After cataract laser surgery at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$756.27
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.
$1,107.00
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.
$175.51 with United Healthcare vs $2,877.00 with Aetna — 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 |
|---|---|---|---|
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $175.51 | ↓ -77% |
| HAP | HAP Caresource Medicaid-FAC | $175.51 | ↓ -77% |
| Meridian | Medicaid HMO-Child-FAC | $175.51 | ↓ -77% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $175.51 | ↓ -77% |
| McLaren | Medicaid HMO-Child-FAC | $175.51 | ↓ -77% |
| Meridian | Medicaid HMO-Adult-FAC | $175.51 | ↓ -77% |
| McLaren | Medicaid HMO-Adult-FAC | $175.51 | ↓ -77% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $179.02 | ↓ -76% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $179.02 | ↓ -76% |
| Molina | Medicaid HMO-Adult-FAC | $182.53 | ↓ -76% |
| Molina | Medicaid HMO-Child-FAC | $182.53 | ↓ -76% |
| Priority Health | Medicaid HMO-Adult-FAC | $184.29 | ↓ -76% |
| Priority Health | Medicaid HMO-Child-FAC | $184.29 | ↓ -76% |
| ScriptGuideRX | All Products | $187.32 | ↓ -75% |
| HAP | HAP Caresource Medicaid-NONFAC | $213.85 | ↓ -72% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $213.85 | ↓ -72% |
| McLaren | Medicaid HMO-Adult-NONFAC | $213.85 | ↓ -72% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $213.85 | ↓ -72% |
| Meridian | Medicaid HMO-Child-NONFAC | $213.85 | ↓ -72% |
| Meridian | Medicaid HMO-Adult-NONFAC | $213.85 | ↓ -72% |
| McLaren | Medicaid HMO-Child-NONFAC | $213.85 | ↓ -72% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $218.13 | ↓ -71% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $218.13 | ↓ -71% |
| Molina | Medicaid HMO-Child-NONFAC | $222.40 | ↓ -71% |
| Priority Health | Medicaid HMO-Child-NONFAC | $224.54 | ↓ -70% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $224.54 | ↓ -70% |
| Molina | Medicaid HMO-Adult-NONFAC | $227.85 | ↓ -70% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $234.18 | ↓ -69% |
| Humana Military | Tricare-NonPhysician-FAC | $236.56 | ↓ -69% |
| Pace SE MI | Medicare Advantage-FAC | $261.73 | ↓ -65% |
| Amerihealth Caritas | Dual Products-FAC | $269.99 | ↓ -64% |
| Meridian | Ambetter From Meridian-FAC | $275.50 | ↓ -64% |
| United Healthcare | Medicare Advantage-FAC | $275.50 | ↓ -64% |
| Molina | Medicare Advantage-FAC | $275.50 | ↓ -64% |
| HAP | Medicare Advantage-FAC | $275.50 | ↓ -64% |
| Blue Cross | BCN Medicare Advantage -FAC | $275.50 | ↓ -64% |
| Trinity Health Plan | Medicare Advantage-FAC | $275.50 | ↓ -64% |
| Priority Health | Medicare Advantage-FAC | $275.50 | ↓ -64% |
| Blue Cross | Medicare Plus Blue-FAC | $275.50 | ↓ -64% |
| Molina | Dual Product-FAC | $275.50 | ↓ -64% |
| McLaren | Medicare Advantage-FAC | $275.50 | ↓ -64% |
| HAP | HAP Dual Products-FAC | $275.50 | ↓ -64% |
| United Healthcare | Medicare-Behavioral Health-FAC | $275.50 | ↓ -64% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $275.50 | ↓ -64% |
| Humana | Medicare Advantage-FAC | $275.50 | ↓ -64% |
| WellCare | Medicare Advantage-FAC | $275.50 | ↓ -64% |
| Aetna | Medicare Advantage-FAC | $275.50 | ↓ -64% |
| HAP | Medicare Advantage-Physician-FAC | $275.50 | ↓ -64% |
| Humana Military | Tricare-Physician-FAC | $278.30 | ↓ -63% |
| Humana Military | Tricare | $278.30 | ↓ -63% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $283.49 | ↓ -63% |
| McLaren | Medicaid HMO | $293.88 | ↓ -61% |
| Meridian | Medicaid HMO | $293.88 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $293.88 | ↓ -61% |
| Priority Health | Medicaid HMO | $293.88 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $299.76 | ↓ -60% |
| Humana | Medicare Advantage-Physician-FAC | $305.53 | ↓ -60% |
| United Healthcare | All Products-Midlevel | $308.59 | ↓ -59% |
| United Healthcare | All Products-Prof | $308.59 | ↓ -59% |
| Molina | Medicaid HMO | $309.52 | ↓ -59% |
