healthcosts.net
Tonsillectomy (age 12+) at Henry Ford Hospital
2799 West Grand Blvd, Detroit MI 48202 | 19401 Hubbard Dr., MI · Henry Ford Health · · NPI 1134144801
$4,558.89
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.
$810.00
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.
$147.61 with United Healthcare vs $7,598.14 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-Adult-FAC | $147.61 | ↓ -97% |
| HAP | HAP Caresource Medicaid-FAC | $147.61 | ↓ -97% |
| Meridian | Medicaid HMO-Adult-FAC | $147.61 | ↓ -97% |
| McLaren | Medicaid HMO-Child-FAC | $147.61 | ↓ -97% |
| McLaren | Medicaid HMO-Adult-FAC | $147.61 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $147.61 | ↓ -97% |
| Blue Cross | Blue Cross Complete-Adult-FAC | $147.61 | ↓ -97% |
| Blue Cross | Blue Cross Complete-Child-FAC | $147.61 | ↓ -97% |
| Meridian | Medicaid HMO-Child-FAC | $147.61 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $150.56 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $150.56 | ↓ -97% |
| Molina | Medicaid HMO-Adult-FAC | $153.51 | ↓ -97% |
| Molina | Medicaid HMO-Child-FAC | $153.51 | ↓ -97% |
| Priority Health | Medicaid HMO-Child-FAC | $154.99 | ↓ -97% |
| Priority Health | Medicaid HMO-Adult-FAC | $154.99 | ↓ -97% |
| ScriptGuideRX | All Products | $191.89 | ↓ -96% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $203.02 | ↓ -96% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $203.02 | ↓ -96% |
| Humana Military | Tricare-NonPhysician-NONFAC | $205.78 | ↓ -95% |
| Humana Military | Tricare-NonPhysician-FAC | $205.78 | ↓ -95% |
| Humana | Medicare Advantage-NP-FAC | $225.91 | ↓ -95% |
| Humana | Medicare Advantage-Physician-NONFAC | $225.91 | ↓ -95% |
| Humana | Medicare Advantage-NP-NONFAC | $225.91 | ↓ -95% |
| Pace SE MI | Medicare Advantage-FAC | $226.91 | ↓ -95% |
| Pace SE MI | Medicare Advantage-NONFAC | $226.91 | ↓ -95% |
| Amerihealth Caritas | Dual Products-FAC | $234.07 | ↓ -95% |
| Amerihealth Caritas | Dual Products-NONFAC | $234.07 | ↓ -95% |
| Blue Cross | Medicare Plus Blue-FAC | $238.85 | ↓ -95% |
| United Healthcare | Medicare-Behavioral Health-FAC | $238.85 | ↓ -95% |
| Meridian | Ambetter From Meridian-FAC | $238.85 | ↓ -95% |
| Blue Cross | Medicare Plus Blue-NONFAC | $238.85 | ↓ -95% |
| HAP | Medicare Advantage-FAC | $238.85 | ↓ -95% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $238.85 | ↓ -95% |
| Aetna | Medicare Advantage-NONFAC | $238.85 | ↓ -95% |
| WellCare | Medicare Advantage-FAC | $238.85 | ↓ -95% |
| HAP | HAP Dual Products-FAC | $238.85 | ↓ -95% |
| Molina | Medicare Advantage-NONFAC | $238.85 | ↓ -95% |
| HAP | HAP Dual Products-NONFAC | $238.85 | ↓ -95% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $238.85 | ↓ -95% |
| McLaren | Medicare Advantage-FAC | $238.85 | ↓ -95% |
| WellCare | Medicare Advantage-NONFAC | $238.85 | ↓ -95% |
| Priority Health | Medicare Advantage-FAC | $238.85 | ↓ -95% |
| Molina | Medicare Advantage-FAC | $238.85 | ↓ -95% |
| Priority Health | Medicare Advantage-NONFAC | $238.85 | ↓ -95% |
| HAP | Medicare Advantage-Physician-NONFAC | $238.85 | ↓ -95% |
| Blue Cross | BCN Medicare Advantage -FAC | $238.85 | ↓ -95% |
| HAP | Medicare Advantage-NONFAC | $238.85 | ↓ -95% |
| McLaren | Medicare Advantage-NONFAC | $238.85 | ↓ -95% |
| Trinity Health Plan | Medicare Advantage-FAC | $238.85 | ↓ -95% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $238.85 | ↓ -95% |
| Meridian | Ambetter From Meridian-NONFAC | $238.85 | ↓ -95% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $238.85 | ↓ -95% |
| Blue Cross | Blue Cross Complete-Adult-NONFAC | $238.85 | ↓ -95% |
| Aetna | Medicare Advantage-FAC | $238.85 | ↓ -95% |
| Molina | Dual Product-NONFAC | $238.85 | ↓ -95% |
| United Healthcare | Medicare Advantage-NONFAC | $238.85 | ↓ -95% |
| Molina | Dual Product-FAC | $238.85 | ↓ -95% |
| United Healthcare | Medicare Advantage-FAC | $238.85 | ↓ -95% |
