healthcosts.net
Shoulder Arthroscopy (Rotator Cuff Repair) at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$9,977.57
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.
$3,460.00
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.
$622.60 with United Healthcare vs $16,629.28 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-Adult-FAC | $622.60 | ↓ -94% |
| HAP | HAP Caresource Medicaid-FAC | $622.60 | ↓ -94% |
| Meridian | Medicaid HMO-Adult-FAC | $622.60 | ↓ -94% |
| McLaren | Medicaid HMO-Child-FAC | $622.60 | ↓ -94% |
| McLaren | Medicaid HMO-Adult-FAC | $622.60 | ↓ -94% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $622.60 | ↓ -94% |
| Meridian | Medicaid HMO-Child-FAC | $622.60 | ↓ -94% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $635.05 | ↓ -94% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $635.05 | ↓ -94% |
| Molina | Medicaid HMO-Adult-FAC | $647.50 | ↓ -94% |
| Molina | Medicaid HMO-Child-FAC | $647.50 | ↓ -94% |
| Priority Health | Medicaid HMO-Child-FAC | $653.73 | ↓ -93% |
| Priority Health | Medicaid HMO-Adult-FAC | $653.73 | ↓ -93% |
| ScriptGuideRX | All Products | $809.38 | ↓ -92% |
| Humana Military | Tricare-NonPhysician-FAC | $872.64 | ↓ -91% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $878.36 | ↓ -91% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $878.36 | ↓ -91% |
| Pace SE MI | Medicare Advantage-FAC | $981.69 | ↓ -90% |
| Pace SE MI | Medicare Advantage-NONFAC | $981.69 | ↓ -90% |
| Amerihealth Caritas | Dual Products-FAC | $1,012.69 | ↓ -90% |
| Amerihealth Caritas | Dual Products-NONFAC | $1,012.69 | ↓ -90% |
| Humana Military | Tricare | $1,026.63 | ↓ -90% |
| Humana Military | Tricare-Physician-FAC | $1,026.63 | ↓ -90% |
| Blue Cross | Medicare Plus Blue-FAC | $1,033.36 | ↓ -90% |
| United Healthcare | Medicare-Behavioral Health-FAC | $1,033.36 | ↓ -90% |
| Meridian | Ambetter From Meridian-FAC | $1,033.36 | ↓ -90% |
| Blue Cross | Medicare Plus Blue-NONFAC | $1,033.36 | ↓ -90% |
| HAP | Medicare Advantage-FAC | $1,033.36 | ↓ -90% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $1,033.36 | ↓ -90% |
| Aetna | Medicare Advantage-NONFAC | $1,033.36 | ↓ -90% |
| WellCare | Medicare Advantage-FAC | $1,033.36 | ↓ -90% |
| HAP | HAP Dual Products-FAC | $1,033.36 | ↓ -90% |
| Molina | Medicare Advantage-NONFAC | $1,033.36 | ↓ -90% |
| HAP | HAP Dual Products-NONFAC | $1,033.36 | ↓ -90% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $1,033.36 | ↓ -90% |
| McLaren | Medicare Advantage-FAC | $1,033.36 | ↓ -90% |
| WellCare | Medicare Advantage-NONFAC | $1,033.36 | ↓ -90% |
| Priority Health | Medicare Advantage-FAC | $1,033.36 | ↓ -90% |
| Molina | Medicare Advantage-FAC | $1,033.36 | ↓ -90% |
| Priority Health | Medicare Advantage-NONFAC | $1,033.36 | ↓ -90% |
| HAP | Medicare Advantage-Physician-NONFAC | $1,033.36 | ↓ -90% |
| Blue Cross | BCN Medicare Advantage -FAC | $1,033.36 | ↓ -90% |
| HAP | Medicare Advantage-NONFAC | $1,033.36 | ↓ -90% |
| McLaren | Medicare Advantage-NONFAC | $1,033.36 | ↓ -90% |
| Humana | Medicare Advantage-FAC | $1,033.36 | ↓ -90% |
| Trinity Health Plan | Medicare Advantage-FAC | $1,033.36 | ↓ -90% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $1,033.36 | ↓ -90% |
| Meridian | Ambetter From Meridian-NONFAC | $1,033.36 | ↓ -90% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $1,033.36 | ↓ -90% |
| Aetna | Medicare Advantage-FAC | $1,033.36 | ↓ -90% |
| Molina | Dual Product-NONFAC | $1,033.36 | ↓ -90% |
| United Healthcare | Medicare Advantage-NONFAC | $1,033.36 | ↓ -90% |
| Molina | Dual Product-FAC | $1,033.36 | ↓ -90% |
