Compre oph exam est pt 1/> at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$183.07
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.
$199.00
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.
$0.01 with Aetna vs $305.12 with Vitalcore — 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 |
|---|---|---|---|
| Aetna | Commercial | $0.01 | ↓ -100% |
| Amerihealth Caritas | Dual Products-FAC | $34.40 | ↓ -81% |
| Amerihealth Caritas | Dual Products-NONFAC | $34.40 | ↓ -81% |
| McLaren | Medicaid HMO-Adult-FAC | $39.62 | ↓ -78% |
| HAP | HAP Caresource Medicaid-FAC | $39.62 | ↓ -78% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $39.62 | ↓ -78% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $39.62 | ↓ -78% |
| Meridian | Medicaid HMO-Child-FAC | $39.62 | ↓ -78% |
| Meridian | Medicaid HMO-Adult-FAC | $39.62 | ↓ -78% |
| McLaren | Medicaid HMO-Child-FAC | $39.62 | ↓ -78% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $40.41 | ↓ -78% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $40.41 | ↓ -78% |
| Molina | Medicaid HMO-Child-FAC | $41.20 | ↓ -77% |
| Molina | Medicaid HMO-Adult-FAC | $41.20 | ↓ -77% |
| Priority Health | Medicaid HMO-Child-FAC | $41.60 | ↓ -77% |
| Priority Health | Medicaid HMO-Adult-FAC | $41.60 | ↓ -77% |
| ScriptGuideRX | All Products | $42.54 | ↓ -77% |
| HAP | HAP HMO_AHL_Fully-Insured | $43.00 | ↓ -77% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $43.00 | ↓ -77% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $43.00 | ↓ -77% |
| HAP | Self-Funded | $43.00 | ↓ -77% |
| Blue Cross | Medicare Plus Blue-FAC | $55.90 | ↓ -69% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $55.90 | ↓ -69% |
| Blue Cross | BCN Medicare Advantage -FAC | $55.90 | ↓ -69% |
| Blue Cross | Medicare Plus Blue-NONFAC | $55.90 | ↓ -69% |
| United Healthcare | UHC Commercial | $56.05 | ↓ -69% |
| Humana Military | Tricare-NonPhysician-FAC | $56.97 | ↓ -69% |
| HAP | HAP HMO_AHL_Fully Insured | $58.68 | ↓ -68% |
| Pace SE MI | Medicare Advantage-FAC | $59.44 | ↓ -68% |
| United Healthcare | Medicare Advantage-FAC | $62.57 | ↓ -66% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $62.57 | ↓ -66% |
| WellCare | Medicare Advantage-FAC | $62.57 | ↓ -66% |
| Aetna | Medicare Advantage-FAC | $62.57 | ↓ -66% |
| Molina | Dual Product-FAC | $62.57 | ↓ -66% |
| Molina | Medicare Advantage-FAC | $62.57 | ↓ -66% |
| United Healthcare | Medicare-Behavioral Health-FAC | $62.57 | ↓ -66% |
| Meridian | Ambetter From Meridian-FAC | $62.57 | ↓ -66% |
| Priority Health | Medicare Advantage-FAC | $62.57 | ↓ -66% |
| HAP | HAP Dual Products-FAC | $62.57 | ↓ -66% |
| HAP | Medicare Advantage-FAC | $62.57 | ↓ -66% |
| HAP | Medicare Advantage-Physician-FAC | $62.57 | ↓ -66% |
| Trinity Health Plan | Medicare Advantage-FAC | $62.57 | ↓ -66% |
| Humana | Medicare Advantage-FAC | $62.57 | ↓ -66% |
| McLaren | Medicare Advantage-FAC | $62.57 | ↓ -66% |
| United Healthcare | All Products-Prof | $65.44 | ↓ -64% |
| United Healthcare | All Products-Midlevel | $65.44 | ↓ -64% |
| Humana Military | Tricare-Physician-FAC | $67.02 | ↓ -63% |
| Humana Military | Tricare | $67.02 | ↓ -63% |
| Meridian | Medicaid HMO | $71.14 | ↓ -61% |
| Priority Health | Medicaid HMO | $71.14 | ↓ -61% |
| McLaren | Medicaid HMO | $71.14 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $71.14 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $72.56 | ↓ -60% |
| Humana | Medicare Advantage-Physician-FAC | $73.58 | ↓ -60% |
| Multiplan | All Products | $74.58 | ↓ -59% |
| Molina | Medicaid HMO | $74.93 | ↓ -59% |
| Blue Cross | GM Connected Care | $77.98 | ↓ -57% |
| Cofinity | Commercial | $79.89 | ↓ -56% |
| McLaren | Medicaid HMO-Child-NONFAC | $81.15 | ↓ -56% |
| McLaren | Medicaid HMO-Adult-NONFAC | $81.15 | ↓ -56% |
| HAP | HAP Caresource Medicaid-NONFAC | $81.15 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $81.15 | ↓ -56% |
