healthcosts.net
Transcath mv repair addl prosthesis at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$563.12
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.
$5,099.00
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.
$234.73 with Meridian vs $3,604.99 with Cofinity — 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-Child-FAC | $234.73 | ↓ -58% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $234.73 | ↓ -58% |
| HAP | HAP Caresource Medicaid-FAC | $234.73 | ↓ -58% |
| Meridian | Medicaid HMO-Adult-FAC | $234.73 | ↓ -58% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $234.73 | ↓ -58% |
| McLaren | Medicaid HMO-Adult-FAC | $234.73 | ↓ -58% |
| McLaren | Medicaid HMO-Child-FAC | $234.73 | ↓ -58% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $239.42 | ↓ -57% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $239.42 | ↓ -57% |
| Molina | Medicaid HMO-Child-FAC | $244.12 | ↓ -57% |
| Molina | Medicaid HMO-Adult-FAC | $244.12 | ↓ -57% |
| Priority Health | Medicaid HMO-Child-FAC | $246.47 | ↓ -56% |
| Priority Health | Medicaid HMO-Adult-FAC | $246.47 | ↓ -56% |
| ScriptGuideRX | All Products | $277.45 | ↓ -51% |
| Priority Health | Commercial | $342.20 | ↓ -39% |
| Humana Military | Tricare-NonPhysician-FAC | $346.25 | ↓ -39% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $346.85 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $346.85 | ↓ -38% |
| Pace SE MI | Medicare Advantage-NONFAC | $387.66 | ↓ -31% |
| Pace SE MI | Medicare Advantage-FAC | $387.66 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $399.90 | ↓ -29% |
| Amerihealth Caritas | Dual Products-NONFAC | $399.90 | ↓ -29% |
| Humana Military | Tricare | $407.36 | ↓ -28% |
| Humana Military | Tricare-Physician-FAC | $407.36 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $408.06 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $408.06 | ↓ -28% |
| Aetna | Medicare Advantage-NONFAC | $408.06 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $408.06 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $408.06 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $408.06 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $408.06 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $408.06 | ↓ -28% |
| HAP | HAP Dual Products-NONFAC | $408.06 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $408.06 | ↓ -28% |
| HAP | Medicare Advantage-NONFAC | $408.06 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $408.06 | ↓ -28% |
| HAP | Medicare Advantage-Physician-NONFAC | $408.06 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $408.06 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $408.06 | ↓ -28% |
| McLaren | Medicare Advantage-NONFAC | $408.06 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $408.06 | ↓ -28% |
| Meridian | Ambetter From Meridian-NONFAC | $408.06 | ↓ -28% |
| Molina | Dual Product-FAC | $408.06 | ↓ -28% |
| Molina | Dual Product-NONFAC | $408.06 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $408.06 | ↓ -28% |
| Molina | Medicare Advantage-NONFAC | $408.06 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $408.06 | ↓ -28% |
| Priority Health | Medicare Advantage-NONFAC | $408.06 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $408.06 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $408.06 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $408.06 | ↓ -28% |
| United Healthcare | Medicare Advantage-NONFAC | $408.06 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $408.06 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $408.06 | ↓ -28% |
| WellCare | Medicare Advantage-NONFAC | $408.06 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $408.06 | ↓ -28% |
| Humana | Medicare Advantage-NONFAC | $416.22 | ↓ -26% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $442.78 | ↓ -21% |
| Humana | Medicare Advantage-Physician-FAC | $447.21 | ↓ -21% |
| United Healthcare | All Products-Midlevel | $452.30 | ↓ -20% |
| Nomi | All Products | $571.28 | ↑ +1% |
| HAP | HAP HMO_AHL_Fully-Insured | $582.24 | ↑ +3% |
| Blue Cross | GM Connected Care | $594.86 | ↑ +6% |
| Blue Cross | BCBSM Commercial | $659.36 | ↑ +17% |
| Blue Cross | BCN Commercial-NONFAC | $660.96 | ↑ +17% |
| Blue Cross | BCN Commercial-FAC | $660.96 | ↑ +17% |
| Priority Health | All Products | $664.57 | ↑ +18% |
| HAP | Self-Funded | $679.92 | ↑ +21% |
| Aetna | All Products-NONFAC | $726.28 | ↑ +29% |
| Priority Health | Priority Cigna | $731.03 | ↑ +30% |
| United Healthcare | All Products-Prof | $806.92 | ↑ +43% |
| WellCare | Medicare Advantage | $1,307.89 | ↑ +132% |
| United Healthcare | UHC Commercial | $1,507.00 | ↑ +168% |
| Molina | Dual MI Coordinated Health | $1,529.70 | ↑ +172% |
| United Healthcare | Baseline Benefit Plan | $1,952.00 | ↑ +247% |
| Amerihealth Caritas | Dual Products | $2,039.60 | ↑ +262% |
| HAP | HAP HMO_AHL_Fully Insured | $2,407.24 | ↑ +327% |
| Vitalcore | All Products | $2,549.50 | ↑ +353% |
| Aetna | Commercial | $3,260.81 | ↑ +479% |
| Multiplan | All Products | $3,365.34 | ↑ +498% |
| Cofinity | Commercial | $3,604.99 | ↑ +540% |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Blue Cross | BCN Commercial | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| Blue Cross | BCBSM GM Connected Care | not published by hospital | — |
| BCN | HMO | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
Transcath mv repair addl prosthesis at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $4,385.00 | not published |
| Corewell Health Gerber | Fremont | $4,385.00 | not published |
| Corewell Health Butterworth Hospital | Grand Rapids | $3,946.00 | not published |
| Corewell Health Blodgett Hospital | East Grand Rapids | $3,946.00 | not published |
| Corewell Health Reed City | Po Box 75 | $4,385.00 | not published |
| Corewell Health Greenville | Greenville | $4,385.00 | not published |
| Corewell Health Zeeland | Zeeland | $4,385.00 | not published |
| Corewell Health Gross Pointe | Grosse Pointe | $4,499.00 | $0.01 – $840.56 |