X-ray exam of jaw joint at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$328.08
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.
$99.00
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.
$15.98 with United Healthcare vs $546.80 with Vitalcore — 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 |
|---|---|---|---|
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $15.98 | ↓ -95% |
| Meridian | Medicaid HMO-Adult-FAC | $15.98 | ↓ -95% |
| Meridian | Medicaid HMO-Adult-NONFAC | $15.98 | ↓ -95% |
| HAP | HAP Caresource Medicaid-NONFAC | $15.98 | ↓ -95% |
| Meridian | Medicaid HMO-Child-NONFAC | $15.98 | ↓ -95% |
| Meridian | Medicaid HMO-Child-FAC | $15.98 | ↓ -95% |
| HAP | HAP Caresource Medicaid-FAC | $15.98 | ↓ -95% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $15.98 | ↓ -95% |
| McLaren | Medicaid HMO-Child-FAC | $15.98 | ↓ -95% |
| McLaren | Medicaid HMO-Child-NONFAC | $15.98 | ↓ -95% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $15.98 | ↓ -95% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $15.98 | ↓ -95% |
| McLaren | Medicaid HMO-Adult-NONFAC | $15.98 | ↓ -95% |
| McLaren | Medicaid HMO-Adult-FAC | $15.98 | ↓ -95% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $16.30 | ↓ -95% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $16.30 | ↓ -95% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $16.30 | ↓ -95% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $16.30 | ↓ -95% |
| Molina | Medicaid HMO-Child-FAC | $16.62 | ↓ -95% |
| Molina | Medicaid HMO-Adult-FAC | $16.62 | ↓ -95% |
| Molina | Medicaid HMO-Child-NONFAC | $16.62 | ↓ -95% |
| Priority Health | Medicaid HMO-Adult-FAC | $16.78 | ↓ -95% |
| Priority Health | Medicaid HMO-Child-NONFAC | $16.78 | ↓ -95% |
| Priority Health | Medicaid HMO-Child-FAC | $16.78 | ↓ -95% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $16.78 | ↓ -95% |
| Molina | Medicaid HMO-Adult-NONFAC | $18.42 | ↓ -94% |
| United Healthcare | All Products-Midlevel | $19.66 | ↓ -94% |
| ScriptGuideRX | All Products | $20.77 | ↓ -94% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $21.69 | ↓ -93% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $21.69 | ↓ -93% |
| Humana Military | Tricare-Physician-FAC | $23.52 | ↓ -93% |
| Humana Military | Tricare-NonPhysician-FAC | $23.52 | ↓ -93% |
| United Healthcare | All Products-Prof | $23.63 | ↓ -93% |
| Pace SE MI | Medicare Advantage-NONFAC | $24.24 | ↓ -93% |
| Pace SE MI | Medicare Advantage-FAC | $24.24 | ↓ -93% |
| Amerihealth Caritas | Dual Products-NONFAC | $25.01 | ↓ -92% |
| Amerihealth Caritas | Dual Products-FAC | $25.01 | ↓ -92% |
| United Healthcare | Medicare Advantage-FAC | $25.52 | ↓ -92% |
| Molina | Medicare Advantage-NONFAC | $25.52 | ↓ -92% |
| Molina | Medicare Advantage-FAC | $25.52 | ↓ -92% |
| HAP | Medicare Advantage-Physician-NONFAC | $25.52 | ↓ -92% |
| McLaren | Medicare Advantage-FAC | $25.52 | ↓ -92% |
| United Healthcare | Medicare-Behavioral Health-FAC | $25.52 | ↓ -92% |
| HAP | HAP Dual Products-FAC | $25.52 | ↓ -92% |
| United Healthcare | Medicare Advantage-NONFAC | $25.52 | ↓ -92% |
| Humana | Medicare Advantage-FAC | $25.52 | ↓ -92% |
| Priority Health | Medicare Advantage-NONFAC | $25.52 | ↓ -92% |
| Meridian | Ambetter From Meridian-NONFAC | $25.52 | ↓ -92% |
| Meridian | Ambetter From Meridian-FAC | $25.52 | ↓ -92% |
| HAP | Medicare Advantage-Physician-FAC | $25.52 | ↓ -92% |
| HAP | Medicare Advantage-NONFAC | $25.52 | ↓ -92% |
| Priority Health | Medicare Advantage-FAC | $25.52 | ↓ -92% |
| HAP | Medicare Advantage-FAC | $25.52 | ↓ -92% |
| HAP | HAP Dual Products-NONFAC | $25.52 | ↓ -92% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $25.52 | ↓ -92% |
| Trinity Health Plan | Medicare Advantage-FAC | $25.52 | ↓ -92% |
| Molina | Dual Product-FAC | $25.52 | ↓ -92% |
| Molina | Dual Product-NONFAC | $25.52 | ↓ -92% |
