Aco cmplx chron care without pt visit, 60 min 99487aco at Henry Ford Providence Novi Hospital
47601 Grand River Ave, Novi, MI · Henry Ford Health · · NPI 1144210253
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.
$91.30 with TOTAL HEALTH CARE vs $217.24 with SMART 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 |
|---|---|---|---|
| TOTAL HEALTH CARE | 1246_SJPK,SJPR MEDICAID REPLACEMENT TOTAL HEALTH CARE OUTPATIENT 20250101 | $91.30 | — |
| BLUE CAID MICHIGAN | 1266_SJPK,SJPR MEDICAID REPLACEMENT BLUE CAID OF MICHIGAN OUTPATIENT 20250101 | $91.30 | — |
| GREAT LAKES- UHC COMMUNITY PLAN | 1247_SJPK,SJPR MEDICAID REPLACEMENT GREAT LAKES HEALTH PLAN OUTPATIENT 20250101 | $91.30 | — |
| JVHL - MEDICAID REPLACEMENT | 1245_SJPK,SJPR MEDICAID REPLACEMENT HMO JVHL OUTPATIENT 20250101 | $91.30 | — |
| MOLINA HEALTH | 1264_SJPK,SJPR MEDICAID REPLACEMENT MOLINA HEALTH OUTPATIENT 20250101 | $91.30 | — |
| HARBOR HEALTH MCD | 1240_SJPK MEDICAID REPLEACEMENT HARBOR HEALTH OUTPATIENT 20250101 | $91.30 | — |
| HARBOR HEALTH MCD | 1243_SJPR MEDICAID REPLEACEMENT HARBOR HEALTH OUTPATIENT 20250101 | $91.30 | — |
| HEALTH PLAN OF MI MEDICAID HMO | 1262_SJPK,SJPR MEDICAID REPLACEMENT MERIDIAN HEALTH OUTPATIENT 20250101 | $91.30 | — |
| MEDICAID | 1263_SJPK,SJPR MI MEDICAID OUTPATIENT 20250101 | $91.30 | — |
| MEDICAID REPLACEMENT | 1241_SJPK MEDICAID HMO OUTPATIENT 20250101 | $91.30 | — |
| MEDICAID REPLACEMENT | 1242_SJPR MEDICAID HMO OUTPATIENT 20250101 | $91.30 | — |
| OMNICARE MEDICAID HMO | 1244_SJPR MEDICAID REPLEACEMENT OMNICARE OUTPATIENT HMO 20250101 | $91.30 | — |
| OMNICARE MEDICAID HMO | 1239_SJPK MEDICAID REPLEACEMENT OMNICARE OUTPATIENT HMO 20250101 | $91.30 | — |
| HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $101.61 | — |
| HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $101.61 | — |
| HAP PREFERRED | 1210_SJPK,SJPR HAP PREFERRED 20241001 | $119.80 | — |
| AMERIHEALTH VIP CARE MCR | 1254_SJPK,SJPR MEDICARE ADVANTAGE AMERIHEALTH OUTPATIENT 20250101 | $135.38 | — |
| AMERIHEALTH VIP CARE MCR | 1174_SJPK,SJPR MEDICARE ADVANTAGE AMERIHEALTH INPATIENT 20241001 | $155.85 | — |
| VETERANS CHOICE | 1256_VA OPTUM HEALTH OUTPATIENT 20250101 | $157.42 | — |
| AETNA MEDICARE | 1171_SJPK,SJPR MEDICARE ADVANTAGE AETNA INPATIENT 20241001 | $157.42 | — |
| AETNA MEDICARE | 1255_SJPK,SJPR MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 | $157.42 | — |
| AUTO INSURANCE | 1219_SJPK,SJPR AUTO INSURANCE INPATIENT 20241001 | $157.42 | — |
| AUTO INSURANCE | 1257_SJPK,SJPR AUTO INSURANCE OUTPATIENT 20250101 | $157.42 | — |
| HEALTH PLAN OF MI MEDICAID HMO | 1083_SJPK,SJPR MERIDIAN HEALTH INPATIENT 20211001 | $157.42 | — |
| JVHL - MCR REPLACEMENT | 1180_SJPK,SJPR MEDICARE ADVANTAGE JVHL INPATIENT 20241001 | $157.42 | — |
| JVHL - MCR REPLACEMENT | 1251_SJPK,SJPR MEDICARE ADVANTAGE JVHL OUTPATIENT 20250101 | $157.42 | — |
| JVHL - MEDICAID REPLACEMENT | 1079_SJPK,SJPR MEDICAID HMO JVHL INPATIENT 20211001 | $157.42 | — |
| MCR REPLACEMENT | 1183_SJPK,SJPR MEDICARE ADVANTAGE HMO INPATIENT 20241001 | $157.42 | — |
| MCR REPLACEMENT | 1253_SJPK,SJPR MEDICARE ADVANTAGE HMO OUTPATIENT 20250101 | $157.42 | — |
| VETERANS CHOICE | 1230_VA OPTUM HEALTH INPATIENT 20241001 | $157.42 | — |
| HUMANA MCR | 1177_SJPK,SJPR MEDICARE ADVANTAGE HUMANA INPATIENT 20241001 | $158.99 | — |
| HUMANA MCR | 1252_SJPK,SJPR MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101 | $158.99 | — |
| MERIDIAN WELLCARE | 1189_SJPK,SJPR MEDICARE ADVANTAGE MERIDIAN WELLCARE INPATIENT 20241001 | $165.29 | — |
| MOLINA ADVANTAGE | 1192_SJPK,SJPR MEDICARE ADVANTAGE MOLINA INPATIENT 20241001 | $165.29 | — |
| MOLINA ADVANTAGE | 1249_SJPK,SJPR MEDICARE ADVANTAGE MOLINA OUTPATIENT 20250101 | $165.29 | — |
| MERIDIAN WELLCARE | 1250_SJPK,SJPR MEDICARE ADVANTAGE MERIDIAN WELLCARE OUTPATIENT 20250101 | $165.29 | — |
| MERIDIAN AMBETTER | 1221_SJPK,SJPR MERIDIAN AMBETTER INPATIENT 20241001 | $196.77 | — |
| MOLINA MARKETPLACE | 1259_SJPK,SJPR MOLINA MARKETPLACE OUTPATIENT 20250101 | $196.77 | — |
| MOLINA MARKETPLACE | 1223_SJPK,SJPR MOLINA MARKETPLACE INPATIENT 20241001 | $196.77 | — |
| MERIDIAN AMBETTER | 1258_SJPK,SJPR MERIDIAN AMBETTER OUTPATIENT 20250101 | $196.77 | — |
| SMART HEALTH | 1227_SJPK,SJPR SMART HEALTH INPATIENT 20241001 | $217.24 | — |
| SMART HEALTH | 1261_SJPK,SJPR SMART HEALTH OUTPATIENT 20250101 | $217.24 | — |
Visitor-reported prices
Comments
Aco cmplx chron care without pt visit, 60 min 99487aco at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $244.07 | $50.48 – $187.84 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $244.07 | $50.48 – $406.78 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $244.07 | $50.48 – $114.30 |
| Henry Ford Macomb Hospital | Clinton Twp | $244.07 | $50.48 – $406.78 |
| Henry Ford St John Hospital | Detroit | $103.04 | $101.61 – $299.10 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $178.77 – $268.16 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $0.01 – $265.29 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $68.90 – $318.34 |