Biopsy of epididymis at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$2,271.01
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.
$412.00
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.
$70.93 with McLaren vs $3,785.02 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 |
|---|---|---|---|
| McLaren | Medicaid HMO-Adult-FAC | $70.93 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $70.93 | ↓ -97% |
| HAP | HAP Caresource Medicaid-FAC | $70.93 | ↓ -97% |
| Meridian | Medicaid HMO-Child-FAC | $70.93 | ↓ -97% |
| Meridian | Medicaid HMO-Adult-FAC | $70.93 | ↓ -97% |
| McLaren | Medicaid HMO-Child-FAC | $70.93 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $70.93 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $72.35 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $72.35 | ↓ -97% |
| Molina | Medicaid HMO-Child-FAC | $73.77 | ↓ -97% |
| Molina | Medicaid HMO-Adult-FAC | $73.77 | ↓ -97% |
| Priority Health | Medicaid HMO-Adult-FAC | $74.48 | ↓ -97% |
| Priority Health | Medicaid HMO-Child-FAC | $74.48 | ↓ -97% |
| ScriptGuideRX | All Products | $92.21 | ↓ -96% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $99.22 | ↓ -96% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $99.22 | ↓ -96% |
| Humana Military | Tricare-NonPhysician-FAC | $99.72 | ↓ -96% |
| Pace SE MI | Medicare Advantage-FAC | $110.89 | ↓ -95% |
| Pace SE MI | Medicare Advantage-NONFAC | $110.89 | ↓ -95% |
| Amerihealth Caritas | Dual Products-FAC | $114.40 | ↓ -95% |
| Amerihealth Caritas | Dual Products-NONFAC | $114.40 | ↓ -95% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $116.73 | ↓ -95% |
| Aetna | Medicare Advantage-FAC | $116.73 | ↓ -95% |
| Aetna | Medicare Advantage-NONFAC | $116.73 | ↓ -95% |
| Blue Cross | BCN Medicare Advantage -FAC | $116.73 | ↓ -95% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $116.73 | ↓ -95% |
| Blue Cross | Medicare Plus Blue-FAC | $116.73 | ↓ -95% |
| Blue Cross | Medicare Plus Blue-NONFAC | $116.73 | ↓ -95% |
| HAP | HAP Dual Products-FAC | $116.73 | ↓ -95% |
| HAP | HAP Dual Products-NONFAC | $116.73 | ↓ -95% |
| HAP | Medicare Advantage-FAC | $116.73 | ↓ -95% |
| HAP | Medicare Advantage-NONFAC | $116.73 | ↓ -95% |
| HAP | Medicare Advantage-Physician-FAC | $116.73 | ↓ -95% |
| HAP | Medicare Advantage-Physician-NONFAC | $116.73 | ↓ -95% |
| Humana | Medicare Advantage-FAC | $116.73 | ↓ -95% |
| McLaren | Medicare Advantage-FAC | $116.73 | ↓ -95% |
| McLaren | Medicare Advantage-NONFAC | $116.73 | ↓ -95% |
| Meridian | Ambetter From Meridian-FAC | $116.73 | ↓ -95% |
| Meridian | Ambetter From Meridian-NONFAC | $116.73 | ↓ -95% |
| Molina | Dual Product-FAC | $116.73 | ↓ -95% |
| Molina | Dual Product-NONFAC | $116.73 | ↓ -95% |
| Molina | Medicare Advantage-FAC | $116.73 | ↓ -95% |
| Molina | Medicare Advantage-NONFAC | $116.73 | ↓ -95% |
| Priority Health | Medicare Advantage-FAC | $116.73 | ↓ -95% |
| Priority Health | Medicare Advantage-NONFAC | $116.73 | ↓ -95% |
| Trinity Health Plan | Medicare Advantage-FAC | $116.73 | ↓ -95% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $116.73 | ↓ -95% |
| United Healthcare | Medicare Advantage-FAC | $116.73 | ↓ -95% |
| United Healthcare | Medicare Advantage-NONFAC | $116.73 | ↓ -95% |
| United Healthcare | Medicare-Behavioral Health-FAC | $116.73 | ↓ -95% |
| WellCare | Medicare Advantage-FAC | $116.73 | ↓ -95% |
