Cover eye w/membrane suture at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$5,405.82
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.
$480.00
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.
$54.10 with United Healthcare vs $9,009.70 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 |
|---|---|---|---|
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $54.10 | ↓ -99% |
| McLaren | Medicaid HMO-Child-FAC | $54.10 | ↓ -99% |
| McLaren | Medicaid HMO-Adult-FAC | $54.10 | ↓ -99% |
| Meridian | Medicaid HMO-Adult-FAC | $54.10 | ↓ -99% |
| Meridian | Medicaid HMO-Child-FAC | $54.10 | ↓ -99% |
| HAP | HAP Caresource Medicaid-FAC | $54.10 | ↓ -99% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $54.10 | ↓ -99% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $55.18 | ↓ -99% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $55.18 | ↓ -99% |
| Molina | Medicaid HMO-Adult-FAC | $56.26 | ↓ -99% |
| Molina | Medicaid HMO-Child-FAC | $56.26 | ↓ -99% |
| Priority Health | Medicaid HMO-Child-FAC | $56.81 | ↓ -99% |
| Priority Health | Medicaid HMO-Adult-FAC | $56.81 | ↓ -99% |
| ScriptGuideRX | All Products | $70.33 | ↓ -99% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $74.15 | ↓ -99% |
| Humana Military | Tricare-NonPhysician-FAC | $81.35 | ↓ -98% |
| Pace SE MI | Medicare Advantage-FAC | $82.88 | ↓ -98% |
| Amerihealth Caritas | Dual Products-FAC | $85.50 | ↓ -98% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $87.24 | ↓ -98% |
| Trinity Health Plan | Medicare Advantage-FAC | $87.24 | ↓ -98% |
| Blue Cross | BCN Medicare Advantage -FAC | $87.24 | ↓ -98% |
| Priority Health | Medicare Advantage-FAC | $87.24 | ↓ -98% |
| Blue Cross | Medicare Plus Blue-FAC | $87.24 | ↓ -98% |
| United Healthcare | Medicare Advantage-FAC | $87.24 | ↓ -98% |
| HAP | HAP Dual Products-FAC | $87.24 | ↓ -98% |
| Molina | Medicare Advantage-FAC | $87.24 | ↓ -98% |
| HAP | Medicare Advantage-FAC | $87.24 | ↓ -98% |
| Molina | Dual Product-FAC | $87.24 | ↓ -98% |
| HAP | Medicare Advantage-Physician-FAC | $87.24 | ↓ -98% |
| United Healthcare | Medicare-Behavioral Health-FAC | $87.24 | ↓ -98% |
| Aetna | Medicare Advantage-FAC | $87.24 | ↓ -98% |
| Humana | Medicare Advantage-FAC | $87.24 | ↓ -98% |
| Meridian | Ambetter From Meridian-FAC | $87.24 | ↓ -98% |
| McLaren | Medicare Advantage-FAC | $87.24 | ↓ -98% |
| WellCare | Medicare Advantage-FAC | $87.24 | ↓ -98% |
| Humana Military | Tricare-Physician-FAC | $95.70 | ↓ -98% |
| Humana Military | Tricare | $95.70 | ↓ -98% |
| Humana | Medicare Advantage-Physician-FAC | $105.06 | ↓ -98% |
| Nomi | All Products | $122.14 | ↓ -98% |
| United Healthcare | All Products-Midlevel | $146.60 | ↓ -97% |
| United Healthcare | All Products-Prof | $146.60 | ↓ -97% |
| Blue Cross | GM Connected Care | $149.55 | ↓ -97% |
| Blue Cross | BCN Commercial-FAC | $166.17 | ↓ -97% |
| Priority Health | All Products | $181.99 | ↓ -97% |
| Priority Health | Priority Cigna | $200.19 | ↓ -96% |
| McLaren | Medicaid HMO-Child-NONFAC | $726.97 | ↓ -87% |
| Meridian | Medicaid HMO-Child-NONFAC | $726.97 | ↓ -87% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $726.97 | ↓ -87% |
| Meridian | Medicaid HMO-Adult-NONFAC | $726.97 | ↓ -87% |
| HAP | HAP Caresource Medicaid-NONFAC | $726.97 | ↓ -87% |
| McLaren | Medicaid HMO-Adult-NONFAC | $726.97 | ↓ -87% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $726.97 | ↓ -87% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $741.51 | ↓ -86% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $741.51 | ↓ -86% |
| Molina | Medicaid HMO-Child-NONFAC | $756.05 | ↓ -86% |
| Molina | Medicaid HMO-Adult-NONFAC | $759.79 | ↓ -86% |
| Priority Health | Medicaid HMO-Child-NONFAC | $763.32 | ↓ -86% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $763.32 | ↓ -86% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $939.62 | ↓ -83% |
| Pace SE MI | Medicare Advantage-NONFAC | $1,050.17 | ↓ -81% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $1,056.37 | ↓ -80% |
