Ins pm gen exist dual lead at Corewell Health Gerber
212 S Sullivan St, Fremont, MI · Corewell Health · · NPI 1063836963
not published by hospital
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.
not published by hospital
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.
$48,549.63 with Priority Health vs $71,579.58 with Priority Health — 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 |
|---|---|---|---|
| Priority Health | Narrow Network Exchange | $48,549.63 | — |
| Priority Health | Tiered Network Hmo/Ppo | $53,435.71 | — |
| Priority Health | Core Network Hmo/Ppo | $62,243.11 | — |
| Priority Health | Cigna Hmo/Ppo | $71,579.58 | — |
Visitor-reported prices
Comments
Ins pm gen exist dual lead at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $30,585.75 | $212.36 – $23,949.82 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $30,585.75 | $212.36 – $50,976.26 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $30,585.75 | $212.36 – $23,949.82 |
| Henry Ford Macomb Hospital | Clinton Twp | $30,585.75 | $212.36 – $50,976.26 |
| Henry Ford Providence Novi Hospital | Novi | $9,041.20 | $464.87 – $38,752.78 |
| Henry Ford St John Hospital | Detroit | $33,746.16 | $11,535.20 – $43,387.92 |
| Henry Ford Warren Hospital | Warren | $31,488.80 | $11,535.20 – $40,485.60 |
| Corewell Health Big Rapids | Big Rapids | not published | $22,163.59 – $48,549.63 |