| WellCare | Medicare Advantage-NONFAC | $116.73 | ↓ -95% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $116.73 | ↓ -95% |
| Humana Military | Tricare-Physician-FAC | $117.31 | ↓ -95% |
| Humana Military | Tricare | $117.31 | ↓ -95% |
| Humana | Medicare Advantage-NONFAC | $119.06 | ↓ -95% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $127.51 | ↓ -94% |
| Humana | Medicare Advantage-Physician-FAC | $128.79 | ↓ -94% |
| United Healthcare | All Products-Midlevel | $133.91 | ↓ -94% |
| Nomi | All Products | $163.42 | ↓ -93% |
| Blue Cross | GM Connected Care | $179.76 | ↓ -92% |
| HAP | HAP HMO_AHL_Fully-Insured | $180.19 | ↓ -92% |
| Aetna | All Products-NONFAC | $197.48 | ↓ -91% |
| Blue Cross | BCBSM Commercial | $198.66 | ↓ -91% |
| Blue Cross | BCN Commercial-FAC | $199.73 | ↓ -91% |
| Blue Cross | BCN Commercial-NONFAC | $199.73 | ↓ -91% |
| Priority Health | All Products | $203.42 | ↓ -91% |
| HAP | HAP HMO_AHL_Fully Insured | $207.84 | ↓ -91% |
| HAP | Self-Funded | $210.41 | ↓ -91% |
| Priority Health | Priority Cigna | $223.76 | ↓ -90% |
| United Healthcare | All Products-Prof | $283.91 | ↓ -87% |
| Meridian | Medicaid HMO | $882.49 | ↓ -61% |
| McLaren | Medicaid HMO | $882.49 | ↓ -61% |
| Priority Health | Medicaid HMO | $882.49 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $882.49 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $900.14 | ↓ -60% |
| Molina | Medicaid HMO | $929.47 | ↓ -59% |
| Pace SE MI | Medicare Advantage | $1,563.38 | ↓ -31% |
| HAP | HAP Dual Products | $1,587.48 | ↓ -30% |
| Amerihealth Caritas | Dual Products | $1,612.75 | ↓ -29% |
| WellCare | Medicare Advantage | $1,645.66 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $1,645.66 | ↓ -28% |
| Blue Cross | BCN Advantage | $1,645.66 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $1,645.66 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $1,645.66 | ↓ -28% |
| Priority Health | Medicare Advantage | $1,645.66 | ↓ -28% |
| Aetna | Medicare Advantage | $1,645.66 | ↓ -28% |
| HAP | Medicare Advantage | $1,645.66 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $1,645.66 | ↓ -28% |
| United Healthcare | VACCN | $1,645.66 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $1,645.66 | ↓ -28% |
| McLaren | Medicare Advantage | $1,645.66 | ↓ -28% |
| Blue Cross | BCBSM GM Connected Care | $1,660.26 | ↓ -27% |
| Humana | Medicare Advantage | $1,662.11 | ↓ -27% |
| Blue Cross | BCN Commercial | $1,701.07 | ↓ -25% |
| BCN | HMO | $1,701.07 | ↓ -25% |
| Aetna | Dual Products | $1,810.22 | ↓ -20% |
| HAP | Henry Ford Select -HPN commercial | $1,974.79 | ↓ -13% |
| Priority Health | Commercial | $2,026.94 | ↓ -11% |
| Meridian | Ambetter From Meridian | $2,221.64 | ↓ -2% |
| Vitalcore | All Products | $3,785.02 | ↑ +67% |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of epididymis at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $2,271.01 | $70.93 – $2,292.11 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $2,271.01 | $70.93 – $3,785.02 |
| Henry Ford Wyandotte Hospital: | Wyandotte | $2,271.01 | $70.93 – $1,709.76 |
| Corewell Health Big Rapids | Big Rapids | not published | $1,645.66 – $2,962.18 |
| Corewell Health Gerber | Fremont | not published | $1,960.80 – $1,960.80 |
| Corewell Health Lakeland Watervliet | Watervliet | not published | $1,663.48 – $2,495.22 |
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $1,011.43 – $2,468.49 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $645.78 – $2,962.18 |