Resect back tum 5 cm/> at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$3,994.09
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.
$4,790.00
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.
$834.11 with Meridian vs $6,656.82 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 |
|---|---|---|---|
| Meridian | Medicaid HMO-Adult-FAC | $834.11 | ↓ -79% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $834.11 | ↓ -79% |
| McLaren | Medicaid HMO-Child-FAC | $834.11 | ↓ -79% |
| McLaren | Medicaid HMO-Adult-FAC | $834.11 | ↓ -79% |
| HAP | HAP Caresource Medicaid-FAC | $834.11 | ↓ -79% |
| Meridian | Medicaid HMO-Child-FAC | $834.11 | ↓ -79% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $834.11 | ↓ -79% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $850.79 | ↓ -79% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $850.79 | ↓ -79% |
| Molina | Medicaid HMO-Adult-FAC | $867.47 | ↓ -78% |
| Molina | Medicaid HMO-Child-FAC | $867.47 | ↓ -78% |
| Priority Health | Medicaid HMO-Child-FAC | $875.82 | ↓ -78% |
| Priority Health | Medicaid HMO-Adult-FAC | $875.82 | ↓ -78% |
| ScriptGuideRX | All Products | $1,084.34 | ↓ -73% |
| Humana Military | Tricare-NonPhysician-FAC | $1,173.17 | ↓ -71% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $1,201.78 | ↓ -70% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $1,201.78 | ↓ -70% |
| Pace SE MI | Medicare Advantage-NONFAC | $1,343.17 | ↓ -66% |
| Pace SE MI | Medicare Advantage-FAC | $1,343.17 | ↓ -66% |
| Humana Military | Tricare-Physician-FAC | $1,380.20 | ↓ -65% |
| Humana Military | Tricare | $1,380.20 | ↓ -65% |
| Amerihealth Caritas | Dual Products-FAC | $1,385.58 | ↓ -65% |
| Amerihealth Caritas | Dual Products-NONFAC | $1,385.58 | ↓ -65% |
| HAP | Medicare Advantage-NONFAC | $1,413.86 | ↓ -65% |
| HAP | HAP Dual Products-FAC | $1,413.86 | ↓ -65% |
| HAP | Medicare Advantage-FAC | $1,413.86 | ↓ -65% |
| HAP | Medicare Advantage-Physician-NONFAC | $1,413.86 | ↓ -65% |
| HAP | HAP Dual Products-NONFAC | $1,413.86 | ↓ -65% |
| HAP | Medicare Advantage-Physician-FAC | $1,413.86 | ↓ -65% |
| Humana | Medicare Advantage-FAC | $1,413.86 | ↓ -65% |
| McLaren | Medicare Advantage-NONFAC | $1,413.86 | ↓ -65% |
| McLaren | Medicare Advantage-FAC | $1,413.86 | ↓ -65% |
| United Healthcare | Medicare Advantage-NONFAC | $1,413.86 | ↓ -65% |
| United Healthcare | Medicare-Behavioral Health-FAC | $1,413.86 | ↓ -65% |
| United Healthcare | Medicare Advantage-FAC | $1,413.86 | ↓ -65% |
| WellCare | Medicare Advantage-NONFAC | $1,413.86 | ↓ -65% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $1,413.86 | ↓ -65% |
| WellCare | Medicare Advantage-FAC | $1,413.86 | ↓ -65% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $1,413.86 | ↓ -65% |
| Aetna | Medicare Advantage-NONFAC | $1,413.86 | ↓ -65% |
| Aetna | Medicare Advantage-FAC | $1,413.86 | ↓ -65% |
| Priority Health | Medicare Advantage-NONFAC | $1,413.86 | ↓ -65% |
| Priority Health | Medicare Advantage-FAC | $1,413.86 | ↓ -65% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $1,413.86 | ↓ -65% |
| Trinity Health Plan | Medicare Advantage-FAC | $1,413.86 | ↓ -65% |
| Molina | Medicare Advantage-NONFAC | $1,413.86 | ↓ -65% |
| Molina | Dual Product-NONFAC | $1,413.86 | ↓ -65% |
| Molina | Medicare Advantage-FAC | $1,413.86 | ↓ -65% |
| Molina | Dual Product-FAC | $1,413.86 | ↓ -65% |
| Meridian | Ambetter From Meridian-FAC | $1,413.86 | ↓ -65% |
| Meridian | Ambetter From Meridian-NONFAC | $1,413.86 | ↓ -65% |
| Blue Cross | Medicare Plus Blue-NONFAC | $1,413.86 | ↓ -65% |