| McLaren | Medicare Advantage-NONFAC | $25.52 | ↓ -92% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $25.52 | ↓ -92% |
| WellCare | Medicare Advantage-NONFAC | $25.52 | ↓ -92% |
| Blue Cross | Medicare Plus Blue-FAC | $25.52 | ↓ -92% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $25.52 | ↓ -92% |
| WellCare | Medicare Advantage-FAC | $25.52 | ↓ -92% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $25.52 | ↓ -92% |
| Blue Cross | BCN Medicare Advantage -FAC | $25.52 | ↓ -92% |
| Aetna | Medicare Advantage-NONFAC | $25.52 | ↓ -92% |
| Blue Cross | Medicare Plus Blue-NONFAC | $25.52 | ↓ -92% |
| Aetna | Medicare Advantage-FAC | $25.52 | ↓ -92% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $25.57 | ↓ -92% |
| Humana | Medicare Advantage-Physician-FAC | $25.83 | ↓ -92% |
| Humana | Medicare Advantage-NONFAC | $26.03 | ↓ -92% |
| HAP | HAP HMO_AHL_Fully-Insured | $28.01 | ↓ -91% |
| Nomi | All Products | $30.11 | ↓ -91% |
| Blue Cross | GM Connected Care | $36.91 | ↓ -89% |
| Priority Health | All Products | $38.64 | ↓ -88% |
| Aetna | All Products-NONFAC | $38.90 | ↓ -88% |
| Blue Cross | BCBSM Commercial | $40.48 | ↓ -88% |
| Blue Cross | BCN Commercial-NONFAC | $41.01 | ↓ -88% |
| Blue Cross | BCN Commercial-FAC | $41.01 | ↓ -88% |
| Priority Health | Priority Cigna | $42.50 | ↓ -87% |
| Humana Military | Tricare | $49.22 | ↓ -85% |
| HAP | Self-Funded | $49.50 | ↓ -85% |
| HAP | HAP HMO_AHL_Fully Insured | $60.63 | ↓ -82% |
| Meridian | Medicaid HMO | $127.49 | ↓ -61% |
| McLaren | Medicaid HMO | $127.49 | ↓ -61% |
| Priority Health | Medicaid HMO | $127.49 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $127.49 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $130.04 | ↓ -60% |
| Blue Cross | BCBSM GM Connected Care | $130.92 | ↓ -60% |
| Molina | Medicaid HMO | $134.28 | ↓ -59% |
| BCN | HMO | $135.62 | ↓ -59% |
| Blue Cross | BCN Commercial | $135.62 | ↓ -59% |
| Aetna | Commercial | $155.07 | ↓ -53% |
| Priority Health | Commercial | $192.64 | ↓ -41% |
| Pace SE MI | Medicare Advantage | $225.86 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $232.99 | ↓ -29% |
| HAP | HAP Dual Products | $236.83 | ↓ -28% |
| Blue Cross | BCN Advantage | $237.74 | ↓ -28% |
| HAP | Medicare Advantage | $237.74 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $237.74 | ↓ -28% |
| Priority Health | Medicare Advantage | $237.74 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $237.74 | ↓ -28% |
| Aetna | Medicare Advantage | $237.74 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $237.74 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $237.74 | ↓ -28% |
| WellCare | Medicare Advantage | $237.74 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $237.74 | ↓ -28% |
| United Healthcare | VACCN | $237.74 | ↓ -28% |
| McLaren | Medicare Advantage | $237.74 | ↓ -28% |
| Humana | Medicare Advantage | $240.12 | ↓ -27% |
| Aetna | Dual Products | $261.52 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $285.29 | ↓ -13% |
| Meridian | Ambetter From Meridian | $320.95 | ↓ -2% |
| Vitalcore | All Products | $546.80 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
Visitor-reported prices
Comments
X-ray exam of jaw joint at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $328.08 | $15.98 – $165.45 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $328.08 | $15.98 – $546.80 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $328.08 | $15.98 – $136.48 |
| Corewell Health Big Rapids | Big Rapids | not published | $237.74 – $427.94 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $240.32 – $360.48 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $156.46 – $356.62 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $167.08 – $427.94 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $167.08 – $427.94 |