X-ray sinus tract/fistula/abscess at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$751.34
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.
$396.00
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.
$15.34 with Meridian vs $598.90 with Aetna — 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-Adult-NONFAC | $15.34 | ↓ -98% |
| HAP | HAP Caresource Medicaid-NONFAC | $15.34 | ↓ -98% |
| Meridian | Medicaid HMO-Child-NONFAC | $15.34 | ↓ -98% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $15.34 | ↓ -98% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $15.34 | ↓ -98% |
| McLaren | Medicaid HMO-Adult-FAC | $15.34 | ↓ -98% |
| McLaren | Medicaid HMO-Adult-NONFAC | $15.34 | ↓ -98% |
| HAP | HAP Caresource Medicaid-FAC | $15.34 | ↓ -98% |
| McLaren | Medicaid HMO-Child-NONFAC | $15.34 | ↓ -98% |
| McLaren | Medicaid HMO-Child-FAC | $15.34 | ↓ -98% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $15.34 | ↓ -98% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $15.34 | ↓ -98% |
| Meridian | Medicaid HMO-Adult-FAC | $15.34 | ↓ -98% |
| Meridian | Medicaid HMO-Child-FAC | $15.34 | ↓ -98% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $15.65 | ↓ -98% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $15.65 | ↓ -98% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $15.65 | ↓ -98% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $15.65 | ↓ -98% |
| Molina | Medicaid HMO-Child-FAC | $15.95 | ↓ -98% |
| Molina | Medicaid HMO-Adult-FAC | $15.95 | ↓ -98% |
| Molina | Medicaid HMO-Child-NONFAC | $15.95 | ↓ -98% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $16.11 | ↓ -98% |
| Priority Health | Medicaid HMO-Adult-FAC | $16.11 | ↓ -98% |
| Priority Health | Medicaid HMO-Child-NONFAC | $16.11 | ↓ -98% |
| Priority Health | Medicaid HMO-Child-FAC | $16.11 | ↓ -98% |
| Molina | Medicaid HMO-Adult-NONFAC | $17.70 | ↓ -98% |
| United Healthcare | All Products-Midlevel | $18.68 | ↓ -98% |
| ScriptGuideRX | All Products | $19.94 | ↓ -97% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $21.07 | ↓ -97% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $21.07 | ↓ -97% |
| United Healthcare | All Products-Prof | $22.46 | ↓ -97% |
| Humana Military | Tricare-NonPhysician-FAC | $22.86 | ↓ -97% |
| Humana Military | Tricare-Physician-FAC | $22.86 | ↓ -97% |
| Pace SE MI | Medicare Advantage-FAC | $23.55 | ↓ -97% |
| Pace SE MI | Medicare Advantage-NONFAC | $23.55 | ↓ -97% |
| Amerihealth Caritas | Dual Products-FAC | $24.29 | ↓ -97% |
| Amerihealth Caritas | Dual Products-NONFAC | $24.29 | ↓ -97% |
| HAP | Medicare Advantage-Physician-FAC | $24.79 | ↓ -97% |
| HAP | HAP Dual Products-FAC | $24.79 | ↓ -97% |
| HAP | Medicare Advantage-FAC | $24.79 | ↓ -97% |
| HAP | Medicare Advantage-Physician-NONFAC | $24.79 | ↓ -97% |
| HAP | HAP Dual Products-NONFAC | $24.79 | ↓ -97% |
| HAP | Medicare Advantage-NONFAC | $24.79 | ↓ -97% |
| Humana | Medicare Advantage-FAC | $24.79 | ↓ -97% |
| McLaren | Medicare Advantage-NONFAC | $24.79 | ↓ -97% |
| McLaren | Medicare Advantage-FAC | $24.79 | ↓ -97% |
| United Healthcare | Medicare Advantage-NONFAC | $24.79 | ↓ -97% |
| United Healthcare | Medicare-Behavioral Health-FAC | $24.79 | ↓ -97% |
| United Healthcare | Medicare Advantage-FAC | $24.79 | ↓ -97% |
| WellCare | Medicare Advantage-NONFAC | $24.79 | ↓ -97% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $24.79 | ↓ -97% |
| WellCare | Medicare Advantage-FAC | $24.79 | ↓ -97% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $24.79 | ↓ -97% |
| Aetna | Medicare Advantage-NONFAC | $24.79 | ↓ -97% |
| Aetna | Medicare Advantage-FAC | $24.79 | ↓ -97% |
| Priority Health | Medicare Advantage-NONFAC | $24.79 | ↓ -97% |
| Priority Health | Medicare Advantage-FAC | $24.79 | ↓ -97% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $24.79 | ↓ -97% |
| Trinity Health Plan | Medicare Advantage-FAC | $24.79 | ↓ -97% |
| Molina | Medicare Advantage-NONFAC | $24.79 | ↓ -97% |
