Treatment of retinal lesion at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$686.38
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.
$1,810.00
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.
$165.40 with ScriptGuideRX vs $1,097.84 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 |
|---|---|---|---|
| ScriptGuideRX | All Products | $165.40 | ↓ -76% |
| Priority Health | Medicaid HMO | $169.60 | ↓ -75% |
| HAP | HAP Caresource Medicaid | $169.60 | ↓ -75% |
| Meridian | Medicaid HMO | $169.60 | ↓ -75% |
| McLaren | Medicaid HMO | $169.60 | ↓ -75% |
| Aetna Better Health | Medicaid HMO | $172.99 | ↓ -75% |
| Molina | Medicaid HMO | $178.62 | ↓ -74% |
| HAP | HAP Dual Products | $292.89 | ↓ -57% |
| Pace SE MI | Medicare Advantage | $300.45 | ↓ -56% |
| Amerihealth Caritas | Dual Products | $309.93 | ↓ -55% |
| McLaren | Medicaid HMO-Child-FAC | $313.54 | ↓ -54% |
| HAP | HAP Caresource Medicaid-FAC | $313.54 | ↓ -54% |
| McLaren | Medicaid HMO-Adult-FAC | $313.54 | ↓ -54% |
| Meridian | Medicaid HMO-Adult-FAC | $313.54 | ↓ -54% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $313.54 | ↓ -54% |
| Meridian | Medicaid HMO-Child-FAC | $313.54 | ↓ -54% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $313.54 | ↓ -54% |
| Blue Cross | BCBSM GM Connected Care | $314.18 | ↓ -54% |
| Priority Health | Medicare Advantage | $316.26 | ↓ -54% |
| Trinity Health Plan | Medicare Advantage | $316.26 | ↓ -54% |
| Blue Cross | Medicare Plus Blue | $316.26 | ↓ -54% |
| Molina | Dual MI Coordinated Health | $316.26 | ↓ -54% |
| Blue Cross | BCN Advantage | $316.26 | ↓ -54% |
| Aetna | Medicare Advantage | $316.26 | ↓ -54% |
| HAP | Medicare Advantage | $316.26 | ↓ -54% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $316.26 | ↓ -54% |
| Priority Health | Dual Premier_HIDE-SNP | $316.26 | ↓ -54% |
| McLaren | Medicare Advantage | $316.26 | ↓ -54% |
| United Healthcare | VACCN | $316.26 | ↓ -54% |
| WellCare | Medicare Advantage | $316.26 | ↓ -54% |
| Humana | Medicare Advantage | $319.43 | ↓ -53% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $319.81 | ↓ -53% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $319.81 | ↓ -53% |
| Blue Cross | BCBSM Commercial | $321.90 | ↓ -53% |
| BCN | HMO | $321.90 | ↓ -53% |
| Blue Cross | BCN Commercial | $321.90 | ↓ -53% |
| Molina | Medicaid HMO-Adult-FAC | $326.08 | ↓ -52% |
| Molina | Medicaid HMO-Child-FAC | $326.08 | ↓ -52% |
| Priority Health | Medicaid HMO-Adult-FAC | $329.22 | ↓ -52% |
| Priority Health | Medicaid HMO-Child-FAC | $329.22 | ↓ -52% |
| Aetna | Dual Products | $347.89 | ↓ -49% |
| HAP | Henry Ford Select -HPN commercial | $379.52 | ↓ -45% |
| Meridian | Medicaid HMO-Adult-NONFAC | $385.74 | ↓ -44% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $385.74 | ↓ -44% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $385.74 | ↓ -44% |
| McLaren | Medicaid HMO-Child-NONFAC | $385.74 | ↓ -44% |
| McLaren | Medicaid HMO-Adult-NONFAC | $385.74 | ↓ -44% |
| Meridian | Medicaid HMO-Child-NONFAC | $385.74 | ↓ -44% |
| HAP | HAP Caresource Medicaid-NONFAC | $385.74 | ↓ -44% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $393.45 | ↓ -43% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $393.45 | ↓ -43% |
| Molina | Medicaid HMO-Child-NONFAC | $401.17 | ↓ -42% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $405.03 | ↓ -41% |
| Priority Health | Medicaid HMO-Child-NONFAC | $405.03 | ↓ -41% |
| Molina | Medicaid HMO-Adult-NONFAC | $411.69 | ↓ -40% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $422.77 | ↓ -38% |
| Meridian | Ambetter From Meridian | $426.95 | ↓ -38% |
| Humana Military | Tricare-NonPhysician-FAC | $441.14 | ↓ -36% |
| Pace SE MI | Medicare Advantage-FAC | $472.51 | ↓ -31% |
| Priority Health | Commercial | $480.64 | ↓ -30% |
| Amerihealth Caritas | Dual Products-FAC | $487.43 | ↓ -29% |
