Sbsq nursing facil care/day new problem 25 min at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$138.97
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.
$286.00
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.
$62.84 with McLaren vs $171.50 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 |
|---|---|---|---|
| McLaren | Medicaid HMO-Child-FAC | $62.84 | ↓ -55% |
| Meridian | Medicaid HMO-Adult-FAC | $62.84 | ↓ -55% |
| HAP | HAP Caresource Medicaid-FAC | $62.84 | ↓ -55% |
| Meridian | Medicaid HMO-Child-FAC | $62.84 | ↓ -55% |
| McLaren | Medicaid HMO-Adult-FAC | $62.84 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $62.84 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $62.84 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $64.10 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $64.10 | ↓ -54% |
| Molina | Medicaid HMO-Adult-FAC | $65.35 | ↓ -53% |
| Molina | Medicaid HMO-Child-FAC | $65.35 | ↓ -53% |
| Priority Health | Medicaid HMO-Child-FAC | $65.98 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-FAC | $65.98 | ↓ -53% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $73.06 | ↓ -47% |
| HAP | HAP Caresource Medicaid-NONFAC | $73.06 | ↓ -47% |
| Meridian | Medicaid HMO-Adult-NONFAC | $73.06 | ↓ -47% |
| Meridian | Medicaid HMO-Child-NONFAC | $73.06 | ↓ -47% |
| McLaren | Medicaid HMO-Child-NONFAC | $73.06 | ↓ -47% |
| McLaren | Medicaid HMO-Adult-NONFAC | $73.06 | ↓ -47% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $73.06 | ↓ -47% |
| Molina | Medicaid HMO-Adult-NONFAC | $74.19 | ↓ -47% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $74.52 | ↓ -46% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $74.52 | ↓ -46% |
| Molina | Medicaid HMO-Child-NONFAC | $75.98 | ↓ -45% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $76.71 | ↓ -45% |
| Priority Health | Medicaid HMO-Child-NONFAC | $76.71 | ↓ -45% |
| United Healthcare | Commercial-Behavioral Health-MA | $80.06 | ↓ -42% |
| ScriptGuideRX | All Products | $81.69 | ↓ -41% |
| Humana Military | Tricare-NonPhysician-FAC | $83.55 | ↓ -40% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $85.60 | ↓ -38% |
| United Healthcare | Commercial-Behavioral Health-RN | $90.73 | ↓ -35% |
| Pace SE MI | Medicare Advantage-FAC | $95.67 | ↓ -31% |
| Humana Military | Tricare | $98.29 | ↓ -29% |
| Humana Military | Tricare-Physician-FAC | $98.29 | ↓ -29% |
| Amerihealth Caritas | Dual Products-FAC | $98.69 | ↓ -29% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $98.74 | ↓ -29% |
| Molina | Dual Product-FAC | $100.70 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $100.70 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $100.70 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $100.70 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $100.70 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $100.70 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $100.70 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $100.70 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $100.70 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $100.70 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $100.70 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $100.70 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $100.70 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $100.70 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $100.70 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $100.70 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $100.70 | ↓ -28% |
| United Healthcare | Commercial-Behavioral Health-PhD | $106.74 | ↓ -23% |
| United Healthcare | Commercial-Behavioral Health-MD | $106.74 | ↓ -23% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $106.83 | ↓ -23% |
| Humana | Medicare Advantage-Physician-FAC | $107.90 | ↓ -22% |
| Pace SE MI | Medicare Advantage-NONFAC | $110.36 | ↓ -21% |
| United Healthcare | All Products-Midlevel | $111.80 | ↓ -20% |
| Amerihealth Caritas | Dual Products-NONFAC | $113.85 | ↓ -18% |
| HAP | HAP HMO_AHL_Fully-Insured | $114.08 | ↓ -18% |
| Molina | Medicare Advantage-NONFAC | $116.17 | ↓ -16% |
| Molina | Dual Product-NONFAC | $116.17 | ↓ -16% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $116.17 | ↓ -16% |
| WellCare | Medicare Advantage-NONFAC | $116.17 | ↓ -16% |
| HAP | Medicare Advantage-NONFAC | $116.17 | ↓ -16% |
| Meridian | Ambetter From Meridian-NONFAC | $116.17 | ↓ -16% |
| United Healthcare | Medicare Advantage-NONFAC | $116.17 | ↓ -16% |
| McLaren | Medicare Advantage-NONFAC | $116.17 | ↓ -16% |
| Blue Cross | Medicare Plus Blue-NONFAC | $116.17 | ↓ -16% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $116.17 | ↓ -16% |
| HAP | Medicare Advantage-Physician-NONFAC | $116.17 | ↓ -16% |
| Priority Health | Medicare Advantage-NONFAC | $116.17 | ↓ -16% |
| HAP | HAP Dual Products-NONFAC | $116.17 | ↓ -16% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $116.17 | ↓ -16% |
| Aetna | Medicare Advantage-NONFAC | $116.17 | ↓ -16% |
| Priority Health | Commercial | $117.88 | ↓ -15% |
| Humana | Medicare Advantage-NONFAC | $118.49 | ↓ -15% |
| HAP | HAP HMO_AHL_Fully Insured | $131.59 | ↓ -5% |
| Priority Health | All Products | $131.88 | ↓ -5% |
| HAP | Self-Funded | $133.22 | ↓ -4% |
| Aetna | All Products-NONFAC | $136.11 | ↓ -2% |
| Nomi | All Products | $140.98 | ↑ +1% |
| Priority Health | Priority Cigna | $152.32 | ↑ +10% |
| Blue Cross | GM Connected Care | $154.35 | ↑ +11% |
| United Healthcare | All Products-Prof | $154.53 | ↑ +11% |
| Blue Cross | BCBSM Commercial | $170.96 | ↑ +23% |
| Blue Cross | BCN Commercial-FAC | $171.50 | ↑ +23% |
| Blue Cross | BCN Commercial-NONFAC | $171.50 | ↑ +23% |
Visitor-reported prices
Comments
Sbsq nursing facil care/day new problem 25 min at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $138.97 | $62.84 – $157.30 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $138.97 | $62.84 – $157.30 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $138.97 | $62.84 – $140.98 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $103.54 – $103.54 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $59.74 – $59.74 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $59.74 – $59.74 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $120.79 – $323.36 |
| Corewell Health Taylor | Taylor | not published | $569.08 – $569.08 |