Resect apical lung tum/chest with rcnstj 32504 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$2,912.52
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.
?
What you pay up front if you don't use insurance.
$7,030.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,224.11 with Meridian vs $12,730.21 with Blue Cross — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,224.11 | ↓ -58% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $1,224.11 | ↓ -58% |
| Meridian | Medicaid HMO-Child-FAC | $1,224.11 | ↓ -58% |
| McLaren | Medicaid HMO-Adult-FAC | $1,224.11 | ↓ -58% |
| McLaren | Medicaid HMO-Child-FAC | $1,224.11 | ↓ -58% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $1,224.11 | ↓ -58% |
| HAP | HAP Caresource Medicaid-FAC | $1,224.11 | ↓ -58% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $1,248.59 | ↓ -57% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $1,248.59 | ↓ -57% |
| Molina | Medicaid HMO-Child-FAC | $1,273.07 | ↓ -56% |
| Molina | Medicaid HMO-Adult-FAC | $1,273.07 | ↓ -56% |
| Priority Health | Medicaid HMO-Adult-FAC | $1,285.32 | ↓ -56% |
| Priority Health | Medicaid HMO-Child-FAC | $1,285.32 | ↓ -56% |
| ScriptGuideRX | All Products | $1,591.34 | ↓ -45% |
| Humana Military | Tricare-NonPhysician-FAC | $1,689.73 | ↓ -42% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $1,793.94 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $1,793.94 | ↓ -38% |
| Priority Health | Commercial | $1,809.78 | ↓ -38% |
| Humana Military | Tricare | $1,987.92 | ↓ -32% |
| Humana Military | Tricare-Physician-FAC | $1,987.92 | ↓ -32% |
| Pace SE MI | Medicare Advantage-FAC | $2,004.99 | ↓ -31% |
| Pace SE MI | Medicare Advantage-NONFAC | $2,004.99 | ↓ -31% |
| Amerihealth Caritas | Dual Products-NONFAC | $2,068.31 | ↓ -29% |
| Amerihealth Caritas | Dual Products-FAC | $2,068.31 | ↓ -29% |
| Meridian | Ambetter From Meridian-FAC | $2,110.52 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $2,110.52 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $2,110.52 | ↓ -28% |
| HAP | Medicare Advantage-Physician-NONFAC | $2,110.52 | ↓ -28% |
| HAP | HAP Dual Products-NONFAC | $2,110.52 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $2,110.52 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $2,110.52 | ↓ -28% |
| McLaren | Medicare Advantage-NONFAC | $2,110.52 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $2,110.52 | ↓ -28% |
| United Healthcare | Medicare Advantage-NONFAC | $2,110.52 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $2,110.52 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $2,110.52 | ↓ -28% |
| WellCare | Medicare Advantage-NONFAC | $2,110.52 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $2,110.52 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $2,110.52 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $2,110.52 | ↓ -28% |
| Aetna | Medicare Advantage-NONFAC | $2,110.52 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $2,110.52 | ↓ -28% |
| Priority Health | Medicare Advantage-NONFAC | $2,110.52 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $2,110.52 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $2,110.52 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $2,110.52 | ↓ -28% |
| Molina | Medicare Advantage-NONFAC | $2,110.52 | ↓ -28% |
| Molina | Dual Product-NONFAC | $2,110.52 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $2,110.52 | ↓ -28% |
| Molina | Dual Product-FAC | $2,110.52 | ↓ -28% |
| HAP | Medicare Advantage-NONFAC | $2,110.52 | ↓ -28% |
| Meridian | Ambetter From Meridian-NONFAC | $2,110.52 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $2,110.52 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $2,110.52 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $2,110.52 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $2,110.52 | ↓ -28% |
| Humana | Medicare Advantage-NONFAC | $2,152.73 | ↓ -26% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $2,160.78 | ↓ -26% |
| Humana | Medicare Advantage-Physician-FAC | $2,182.39 | ↓ -25% |
| Priority Health | All Products | $2,836.68 | ↓ -3% |
| Blue Cross | GM Connected Care | $2,899.53 | ↓ -0% |
| Nomi | All Products | $2,954.73 | ↑ +1% |
| HAP | HAP HMO_AHL_Fully-Insured | $2,994.16 | ↑ +3% |
| Priority Health | Priority Cigna | $3,120.35 | ↑ +7% |
| Blue Cross | BCBSM Commercial | $3,214.24 | ↑ +10% |
| Blue Cross | BCN Commercial-NONFAC | $3,221.70 | ↑ +11% |
| Blue Cross | BCN Commercial-FAC | $3,221.70 | ↑ +11% |
| Aetna | All Products-NONFAC | $3,397.75 | ↑ +17% |
| HAP | HAP HMO_AHL_Fully Insured | $3,453.64 | ↑ +19% |
| HAP | Self-Funded | $3,496.47 | ↑ +20% |
| United Healthcare | All Products-Midlevel | $3,857.12 | ↑ +32% |
| United Healthcare | All Products-Prof | $4,098.95 | ↑ +41% |
| Blue Cross | BCBSM GM Connected Care | $12,424.77 | ↑ +327% |
| BCN | HMO | $12,730.21 | ↑ +337% |
| Blue Cross | BCN Commercial | $12,730.21 | ↑ +337% |
| 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
Resect apical lung tum/chest with rcnstj 32504 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $2,912.52 | $1,224.11 – $17,153.31 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $2,912.52 | $1,224.11 – $12,697.03 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $2,912.52 | $1,224.11 – $12,795.23 |
| Corewell Health Big Rapids | Big Rapids | not published | $5,065.98 – $5,065.98 |
| Corewell Health Gerber | Fremont | not published | $5,065.98 – $5,065.98 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $7,741.51 – $7,741.51 |
| Corewell Health Greenville | Greenville | not published | $5,065.98 – $5,065.98 |
| Corewell Health Zeeland | Zeeland | not published | $5,065.98 – $5,065.98 |