Tomosynthesis breast screen bilateral at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$38.86
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.
$133.00
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.
$11.80 with Priority Health vs $96.96 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 |
|---|---|---|---|
| Priority Health | Medicaid HMO | $11.80 | ↓ -70% |
| HAP | HAP Caresource Medicaid | $11.80 | ↓ -70% |
| McLaren | Medicaid HMO | $11.80 | ↓ -70% |
| Meridian | Medicaid HMO | $11.80 | ↓ -70% |
| Aetna Better Health | Medicaid HMO | $12.04 | ↓ -69% |
| Molina | Medicaid HMO | $12.74 | ↓ -67% |
| ScriptGuideRX | All Products | $15.34 | ↓ -61% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $17.68 | ↓ -55% |
| HAP | HAP Caresource Medicaid-NONFAC | $17.68 | ↓ -55% |
| Meridian | Medicaid HMO-Adult-FAC | $17.68 | ↓ -55% |
| Meridian | Medicaid HMO-Adult-NONFAC | $17.68 | ↓ -55% |
| Meridian | Medicaid HMO-Child-NONFAC | $17.68 | ↓ -55% |
| Meridian | Medicaid HMO-Child-FAC | $17.68 | ↓ -55% |
| McLaren | Medicaid HMO-Child-FAC | $17.68 | ↓ -55% |
| McLaren | Medicaid HMO-Child-NONFAC | $17.68 | ↓ -55% |
| HAP | HAP Caresource Medicaid-FAC | $17.68 | ↓ -55% |
| McLaren | Medicaid HMO-Adult-NONFAC | $17.68 | ↓ -55% |
| McLaren | Medicaid HMO-Adult-FAC | $17.68 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $17.68 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $17.68 | ↓ -55% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $17.68 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $18.03 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $18.03 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $18.03 | ↓ -54% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $18.03 | ↓ -54% |
| Molina | Medicaid HMO-Child-FAC | $18.39 | ↓ -53% |
| Molina | Medicaid HMO-Adult-FAC | $18.39 | ↓ -53% |
| Molina | Medicaid HMO-Child-NONFAC | $18.39 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-FAC | $18.56 | ↓ -52% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $18.56 | ↓ -52% |
| Priority Health | Medicaid HMO-Child-FAC | $18.56 | ↓ -52% |
| Priority Health | Medicaid HMO-Child-NONFAC | $18.56 | ↓ -52% |
| Molina | Medicaid HMO-Adult-NONFAC | $20.34 | ↓ -48% |
| Humana Military | Tricare | $21.12 | ↓ -46% |
| BC3NP | Medicaid HMO | $22.09 | ↓ -43% |
| Blue Cross | Medicare Plus Blue | $22.56 | ↓ -42% |
| WellCare | Medicare Advantage | $22.56 | ↓ -42% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $23.94 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $23.94 | ↓ -38% |
| United Healthcare | All Products-Prof | $25.39 | ↓ -35% |
| United Healthcare | All Products-Midlevel | $25.39 | ↓ -35% |
| Humana Military | Tricare-NonPhysician-FAC | $25.90 | ↓ -33% |
| Humana Military | Tricare-Physician-FAC | $25.90 | ↓ -33% |
| Pace SE MI | Medicare Advantage-NONFAC | $26.75 | ↓ -31% |
| Pace SE MI | Medicare Advantage-FAC | $26.75 | ↓ -31% |
| Amerihealth Caritas | Dual Products-NONFAC | $27.60 | ↓ -29% |
| Amerihealth Caritas | Dual Products-FAC | $27.60 | ↓ -29% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $28.15 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $28.16 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $28.16 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $28.16 | ↓ -28% |
| HAP | Medicare Advantage-Physician-NONFAC | $28.16 | ↓ -28% |
| HAP | HAP Dual Products-NONFAC | $28.16 | ↓ -28% |
| HAP | Medicare Advantage-NONFAC | $28.16 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $28.16 | ↓ -28% |
| McLaren | Medicare Advantage-NONFAC | $28.16 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $28.16 | ↓ -28% |
| United Healthcare | Medicare Advantage-NONFAC | $28.16 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $28.16 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $28.16 | ↓ -28% |
