Extended visual field xm at Henry Ford Hospital

2799 West Grand Blvd, Detroit MI 48202 | 19401 Hubbard Dr., MI · Henry Ford Health · · NPI 1134144801

Source: hospital's published price file ↗ · Published Jun 28, 2026 · Ingested Aug 13, 2026

$182.95

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$239.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$16.83 with McLaren vs $304.91 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 →

Payer
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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
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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
McLaren Medicaid HMO-Adult-NONFAC $16.83 ↓ -91%
United Healthcare Medicaid-Behavioral Health-Child-FAC $16.83 ↓ -91%
United Healthcare Medicaid-Behavioral Health-Adult-NONFAC $16.83 ↓ -91%
Blue Cross Blue Cross Complete-Adult-FAC $16.83 ↓ -91%
Blue Cross Blue Cross Complete-Adult-NONFAC $16.83 ↓ -91%
Blue Cross Blue Cross Complete-Child-FAC $16.83 ↓ -91%
Blue Cross Blue Cross Complete-Child-NONFAC $16.83 ↓ -91%
United Healthcare Medicaid-Behavioral Health-Child-NONFAC $16.83 ↓ -91%
Meridian Medicaid HMO-Child-NONFAC $16.83 ↓ -91%
Meridian Medicaid HMO-Child-FAC $16.83 ↓ -91%
Meridian Medicaid HMO-Adult-NONFAC $16.83 ↓ -91%
Meridian Medicaid HMO-Adult-FAC $16.83 ↓ -91%
McLaren Medicaid HMO-Child-NONFAC $16.83 ↓ -91%
HAP HAP Caresource Medicaid-FAC $16.83 ↓ -91%
HAP HAP Caresource Medicaid-NONFAC $16.83 ↓ -91%
McLaren Medicaid HMO-Child-FAC $16.83 ↓ -91%
United Healthcare Medicaid-Behavioral Health-Adult-FAC $16.83 ↓ -91%
McLaren Medicaid HMO-Adult-FAC $16.83 ↓ -91%
Aetna Better Health Medicaid HMO-Adult-NONFAC $17.17 ↓ -91%
Aetna Better Health Medicaid HMO-Adult-FAC $17.17 ↓ -91%
Aetna Better Health Medicaid HMO-Child-FAC $17.17 ↓ -91%
Aetna Better Health Medicaid HMO-Child-NONFAC $17.17 ↓ -91%
Molina Medicaid HMO-Child-NONFAC $17.50 ↓ -90%
Molina Medicaid HMO-Adult-FAC $17.50 ↓ -90%
Molina Medicaid HMO-Child-FAC $17.50 ↓ -90%
Priority Health Medicaid HMO-Adult-FAC $17.67 ↓ -90%
Priority Health Medicaid HMO-Child-NONFAC $17.67 ↓ -90%
Priority Health Medicaid HMO-Child-FAC $17.67 ↓ -90%
Priority Health Medicaid HMO-Adult-NONFAC $17.67 ↓ -90%
Molina Medicaid HMO-Adult-NONFAC $18.90 ↓ -90%
ScriptGuideRX All Products $21.88 ↓ -88%
Humana Medicare Advantage-NP-NONFAC $22.07 ↓ -88%
Humana Medicare Advantage-NP-FAC $22.07 ↓ -88%
HAP Medicare Advantage HMO/PPO-NonPhysician-FAC $22.34 ↓ -88%
HAP Medicare Advantage HMO/PPO-NonPhysician-NONFAC $22.34 ↓ -88%
Humana Military Tricare-NonPhysician-FAC $23.64 ↓ -87%
Humana Military Tricare-Physician-FAC $23.64 ↓ -87%
Pace SE MI Medicare Advantage-FAC $24.97 ↓ -86%
Pace SE MI Medicare Advantage-NONFAC $24.97 ↓ -86%
