Consultation pathology during surgery at Henry Ford Providence Novi Hospital
47601 Grand River Ave, Novi, MI · Henry Ford Health · · NPI 1144210253
$51.52
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.
$92.00
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.
$16.05 with HEALTH PLAN OF MI MEDICAID HMO vs $80.32 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 |
|---|---|---|---|
| HEALTH PLAN OF MI MEDICAID HMO | 1083_SJPK,SJPR MERIDIAN HEALTH INPATIENT 20211001 | $16.05 | ↓ -69% |
| MOLINA HEALTH | 1081_SJPK,SJPR MEDICAID REPLACEMENT MOLINA HEALTH INPATIENT 20211001 | $16.05 | ↓ -69% |
| JVHL - MEDICAID REPLACEMENT | 1245_SJPK,SJPR MEDICAID REPLACEMENT HMO JVHL OUTPATIENT 20250101 | $16.05 | ↓ -69% |
| JVHL - MEDICAID REPLACEMENT | 1079_SJPK,SJPR MEDICAID HMO JVHL INPATIENT 20211001 | $16.05 | ↓ -69% |
| OMNICARE MEDICAID HMO | 1239_SJPK MEDICAID REPLEACEMENT OMNICARE OUTPATIENT HMO 20250101 | $33.76 | ↓ -34% |
| BLUE CAID MICHIGAN | 1266_SJPK,SJPR MEDICAID REPLACEMENT BLUE CAID OF MICHIGAN OUTPATIENT 20250101 | $33.76 | ↓ -34% |
| GREAT LAKES- UHC COMMUNITY PLAN | 1247_SJPK,SJPR MEDICAID REPLACEMENT GREAT LAKES HEALTH PLAN OUTPATIENT 20250101 | $33.76 | ↓ -34% |
| TOTAL HEALTH CARE | 1246_SJPK,SJPR MEDICAID REPLACEMENT TOTAL HEALTH CARE OUTPATIENT 20250101 | $33.76 | ↓ -34% |
| HARBOR HEALTH MCD | 1240_SJPK MEDICAID REPLEACEMENT HARBOR HEALTH OUTPATIENT 20250101 | $33.76 | ↓ -34% |
| HARBOR HEALTH MCD | 1243_SJPR MEDICAID REPLEACEMENT HARBOR HEALTH OUTPATIENT 20250101 | $33.76 | ↓ -34% |
| HEALTH PLAN OF MI MEDICAID HMO | 1262_SJPK,SJPR MEDICAID REPLACEMENT MERIDIAN HEALTH OUTPATIENT 20250101 | $33.76 | ↓ -34% |
| MEDICAID | 1263_SJPK,SJPR MI MEDICAID OUTPATIENT 20250101 | $33.76 | ↓ -34% |
| MEDICAID REPLACEMENT | 1241_SJPK MEDICAID HMO OUTPATIENT 20250101 | $33.76 | ↓ -34% |
| MEDICAID REPLACEMENT | 1242_SJPR MEDICAID HMO OUTPATIENT 20250101 | $33.76 | ↓ -34% |
| OMNICARE MEDICAID HMO | 1244_SJPR MEDICAID REPLEACEMENT OMNICARE OUTPATIENT HMO 20250101 | $33.76 | ↓ -34% |
| MOLINA HEALTH | 1264_SJPK,SJPR MEDICAID REPLACEMENT MOLINA HEALTH OUTPATIENT 20250101 | $33.76 | ↓ -34% |
| PRIORITY PPO | 1105_SJPK,SJPR PRIORITY PPO 20210801 | $38.67 | ↓ -25% |
| PRIORITY HEALTH HMO | 1104_SJPK,SJPR PRIORITY HMO 20210701 | $45.24 | ↓ -12% |
| SMARTHEALTH NON ASSIGNED | 1074_SJPK,SJPR SMART HEALTH NON ASSIGNED 20210201 | $47.61 | ↓ -8% |
| AMERIHEALTH VIP CARE MCR | 1254_SJPK,SJPR MEDICARE ADVANTAGE AMERIHEALTH OUTPATIENT 20250101 | $50.05 | ↓ -3% |
| AETNA | 1203_SJPK,SJPR AETNA PPO 20241001 | $55.42 | ↑ +8% |
| AMERIHEALTH VIP CARE MCR | 1174_SJPK,SJPR MEDICARE ADVANTAGE AMERIHEALTH INPATIENT 20241001 | $57.62 | ↑ +12% |
| AUTO INSURANCE | 1219_SJPK,SJPR AUTO INSURANCE INPATIENT 20241001 | $58.20 | ↑ +13% |
