healthcosts.net
Urine Culture Test at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$11.14
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.
?
What you pay up front if you don't use insurance.
$54.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$4.22 with Meridian vs $42.12 with Cofinity — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $4.22 | ↓ -62% |
| HAP | HAP Caresource Medicaid | $4.22 | ↓ -62% |
| McLaren | Medicaid HMO | $4.22 | ↓ -62% |
| Priority Health | Medicaid HMO | $4.22 | ↓ -62% |
| Aetna Better Health | Medicaid HMO | $4.31 | ↓ -61% |
| Molina | Medicaid HMO | $4.56 | ↓ -59% |
| Humana Military | Tricare | $6.59 | ↓ -41% |
| Pace SE MI | Medicare Advantage | $7.67 | ↓ -31% |
| Blue Cross | Medicare Plus Blue | $8.07 | ↓ -28% |
| McLaren | Medicare Advantage | $8.07 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $8.07 | ↓ -28% |
| HAP | HAP Dual Products | $8.07 | ↓ -28% |
| HAP | Medicare Advantage | $8.07 | ↓ -28% |
| United Healthcare | VACCN | $8.07 | ↓ -28% |
| Priority Health | Medicare Advantage | $8.07 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $8.07 | ↓ -28% |
| WellCare | Medicare Advantage | $8.07 | ↓ -28% |
| Aetna | Medicare Advantage | $8.07 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $8.07 | ↓ -28% |
| Blue Cross | BCN Advantage | $8.07 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $8.07 | ↓ -28% |
| Humana | Medicare Advantage | $8.15 | ↓ -27% |
| Aetna | Dual Products | $8.88 | ↓ -20% |
| Blue Cross | BCBSM GM Connected Care | $8.91 | ↓ -20% |
| Blue Cross | BCBSM Commercial | $9.23 | ↓ -17% |
| BCN | HMO | $9.23 | ↓ -17% |
| Blue Cross | BCN Commercial | $9.23 | ↓ -17% |
| HAP | Henry Ford Select -HPN commercial | $9.68 | ↓ -13% |
| United Healthcare | UHC Commercial | $9.68 | ↓ -13% |
| Meridian | Ambetter From Meridian | $10.89 | ↓ -2% |
| United Healthcare | Baseline Benefit Plan | $11.62 | ↑ +4% |
| Nomi | All Products | $13.15 | ↑ +18% |
| Aetna | Commercial | $14.09 | ↑ +26% |
| HAP | HAP HMO_AHL_Fully Insured | $16.54 | ↑ +48% |
| HAP | Self-Funded | $18.97 | ↑ +70% |
| Amerihealth Caritas | Dual Products | $21.60 | ↑ +94% |
| Vitalcore | All Products | $27.00 | ↑ +142% |
| Priority Health | Commercial | $28.39 | ↑ +155% |
| Multiplan | All Products | $35.64 | ↑ +220% |
| Priority Health | Priority Cigna | $42.09 | ↑ +278% |
| Cofinity | Commercial | $42.12 | ↑ +278% |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| ScriptGuideRX | All Products | not published by hospital | — |
Visitor-reported prices
Comments
Urine Culture Test at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Butterworth Hospital | Grand Rapids | $55.00 | $7.67 – $18.70 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $55.00 | $7.67 – $18.70 |
| Corewell Health Reed City | Po Box 75 | $55.00 | $7.67 – $7.67 |
| Corewell Health Greenville | Greenville | $55.00 | $7.67 – $14.53 |
| Corewell Health Zeeland | Zeeland | $55.00 | $7.26 – $14.53 |
| Corewell Health Gross Pointe | Grosse Pointe | $63.00 | $7.39 – $15.18 |
| Corewell Health Big Rapids | Big Rapids | $55.00 | $7.26 – $14.53 |
| Corewell Health Gerber | Fremont | $55.00 | $7.67 – $7.67 |