Biopsy eyelid & lid margin at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$436.44
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.
$357.00
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.
$35.15 with United Healthcare vs $2,056.00 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 | $35.15 | ↓ -92% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $35.15 | ↓ -92% |
| Meridian | Medicaid HMO-Adult-FAC | $35.15 | ↓ -92% |
| Meridian | Medicaid HMO-Child-FAC | $35.15 | ↓ -92% |
| McLaren | Medicaid HMO-Adult-FAC | $35.15 | ↓ -92% |
| McLaren | Medicaid HMO-Child-FAC | $35.15 | ↓ -92% |
| HAP | HAP Caresource Medicaid-FAC | $35.15 | ↓ -92% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $35.85 | ↓ -92% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $35.85 | ↓ -92% |
| Molina | Medicaid HMO-Child-FAC | $36.56 | ↓ -92% |
| Molina | Medicaid HMO-Adult-FAC | $36.56 | ↓ -92% |
| Priority Health | Medicaid HMO-Adult-FAC | $36.91 | ↓ -92% |
| Priority Health | Medicaid HMO-Child-FAC | $36.91 | ↓ -92% |
| ScriptGuideRX | All Products | $38.88 | ↓ -91% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $48.60 | ↓ -89% |
| Humana Military | Tricare-NonPhysician-FAC | $53.61 | ↓ -88% |
| Pace SE MI | Medicare Advantage-FAC | $54.32 | ↓ -88% |
| Amerihealth Caritas | Dual Products-FAC | $56.04 | ↓ -87% |
| Priority Health | Medicare Advantage-FAC | $57.18 | ↓ -87% |
| HAP | Medicare Advantage-Physician-FAC | $57.18 | ↓ -87% |
| Humana | Medicare Advantage-FAC | $57.18 | ↓ -87% |
| Aetna | Medicare Advantage-FAC | $57.18 | ↓ -87% |
| Molina | Medicare Advantage-FAC | $57.18 | ↓ -87% |
| WellCare | Medicare Advantage-FAC | $57.18 | ↓ -87% |
| Molina | Dual Product-FAC | $57.18 | ↓ -87% |
| Trinity Health Plan | Medicare Advantage-FAC | $57.18 | ↓ -87% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $57.18 | ↓ -87% |
| United Healthcare | Medicare-Behavioral Health-FAC | $57.18 | ↓ -87% |
| Blue Cross | BCN Medicare Advantage -FAC | $57.18 | ↓ -87% |
| Meridian | Ambetter From Meridian-FAC | $57.18 | ↓ -87% |
| McLaren | Medicare Advantage-FAC | $57.18 | ↓ -87% |
| Blue Cross | Medicare Plus Blue-FAC | $57.18 | ↓ -87% |
| United Healthcare | Medicare Advantage-FAC | $57.18 | ↓ -87% |
| HAP | HAP Dual Products-FAC | $57.18 | ↓ -87% |
| HAP | Medicare Advantage-FAC | $57.18 | ↓ -87% |
| Humana Military | Tricare | $63.08 | ↓ -86% |
| Humana Military | Tricare-Physician-FAC | $63.08 | ↓ -86% |
| United Healthcare | All Products-Midlevel | $68.86 | ↓ -84% |
| United Healthcare | All Products-Prof | $68.86 | ↓ -84% |
| Humana | Medicare Advantage-Physician-FAC | $69.24 | ↓ -84% |
| Nomi | All Products | $80.05 | ↓ -82% |
| Blue Cross | GM Connected Care | $97.79 | ↓ -78% |
| Blue Cross | BCN Commercial-FAC | $108.65 | ↓ -75% |
| McLaren | Medicaid HMO-Adult-NONFAC | $115.45 | ↓ -74% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $115.45 | ↓ -74% |
| HAP | HAP Caresource Medicaid-NONFAC | $115.45 | ↓ -74% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $115.45 | ↓ -74% |
| McLaren | Medicaid HMO-Child-NONFAC | $115.45 | ↓ -74% |
| Meridian | Medicaid HMO-Adult-NONFAC | $115.45 | ↓ -74% |
| Meridian | Medicaid HMO-Child-NONFAC | $115.45 | ↓ -74% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $117.76 | ↓ -73% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $117.76 | ↓ -73% |
| Priority Health | All Products | $119.00 | ↓ -73% |
| Molina | Medicaid HMO-Child-NONFAC | $120.07 | ↓ -72% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $121.22 | ↓ -72% |
| Priority Health | Medicaid HMO-Child-NONFAC | $121.22 | ↓ -72% |
| Molina | Medicaid HMO-Adult-NONFAC | $124.63 | ↓ -71% |
| Priority Health | Priority Cigna | $130.90 | ↓ -70% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $151.89 | ↓ -65% |
| HAP | Self-Funded | $168.18 | ↓ -61% |
| HAP | HAP HMO_AHL_Fully Insured | $168.54 | ↓ -61% |
| McLaren | Medicaid HMO | $169.60 | ↓ -61% |