| Meridian | Medicaid HMO-Adult-NONFAC | $81.15 | ↓ -56% |
| Meridian | Medicaid HMO-Child-NONFAC | $81.15 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $81.15 | ↓ -56% |
| United Healthcare | Baseline Benefit Plan | $82.38 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $82.77 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $82.77 | ↓ -55% |
| Molina | Medicaid HMO-Child-NONFAC | $84.40 | ↓ -54% |
| Priority Health | Medicaid HMO-Child-NONFAC | $85.21 | ↓ -53% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $85.21 | ↓ -53% |
| Molina | Medicaid HMO-Adult-NONFAC | $86.16 | ↓ -53% |
| Blue Cross | BCN Commercial-FAC | $86.64 | ↓ -53% |
| Nomi | All Products | $87.60 | ↓ -52% |
| Priority Health | Priority Cigna | $88.08 | ↓ -52% |
| Priority Health | All Products | $95.02 | ↓ -48% |
| Meridian | Ambetter From Meridian | $113.00 | ↓ -38% |
| BCN | HMO | $113.00 | ↓ -38% |
| Blue Cross | BCBSM Commercial | $113.00 | ↓ -38% |
| Blue Cross | BCBSM GM Connected Care | $113.00 | ↓ -38% |
| Blue Cross | BCN Commercial | $113.00 | ↓ -38% |
| HAP | Henry Ford Select -HPN commercial | $113.00 | ↓ -38% |
| HAP | Medicare Advantage | $113.00 | ↓ -38% |
| Humana | Medicare Advantage | $113.00 | ↓ -38% |
| Priority Health | Commercial | $113.00 | ↓ -38% |
| Pace SE MI | Medicare Advantage-NONFAC | $119.16 | ↓ -35% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $121.01 | ↓ -34% |
| Molina | Medicare Advantage-NONFAC | $125.43 | ↓ -31% |
| Molina | Dual Product-NONFAC | $125.43 | ↓ -31% |
| WellCare | Medicare Advantage-NONFAC | $125.43 | ↓ -31% |
| Meridian | Ambetter From Meridian-NONFAC | $125.43 | ↓ -31% |
| Aetna | Medicare Advantage-NONFAC | $125.43 | ↓ -31% |
| McLaren | Medicare Advantage-NONFAC | $125.43 | ↓ -31% |
| Priority Health | Medicare Advantage-NONFAC | $125.43 | ↓ -31% |
| United Healthcare | Medicare Advantage-NONFAC | $125.43 | ↓ -31% |
| HAP | HAP Dual Products-NONFAC | $125.43 | ↓ -31% |
| HAP | Medicare Advantage-NONFAC | $125.43 | ↓ -31% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $125.43 | ↓ -31% |
| HAP | Medicare Advantage-Physician-NONFAC | $125.43 | ↓ -31% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $125.43 | ↓ -31% |
| Pace SE MI | Medicare Advantage | $126.02 | ↓ -31% |
| HAP | HAP Dual Products | $126.26 | ↓ -31% |
| Humana | Medicare Advantage-NONFAC | $127.94 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $130.01 | ↓ -29% |
| Priority Health | Dual Premier_HIDE-SNP | $132.66 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $132.66 | ↓ -28% |
| Blue Cross | BCN Advantage | $132.66 | ↓ -28% |
| McLaren | Medicare Advantage | $132.66 | ↓ -28% |
| Priority Health | Medicare Advantage | $132.66 | ↓ -28% |
| United Healthcare | VACCN | $132.66 | ↓ -28% |
| WellCare | Medicare Advantage | $132.66 | ↓ -28% |
| Aetna | Medicare Advantage | $132.66 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $132.66 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $132.66 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $132.66 | ↓ -28% |
| Blue Cross | BCN Commercial-NONFAC | $145.30 | ↓ -21% |
| Aetna | Dual Products | $145.92 | ↓ -20% |
| Aetna | All Products-NONFAC | $180.41 | ↓ -1% |
| Vitalcore | All Products | $305.12 | ↑ +67% |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Compre oph exam est pt 1/> at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $183.07 | $0.01 – $113.00 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $183.07 | $0.01 – $305.12 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $183.07 | $0.01 – $113.00 |
| Corewell Health Big Rapids | Big Rapids | not published | $132.66 – $238.78 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $134.09 – $201.14 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $132.66 – $256.20 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $104.51 – $238.78 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $104.51 – $238.78 |