Treat hip socket fracture at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$1,340.10
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.
$5,652.00
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.
$131.80 with McLaren vs $5,652.00 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 | $131.80 | ↓ -90% |
| Meridian | Medicaid HMO | $131.80 | ↓ -90% |
| Priority Health | Medicaid HMO | $131.80 | ↓ -90% |
| HAP | HAP Caresource Medicaid | $131.80 | ↓ -90% |
| Aetna Better Health | Medicaid HMO | $134.44 | ↓ -90% |
| Molina | Medicaid HMO | $142.34 | ↓ -89% |
| Pace SE MI | Medicare Advantage | $233.49 | ↓ -83% |
| Blue Cross | Medicare Plus Blue | $245.78 | ↓ -82% |
| Priority Health | Medicare Advantage | $245.78 | ↓ -82% |
| HAP | Medicare Advantage | $245.78 | ↓ -82% |
| Trinity Health Plan | Medicare Advantage | $245.78 | ↓ -82% |
| United Healthcare | VACCN | $245.78 | ↓ -82% |
| Priority Health | Dual Premier_HIDE-SNP | $245.78 | ↓ -82% |
| Molina | Dual MI Coordinated Health | $245.78 | ↓ -82% |
| McLaren | Medicare Advantage | $245.78 | ↓ -82% |
| Aetna | Medicare Advantage | $245.78 | ↓ -82% |
| Blue Cross | BCN Advantage | $245.78 | ↓ -82% |
| Humana | Medicare Advantage | $248.24 | ↓ -81% |
| Aetna | Dual Products | $270.36 | ↓ -80% |
| HAP | Henry Ford Select -HPN commercial | $294.94 | ↓ -78% |
| Nomi | All Products | $452.24 | ↓ -66% |
| Meridian | Medicaid HMO-Child-FAC | $583.83 | ↓ -56% |
| HAP | HAP Caresource Medicaid-FAC | $583.83 | ↓ -56% |
| McLaren | Medicaid HMO-Child-FAC | $583.83 | ↓ -56% |
| McLaren | Medicaid HMO-Adult-FAC | $583.83 | ↓ -56% |
| Meridian | Medicaid HMO-Adult-FAC | $583.83 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $583.83 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $583.83 | ↓ -56% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $595.51 | ↓ -56% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $595.51 | ↓ -56% |
| Molina | Medicaid HMO-Child-FAC | $607.18 | ↓ -55% |
| Molina | Medicaid HMO-Adult-FAC | $607.18 | ↓ -55% |
| Priority Health | Medicaid HMO-Child-FAC | $613.02 | ↓ -54% |
| Priority Health | Medicaid HMO-Adult-FAC | $613.02 | ↓ -54% |
| ScriptGuideRX | All Products | $660.24 | ↓ -51% |
| Humana Military | Tricare-NonPhysician-FAC | $804.82 | ↓ -40% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $825.43 | ↓ -38% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $825.43 | ↓ -38% |
| Pace SE MI | Medicare Advantage-NONFAC | $922.54 | ↓ -31% |
| Pace SE MI | Medicare Advantage-FAC | $922.54 | ↓ -31% |
| Humana Military | Tricare | $946.85 | ↓ -29% |
| Humana Military | Tricare-Physician-FAC | $946.85 | ↓ -29% |
| Amerihealth Caritas | Dual Products-FAC | $951.67 | ↓ -29% |
| Amerihealth Caritas | Dual Products-NONFAC | $951.67 | ↓ -29% |
| HAP | Medicare Advantage-Physician-FAC | $971.09 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $971.09 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $971.09 | ↓ -28% |
| HAP | Medicare Advantage-Physician-NONFAC | $971.09 | ↓ -28% |
| HAP | HAP Dual Products-NONFAC | $971.09 | ↓ -28% |
| HAP | Medicare Advantage-NONFAC | $971.09 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $971.09 | ↓ -28% |
| McLaren | Medicare Advantage-NONFAC | $971.09 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $971.09 | ↓ -28% |
| United Healthcare | Medicare Advantage-NONFAC | $971.09 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $971.09 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $971.09 | ↓ -28% |