| United Healthcare | Medicare Advantage-FAC | $1,033.36 | ↓ -90% |
| HAP | Medicare Advantage-Physician-FAC | $1,033.36 | ↓ -90% |
| Humana | Medicare Advantage-NONFAC | $1,054.03 | ↓ -89% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $1,115.90 | ↓ -89% |
| Humana | Medicare Advantage-Physician-FAC | $1,127.06 | ↓ -89% |
| Nomi | All Products | $1,446.70 | ↓ -86% |
| HAP | HAP HMO_AHL_Fully-Insured | $1,490.11 | ↓ -85% |
| Blue Cross | GM Connected Care | $1,556.42 | ↓ -84% |
| Blue Cross | BCBSM Commercial | $1,718.17 | ↓ -83% |
| HAP | HAP HMO_AHL_Fully Insured | $1,718.78 | ↓ -83% |
| Priority Health | All Products | $1,728.47 | ↓ -83% |
| Blue Cross | BCN Commercial-NONFAC | $1,729.35 | ↓ -83% |
| Blue Cross | BCN Commercial-FAC | $1,729.35 | ↓ -83% |
| HAP | Self-Funded | $1,740.10 | ↓ -83% |
| Aetna | All Products-NONFAC | $1,777.40 | ↓ -82% |
| United Healthcare | All Products-Midlevel | $1,881.06 | ↓ -81% |
| Priority Health | Priority Cigna | $1,901.32 | ↓ -81% |
| United Healthcare | All Products-Prof | $2,064.61 | ↓ -79% |
| Meridian | Medicaid HMO | $3,877.20 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $3,877.20 | ↓ -61% |
| McLaren | Medicaid HMO | $3,877.20 | ↓ -61% |
| Priority Health | Medicaid HMO | $3,877.20 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $3,954.74 | ↓ -60% |
| Molina | Medicaid HMO | $4,083.57 | ↓ -59% |
| Aetna | Commercial | $5,757.00 | ↓ -42% |
| Pace SE MI | Medicare Advantage | $6,868.62 | ↓ -31% |
| HAP | HAP Dual Products | $6,999.28 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $7,085.52 | ↓ -29% |
| Blue Cross | Medicare Plus Blue | $7,230.12 | ↓ -28% |
| McLaren | Medicare Advantage | $7,230.12 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $7,230.12 | ↓ -28% |
| HAP | Medicare Advantage | $7,230.12 | ↓ -28% |
| United Healthcare | VACCN | $7,230.12 | ↓ -28% |
| Priority Health | Medicare Advantage | $7,230.12 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $7,230.12 | ↓ -28% |
| WellCare | Medicare Advantage | $7,230.12 | ↓ -28% |
| Aetna | Medicare Advantage | $7,230.12 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $7,230.12 | ↓ -28% |
| Blue Cross | BCN Advantage | $7,230.12 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $7,230.12 | ↓ -28% |
| Humana | Medicare Advantage | $7,302.42 | ↓ -27% |
| Aetna | Dual Products | $7,953.13 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $8,676.15 | ↓ -13% |
| Blue Cross | BCBSM GM Connected Care | $8,996.13 | ↓ -10% |
| BCN | HMO | $9,217.28 | ↓ -8% |
| Blue Cross | BCN Commercial | $9,217.28 | ↓ -8% |
| Meridian | Ambetter From Meridian | $9,760.66 | ↓ -2% |
| Priority Health | Commercial | $9,858.30 | ↓ -1% |
| Vitalcore | All Products | $16,629.28 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-PhD | 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-RN | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder Arthroscopy (Rotator Cuff Repair) at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $9,977.57 | $622.60 – $19,797.26 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $9,977.57 | $622.60 – $16,629.28 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $9,977.57 | $622.60 – $9,956.25 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $7,230.12 – $13,014.22 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $7,230.12 – $13,014.22 |
| Corewell Health Reed City | Po Box 75 | not published | $8,627.98 – $8,627.98 |
| Corewell Health Greenville | Greenville | not published | $6,729.82 – $13,014.22 |
| Corewell Health Zeeland | Zeeland | not published | $6,729.82 – $13,014.22 |