Therapy nutrition individual initial f2f w/patient each 15 minutes at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$36.32
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.
$65.00
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.
$17.90 with ScriptGuideRX vs $65.49 with United Healthcare — 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 |
|---|---|---|---|
| ScriptGuideRX | All Products | $17.90 | ↓ -51% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $22.37 | ↓ -38% |
| Humana Military | Tricare-NonPhysician-FAC | $24.61 | ↓ -32% |
| Pace SE MI | Medicare Advantage-FAC | $25.00 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $25.79 | ↓ -29% |
| Amerihealth Caritas | Dual Products | $26.00 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $26.32 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $26.32 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $26.32 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $26.32 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $26.32 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $26.32 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $26.32 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $26.32 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $26.32 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $26.32 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $26.32 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $26.32 | ↓ -28% |
| Molina | Dual Product-FAC | $26.32 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $26.32 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $26.32 | ↓ -28% |
| WellCare | Medicare Advantage | $26.32 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $26.32 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $26.32 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $26.32 | ↓ -28% |
| Humana Military | Tricare | $28.95 | ↓ -20% |
| Humana Military | Tricare-Physician-FAC | $28.95 | ↓ -20% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $30.87 | ↓ -15% |
| Humana | Medicare Advantage-Physician-FAC | $31.78 | ↓ -13% |
| United Healthcare | UHC Commercial | $32.24 | ↓ -11% |
| Vitalcore | All Products | $32.50 | ↓ -11% |
| HAP | HAP HMO_AHL_Fully Insured | $33.75 | ↓ -7% |
| Pace SE MI | Medicare Advantage | $33.85 | ↓ -7% |
| Pace SE MI | Medicare Advantage-NONFAC | $34.50 | ↓ -5% |
| Amerihealth Caritas | Dual Products-NONFAC | $35.59 | ↓ -2% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $35.61 | ↓ -2% |
| Priority Health | Dual Premier_HIDE-SNP | $35.63 | ↓ -2% |
| HAP | Medicare Advantage | $35.63 | ↓ -2% |
| Blue Cross | BCN Advantage | $35.63 | ↓ -2% |
| Trinity Health Plan | Medicare Advantage | $35.63 | ↓ -2% |
| McLaren | Medicare Advantage | $35.63 | ↓ -2% |
| Molina | Dual MI Coordinated Health | $35.63 | ↓ -2% |
| Priority Health | Medicare Advantage | $35.63 | ↓ -2% |
| United Healthcare | VACCN | $35.63 | ↓ -2% |
| Aetna | Medicare Advantage | $35.63 | ↓ -2% |
| Humana | Medicare Advantage | $35.99 | ↓ -1% |
| HAP | HAP Dual Products-NONFAC | $36.32 | ↑ +0% |
| HAP | Medicare Advantage-Physician-NONFAC | $36.32 | ↑ +0% |
| Meridian | Ambetter From Meridian-NONFAC | $36.32 | ↑ +0% |
| Blue Cross | Medicare Plus Blue-NONFAC | $36.32 | ↑ +0% |
| United Healthcare | Medicare Advantage-NONFAC | $36.32 | ↑ +0% |
| McLaren | Medicare Advantage-NONFAC | $36.32 | ↑ +0% |
| WellCare | Medicare Advantage-NONFAC | $36.32 | ↑ +0% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $36.32 | ↑ +0% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $36.32 | ↑ +0% |
| Molina | Dual Product-NONFAC | $36.32 | ↑ +0% |
| HAP | Medicare Advantage-NONFAC | $36.32 | ↑ +0% |
| Aetna | Medicare Advantage-NONFAC | $36.32 | ↑ +0% |
| Molina | Medicare Advantage-NONFAC | $36.32 | ↑ +0% |
| Priority Health | Medicare Advantage-NONFAC | $36.32 | ↑ +0% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $36.32 | ↑ +0% |
| Nomi | All Products | $36.85 | ↑ +1% |
| United Healthcare | VACCN-NONFAC | $36.86 | ↑ +1% |
| Humana | Medicare Advantage-NONFAC | $37.05 | ↑ +2% |
| Aetna | Dual Products | $39.19 | ↑ +8% |
| Priority Health | Behavioral Health-Psychologist-FAC | $40.91 | ↑ +13% |
| Priority Health | Behavioral Health-Other Therapist-FAC | $40.91 | ↑ +13% |
| Priority Health | Behavioral Health-MD/DO-FAC | $40.91 | ↑ +13% |
| Priority Health | All Products | $40.91 | ↑ +13% |
| HAP | HAP Dual Products | $40.94 | ↑ +13% |
| Aetna | Commercial | $41.57 | ↑ +14% |
| HAP | Self-Funded | $41.64 | ↑ +15% |
| HAP | Henry Ford Select -HPN commercial | $42.76 | ↑ +18% |
| Multiplan | All Products | $42.90 | ↑ +18% |
| HAP | HAP HMO_AHL_Fully-Insured | $44.69 | ↑ +23% |
| Priority Health | Priority Cigna | $45.00 | ↑ +24% |
| Cofinity | Commercial | $45.96 | ↑ +27% |
| Priority Health | Behavioral Health-MD/DO-NONFAC | $46.29 | ↑ +27% |
| Priority Health | Behavioral Health-Psychologist-NONFAC | $46.29 | ↑ +27% |
| Priority Health | Behavioral Health-Other Therapist-NONFAC | $46.29 | ↑ +27% |
| Blue Cross | GM Connected Care | $46.49 | ↑ +28% |
| United Healthcare | Baseline Benefit Plan | $47.39 | ↑ +30% |
| Blue Cross | BCN Commercial-FAC | $51.66 | ↑ +42% |
| BCN | HMO | $52.42 | ↑ +44% |
| Blue Cross | BCBSM Commercial | $52.42 | ↑ +44% |
| Blue Cross | BCN Commercial | $52.42 | ↑ +44% |
| Blue Cross | BCN Commercial-NONFAC | $58.59 | ↑ +61% |
| United Healthcare | All Products-Prof | $61.60 | ↑ +70% |
| Priority Health | Commercial | $64.63 | ↑ +78% |
| Aetna | All Products-NONFAC | $64.78 | ↑ +78% |
| Blue Cross | BCBSM GM Connected Care | $65.00 | ↑ +79% |
| United Healthcare | All Products-Midlevel | $65.49 | ↑ +80% |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Therapy nutrition individual initial f2f w/patient each 15 minutes at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $70.00 | $26.32 – $47.38 |
| Corewell Health Gerber | Fremont | $70.00 | not published |
| Corewell Health Lakeland Watervliet | Watervliet | $40.00 | $26.32 – $39.48 |
| Corewell Health Lakeland St. Joseph | St Joseph | $40.00 | $26.32 – $39.48 |
| Corewell Health Butterworth Hospital | Grand Rapids | $67.00 | $26.32 – $47.38 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $67.00 | $26.32 – $47.38 |
| Corewell Health Reed City | Po Box 75 | $70.00 | not published |
| Corewell Health Greenville | Greenville | $70.00 | $26.32 – $47.38 |