| HAP | Medicare Advantage-Physician-FAC | $238.85 | ↓ -95% |
| Humana Military | Tricare-Physician-NONFAC | $242.09 | ↓ -95% |
| Humana Military | Tricare | $242.09 | ↓ -95% |
| Humana Military | Tricare-Physician-FAC | $242.09 | ↓ -95% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $263.14 | ↓ -94% |
| Humana | Medicare Advantage-Physician-FAC | $265.77 | ↓ -94% |
| Vitalcore | All Products-NONFAC | $310.51 | ↓ -93% |
| Blue Cross | Blue Cross Complete-Child-NONFAC | $324.00 | ↓ -93% |
| Nomi | All Products | $334.39 | ↓ -93% |
| HAP | HAP HMO_AHL_Fully-Insured | $347.74 | ↓ -92% |
| Blue Cross | GM Connected Care | $374.84 | ↓ -92% |
| HAP | Self-Funded | $394.85 | ↓ -91% |
| Aetna | All Products-NONFAC | $408.23 | ↓ -91% |
| Aetna | All Products-FAC | $411.49 | ↓ -91% |
| Blue Cross | BCBSM Commercial | $414.36 | ↓ -91% |
| Blue Cross | BCN Commercial-NONFAC | $416.49 | ↓ -91% |
| Blue Cross | BCN Commercial-FAC | $416.49 | ↓ -91% |
| HAP | HAP HMO_AHL_Fully Insured | $434.54 | ↓ -90% |
| Priority Health | All Products | $474.49 | ↓ -90% |
| Cofinity | All Products | $511.58 | ↓ -89% |
| Priority Health | Priority Cigna | $521.94 | ↓ -89% |
| United Healthcare | All Products-Midlevel | $558.36 | ↓ -88% |
| United Healthcare | All Products-Prof | $730.63 | ↓ -84% |
| Blue Cross | Blue Cross Complete | $1,771.54 | ↓ -61% |
| Meridian | Medicaid HMO | $1,771.54 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $1,771.54 | ↓ -61% |
| McLaren | Medicaid HMO | $1,771.54 | ↓ -61% |
| Priority Health | Medicaid HMO | $1,771.54 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $1,806.97 | ↓ -60% |
| Molina | Medicaid HMO | $1,865.84 | ↓ -59% |
| Pace SE MI | Medicare Advantage | $3,138.36 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $3,237.47 | ↓ -29% |
| United Healthcare | Erickson Advantage | $3,303.54 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $3,303.54 | ↓ -28% |
| McLaren | Medicare Advantage | $3,303.54 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $3,303.54 | ↓ -28% |
| HAP | HAP Dual Products | $3,303.54 | ↓ -28% |
| HAP | Medicare Advantage | $3,303.54 | ↓ -28% |
| United Healthcare | VACCN | $3,303.54 | ↓ -28% |
| Priority Health | Medicare Advantage | $3,303.54 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $3,303.54 | ↓ -28% |
| WellCare | Medicare Advantage | $3,303.54 | ↓ -28% |
| Aetna | Medicare Advantage | $3,303.54 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $3,303.54 | ↓ -28% |
| Blue Cross | BCN Advantage | $3,303.54 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $3,303.54 | ↓ -28% |
| Humana | Medicare Advantage | $3,336.57 | ↓ -27% |
| Aetna | Dual Products | $3,633.89 | ↓ -20% |
| Priority Health | Commercial | $3,710.23 | ↓ -19% |
| HAP | Henry Ford Select -HPN commercial | $3,964.24 | ↓ -13% |
| Meridian | Ambetter From Meridian | $4,459.78 | ↓ -2% |
| Blue Cross | BCBSM GM Connected Care | $4,500.38 | ↓ -1% |
| BCN | HMO | $6,213.11 | ↑ +36% |
| Blue Cross | BCN Commercial | $6,213.11 | ↑ +36% |
| United Healthcare | UHC Commercial | $7,103.00 | ↑ +56% |
| Vitalcore | All Products | $7,598.14 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
Visitor-reported prices
Comments
Tonsillectomy (age 12+) at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Macomb Hospital | Clinton Twp | $4,558.89 | $147.61 – $7,598.14 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $4,558.89 | $147.61 – $7,598.14 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $4,558.89 | $147.61 – $4,634.57 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $2,258.70 – $5,946.37 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $2,258.70 – $5,946.37 |
| Corewell Health Reed City | Po Box 75 | not published | $2,609.41 – $2,609.41 |
| Corewell Health Greenville | Greenville | not published | $2,035.34 – $5,946.37 |
| Corewell Health Zeeland | Zeeland | not published | $2,035.34 – $5,946.37 |