Replace g/c tube perc at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$1,247.13
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.
$220.00
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.
$36.00 with United Healthcare vs $2,078.56 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 |
|---|---|---|---|
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $36.00 | ↓ -97% |
| McLaren | Medicaid HMO-Child-FAC | $36.00 | ↓ -97% |
| McLaren | Medicaid HMO-Adult-FAC | $36.00 | ↓ -97% |
| Meridian | Medicaid HMO-Adult-FAC | $36.00 | ↓ -97% |
| Meridian | Medicaid HMO-Child-FAC | $36.00 | ↓ -97% |
| HAP | HAP Caresource Medicaid-FAC | $36.00 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $36.00 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $36.72 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $36.72 | ↓ -97% |
| Molina | Medicaid HMO-Adult-FAC | $37.44 | ↓ -97% |
| Molina | Medicaid HMO-Child-FAC | $37.44 | ↓ -97% |
| Priority Health | Medicaid HMO-Child-FAC | $37.80 | ↓ -97% |
| Priority Health | Medicaid HMO-Adult-FAC | $37.80 | ↓ -97% |
| ScriptGuideRX | All Products | $46.80 | ↓ -96% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $50.69 | ↓ -96% |
| Humana Military | Tricare-NonPhysician-FAC | $51.93 | ↓ -96% |
| Pace SE MI | Medicare Advantage-FAC | $56.66 | ↓ -95% |
| Amerihealth Caritas | Dual Products-FAC | $58.45 | ↓ -95% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $59.64 | ↓ -95% |
| Trinity Health Plan | Medicare Advantage-FAC | $59.64 | ↓ -95% |
| Blue Cross | BCN Medicare Advantage -FAC | $59.64 | ↓ -95% |
| Priority Health | Medicare Advantage-FAC | $59.64 | ↓ -95% |
| Blue Cross | Medicare Plus Blue-FAC | $59.64 | ↓ -95% |
| United Healthcare | Medicare Advantage-FAC | $59.64 | ↓ -95% |
| HAP | HAP Dual Products-FAC | $59.64 | ↓ -95% |
| Molina | Medicare Advantage-FAC | $59.64 | ↓ -95% |
| HAP | Medicare Advantage-FAC | $59.64 | ↓ -95% |
| Molina | Dual Product-FAC | $59.64 | ↓ -95% |
| HAP | Medicare Advantage-Physician-FAC | $59.64 | ↓ -95% |
| United Healthcare | Medicare-Behavioral Health-FAC | $59.64 | ↓ -95% |
| Aetna | Medicare Advantage-FAC | $59.64 | ↓ -95% |
| Humana | Medicare Advantage-FAC | $59.64 | ↓ -95% |
| Meridian | Ambetter From Meridian-FAC | $59.64 | ↓ -95% |
| McLaren | Medicare Advantage-FAC | $59.64 | ↓ -95% |
| WellCare | Medicare Advantage-FAC | $59.64 | ↓ -95% |
| Humana Military | Tricare | $61.10 | ↓ -95% |
| Humana Military | Tricare-Physician-FAC | $61.10 | ↓ -95% |
| Humana | Medicare Advantage-Physician-FAC | $67.07 | ↓ -95% |
| Nomi | All Products | $83.50 | ↓ -93% |
| Blue Cross | GM Connected Care | $92.99 | ↓ -93% |
| Blue Cross | BCN Commercial-FAC | $103.32 | ↓ -92% |
| Priority Health | All Products | $117.71 | ↓ -91% |
| United Healthcare | All Products-Midlevel | $119.82 | ↓ -90% |
| Priority Health | Priority Cigna | $129.48 | ↓ -90% |
| United Healthcare | All Products-Prof | $143.44 | ↓ -88% |
| McLaren | Medicaid HMO-Child-NONFAC | $359.76 | ↓ -71% |
| Meridian | Medicaid HMO-Child-NONFAC | $359.76 | ↓ -71% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $359.76 | ↓ -71% |
| Meridian | Medicaid HMO-Adult-NONFAC | $359.76 | ↓ -71% |
| HAP | HAP Caresource Medicaid-NONFAC | $359.76 | ↓ -71% |
| McLaren | Medicaid HMO-Adult-NONFAC | $359.76 | ↓ -71% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $359.76 | ↓ -71% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $366.96 | ↓ -71% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $366.96 | ↓ -71% |
| Molina | Medicaid HMO-Child-NONFAC | $374.15 | ↓ -70% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $377.75 | ↓ -70% |
| Priority Health | Medicaid HMO-Child-NONFAC | $377.75 | ↓ -70% |
| Molina | Medicaid HMO-Adult-NONFAC | $390.73 | ↓ -69% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $467.13 | ↓ -63% |
| HAP | HAP Caresource Medicaid | $484.63 | ↓ -61% |
