Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$11.63
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.
$163.00
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.
$5.73 with ScriptGuideRX vs $118.83 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 | $5.73 | ↓ -51% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $7.17 | ↓ -38% |
| Humana Military | Tricare-NonPhysician-FAC | $7.18 | ↓ -38% |
| Pace SE MI | Medicare Advantage-FAC | $8.01 | ↓ -31% |
| Amerihealth Caritas | Dual Products-FAC | $8.26 | ↓ -29% |
| United Healthcare | Medicare Advantage-FAC | $8.43 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $8.43 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $8.43 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $8.43 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $8.43 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $8.43 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $8.43 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $8.43 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $8.43 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $8.43 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $8.43 | ↓ -28% |
| Molina | Dual Product-FAC | $8.43 | ↓ -28% |
| HAP | HAP Dual Products-FAC | $8.43 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $8.43 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $8.43 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $8.43 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $8.43 | ↓ -28% |
| Humana Military | Tricare-Physician-FAC | $8.45 | ↓ -27% |
| Humana Military | Tricare | $8.45 | ↓ -27% |
| Humana | Medicare Advantage-Physician-FAC | $9.27 | ↓ -20% |
| United Healthcare | All Products-Midlevel | $9.47 | ↓ -19% |
| Nomi | All Products | $11.80 | ↑ +1% |
| Blue Cross | GM Connected Care | $12.94 | ↑ +11% |
| Blue Cross | BCN Commercial-FAC | $14.38 | ↑ +24% |
| Priority Health | All Products | $14.45 | ↑ +24% |
| Priority Health | Priority Cigna | $15.90 | ↑ +37% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $16.20 | ↑ +39% |
| United Healthcare | All Products-Prof | $16.89 | ↑ +45% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $17.80 | ↑ +53% |
| Pace SE MI | Medicare Advantage-NONFAC | $18.11 | ↑ +56% |
| Amerihealth Caritas | Dual Products-NONFAC | $18.68 | ↑ +61% |
| HAP | Medicare Advantage-NONFAC | $19.06 | ↑ +64% |
| Aetna | Medicare Advantage-NONFAC | $19.06 | ↑ +64% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $19.06 | ↑ +64% |
| Blue Cross | Medicare Plus Blue-NONFAC | $19.06 | ↑ +64% |
| HAP | HAP Dual Products-NONFAC | $19.06 | ↑ +64% |
| HAP | Medicare Advantage-Physician-NONFAC | $19.06 | ↑ +64% |
| McLaren | Medicare Advantage-NONFAC | $19.06 | ↑ +64% |
| Meridian | Ambetter From Meridian-NONFAC | $19.06 | ↑ +64% |
| Molina | Dual Product-NONFAC | $19.06 | ↑ +64% |
| Molina | Medicare Advantage-NONFAC | $19.06 | ↑ +64% |
| Priority Health | Medicare Advantage-NONFAC | $19.06 | ↑ +64% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $19.06 | ↑ +64% |
| United Healthcare | Medicare Advantage-NONFAC | $19.06 | ↑ +64% |
| WellCare | Medicare Advantage-NONFAC | $19.06 | ↑ +64% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $19.06 | ↑ +64% |
| Humana | Medicare Advantage-NONFAC | $19.44 | ↑ +67% |
| HAP | HAP HMO_AHL_Fully-Insured | $23.74 | ↑ +104% |
| HAP | Self-Funded | $27.72 | ↑ +138% |
| Blue Cross | BCBSM Commercial | $28.23 | ↑ +143% |
| Blue Cross | BCN Commercial-NONFAC | $28.76 | ↑ +147% |
| Aetna | All Products-NONFAC | $29.24 | ↑ +151% |
| Blue Cross | BCBSM GM Connected Care | $31.75 | ↑ +173% |
| BCN | HMO | $32.89 | ↑ +183% |
| Blue Cross | BCN Commercial | $32.89 | ↑ +183% |
| Priority Health | Commercial | $36.75 | ↑ +216% |
| WellCare | Medicare Advantage | $41.81 | ↑ +260% |
| Molina | Dual MI Coordinated Health | $48.90 | ↑ +320% |
| Amerihealth Caritas | Dual Products | $65.20 | ↑ +461% |
| HAP | HAP HMO_AHL_Fully Insured | $76.95 | ↑ +562% |
| United Healthcare | UHC Commercial | $80.85 | ↑ +595% |
| Vitalcore | All Products | $81.50 | ↑ +601% |
| Aetna | Commercial | $104.24 | ↑ +796% |
| Multiplan | All Products | $107.58 | ↑ +825% |
| Cofinity | Commercial | $115.24 | ↑ +891% |
| United Healthcare | Baseline Benefit Plan | $118.83 | ↑ +922% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
Visitor-reported prices
Comments
Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $23.00 | $24.86 – $24.86 |
| Corewell Health Gerber | Fremont | $23.00 | $24.86 – $24.86 |
| Corewell Health Lakeland Watervliet | Watervliet | $21.00 | not published |
| Corewell Health Lakeland St. Joseph | St Joseph | $21.00 | $31.50 – $31.50 |
| Corewell Health Butterworth Hospital | Grand Rapids | $24.00 | $17.99 – $17.99 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $24.00 | $17.99 – $17.99 |
| Corewell Health Reed City | Po Box 75 | $23.00 | not published |
| Corewell Health Greenville | Greenville | $23.00 | $24.86 – $24.86 |