| Molina | Dual Product-NONFAC | $24.79 | ↓ -97% |
| Molina | Medicare Advantage-FAC | $24.79 | ↓ -97% |
| Molina | Dual Product-FAC | $24.79 | ↓ -97% |
| Meridian | Ambetter From Meridian-FAC | $24.79 | ↓ -97% |
| Meridian | Ambetter From Meridian-NONFAC | $24.79 | ↓ -97% |
| Blue Cross | Medicare Plus Blue-NONFAC | $24.79 | ↓ -97% |
| Blue Cross | BCN Medicare Advantage -FAC | $24.79 | ↓ -97% |
| Blue Cross | Medicare Plus Blue-FAC | $24.79 | ↓ -97% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $24.79 | ↓ -97% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $24.85 | ↓ -97% |
| Humana | Medicare Advantage-Physician-FAC | $25.10 | ↓ -97% |
| Humana | Medicare Advantage-NONFAC | $25.29 | ↓ -97% |
| HAP | HAP HMO_AHL_Fully-Insured | $28.01 | ↓ -96% |
| Nomi | All Products | $29.25 | ↓ -96% |
| Humana Military | Tricare | $31.32 | ↓ -96% |
| Blue Cross | GM Connected Care | $35.47 | ↓ -95% |
| Aetna | All Products-NONFAC | $37.05 | ↓ -95% |
| Priority Health | All Products | $37.13 | ↓ -95% |
| Blue Cross | BCBSM Commercial | $38.88 | ↓ -95% |
| Blue Cross | BCN Commercial-FAC | $39.41 | ↓ -95% |
| Blue Cross | BCN Commercial-NONFAC | $39.41 | ↓ -95% |
| Priority Health | Priority Cigna | $40.84 | ↓ -95% |
| HAP | HAP HMO_AHL_Fully Insured | $43.11 | ↓ -94% |
| HAP | Self-Funded | $48.00 | ↓ -94% |
| Blue Cross | BCBSM GM Connected Care | $83.11 | ↓ -89% |
| BCN | HMO | $86.09 | ↓ -89% |
| Blue Cross | BCN Commercial | $86.09 | ↓ -89% |
| Aetna | Commercial | $92.94 | ↓ -88% |
| WellCare | Medicare Advantage | $101.57 | ↓ -86% |
| Priority Health | Commercial | $117.88 | ↓ -84% |
| Molina | Dual MI Coordinated Health | $118.80 | ↓ -84% |
| Amerihealth Caritas | Dual Products | $158.40 | ↓ -79% |
| United Healthcare | UHC Commercial | $182.03 | ↓ -76% |
| Vitalcore | All Products | $198.00 | ↓ -74% |
| Multiplan | All Products | $242.22 | ↓ -68% |
| Cofinity | Commercial | $259.47 | ↓ -65% |
| United Healthcare | Baseline Benefit Plan | $267.54 | ↓ -64% |
| McLaren | Medicaid HMO | $291.96 | ↓ -61% |
| Priority Health | Medicaid HMO | $291.96 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $291.96 | ↓ -61% |
| Meridian | Medicaid HMO | $291.96 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $297.80 | ↓ -60% |
| Molina | Medicaid HMO | $307.51 | ↓ -59% |
| HAP | Medicare Advantage | $367.00 | ↓ -51% |
| Meridian | Ambetter From Meridian | $367.00 | ↓ -51% |
| HAP | Henry Ford Select -HPN commercial | $367.00 | ↓ -51% |
| Humana | Medicare Advantage | $367.00 | ↓ -51% |
| Pace SE MI | Medicare Advantage | $517.23 | ↓ -31% |
| HAP | HAP Dual Products | $537.21 | ↓ -28% |
| McLaren | Medicare Advantage | $544.45 | ↓ -28% |
| Blue Cross | BCN Advantage | $544.45 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $544.45 | ↓ -28% |
| Aetna | Medicare Advantage | $544.45 | ↓ -28% |
| United Healthcare | VACCN | $544.45 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $544.45 | ↓ -28% |
| Priority Health | Medicare Advantage | $544.45 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $544.45 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $544.45 | ↓ -28% |
| Aetna | Dual Products | $598.90 | ↓ -20% |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | 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-RN | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $955.00 | $544.45 – $980.01 |
| Corewell Health Gerber | Fremont | $955.00 | not published |
| Corewell Health Lakeland Watervliet | Watervliet | $684.00 | $550.35 – $825.52 |
| Corewell Health Lakeland St. Joseph | St Joseph | $684.00 | $90.04 – $816.68 |
| Corewell Health Butterworth Hospital | Grand Rapids | $860.00 | $195.93 – $980.01 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $860.00 | $195.93 – $980.01 |
| Corewell Health Reed City | Po Box 75 | $955.00 | not published |
| Corewell Health Greenville | Greenville | $955.00 | $544.45 – $980.01 |