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Tonsillectomy (age 12+) at Corewell Health Gross Pointe
468 Cadieux Rd, Grosse Pointe, MI · Corewell Health · · NPI 1932396017
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.
$368.18 with Health Alliance Plan vs $4,461.70 with Longevity 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 |
|---|---|---|---|
| Health Alliance Plan | Ahlic Ppo | $368.18 | — |
| Health Alliance Plan | Exchange | $368.18 | — |
| Health Alliance Plan | Hmo | $368.18 | — |
| Bcbs | All Commercial Plans | $529.66 | — |
| Bcbs | Exchange | $529.66 | — |
| Priority Health | Cigna Other Commercial Plan | $3,066.67 | — |
| Priority Health | Exchange | $3,066.67 | — |
| Priority Health | Hmo/Ppo | $3,066.67 | — |
| Amerihealth | Three Rivers Medicare Managed Care Plan | $3,073.61 | — |
| Aetna | Medicare Managed Care Plan | $3,304.96 | — |
| Zing Healthcare | Medicare Managed Care Plan | $3,602.41 | — |
| Align Senior Care | Medicare Managed Care Plan | $4,296.45 | — |
| Longevity Health | Plan Of Michigan Medicare Managed Care Plan | $4,461.70 | — |
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 Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $4,558.89 | $147.61 – $6,213.11 |
| 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 |