| Priority Health | Medicaid HMO | $484.63 | ↓ -61% |
| Meridian | Medicaid HMO | $484.63 | ↓ -61% |
| McLaren | Medicaid HMO | $484.63 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $494.32 | ↓ -60% |
| Molina | Medicaid HMO | $510.42 | ↓ -59% |
| Pace SE MI | Medicare Advantage-NONFAC | $522.08 | ↓ -58% |
| Amerihealth Caritas | Dual Products-NONFAC | $538.57 | ↓ -57% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $545.45 | ↓ -56% |
| HAP | HAP Dual Products-NONFAC | $549.56 | ↓ -56% |
| Meridian | Ambetter From Meridian-NONFAC | $549.56 | ↓ -56% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $549.56 | ↓ -56% |
| WellCare | Medicare Advantage-NONFAC | $549.56 | ↓ -56% |
| HAP | Medicare Advantage-Physician-NONFAC | $549.56 | ↓ -56% |
| HAP | Medicare Advantage-NONFAC | $549.56 | ↓ -56% |
| Molina | Dual Product-NONFAC | $549.56 | ↓ -56% |
| McLaren | Medicare Advantage-NONFAC | $549.56 | ↓ -56% |
| Aetna | Medicare Advantage-NONFAC | $549.56 | ↓ -56% |
| United Healthcare | Medicare Advantage-NONFAC | $549.56 | ↓ -56% |
| Molina | Medicare Advantage-NONFAC | $549.56 | ↓ -56% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $549.56 | ↓ -56% |
| Priority Health | Medicare Advantage-NONFAC | $549.56 | ↓ -56% |
| Blue Cross | Medicare Plus Blue-NONFAC | $549.56 | ↓ -56% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $549.56 | ↓ -56% |
| Humana | Medicare Advantage-NONFAC | $560.55 | ↓ -55% |
| Pace SE MI | Medicare Advantage | $858.54 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $885.65 | ↓ -29% |
| HAP | HAP HMO_AHL_Fully-Insured | $901.66 | ↓ -28% |
| Blue Cross | BCN Commercial-NONFAC | $903.29 | ↓ -28% |
| United Healthcare | VACCN | $903.72 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $903.72 | ↓ -28% |
| HAP | Medicare Advantage | $903.72 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $903.72 | ↓ -28% |
| Priority Health | Medicare Advantage | $903.72 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $903.72 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $903.72 | ↓ -28% |
| Blue Cross | BCN Advantage | $903.72 | ↓ -28% |
| McLaren | Medicare Advantage | $903.72 | ↓ -28% |
| WellCare | Medicare Advantage | $903.72 | ↓ -28% |
| Aetna | Medicare Advantage | $903.72 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $903.72 | ↓ -28% |
| Humana | Medicare Advantage | $912.76 | ↓ -27% |
| Aetna | All Products-NONFAC | $917.71 | ↓ -26% |
| HAP | HAP Dual Products | $918.60 | ↓ -26% |
| Blue Cross | BCBSM Commercial | $933.12 | ↓ -25% |
| Aetna | Dual Products | $994.10 | ↓ -20% |
| HAP | HAP HMO_AHL_Fully Insured | $1,040.03 | ↓ -17% |
| HAP | Self-Funded | $1,052.93 | ↓ -16% |
| HAP | Henry Ford Select -HPN commercial | $1,084.47 | ↓ -13% |
| Meridian | Ambetter From Meridian | $1,220.02 | ↓ -2% |
| Priority Health | Commercial | $1,396.52 | ↑ +12% |
| Blue Cross | BCBSM GM Connected Care | $1,657.84 | ↑ +33% |
| BCN | HMO | $1,698.59 | ↑ +36% |
| Blue Cross | BCN Commercial | $1,698.59 | ↑ +36% |
| Vitalcore | All Products | $2,078.56 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-MD | 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-PhD | not published by hospital | — |
Visitor-reported prices
Comments
Replace g/c tube perc at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $966.00 | $669.40 – $1,626.70 |
| Corewell Health Gerber | Fremont | $966.00 | $669.40 – $669.40 |
| Corewell Health Lakeland Watervliet | Watervliet | $701.00 | not published |
| Corewell Health Lakeland St. Joseph | St Joseph | $701.00 | $903.72 – $1,355.59 |
| Corewell Health Butterworth Hospital | Grand Rapids | $882.00 | $469.01 – $1,626.70 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $882.00 | $469.01 – $1,626.70 |
| Corewell Health Reed City | Po Box 75 | $966.00 | not published |
| Corewell Health Greenville | Greenville | $966.00 | $669.40 – $1,626.70 |