Aco cmplx chron care without pt visit, 60 min 99487aco at Henry Ford Warren Hospital
11800 Twelve Mile Rd, Warren, MI · Henry Ford Health · · NPI 1124099858
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.
$101.61 with HAP HMO vs $299.10 with AAA-AUTO INSURANCE — 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 |
|---|---|---|---|
| HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $101.61 | — |
| HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $101.61 | — |
| AHLIC | 2163_AHLIC 20241001 | $101.61 | — |
| HAP PREFERRED | 2172_SJMA HAP PREFERRED (PHP) 20241001 | $101.61 | — |
| HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $101.61 | — |
| MEDICARE PACE | 2278_SJMC SJMA PACE MEDICARE INPATIENT 20251001 | $149.55 | — |
| AMERIHEALTH VIP CARE | 2273_MEDICARE ADVANTAGE AMERIHEALTH VIP CARE INPATIENT 20251001 | $155.85 | — |
| HARBOR ADVANTAGE HMO | 2274_MEDICARE ADVANTAGE HARBOR ADVANTAGE HMO INPATIENT 20251001 | $157.42 | — |
| MEDICARE REPLACEMENT | 2279_MEDICARE ADVANTAGE BLUE CROSS NETWORK CONNECTED CARE HMO INPATIENT 20251001 | $157.42 | — |
| AETNA BETTER HEALTH | 2272_MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT 20251001 | $157.42 | — |
| TRICARE | 480_TRICARE IP 20170101 | $157.42 | — |
| VETERANS CHOICE | 2283_VETERANS CHOICE IP 20251001 | $157.42 | — |
| TRICARE | 2211_TRICARE OP 20250101 | $157.42 | — |
| HUMANA MCR | 2275_MEDICARE ADVANTAGE HUMANA INPATIENT 20251001 | $158.99 | — |
| TOTAL HEALTH CARE | 1957_SJMA MEDICAID REPLACEMENT TOTAL HEALTH CARE INPATIENT 20211001 | $158.99 | — |
| MOLINA HEALTH LINK | 2282_MEDICARE ADVANTAGE MOLINA HEALTH LINK INPATIENT 20251001 | $165.29 | — |
| MERIDIAN WELLCARE | 2210_MEDICARE ADVANTAGE MERIDIAN WELLCARE OUTPATIENT 20250101 | $165.29 | — |
| MERIDIAN WELLCARE | 2280_MEDICARE ADVANTAGE MERIDIAN WELLCARE INPATIENT 20251001 | $165.29 | — |
| MOLINA ADVANTAGE | 2281_MEDICARE ADVANTAGE MOLINA INPATIENT 20251001 | $165.29 | — |
| MCLAREN MEDICARE ADVANTAGE HMO | 2276_MEDICARE ADVANTAGE MCLAREN INPATIENT 20251001 | $165.29 | — |
| MERIDIAN AMBETTER | 2286_MEDICARE ADVANTAGE MERIDIAN AMBETTER INPATIENT 20251001 | $196.77 | — |
| MOLINA MARKET PLACE | 2287_MOLINA MARKETPLACE INPATIENT 20251001 | $196.77 | — |
| SMARTHEALTH | 2284_SMARTHEALTH INPATIENT 20251001 | $220.39 | — |
| AAA-AUTO INSURANCE | 2285_AAA-AUTO INSURANCE INPATIENT 20251001 | $299.10 | — |
| PPOM | 934_PPOM 20191001 | not published by hospital | — |
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 |