United Healthcare Medicare-Behavioral Health-NONFAC $25.71 ↓ -86%
Amerihealth Caritas Dual Products-NONFAC $25.75 ↓ -86%
Amerihealth Caritas Dual Products-FAC $25.75 ↓ -86%
Humana Medicare Advantage-Physician-NONFAC $25.97 ↓ -86%
Humana Medicare Advantage-Physician-FAC $25.97 ↓ -86%
HAP Medicare Advantage-Physician-NONFAC $26.28 ↓ -86%
Aetna Medicare Advantage-FAC $26.28 ↓ -86%
Aetna Medicare Advantage-NONFAC $26.28 ↓ -86%
Blue Cross BCN Medicare Advantage -FAC $26.28 ↓ -86%
Blue Cross BCN Medicare Advantage -NONFAC $26.28 ↓ -86%
Blue Cross Medicare Plus Blue-FAC $26.28 ↓ -86%
Blue Cross Medicare Plus Blue-NONFAC $26.28 ↓ -86%
HAP HAP Dual Products-FAC $26.28 ↓ -86%
HAP HAP Dual Products-NONFAC $26.28 ↓ -86%
HAP Medicare Advantage-FAC $26.28 ↓ -86%
HAP Medicare Advantage-NONFAC $26.28 ↓ -86%
HAP Medicare Advantage-Physician-FAC $26.28 ↓ -86%
McLaren Medicare Advantage-FAC $26.28 ↓ -86%
McLaren Medicare Advantage-NONFAC $26.28 ↓ -86%
Meridian Ambetter From Meridian-FAC $26.28 ↓ -86%
Meridian Ambetter From Meridian-NONFAC $26.28 ↓ -86%
Molina Dual Product-FAC $26.28 ↓ -86%
Molina Dual Product-NONFAC $26.28 ↓ -86%
Molina Medicare Advantage-FAC $26.28 ↓ -86%
Molina Medicare Advantage-NONFAC $26.28 ↓ -86%
Priority Health Medicare Advantage-FAC $26.28 ↓ -86%
Priority Health Medicare Advantage-NONFAC $26.28 ↓ -86%
Trinity Health Plan Medicare Advantage-FAC $26.28 ↓ -86%
Trinity Health Plan Medicare Advantage-NONFAC $26.28 ↓ -86%
United Healthcare Medicare Advantage-FAC $26.28 ↓ -86%
United Healthcare Medicare Advantage-NONFAC $26.28 ↓ -86%
United Healthcare Medicare-Behavioral Health-FAC $26.28 ↓ -86%
WellCare Medicare Advantage-FAC $26.28 ↓ -86%
WellCare Medicare Advantage-NONFAC $26.28 ↓ -86%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-FAC $26.28 ↓ -86%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC $26.28 ↓ -86%
Cofinity All Products $31.23 ↓ -83%
Humana Military Tricare $32.49 ↓ -82%
Vitalcore All Products-NONFAC $34.16 ↓ -81%
HAP HAP HMO_AHL_Fully-Insured $36.40 ↓ -80%
Nomi All Products $36.79 ↓ -80%
Blue Cross GM Connected Care $37.87 ↓ -79%
Aetna All Products-NONFAC $38.93 ↓ -79%
United Healthcare All Products-Midlevel $39.05 ↓ -79%
Aetna All Products-FAC $39.24 ↓ -79%
Blue Cross BCN Commercial-NONFAC $42.08 ↓ -77%
Blue Cross BCN Commercial-FAC $42.08 ↓ -77%
Blue Cross BCBSM Commercial $42.08 ↓ -77%
United Healthcare All Products-Prof $42.22 ↓ -77%
HAP Self-Funded $43.00 ↓ -76%
Priority Health All Products $45.37 ↓ -75%
Priority Health Priority Cigna $49.91 ↓ -73%
HAP HAP Caresource Medicaid $71.09 ↓ -61%
Blue Cross Blue Cross Complete $71.09 ↓ -61%
McLaren Medicaid HMO $71.09 ↓ -61%
Priority Health Medicaid HMO $71.09 ↓ -61%
Meridian Medicaid HMO $71.09 ↓ -61%