| Priority Health | Medicaid HMO | $169.60 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $169.60 | ↓ -61% |
| Meridian | Medicaid HMO | $169.60 | ↓ -61% |
| Pace SE MI | Medicare Advantage-NONFAC | $169.76 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $172.99 | ↓ -60% |
| Amerihealth Caritas | Dual Products-NONFAC | $175.12 | ↓ -60% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $176.03 | ↓ -60% |
| United Healthcare | UHC Commercial | $177.07 | ↓ -59% |
| Molina | Medicaid HMO | $178.62 | ↓ -59% |
| United Healthcare | Medicare Advantage-NONFAC | $178.69 | ↓ -59% |
| HAP | HAP Dual Products-NONFAC | $178.69 | ↓ -59% |
| Blue Cross | Medicare Plus Blue-NONFAC | $178.69 | ↓ -59% |
| HAP | Medicare Advantage-NONFAC | $178.69 | ↓ -59% |
| McLaren | Medicare Advantage-NONFAC | $178.69 | ↓ -59% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $178.69 | ↓ -59% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $178.69 | ↓ -59% |
| Meridian | Ambetter From Meridian-NONFAC | $178.69 | ↓ -59% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $178.69 | ↓ -59% |
| Molina | Dual Product-NONFAC | $178.69 | ↓ -59% |
| Molina | Medicare Advantage-NONFAC | $178.69 | ↓ -59% |
| Aetna | Medicare Advantage-NONFAC | $178.69 | ↓ -59% |
| WellCare | Medicare Advantage-NONFAC | $178.69 | ↓ -59% |
| Priority Health | Medicare Advantage-NONFAC | $178.69 | ↓ -59% |
| HAP | Medicare Advantage-Physician-NONFAC | $178.69 | ↓ -59% |
| Humana | Medicare Advantage-NONFAC | $182.26 | ↓ -58% |
| Multiplan | All Products | $235.62 | ↓ -46% |
| Cofinity | Commercial | $252.40 | ↓ -42% |
| United Healthcare | Baseline Benefit Plan | $260.25 | ↓ -40% |
| Blue Cross | BCBSM GM Connected Care | $274.95 | ↓ -37% |
| Blue Cross | BCBSM Commercial | $281.71 | ↓ -35% |
| BCN | HMO | $281.71 | ↓ -35% |
| Blue Cross | BCN Commercial | $281.71 | ↓ -35% |
| HAP | HAP HMO_AHL_Fully-Insured | $284.88 | ↓ -35% |
| Blue Cross | BCN Commercial-NONFAC | $288.14 | ↓ -34% |
| HAP | HAP Dual Products | $292.89 | ↓ -33% |
| Pace SE MI | Medicare Advantage | $300.45 | ↓ -31% |
| Aetna | All Products-NONFAC | $307.14 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $309.93 | ↓ -29% |
| Priority Health | Medicare Advantage | $316.26 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $316.26 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $316.26 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $316.26 | ↓ -28% |
| McLaren | Medicare Advantage | $316.26 | ↓ -28% |
| HAP | Medicare Advantage | $316.26 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $316.26 | ↓ -28% |
| Blue Cross | BCN Advantage | $316.26 | ↓ -28% |
| United Healthcare | VACCN | $316.26 | ↓ -28% |
| WellCare | Medicare Advantage | $316.26 | ↓ -28% |
| Aetna | Medicare Advantage | $316.26 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $316.26 | ↓ -28% |
| Humana | Medicare Advantage | $319.43 | ↓ -27% |
| Aetna | Dual Products | $347.89 | ↓ -20% |
| Meridian | Ambetter From Meridian | $357.00 | ↓ -18% |
| Priority Health | Commercial | $357.00 | ↓ -18% |
| HAP | Henry Ford Select -HPN commercial | $357.00 | ↓ -18% |
| Vitalcore | All Products | $727.40 | ↑ +67% |
| Aetna | Commercial | $2,056.00 | ↑ +371% |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy eyelid & lid margin at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Gross Pointe | Grosse Pointe | $1,119.00 | $138.17 – $427.14 |
| Corewell Health Taylor | Taylor | $1,119.00 | $138.80 – $427.14 |
| Corewell Health Trenton | Trenton | $1,119.00 | $138.03 – $427.14 |
| Corewell Health Troy | Troy | $1,119.00 | $155.81 – $426.96 |
| Corewell Health Wayne | Wayne | $1,119.00 | $137.51 – $427.14 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $436.44 | $35.15 – $357.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $436.44 | $35.15 – $727.40 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $436.44 | $35.15 – $283.15 |