Ins/rpl pm gen exist sgl lead at Corewell Health Royal Oak
3601 W Thirteen Mile Rd, Royal Oak, MI · Corewell Health · · NPI 1689653305
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.
$499.82 with Health Alliance Plan vs $12,644.77 with Priority 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 | Exchange | $499.82 | — |
| Health Alliance Plan | HMO | $499.82 | — |
| Health Alliance Plan | AHLIC PPO | $499.82 | — |
| BCBS | All Commercial Plans | $734.78 | — |
| BCBS | Exchange | $734.78 | — |
| Amerihealth | Three Rivers Medicare Managed Care Plan | $7,668.44 | — |
| Aetna | Medicare Managed Care Plan | $8,245.63 | — |
| Zing | Medicare Managed Care Plan | $8,987.74 | — |
| Align Senior Care | Medicare Managed Care Plan | $10,719.32 | — |
| Longevity Health | Plan of Michigan Medicare Managed Care Plan | $11,131.60 | — |
| Priority Health | Cigna Other Commercial Plan | $12,644.77 | — |
| Priority Health | Exchange | $12,644.77 | — |
| Priority Health | HMO/PPO | $12,644.77 | — |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $11,378.97 | $186.38 – $13,491.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $11,378.97 | $186.38 – $18,964.95 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $11,378.97 | $186.38 – $13,491.00 |
| Henry Ford Macomb Hospital | Clinton Twp | $11,378.97 | $186.38 – $18,964.95 |
| Henry Ford Providence Novi Hospital | Novi | $10,057.60 | $169.39 – $12,823.44 |
| Henry Ford St John Hospital | Detroit | $10,119.76 | $690.51 – $13,011.12 |
| Henry Ford Rochester Hospital | Rochester | $12,450.30 | $16,175.99 – $17,356.21 |
| Henry Ford Warren Hospital | Warren | $10,547.60 | $690.51 – $13,561.20 |