| WellCare | Medicare Advantage-NONFAC | $28.16 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $28.16 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $28.16 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $28.16 | ↓ -28% |
| Aetna | Medicare Advantage-NONFAC | $28.16 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $28.16 | ↓ -28% |
| Priority Health | Medicare Advantage-NONFAC | $28.16 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $28.16 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $28.16 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $28.16 | ↓ -28% |
| Molina | Medicare Advantage-NONFAC | $28.16 | ↓ -28% |
| Molina | Dual Product-NONFAC | $28.16 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $28.16 | ↓ -28% |
| Molina | Dual Product-FAC | $28.16 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $28.16 | ↓ -28% |
| Meridian | Ambetter From Meridian-NONFAC | $28.16 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $28.16 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $28.16 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $28.16 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $28.16 | ↓ -28% |
| Humana | Medicare Advantage-Physician-FAC | $28.43 | ↓ -27% |
| Humana | Medicare Advantage-NONFAC | $28.72 | ↓ -26% |
| HAP | HAP HMO_AHL_Fully Insured | $29.48 | ↓ -24% |
| HAP | HAP HMO_AHL_Fully-Insured | $30.52 | ↓ -21% |
| Nomi | All Products | $33.23 | ↓ -14% |
| HAP | Self-Funded | $33.81 | ↓ -13% |
| Blue Cross | GM Connected Care | $40.74 | ↑ +5% |
| Priority Health | All Products | $42.64 | ↑ +10% |
| Aetna | All Products-NONFAC | $42.88 | ↑ +10% |
| Blue Cross | BCBSM Commercial | $44.74 | ↑ +15% |
| Blue Cross | BCN Commercial-NONFAC | $45.27 | ↑ +16% |
| Blue Cross | BCN Commercial-FAC | $45.27 | ↑ +16% |
| Priority Health | Priority Cigna | $46.90 | ↑ +21% |
| Amerihealth Caritas | Dual Products | $53.20 | ↑ +37% |
| Blue Cross | BCBSM GM Connected Care | $56.45 | ↑ +45% |
| BCN | HMO | $58.48 | ↑ +50% |
| Blue Cross | BCN Commercial | $58.48 | ↑ +50% |
| Pace SE MI | Medicare Advantage | $62.93 | ↑ +62% |
| Aetna | Commercial | $63.01 | ↑ +62% |
| HAP | HAP Dual Products | $65.52 | ↑ +69% |
| United Healthcare | UHC Commercial | $65.97 | ↑ +70% |
| McLaren | Medicare Advantage | $66.24 | ↑ +70% |
| United Healthcare | VACCN | $66.24 | ↑ +70% |
| Priority Health | Dual Premier_HIDE-SNP | $66.24 | ↑ +70% |
| Priority Health | Medicare Advantage | $66.24 | ↑ +70% |
| Molina | Dual MI Coordinated Health | $66.24 | ↑ +70% |
| Blue Cross | BCN Advantage | $66.24 | ↑ +70% |
| HAP | Medicare Advantage | $66.24 | ↑ +70% |
| Aetna | Medicare Advantage | $66.24 | ↑ +70% |
| Trinity Health Plan | Medicare Advantage | $66.24 | ↑ +70% |
| Vitalcore | All Products | $66.50 | ↑ +71% |
| Humana | Medicare Advantage | $66.90 | ↑ +72% |
| Aetna | Dual Products | $72.86 | ↑ +87% |
| HAP | Henry Ford Select -HPN commercial | $79.49 | ↑ +105% |
| Multiplan | All Products | $87.78 | ↑ +126% |
| Priority Health | Commercial | $88.73 | ↑ +128% |
| Cofinity | Commercial | $94.03 | ↑ +142% |
| United Healthcare | Baseline Benefit Plan | $96.96 | ↑ +150% |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
Visitor-reported prices
Comments
Tomosynthesis breast screen bilateral at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $233.00 | $21.35 – $117.20 |
| Corewell Health Gerber | Fremont | $233.00 | $117.20 – $117.20 |
| Corewell Health Lakeland Watervliet | Watervliet | $115.00 | $21.35 – $32.03 |
| Corewell Health Lakeland St. Joseph | St Joseph | $115.00 | $21.35 – $81.03 |
| Corewell Health Butterworth Hospital | Grand Rapids | $268.00 | $21.35 – $103.64 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $268.00 | $21.35 – $103.64 |
| Corewell Health Reed City | Po Box 75 | $233.00 | $117.20 – $117.20 |
| Corewell Health Greenville | Greenville | $233.00 | $21.35 – $117.20 |