Biopsy of salivary gland 42400 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$973.71
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.
$357.00
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.
$30.46 with McLaren vs $2,056.00 with Aetna — 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-Child-FAC | $30.46 | ↓ -97% |
| McLaren | Medicaid HMO-Adult-FAC | $30.46 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $30.46 | ↓ -97% |
| Meridian | Medicaid HMO-Child-FAC | $30.46 | ↓ -97% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $30.46 | ↓ -97% |
| Meridian | Medicaid HMO-Adult-FAC | $30.46 | ↓ -97% |
| HAP | HAP Caresource Medicaid-FAC | $30.46 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $31.07 | ↓ -97% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $31.07 | ↓ -97% |
| Molina | Medicaid HMO-Adult-FAC | $31.68 | ↓ -97% |
| Molina | Medicaid HMO-Child-FAC | $31.68 | ↓ -97% |
| Priority Health | Medicaid HMO-Child-FAC | $31.98 | ↓ -97% |
| Priority Health | Medicaid HMO-Adult-FAC | $31.98 | ↓ -97% |
| ScriptGuideRX | All Products | $33.25 | ↓ -97% |
| Humana Military | Tricare-NonPhysician-FAC | $41.28 | ↓ -96% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $41.57 | ↓ -96% |
| Pace SE MI | Medicare Advantage-FAC | $46.46 | ↓ -95% |
| Amerihealth Caritas | Dual Products-FAC | $47.93 | ↓ -95% |
| Humana Military | Tricare-Physician-FAC | $48.58 | ↓ -95% |
| Humana Military | Tricare | $48.58 | ↓ -95% |
| Trinity Health Plan | Medicare Advantage-FAC | $48.91 | ↓ -95% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $48.91 | ↓ -95% |
| Molina | Medicare Advantage-FAC | $48.91 | ↓ -95% |
| Aetna | Medicare Advantage-FAC | $48.91 | ↓ -95% |
| WellCare | Medicare Advantage-FAC | $48.91 | ↓ -95% |
| Molina | Dual Product-FAC | $48.91 | ↓ -95% |
| United Healthcare | Medicare-Behavioral Health-FAC | $48.91 | ↓ -95% |
| Meridian | Ambetter From Meridian-FAC | $48.91 | ↓ -95% |
| United Healthcare | Medicare Advantage-FAC | $48.91 | ↓ -95% |
| McLaren | Medicare Advantage-FAC | $48.91 | ↓ -95% |
| Blue Cross | BCN Medicare Advantage -FAC | $48.91 | ↓ -95% |
| Blue Cross | Medicare Plus Blue-FAC | $48.91 | ↓ -95% |
| Humana | Medicare Advantage-FAC | $48.91 | ↓ -95% |
| Priority Health | Medicare Advantage-FAC | $48.91 | ↓ -95% |
| HAP | Medicare Advantage-Physician-FAC | $48.91 | ↓ -95% |
| HAP | HAP Dual Products-FAC | $48.91 | ↓ -95% |
| HAP | Medicare Advantage-FAC | $48.91 | ↓ -95% |
| Humana | Medicare Advantage-Physician-FAC | $53.33 | ↓ -95% |
| Meridian | Medicaid HMO-Child-NONFAC | $60.28 | ↓ -94% |
| Meridian | Medicaid HMO-Adult-NONFAC | $60.28 | ↓ -94% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $60.28 | ↓ -94% |
| McLaren | Medicaid HMO-Adult-NONFAC | $60.28 | ↓ -94% |
| HAP | HAP Caresource Medicaid-NONFAC | $60.28 | ↓ -94% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $60.28 | ↓ -94% |
| McLaren | Medicaid HMO-Child-NONFAC | $60.28 | ↓ -94% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $61.49 | ↓ -94% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $61.49 | ↓ -94% |
| Molina | Medicaid HMO-Child-NONFAC | $62.69 | ↓ -94% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $63.29 | ↓ -94% |
| Priority Health | Medicaid HMO-Child-NONFAC | $63.29 | ↓ -94% |
| Molina | Medicaid HMO-Adult-NONFAC | $64.97 | ↓ -93% |
| Nomi | All Products | $68.47 | ↓ -93% |
| Blue Cross | GM Connected Care | $76.21 | ↓ -92% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $79.93 | ↓ -92% |
| Blue Cross | BCN Commercial-FAC | $84.68 | ↓ -91% |
| Pace SE MI | Medicare Advantage-NONFAC | $89.33 | ↓ -91% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $92.03 | ↓ -91% |
| Amerihealth Caritas | Dual Products-NONFAC | $92.15 | ↓ -91% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $94.03 | ↓ -90% |
| HAP | HAP Dual Products-NONFAC | $94.03 | ↓ -90% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $94.03 | ↓ -90% |