Aetna Better Health Medicaid HMO $72.51 ↓ -60%
Molina Medicaid HMO $74.88 ↓ -59%
NFL Cigna All Products $124.28 ↓ -32%
Pace SE MI Medicare Advantage $125.94 ↓ -31%
Priority Health Commercial $126.73 ↓ -31%
Amerihealth Caritas Dual Products $129.92 ↓ -29%
HAP HAP HMO_AHL_Fully Insured $130.83 ↓ -28%
WellCare Wellcare Meridian Dual Align (HMO D-SNP) $132.57 ↓ -28%
Aetna Medicare Advantage $132.57 ↓ -28%
Priority Health Medicare Advantage $132.57 ↓ -28%
Blue Cross BCN Advantage $132.57 ↓ -28%
United Healthcare Erickson Advantage $132.57 ↓ -28%
Priority Health Dual Premier_HIDE-SNP $132.57 ↓ -28%
McLaren Medicare Advantage $132.57 ↓ -28%
Trinity Health Plan Medicare Advantage $132.57 ↓ -28%
United Healthcare VACCN $132.57 ↓ -28%
HAP HAP Dual Products $132.57 ↓ -28%
HAP Medicare Advantage $132.57 ↓ -28%
Blue Cross Medicare Plus Blue $132.57 ↓ -28%
WellCare Medicare Advantage $132.57 ↓ -28%
Molina Dual MI Coordinated Health $132.57 ↓ -28%
Humana Medicare Advantage $133.90 ↓ -27%
Cigna Transplants Commercial $136.23 ↓ -26%
Ontario Ministry of Health and Long-Term Care ALL PRODUCTS $143.40 ↓ -22%
Aetna Dual Products $145.83 ↓ -20%
Humana Transplant Med Adv $155.35 ↓ -15%
HAP Henry Ford Select -HPN commercial $159.08 ↓ -13%
Aetna Commercial $159.10 ↓ -13%
Multiplan All Products $160.13 ↓ -12%
Blue Cross BCBSM GM Connected Care $162.67 ↓ -11%
United Healthcare Baseline Benefit Plan $170.17 ↓ -7%
United Healthcare UHC Commercial $170.17 ↓ -7%
Meridian Ambetter From Meridian $178.97 ↓ -2%
Cofinity Commercial $195.26 ↑ +7%
Blue Cross BCN Commercial $236.55 ↑ +29%
BCN HMO $236.55 ↑ +29%
Vitalcore All Products $304.91 ↑ +67%
United Healthcare Commercial-Behavioral Health-RN not published by hospital
Interlink All Products not published by hospital
United Healthcare Commercial-Behavioral Health-MD not published by hospital
United Healthcare Commercial-Behavioral Health-PhD not published by hospital
Detroit Wayne Integrated Health Medicaid HMO not published by hospital
United Healthcare Commercial-Behavioral Health-MA not published by hospital

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Extended visual field xm at other Michigan hospitals

Hospital City Cash price Negotiated range
Corewell Health Gross Pointe Grosse Pointe $282.00 $56.25 – $179.05
Corewell Health Taylor Taylor $282.00 $56.25 – $194.42
Corewell Health Trenton Trenton $282.00 $56.25 – $179.05
Corewell Health Troy Troy $282.00 $56.25 – $186.18
Corewell Health Wayne Wayne $282.00 $56.25 – $179.05
Henry Ford West Bloomfield Hospital West Bloomfield $182.95 $16.83 – $304.91
Henry Ford Wyandotte Hospital: Wyandotte $182.95 $16.83 – $160.13
Henry Ford Macomb Hospital Clinton Twp $182.95 $16.83 – $304.91

All Michigan hospitals for this procedure →