| Pace SE MI | Medicare Advantage-NONFAC | $316.84 | ↓ -58% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $323.23 | ↓ -57% |
| Amerihealth Caritas | Dual Products-NONFAC | $326.85 | ↓ -57% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $333.52 | ↓ -56% |
| Aetna | Medicare Advantage-NONFAC | $333.52 | ↓ -56% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $333.52 | ↓ -56% |
| Blue Cross | Medicare Plus Blue-NONFAC | $333.52 | ↓ -56% |
| HAP | HAP Dual Products-NONFAC | $333.52 | ↓ -56% |
| HAP | Medicare Advantage-NONFAC | $333.52 | ↓ -56% |
| HAP | Medicare Advantage-Physician-NONFAC | $333.52 | ↓ -56% |
| McLaren | Medicare Advantage-NONFAC | $333.52 | ↓ -56% |
| Meridian | Ambetter From Meridian-NONFAC | $333.52 | ↓ -56% |
| Molina | Dual Product-NONFAC | $333.52 | ↓ -56% |
| Molina | Medicare Advantage-NONFAC | $333.52 | ↓ -56% |
| Priority Health | Medicare Advantage-NONFAC | $333.52 | ↓ -56% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $333.52 | ↓ -56% |
| United Healthcare | Medicare Advantage-NONFAC | $333.52 | ↓ -56% |
| WellCare | Medicare Advantage-NONFAC | $333.52 | ↓ -56% |
| Humana | Medicare Advantage-NONFAC | $340.19 | ↓ -55% |
| Nomi | All Products | $385.70 | ↓ -49% |
| HAP | HAP HMO_AHL_Fully-Insured | $436.44 | ↓ -42% |
| Blue Cross | GM Connected Care | $442.91 | ↓ -41% |
| Blue Cross | BCN Commercial-FAC | $492.12 | ↓ -35% |
| HAP | Self-Funded | $509.66 | ↓ -33% |
| Pace SE MI | Medicare Advantage | $520.62 | ↓ -31% |
| HAP | HAP HMO_AHL_Fully Insured | $522.61 | ↓ -31% |
| Blue Cross | BCN Commercial-NONFAC | $526.74 | ↓ -30% |
| Blue Cross | BCBSM Commercial | $531.53 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $537.06 | ↓ -29% |
| HAP | HAP Dual Products | $537.51 | ↓ -29% |
| Priority Health | All Products | $538.97 | ↓ -29% |
| Molina | Dual MI Coordinated Health | $548.02 | ↓ -28% |
| HAP | Medicare Advantage | $548.02 | ↓ -28% |
| McLaren | Medicare Advantage | $548.02 | ↓ -28% |
| WellCare | Medicare Advantage | $548.02 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $548.02 | ↓ -28% |
| Blue Cross | BCN Advantage | $548.02 | ↓ -28% |
| United Healthcare | VACCN | $548.02 | ↓ -28% |
| Priority Health | Medicare Advantage | $548.02 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $548.02 | ↓ -28% |
| Aetna | Medicare Advantage | $548.02 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $548.02 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $548.02 | ↓ -28% |
| United Healthcare | UHC Commercial | $549.07 | ↓ -27% |
| Humana | Medicare Advantage | $553.50 | ↓ -27% |
| Aetna | All Products-NONFAC | $554.80 | ↓ -27% |
| Priority Health | Priority Cigna | $592.87 | ↓ -22% |
| Aetna | Dual Products | $602.82 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $657.62 | ↓ -13% |
| Multiplan | All Products | $730.62 | ↓ -3% |
| Meridian | Ambetter From Meridian | $739.83 | ↓ -2% |
| Cofinity | Commercial | $782.65 | ↑ +3% |
| United Healthcare | Baseline Benefit Plan | $807.00 | ↑ +7% |
| Blue Cross | BCBSM GM Connected Care | $835.55 | ↑ +10% |
| Blue Cross | BCN Commercial | $856.09 | ↑ +13% |
| BCN | HMO | $856.09 | ↑ +13% |
| Priority Health | Commercial | $900.74 | ↑ +19% |
| Vitalcore | All Products | $1,260.45 | ↑ +67% |
| Aetna | Commercial | $2,877.00 | ↑ +280% |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
Visitor-reported prices
Comments
After cataract laser surgery at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $1,518.00 | $548.02 – $986.44 |
| Corewell Health Gerber | Fremont | $1,518.00 | $797.53 – $797.53 |
| Corewell Health Butterworth Hospital | Grand Rapids | $1,687.00 | $454.73 – $986.44 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $1,687.00 | $454.73 – $986.44 |
| Corewell Health Reed City | Po Box 75 | $1,518.00 | not published |
| Corewell Health Greenville | Greenville | $1,518.00 | $548.02 – $986.44 |
| Corewell Health Zeeland | Zeeland | $1,518.00 | $548.02 – $986.44 |
| Corewell Health Gross Pointe | Grosse Pointe | $1,910.00 | $462.10 – $740.15 |