Aco cmplx chron care without pt visit, 60 min 99487aco at Henry Ford Rochester Hospital
1101 W. University Dr, Rochester, MI · Henry Ford Health · · NPI 1437176203
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.
$85.01 with MEDICAID vs $299.10 with MVA — 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 |
|---|---|---|---|
| MEDICAID | 1130_MI MEDICAID OUTPATIENT 20250701 | $85.01 | — |
| MOLINA MEDICAID | 1128_MEDICAID REPLACEMENT MOLINA OUTPATIENT 20250701 | $85.01 | — |
| MEDICAID REPLACEMENT | 1132_MICHIGAN MEDICAID REPLACEMENT OUTPATIENT 20250701 | $85.01 | — |
| BLUECAID | 1131_MICHIGAN MEDICAID REPLACEMENT BLUECAID OUTPATIENT 20250701 | $85.01 | — |
| TOTAL HEALTH CARE HMO | 1129_MEDICAID REPLACEMENT TOTAL HEALTH CARE HMO OUTPATIENT 20250701 | $85.01 | — |
| SMARTHEALTH | 1134_SMART HEALTH INPATIENT 20251001 | $140.10 | — |
| SMARTHEALTH | 1090_SMART HEALTH OUTPATIENT 20250101 | $140.10 | — |
| HUMANA MEDICARE ADVANTAGE | 1137_MEDICARE ADVANTAGE HUMANA CHOICECARE INPATIENT 20251001 | $157.42 | — |
| PRIORITY HEALTH ADVANTAGE (MCR) | 1088_MEDICARE ADVANTAGE PRIORITY HEALTH OUTPATIENT 20250101 | $157.42 | — |
| HAP SENIOR PLUS | 1083_MEDICARE ADVANTAGE HAP SENIOR PLUS OUTPATIENT 20250101 | $157.42 | — |
| MEDICARE ADVANTAGE | 1086_MEDICARE ADVANTAGE OUTPATIENT 20250101 | $157.42 | — |
| MEDICARE ADVANTAGE | 1139_MEDICARE ADVANTAGE INPATIENT 20251001 | $157.42 | — |
| MEDICARE PLUS BLUE | 1087_MEDICARE ADVANTAGE PLUS BLUE OUTPATIENT 20250101 | $157.42 | — |
| MEDICARE PLUS BLUE | 1142_MEDICARE ADVANTAGE PLUS BLUE INPATIENT 20251001 | $157.42 | — |
| HUMANA | 469_HUMANA OUTPATIENT 20200101 | $157.42 | — |
| HUMANA MEDICARE ADVANTAGE | 1084_MEDICARE ADVANTAGE HUMANA CHOICECARE OUTPATIENT 20250101 | $157.42 | — |
| BLUE CROSS ADV | 1082_MEDICARE ADVANTAGE BLUE CROSS NETWORK OUTPATIENT 20250101 | $157.42 | — |
| BLUE CROSS ADV | 1135_MEDICARE ADVANTAGE BLUE CROSS NETWORK INPATIENT 20251001 | $157.42 | — |
| PRIORITY HEALTH ADVANTAGE (MCR) | 1140_MEDICARE ADVANTAGE PRIORITY HEALTH INPATIENT 20251001 | $157.42 | — |
| - NONE - | 985_ZING HEALTH MEDICARE ADVANTAGE OUTPATIENT 20231013 | $165.29 | — |
| MOLINA MEDICARE | 1141_MEDICARE ADVANTAGE MOLINA INPATIENT 20251001 | $165.29 | — |
| MOLINA MEDICARE | 1085_MEDICARE ADVANTAGE MOLINA OUTPATIENT 20250101 | $165.29 | — |
| MERIDIAN HEALTH PLAN | 1143_MERIDIAN AMBETTER INPATIENT 20251001 | $196.77 | — |
| MERIDIAN HEALTH PLAN | 1089_MERIDIAN AMBETTER OUTPATIENT 20250101 | $196.77 | — |
| MVA | 1133_MEDICARE ADVANTAGE MVA AUTO INPATIENT 20251001 | $299.10 | — |
| MVA | 1075_MEDICARE ADVANTAGE MVA AUTO OUTPATIENT 20250101 | $299.10 | — |
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 |