| AUTO INSURANCE | 1257_SJPK,SJPR AUTO INSURANCE OUTPATIENT 20250101 | $58.20 | ↑ +13% |
| AETNA MEDICARE | 1255_SJPK,SJPR MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 | $58.20 | ↑ +13% |
| AETNA MEDICARE | 1171_SJPK,SJPR MEDICARE ADVANTAGE AETNA INPATIENT 20241001 | $58.20 | ↑ +13% |
| VETERANS CHOICE | 1256_VA OPTUM HEALTH OUTPATIENT 20250101 | $58.20 | ↑ +13% |
| VETERANS CHOICE | 1230_VA OPTUM HEALTH INPATIENT 20241001 | $58.20 | ↑ +13% |
| MCR REPLACEMENT | 1183_SJPK,SJPR MEDICARE ADVANTAGE HMO INPATIENT 20241001 | $58.20 | ↑ +13% |
| MCR REPLACEMENT | 1253_SJPK,SJPR MEDICARE ADVANTAGE HMO OUTPATIENT 20250101 | $58.20 | ↑ +13% |
| JVHL - MCR REPLACEMENT | 1251_SJPK,SJPR MEDICARE ADVANTAGE JVHL OUTPATIENT 20250101 | $58.20 | ↑ +13% |
| JVHL - MCR REPLACEMENT | 1180_SJPK,SJPR MEDICARE ADVANTAGE JVHL INPATIENT 20241001 | $58.20 | ↑ +13% |
| HUMANA MCR | 1252_SJPK,SJPR MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101 | $58.78 | ↑ +14% |
| HUMANA MCR | 1177_SJPK,SJPR MEDICARE ADVANTAGE HUMANA INPATIENT 20241001 | $58.78 | ↑ +14% |
| HAP HMO POS | 1217_SJPK,SJPR HAP HMO 20241001 | $59.60 | ↑ +16% |
| HAP ALLIANCE HEALTH | 1212_SJPK,SJPR AHLIC 20241001 | $59.60 | ↑ +16% |
| MERIDIAN WELLCARE | 1250_SJPK,SJPR MEDICARE ADVANTAGE MERIDIAN WELLCARE OUTPATIENT 20250101 | $61.11 | ↑ +19% |
| MERIDIAN WELLCARE | 1189_SJPK,SJPR MEDICARE ADVANTAGE MERIDIAN WELLCARE INPATIENT 20241001 | $61.11 | ↑ +19% |
| MOLINA ADVANTAGE | 1249_SJPK,SJPR MEDICARE ADVANTAGE MOLINA OUTPATIENT 20250101 | $61.11 | ↑ +19% |
| MOLINA ADVANTAGE | 1192_SJPK,SJPR MEDICARE ADVANTAGE MOLINA INPATIENT 20241001 | $61.11 | ↑ +19% |
| HAP PREFERRED | 1210_SJPK,SJPR HAP PREFERRED 20241001 | $70.27 | ↑ +36% |
| MERIDIAN AMBETTER | 1221_SJPK,SJPR MERIDIAN AMBETTER INPATIENT 20241001 | $72.75 | ↑ +41% |
| MOLINA MARKETPLACE | 1259_SJPK,SJPR MOLINA MARKETPLACE OUTPATIENT 20250101 | $72.75 | ↑ +41% |
| MOLINA MARKETPLACE | 1223_SJPK,SJPR MOLINA MARKETPLACE INPATIENT 20241001 | $72.75 | ↑ +41% |
| MERIDIAN AMBETTER | 1258_SJPK,SJPR MERIDIAN AMBETTER OUTPATIENT 20250101 | $72.75 | ↑ +41% |
| SMART HEALTH | 1261_SJPK,SJPR SMART HEALTH OUTPATIENT 20250101 | $80.32 | ↑ +56% |
| SMART HEALTH | 1227_SJPK,SJPR SMART HEALTH INPATIENT 20241001 | $80.32 | ↑ +56% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $89.00 | $32.63 – $105.80 |
| Corewell Health Gerber | Fremont | $89.00 | $32.63 – $32.63 |
| Corewell Health Butterworth Hospital | Grand Rapids | $89.00 | $32.63 – $105.80 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $89.00 | $32.63 – $105.80 |
| Corewell Health Reed City | Po Box 75 | $89.00 | $32.63 – $32.63 |
| Corewell Health Greenville | Greenville | $89.00 | $32.63 – $105.80 |
| Corewell Health Zeeland | Zeeland | $89.00 | $14.85 – $105.80 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $81.12 | $30.74 – $135.19 |