Cyclophosphamide 25 mg capsule at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$2.51
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.
$51.24
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.
$0.87 with Priority Health vs $14.65 with Priority Health — 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 |
|---|---|---|---|
| Priority Health | Commercial | $0.87 | ↓ -65% |
| Humana Military | Tricare | $1.01 | ↓ -60% |
| Molina | Medicaid HMO | $1.03 | ↓ -59% |
| HAP | HAP HMO_AHL_Fully Insured | $1.39 | ↓ -45% |
| WellCare | Medicare Advantage | $1.82 | ↓ -27% |
| Aetna | Commercial | $2.39 | ↓ -5% |
| United Healthcare | UHC Commercial | $3.00 | ↑ +20% |
| HAP | Self-Funded | $3.82 | ↑ +52% |
| BCN | HMO | $3.92 | ↑ +56% |
| Blue Cross | BCBSM Commercial | $3.92 | ↑ +56% |
| Blue Cross | BCN Commercial | $3.92 | ↑ +56% |
| Blue Cross | BCBSM GM Connected Care | $4.95 | ↑ +97% |
| Molina | Dual MI Coordinated Health | $5.64 | ↑ +125% |
| Amerihealth Caritas | Dual Products | $7.52 | ↑ +200% |
| Vitalcore | All Products | $9.40 | ↑ +275% |
| Multiplan | All Products | $12.40 | ↑ +394% |
| Cofinity | Commercial | $13.28 | ↑ +429% |
| United Healthcare | Baseline Benefit Plan | $13.70 | ↑ +446% |
| Priority Health | Priority Cigna | $14.65 | ↑ +484% |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| ScriptGuideRX | All Products | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| Nomi | All Products | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Cyclophosphamide 25 mg capsule at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $2.51 | $0.87 – $16.20 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $2.51 | $0.84 – $16.20 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $2.51 | $1.01 – $12.74 |
| Henry Ford St John Hospital | Detroit | $5.90 | $4.49 – $5.07 |
| Henry Ford Rochester Hospital | Rochester | $6.38 | $1.51 – $2.03 |
| Henry Ford Genesys Hospital | Grand Blanc Twp | $11.93 | $1.09 – $24.43 |
| Henry Ford Madison Heights Hospital | Madison Heights | $5.64 | $5.07 – $5.07 |
| Henry Ford Warren Hospital | Warren | $5.79 | $4.49 – $5.07 |