| WellCare | Medicare Advantage-NONFAC | $971.09 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $971.09 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $971.09 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $971.09 | ↓ -28% |
| Aetna | Medicare Advantage-NONFAC | $971.09 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $971.09 | ↓ -28% |
| Priority Health | Medicare Advantage-NONFAC | $971.09 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $971.09 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $971.09 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $971.09 | ↓ -28% |
| Molina | Medicare Advantage-NONFAC | $971.09 | ↓ -28% |
| Molina | Dual Product-NONFAC | $971.09 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $971.09 | ↓ -28% |
| Molina | Dual Product-FAC | $971.09 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $971.09 | ↓ -28% |
| Meridian | Ambetter From Meridian-NONFAC | $971.09 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-NONFAC | $971.09 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $971.09 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $971.09 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $971.09 | ↓ -28% |
| Humana | Medicare Advantage-NONFAC | $990.51 | ↓ -26% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $1,029.18 | ↓ -23% |
| Humana | Medicare Advantage-Physician-FAC | $1,039.47 | ↓ -22% |
| HAP | HAP HMO_AHL_Fully-Insured | $1,347.80 | ↑ +1% |
| Priority Health | Commercial | $1,429.58 | ↑ +7% |
| Blue Cross | GM Connected Care | $1,433.71 | ↑ +7% |
| WellCare | Medicare Advantage | $1,449.74 | ↑ +8% |
| HAP | Self-Funded | $1,573.92 | ↑ +17% |
| Blue Cross | BCBSM Commercial | $1,578.63 | ↑ +18% |
| Priority Health | All Products | $1,592.19 | ↑ +19% |
| Blue Cross | BCN Commercial-FAC | $1,593.01 | ↑ +19% |
| Blue Cross | BCN Commercial-NONFAC | $1,593.01 | ↑ +19% |
| Aetna | All Products-NONFAC | $1,641.34 | ↑ +22% |
| United Healthcare | All Products-Midlevel | $1,740.70 | ↑ +30% |
| Priority Health | Priority Cigna | $1,751.41 | ↑ +31% |
| United Healthcare | All Products-Prof | $1,910.56 | ↑ +43% |
| Aetna | Commercial | $2,056.00 | ↑ +53% |
| Amerihealth Caritas | Dual Products | $2,260.80 | ↑ +69% |
| HAP | HAP HMO_AHL_Fully Insured | $2,668.31 | ↑ +99% |
| United Healthcare | UHC Commercial | $2,803.39 | ↑ +109% |
| Vitalcore | All Products | $2,826.00 | ↑ +111% |
| Multiplan | All Products | $3,730.32 | ↑ +178% |
| Cofinity | Commercial | $3,995.96 | ↑ +198% |
| United Healthcare | Baseline Benefit Plan | $4,120.31 | ↑ +207% |
| Blue Cross | BCN Commercial | $5,652.00 | ↑ +322% |
| BCN | HMO | $5,652.00 | ↑ +322% |
| Blue Cross | BCBSM GM Connected Care | $5,652.00 | ↑ +322% |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| Meridian | Ambetter From Meridian | 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-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
Visitor-reported prices
Comments
Treat hip socket fracture at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $957.00 | $245.78 – $5,742.84 |
| Corewell Health Gerber | Fremont | $957.00 | $5,742.84 – $5,742.84 |
| Corewell Health Lakeland Watervliet | Watervliet | $844.00 | $248.44 – $372.66 |
| Corewell Health Lakeland St. Joseph | St Joseph | $844.00 | $245.78 – $8,775.86 |
| Corewell Health Butterworth Hospital | Grand Rapids | $962.00 | $245.78 – $442.40 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $962.00 | $245.78 – $442.40 |
| Corewell Health Reed City | Po Box 75 | $957.00 | not published |
| Corewell Health Greenville | Greenville | $957.00 | $245.78 – $5,742.84 |