% |
| Molina | Medicaid HMO-Child-FAC | $370.39 | ↓ -57% |
| Molina | Medicaid HMO-Adult-FAC | $370.39 | ↓ -57% |
| Priority Health | Medicaid HMO-Adult-FAC | $373.95 | ↓ -56% |
| Priority Health | Medicaid HMO-Child-FAC | $373.95 | ↓ -56% |
| ScriptGuideRX | All Products | $462.98 | ↓ -46% |
| Priority Health | Commercial | $467.65 | ↓ -45% |
| Humana Military | Tricare-NonPhysician-FAC | $501.34 | ↓ -41% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $526.08 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $526.08 | ↓ -38% |
| Pace SE MI | Medicare Advantage-FAC | $587.97 | ↓ -31% |
| Pace SE MI | Medicare Advantage-NONFAC | $587.97 | ↓ -31% |
| Humana Military | Tricare-Physician-FAC | $589.82 | ↓ -31% |
| Humana Military | Tricare | $589.82 | ↓ -31% |
| Amerihealth Caritas | Dual Products-NONFAC | $606.54 | ↓ -29% |
| Amerihealth Caritas | Dual Products-FAC | $606.54 | ↓ -29% |
| Meridian | Ambetter From Meridian-FAC | $618.92 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $618.92 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $618.92 | ↓ -28% |
| HAP | Medicare Advantage-Physician-NONFAC | $618.92 | ↓ -28% |
| HAP | HAP Dual Products-NONFAC | $618.92 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $618.92 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $618.92 | ↓ -28% |
| McLaren | Medicare Advantage-NONFAC | $618.92 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $618.92 | ↓ -28% |
| United Healthcare | Medicare Advantage-NONFAC | $618.92 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $618.92 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $618.92 | ↓ -28% |
| WellCare | Medicare Advantage-NONFAC | $618.92 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $618.92 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $618.92 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $618.92 | ↓ -28% |
| Aetna | Medicare Advantage-NONFAC | $618.92 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $618.92 | ↓ -28% |
| Priority Health | Medicare Advantage-NONFAC | $618.92 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $618.92 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $618.92 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $618.92 | ↓ -28% |
| Molina | Medicare Advantage-NONFAC | $618.92 | ↓ -28% |
| Molina | Dual Product-NONFAC | $618.92 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $618.92 | ↓ -28% |
| Molina | Dual Product-FAC | $618.92 | ↓ -28% |
| HAP | Medicare Advantage-NONFAC | $618.92 | ↓ -28% |
| Meridian | Ambetter From Meridian-NONFAC | $618.92 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $618.92 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $618.92 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $618.92 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $618.92 | ↓ -28% |
| Humana | Medicare Advantage-NONFAC | $631.30 | ↓ -26% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $641.11 | ↓ -25% |
| Humana | Medicare Advantage-Physician-FAC | $647.52 | ↓ -24% |
| United Healthcare | All Products-Midlevel | $655.93 | ↓ -23% |
| Blue Cross | GM Connected Care | $856.58 | ↑ +0% |
| Nomi | All Products | $866.49 | ↑ +1% |
| HAP | HAP HMO_AHL_Fully-Insured | $901.39 | ↑ +6% |
| Blue Cross | BCBSM Commercial | $947.50 | ↑ +11% |
| Blue Cross | BCN Commercial-FAC | $951.76 | ↑ +11% |
| Blue Cross | BCN Commercial-NONFAC | $951.76 | ↑ +11% |
| Priority Health | All Products | $956.96 | ↑ +12% |
| HAP | HAP HMO_AHL_Fully Insured | $1,039.72 | ↑ +22% |
| Aetna | All Products-NONFAC | $1,051.65 | ↑ +23% |
| HAP | Self-Funded | $1,052.62 | ↑ +23% |
| Priority Health | Priority Cigna | $1,052.66 | ↑ +23% |
| United Healthcare | All Products-Prof | $1,170.20 | ↑ +37% |
| Blue Cross | BCBSM GM Connected Care | $3,761.35 | ↑ +340% |
| BCN | HMO | $3,853.82 | ↑ +351% |
| Blue Cross | BCN Commercial | $3,853.82 | ↑ +351% |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
Visitor-reported prices
Comments
Replace aortic valve w/byp prq aprch 33367 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $854.11 | $356.14 – $5,192.82 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $854.11 | $356.14 – $3,843.77 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $854.11 | $356.14 – $3,873.50 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $393.94 – $393.94 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $0.01 – $1,210.38 |
| Corewell Health Taylor | Taylor | not published | $0.01 – $1,215.89 |
| Corewell Health Trenton | Trenton | not published | $0.01 – $1,209.12 |
| Corewell Health Troy | Troy | not published | $0.01 – $1,364.92 |