| HAP | HAP Dual Products-FAC | $497.38 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $497.38 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $497.38 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $497.38 | ↓ -28% |
| Molina | Dual Product-FAC | $497.38 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $497.38 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $497.38 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $497.38 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $497.38 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $497.38 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $497.38 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $497.38 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $497.38 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $497.38 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $497.38 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $497.38 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $497.38 | ↓ -28% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $515.65 | ↓ -25% |
| Humana Military | Tricare-Physician-FAC | $518.98 | ↓ -24% |
| Humana Military | Tricare | $518.98 | ↓ -24% |
| Humana | Medicare Advantage-Physician-FAC | $569.75 | ↓ -17% |
| United Healthcare | All Products-Prof | $571.88 | ↓ -17% |
| United Healthcare | All Products-Midlevel | $571.88 | ↓ -17% |
| Pace SE MI | Medicare Advantage-NONFAC | $576.32 | ↓ -16% |
| Nomi | All Products | $581.92 | ↓ -15% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $588.35 | ↓ -14% |
| Amerihealth Caritas | Dual Products-NONFAC | $594.52 | ↓ -13% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $606.65 | ↓ -12% |
| Meridian | Ambetter From Meridian-NONFAC | $606.65 | ↓ -12% |
| HAP | Medicare Advantage-Physician-NONFAC | $606.65 | ↓ -12% |
| HAP | Medicare Advantage-NONFAC | $606.65 | ↓ -12% |
| Molina | Medicare Advantage-NONFAC | $606.65 | ↓ -12% |
| Molina | Dual Product-NONFAC | $606.65 | ↓ -12% |
| Priority Health | Medicare Advantage-NONFAC | $606.65 | ↓ -12% |
| Aetna | Medicare Advantage-NONFAC | $606.65 | ↓ -12% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $606.65 | ↓ -12% |
| WellCare | Medicare Advantage-NONFAC | $606.65 | ↓ -12% |
| Blue Cross | Medicare Plus Blue-NONFAC | $606.65 | ↓ -12% |
| United Healthcare | Medicare Advantage-NONFAC | $606.65 | ↓ -12% |
| McLaren | Medicare Advantage-NONFAC | $606.65 | ↓ -12% |
| HAP | HAP Dual Products-NONFAC | $606.65 | ↓ -12% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $606.65 | ↓ -12% |
| Humana | Medicare Advantage-NONFAC | $618.78 | ↓ -10% |
| Vitalcore | All Products | $727.40 | ↑ +6% |
| HAP | HAP HMO_AHL_Fully-Insured | $754.41 | ↑ +10% |
| Blue Cross | GM Connected Care | $820.15 | ↑ +19% |
| HAP | HAP HMO_AHL_Fully Insured | $870.19 | ↑ +27% |
| HAP | Self-Funded | $880.98 | ↑ +28% |
| Blue Cross | BCN Commercial-FAC | $911.28 | ↑ +33% |
| Blue Cross | BCN Commercial-NONFAC | $951.76 | ↑ +39% |
| Priority Health | All Products | $998.04 | ↑ +45% |
| Aetna | All Products-NONFAC | $1,004.99 | ↑ +46% |
| Priority Health | Priority Cigna | $1,097.84 | ↑ +60% |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
Visitor-reported prices
Comments
Treatment of retinal lesion at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $686.38 | $165.40 – $972.89 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $686.38 | $165.40 – $972.89 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $686.38 | $165.40 – $741.55 |
| Corewell Health Big Rapids | Big Rapids | not published | $316.26 – $569.27 |
| Corewell Health Gerber | Fremont | not published | $361.90 – $361.90 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $316.26 – $619.24 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $259.85 – $569.27 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $259.85 – $569.27 |