| Blue Cross | BCN Medicare Advantage -FAC | $1,413.86 | ↓ -65% |
| Blue Cross | Medicare Plus Blue-FAC | $1,413.86 | ↓ -65% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $1,413.86 | ↓ -65% |
| Humana | Medicare Advantage-NONFAC | $1,442.14 | ↓ -64% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $1,500.21 | ↓ -62% |
| Humana | Medicare Advantage-Physician-FAC | $1,515.21 | ↓ -62% |
| Priority Health | Medicaid HMO | $1,552.07 | ↓ -61% |
| McLaren | Medicaid HMO | $1,552.07 | ↓ -61% |
| Meridian | Medicaid HMO | $1,552.07 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $1,552.07 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $1,583.11 | ↓ -60% |
| Molina | Medicaid HMO | $1,634.68 | ↓ -59% |
| HAP | HAP HMO_AHL_Fully-Insured | $1,969.46 | ↓ -51% |
| Nomi | All Products | $1,979.40 | ↓ -50% |
| Blue Cross | GM Connected Care | $2,045.34 | ↓ -49% |
| Blue Cross | BCBSM Commercial | $2,265.68 | ↓ -43% |
| Priority Health | All Products | $2,271.45 | ↓ -43% |
| HAP | HAP HMO_AHL_Fully Insured | $2,271.69 | ↓ -43% |
| Blue Cross | BCN Commercial-NONFAC | $2,272.60 | ↓ -43% |
| Blue Cross | BCN Commercial-FAC | $2,272.60 | ↓ -43% |
| HAP | Self-Funded | $2,299.87 | ↓ -42% |
| Aetna | All Products-NONFAC | $2,364.71 | ↓ -41% |
| Priority Health | Priority Cigna | $2,498.60 | ↓ -37% |
| United Healthcare | All Products-Midlevel | $2,527.83 | ↓ -37% |
| Pace SE MI | Medicare Advantage | $2,749.56 | ↓ -31% |
| United Healthcare | All Products-Prof | $2,774.49 | ↓ -31% |
| HAP | HAP Dual Products | $2,804.18 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $2,836.38 | ↓ -29% |
| United Healthcare | VACCN | $2,894.27 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $2,894.27 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $2,894.27 | ↓ -28% |
| Priority Health | Medicare Advantage | $2,894.27 | ↓ -28% |
| Aetna | Medicare Advantage | $2,894.27 | ↓ -28% |
| HAP | Medicare Advantage | $2,894.27 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $2,894.27 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $2,894.27 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $2,894.27 | ↓ -28% |
| WellCare | Medicare Advantage | $2,894.27 | ↓ -28% |
| Blue Cross | BCN Advantage | $2,894.27 | ↓ -28% |
| McLaren | Medicare Advantage | $2,894.27 | ↓ -28% |
| Humana | Medicare Advantage | $2,923.21 | ↓ -27% |
| Blue Cross | BCBSM GM Connected Care | $3,065.71 | ↓ -23% |
| Blue Cross | BCN Commercial | $3,141.07 | ↓ -21% |
| BCN | HMO | $3,141.07 | ↓ -21% |
| Aetna | Dual Products | $3,183.70 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $3,473.12 | ↓ -13% |
| Priority Health | Commercial | $3,496.71 | ↓ -12% |
| Meridian | Ambetter From Meridian | $3,907.26 | ↓ -2% |
| Vitalcore | All Products | $6,656.82 | ↑ +67% |
| 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 | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
Visitor-reported prices
Comments
Resect back tum 5 cm/> at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $3,994.09 | $834.11 – $4,232.44 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $3,994.09 | $834.11 – $6,656.82 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $3,994.09 | $834.11 – $3,157.11 |
| Corewell Health Big Rapids | Big Rapids | not published | $1,960.80 – $5,209.69 |
| Corewell Health Gerber | Fremont | not published | $1,960.80 – $1,960.80 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $2,925.61 – $4,388.41 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $2,894.27 – $4,341.41 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $1,847.27 – $5,209.69 |