healthcosts.net
Established Patient Office Visit (level 5) at Corewell Health Troy
44201 Dequindre Road, Troy, MI · Corewell Health · · NPI 1306825997
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.
$104.87 with Priority Health vs $536.08 with Bcbs — 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 |
|---|---|---|---|
| Priority Health | Cigna Other Commercial Plan | $104.87 | — |
| Priority Health | Exchange | $104.87 | — |
| Priority Health | Hmo/Ppo | $104.87 | — |
| Health Alliance Plan | Ahlic Ppo | $206.55 | — |
| Health Alliance Plan | Exchange | $206.55 | — |
| Health Alliance Plan | Hmo | $206.55 | — |
| Bcbs | All Commercial Plans | $536.08 | — |
| Bcbs | Exchange | $536.08 | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Macomb Hospital | Clinton Twp | $178.74 | $0.01 – $181.33 |
| 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 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $91.63 – $91.63 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $91.63 – $91.63 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $104.87 – $318.08 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $204.84 – $204.84 |