| Amerihealth Caritas | Dual Products-NONFAC | $1,083.33 | ↓ -80% |
| HAP | Medicare Advantage-Physician-NONFAC | $1,105.44 | ↓ -80% |
| HAP | Medicare Advantage-NONFAC | $1,105.44 | ↓ -80% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $1,105.44 | ↓ -80% |
| WellCare | Medicare Advantage-NONFAC | $1,105.44 | ↓ -80% |
| Molina | Dual Product-NONFAC | $1,105.44 | ↓ -80% |
| Blue Cross | Medicare Plus Blue-NONFAC | $1,105.44 | ↓ -80% |
| McLaren | Medicare Advantage-NONFAC | $1,105.44 | ↓ -80% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $1,105.44 | ↓ -80% |
| HAP | HAP Dual Products-NONFAC | $1,105.44 | ↓ -80% |
| Meridian | Ambetter From Meridian-NONFAC | $1,105.44 | ↓ -80% |
| Aetna | Medicare Advantage-NONFAC | $1,105.44 | ↓ -80% |
| Priority Health | Medicare Advantage-NONFAC | $1,105.44 | ↓ -80% |
| United Healthcare | Medicare Advantage-NONFAC | $1,105.44 | ↓ -80% |
| Molina | Medicare Advantage-NONFAC | $1,105.44 | ↓ -80% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $1,105.44 | ↓ -80% |
| Humana | Medicare Advantage-NONFAC | $1,127.55 | ↓ -79% |
| HAP | HAP HMO_AHL_Fully-Insured | $1,564.96 | ↓ -71% |
| Blue Cross | BCN Commercial-NONFAC | $1,756.51 | ↓ -68% |
| HAP | HAP HMO_AHL_Fully Insured | $1,805.12 | ↓ -67% |
| HAP | Self-Funded | $1,827.51 | ↓ -66% |
| Blue Cross | BCBSM Commercial | $1,846.52 | ↓ -66% |
| Aetna | All Products-NONFAC | $1,861.08 | ↓ -66% |
| Priority Health | Medicaid HMO | $2,100.66 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $2,100.66 | ↓ -61% |
| McLaren | Medicaid HMO | $2,100.66 | ↓ -61% |
| Meridian | Medicaid HMO | $2,100.66 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $2,142.67 | ↓ -60% |
| Molina | Medicaid HMO | $2,212.47 | ↓ -59% |
| HAP | HAP Dual Products | $3,694.75 | ↓ -32% |
| Pace SE MI | Medicare Advantage | $3,721.40 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $3,838.91 | ↓ -29% |
| United Healthcare | VACCN | $3,917.26 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $3,917.26 | ↓ -28% |
| HAP | Medicare Advantage | $3,917.26 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $3,917.26 | ↓ -28% |
| Priority Health | Medicare Advantage | $3,917.26 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $3,917.26 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $3,917.26 | ↓ -28% |
| Blue Cross | BCN Advantage | $3,917.26 | ↓ -28% |
| McLaren | Medicare Advantage | $3,917.26 | ↓ -28% |
| WellCare | Medicare Advantage | $3,917.26 | ↓ -28% |
| Aetna | Medicare Advantage | $3,917.26 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $3,917.26 | ↓ -28% |
| Humana | Medicare Advantage | $3,956.43 | ↓ -27% |
| Blue Cross | BCBSM GM Connected Care | $4,239.19 | ↓ -22% |
| Aetna | Dual Products | $4,308.99 | ↓ -20% |
| BCN | HMO | $4,343.40 | ↓ -20% |
| Blue Cross | BCN Commercial | $4,343.40 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $4,700.71 | ↓ -13% |
| Meridian | Ambetter From Meridian | $5,288.30 | ↓ -2% |
| Priority Health | Commercial | $6,433.03 | ↑ +19% |
| Vitalcore | All Products | $9,009.70 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-MD | 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-MA | not published by hospital | — |
Visitor-reported prices
Comments
Cover eye w/membrane suture at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $5,405.82 | $54.10 – $5,852.52 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $5,405.82 | $54.10 – $9,009.70 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $5,405.82 | $54.10 – $4,365.59 |
| Corewell Health Big Rapids | Big Rapids | not published | $3,410.78 – $7,051.07 |
| Corewell Health Gerber | Fremont | not published | $3,410.78 – $3,410.78 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $3,917.26 – $5,875.89 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $2,720.68 – $7,051.07 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $2,720.68 – $7,051.07 |