Team conf w/pat by hc prof at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
not published by hospital
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.
$92.00
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.
$30.53 with Humana Military vs $64.98 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 |
|---|---|---|---|
| Humana Military | Tricare-NonPhysician-FAC | $30.53 | — |
| Humana Military | Tricare | $35.91 | — |
| Humana Military | Tricare-Physician-FAC | $35.91 | — |
| Amerihealth Caritas | Dual Products-NONFAC | $36.80 | — |
| Amerihealth Caritas | Dual Products-FAC | $36.80 | — |
| Humana | Medicare Advantage-Physician-FAC | $39.42 | — |
| United Healthcare | VACCN-NONFAC | $41.49 | — |
| United Healthcare | All Products-Midlevel | $42.61 | — |
| Priority Health | Commercial | $43.07 | — |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $46.00 | — |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $46.00 | — |
| United Healthcare | All Products-Prof | $50.09 | — |
| Priority Health | All Products | $50.34 | — |
| Aetna | All Products-NONFAC | $52.56 | — |
| HAP | HAP HMO_AHL_Fully-Insured | $55.41 | — |
| Blue Cross | GM Connected Care | $56.57 | — |
| Priority Health | Priority Cigna | $58.15 | — |
| Blue Cross | Medicare Plus Blue-NONFAC | $59.80 | — |
| Blue Cross | BCN Medicare Advantage -FAC | $59.80 | — |
| Blue Cross | Medicare Plus Blue-FAC | $59.80 | — |
| Blue Cross | BCN Medicare Advantage -NONFAC | $59.80 | — |
| Blue Cross | BCN Commercial-FAC | $62.85 | — |
| HAP | HAP HMO_AHL_Fully Insured | $63.91 | — |
| Blue Cross | BCN Commercial-NONFAC | $64.44 | — |
| HAP | Self-Funded | $64.71 | — |
| Blue Cross | BCBSM Commercial | $64.98 | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| Nomi | All Products | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
Visitor-reported prices
Comments
Team conf w/pat by hc prof at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Gross Pointe | Grosse Pointe | $197.00 | $58.67 – $118.50 |
| Corewell Health Taylor | Taylor | $197.00 | $208.55 – $208.55 |
| Corewell Health Trenton | Trenton | $197.00 | $158.83 – $158.83 |
| Corewell Health Troy | Troy | $197.00 | $58.39 – $199.72 |
| Corewell Health Wayne | Wayne | $197.00 | $178.08 – $178.08 |
| Henry Ford Warren Hospital | Warren | $73.36 | $47.52 – $84.89 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $38.28 – $38.28 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $21.83 – $21.83 |