| HAP | Medicare Advantage-NONFAC | $94.03 | ↓ -90% |
| HAP | Medicare Advantage-Physician-NONFAC | $94.03 | ↓ -90% |
| Priority Health | Medicare Advantage-NONFAC | $94.03 | ↓ -90% |
| Blue Cross | Medicare Plus Blue-NONFAC | $94.03 | ↓ -90% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $94.03 | ↓ -90% |
| McLaren | Medicare Advantage-NONFAC | $94.03 | ↓ -90% |
| United Healthcare | Medicare Advantage-NONFAC | $94.03 | ↓ -90% |
| Meridian | Ambetter From Meridian-NONFAC | $94.03 | ↓ -90% |
| Molina | Dual Product-NONFAC | $94.03 | ↓ -90% |
| Aetna | Medicare Advantage-NONFAC | $94.03 | ↓ -90% |
| WellCare | Medicare Advantage-NONFAC | $94.03 | ↓ -90% |
| Molina | Medicare Advantage-NONFAC | $94.03 | ↓ -90% |
| United Healthcare | All Products-Midlevel | $94.08 | ↓ -90% |
| Humana | Medicare Advantage-NONFAC | $95.91 | ↓ -90% |
| Priority Health | All Products | $96.47 | ↓ -90% |
| Priority Health | Priority Cigna | $106.12 | ↓ -89% |
| United Healthcare | All Products-Prof | $112.63 | ↓ -88% |
| HAP | HAP HMO_AHL_Fully-Insured | $143.83 | ↓ -85% |
| Blue Cross | BCN Commercial-NONFAC | $150.19 | ↓ -85% |
| Aetna | All Products-NONFAC | $151.04 | ↓ -84% |
| Blue Cross | BCBSM Commercial | $152.86 | ↓ -84% |
| HAP | Self-Funded | $167.96 | ↓ -83% |
| HAP | HAP HMO_AHL_Fully Insured | $168.54 | ↓ -83% |
| United Healthcare | UHC Commercial | $177.07 | ↓ -82% |
| Multiplan | All Products | $235.62 | ↓ -76% |
| Cofinity | Commercial | $252.40 | ↓ -74% |
| United Healthcare | Baseline Benefit Plan | $260.25 | ↓ -73% |
| Priority Health | Commercial | $263.99 | ↓ -73% |
| HAP | Medicare Advantage | $357.00 | ↓ -63% |
| Meridian | Ambetter From Meridian | $357.00 | ↓ -63% |
| BCN | HMO | $357.00 | ↓ -63% |
| Blue Cross | BCN Commercial | $357.00 | ↓ -63% |
| Blue Cross | BCBSM GM Connected Care | $357.00 | ↓ -63% |
| Humana | Medicare Advantage | $357.00 | ↓ -63% |
| HAP | Henry Ford Select -HPN commercial | $357.00 | ↓ -63% |
| HAP | HAP Caresource Medicaid | $378.37 | ↓ -61% |
| Priority Health | Medicaid HMO | $378.37 | ↓ -61% |
| Meridian | Medicaid HMO | $378.37 | ↓ -61% |
| McLaren | Medicaid HMO | $378.37 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $385.94 | ↓ -60% |
| Molina | Medicaid HMO | $398.52 | ↓ -59% |
| Pace SE MI | Medicare Advantage | $670.31 | ↓ -31% |
| HAP | HAP Dual Products | $689.36 | ↓ -29% |
| Amerihealth Caritas | Dual Products | $691.48 | ↓ -29% |
| Aetna | Medicare Advantage | $705.59 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $705.59 | ↓ -28% |
| WellCare | Medicare Advantage | $705.59 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $705.59 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $705.59 | ↓ -28% |
| Blue Cross | BCN Advantage | $705.59 | ↓ -28% |
| Priority Health | Medicare Advantage | $705.59 | ↓ -28% |
| McLaren | Medicare Advantage | $705.59 | ↓ -28% |
| United Healthcare | VACCN | $705.59 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $705.59 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $705.59 | ↓ -28% |
| Aetna | Dual Products | $776.14 | ↓ -20% |
| Vitalcore | All Products | $1,622.86 | ↑ +67% |
| Aetna | Commercial | $2,056.00 | ↑ +111% |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| 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 | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $1,220.00 | $194.51 – $1,270.05 |
| Corewell Health Gerber | Fremont | $1,220.00 | $194.51 – $194.51 |
| Corewell Health Lakeland Watervliet | Watervliet | $976.00 | $713.23 – $1,069.84 |
| Corewell Health Lakeland St. Joseph | St Joseph | $976.00 | $705.59 – $1,058.38 |
| Corewell Health Butterworth Hospital | Grand Rapids | $1,355.00 | $190.23 – $1,270.05 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $1,355.00 | $190.23 – $1,270.05 |
| Corewell Health Reed City | Po Box 75 | $1,220.00 | not published |
| Corewell Health Greenville | Greenville | $1,220.00 | $194.51 – $1,270.05 |