Cyclosporine modified 25 mg capsule at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$0.73
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.
$15.87
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.
$0.30 with Molina vs $2.97 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 |
|---|---|---|---|
| Molina | Medicaid HMO | $0.30 | ↓ -59% |
| WellCare | Medicare Advantage | $0.53 | ↓ -27% |
| Humana Military | Tricare | $0.74 | ↑ +1% |
| Priority Health | Commercial | $0.86 | ↑ +18% |
| United Healthcare | UHC Commercial | $0.87 | ↑ +19% |
| HAP | Self-Funded | $1.11 | ↑ +52% |
| Blue Cross | BCBSM Commercial | $1.12 | ↑ +53% |
| BCN | HMO | $1.12 | ↑ +53% |
| Blue Cross | BCN Commercial | $1.12 | ↑ +53% |
| Molina | Dual MI Coordinated Health | $1.14 | ↑ +56% |
| HAP | HAP HMO_AHL_Fully Insured | $1.37 | ↑ +88% |
| Blue Cross | BCBSM GM Connected Care | $1.42 | ↑ +95% |
| Amerihealth Caritas | Dual Products | $1.52 | ↑ +108% |
| Vitalcore | All Products | $1.91 | ↑ +162% |
| Aetna | Commercial | $2.15 | ↑ +195% |
| Multiplan | All Products | $2.51 | ↑ +244% |
| Cofinity | Commercial | $2.69 | ↑ +268% |
| United Healthcare | Baseline Benefit Plan | $2.78 | ↑ +281% |
| Priority Health | Priority Cigna | $2.97 | ↑ +307% |
| 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
Cyclosporine modified 25 mg capsule at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $0.73 | $0.30 – $3.28 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $0.73 | $0.30 – $3.28 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $0.73 | $0.30 – $2.58 |
| Henry Ford St John Hospital | Detroit | $3.24 | $0.77 – $5.24 |
| Henry Ford Rochester Hospital | Rochester | $4.42 | $1.16 – $1.96 |
| Henry Ford Genesys Hospital | Grand Blanc Twp | $2.90 | $0.83 – $2.10 |
| Henry Ford Warren Hospital | Warren | $2.42 | $0.77 – $4.32 |
| Corewell Health Big Rapids | Big Rapids | not published | $0.80 – $0.80 |