Established Patient Office Visit (level 5) at Henry Ford Rochester Hospital
1101 W. University Dr, Rochester, MI · Henry Ford Health · · NPI 1437176203
$250.04
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.
$532.00
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.
$61.00 with BEACON HEALTH OPTIONS vs $222.00 with HAP — 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 |
|---|---|---|---|
| BEACON HEALTH OPTIONS | 166_BEACON HEALTH OPTIONS 03012015 | $61.00 | ↓ -76% |
| MEDICARE | 5_MEDICARE | $110.95 | ↓ -56% |
| BLUE CROSS BLUE SHIELD HPN 20250701 | 1111_BLUE CROSS BLUE SHIELD HPN 20250701 | $132.26 | ↓ -47% |
| PRIORITY | 3_PRIORITY | $137.27 | ↓ -45% |
| BEACON | 6_BEACON | $139.43 | ↓ -44% |
| BLUE CROSS PPO | 1113_BLUE CROSS BLUE SHIELD PPO 20250701 | $141.91 | ↓ -43% |
| BLUE CARE NETWORK | 1112_BLUE CROSS BLUE SHIELD BCN 20250701 | $141.91 | ↓ -43% |
| BLUE CROSS TRAD | 1114_BLUE CROSS BLUE SHIELD TRAD 20250701 | $141.91 | ↓ -43% |
| HAP | 4_HAP | $145.00 | ↓ -42% |
| BCN | 2_BCN | $145.51 | ↓ -42% |
| HAP | 1064_HEALTH ALLIANCE PLAN 20241001 | $222.00 | ↓ -11% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $178.74 | $0.01 – $181.33 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $178.74 | $0.01 – $181.33 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $178.74 | $0.01 – $181.33 |
| Henry Ford Macomb Hospital | Clinton Twp | $178.74 | $0.01 – $181.33 |
| Henry Ford Providence Novi Hospital | Novi | $165.76 | $42.25 – $198.19 |
| Henry Ford St John Hospital | Detroit | $117.60 | $161.18 – $168.10 |
| Henry Ford Genesys Hospital | Grand Blanc Twp | $171.78 | $102.62 – $302.17 |
| Henry Ford Warren Hospital | Warren | $117.60 | $161.18 – $168.10 |