Biopsy tongue anterior two-thirds at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$741.60
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.
$350.00
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.
$62.20 with HAP 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 |
|---|---|---|---|
| HAP | HAP Caresource Medicaid-FAC | $62.20 | ↓ -92% |
| Meridian | Medicaid HMO-Child-FAC | $62.20 | ↓ -92% |
| Meridian | Medicaid HMO-Adult-FAC | $62.20 | ↓ -92% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $62.20 | ↓ -92% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $62.20 | ↓ -92% |
| McLaren | Medicaid HMO-Adult-FAC | $62.20 | ↓ -92% |
| McLaren | Medicaid HMO-Child-FAC | $62.20 | ↓ -92% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $63.44 | ↓ -91% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $63.44 | ↓ -91% |
| Molina | Medicaid HMO-Adult-FAC | $64.69 | ↓ -91% |
| Molina | Medicaid HMO-Child-FAC | $64.69 | ↓ -91% |
| Priority Health | Medicaid HMO-Adult-FAC | $65.31 | ↓ -91% |
| Priority Health | Medicaid HMO-Child-FAC | $65.31 | ↓ -91% |
| ScriptGuideRX | All Products | $68.20 | ↓ -91% |
| Humana Military | Tricare-NonPhysician-FAC | $85.25 | ↓ -89% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $85.26 | ↓ -89% |
| Pace SE MI | Medicare Advantage-FAC | $95.29 | ↓ -87% |
| Amerihealth Caritas | Dual Products-FAC | $98.30 | ↓ -87% |
| Humana Military | Tricare | $100.30 | ↓ -86% |
| Humana Military | Tricare-Physician-FAC | $100.30 | ↓ -86% |
| Humana | Medicare Advantage-FAC | $100.31 | ↓ -86% |
| Trinity Health Plan | Medicare Advantage-FAC | $100.31 | ↓ -86% |
| Priority Health | Medicare Advantage-FAC | $100.31 | ↓ -86% |
| Molina | Medicare Advantage-FAC | $100.31 | ↓ -86% |
| Molina | Dual Product-FAC | $100.31 | ↓ -86% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $100.31 | ↓ -86% |
| Aetna | Medicare Advantage-FAC | $100.31 | ↓ -86% |
| United Healthcare | Medicare-Behavioral Health-FAC | $100.31 | ↓ -86% |
| Blue Cross | BCN Medicare Advantage -FAC | $100.31 | ↓ -86% |
| Meridian | Ambetter From Meridian-FAC | $100.31 | ↓ -86% |
| Blue Cross | Medicare Plus Blue-FAC | $100.31 | ↓ -86% |
| McLaren | Medicare Advantage-FAC | $100.31 | ↓ -86% |
| United Healthcare | Medicare Advantage-FAC | $100.31 | ↓ -86% |
| HAP | HAP Dual Products-FAC | $100.31 | ↓ -86% |
| WellCare | Medicare Advantage-FAC | $100.31 | ↓ -86% |
| HAP | Medicare Advantage-FAC | $100.31 | ↓ -86% |
| HAP | Medicare Advantage-Physician-FAC | $100.31 | ↓ -86% |
| Humana | Medicare Advantage-Physician-FAC | $110.11 | ↓ -85% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $119.92 | ↓ -84% |
| McLaren | Medicaid HMO-Adult-NONFAC | $119.92 | ↓ -84% |
| McLaren | Medicaid HMO-Child-NONFAC | $119.92 | ↓ -84% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $119.92 | ↓ -84% |
| Meridian | Medicaid HMO-Adult-NONFAC | $119.92 | ↓ -84% |
| Meridian | Medicaid HMO-Child-NONFAC | $119.92 | ↓ -84% |
| HAP | HAP Caresource Medicaid-NONFAC | $119.92 | ↓ -84% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $122.32 | ↓ -84% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $122.32 | ↓ -84% |
| Molina | Medicaid HMO-Child-NONFAC | $124.72 | ↓ -83% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $125.92 | ↓ -83% |
| Priority Health | Medicaid HMO-Child-NONFAC | $125.92 | ↓ -83% |
| Molina | Medicaid HMO-Adult-NONFAC | $128.79 | ↓ -83% |
| HAP | Self-Funded | $136.62 | ↓ -82% |
| HAP | HAP HMO_AHL_Fully Insured | $136.91 | ↓ -82% |
| Nomi | All Products | $140.43 | ↓ -81% |
| United Healthcare | UHC Commercial | $143.84 | ↓ -81% |
| Blue Cross | GM Connected Care | $156.27 | ↓ -79% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $159.50 | ↓ -78% |
| Blue Cross | BCN Commercial-FAC | $173.63 | ↓ -77% |
| Pace SE MI | Medicare Advantage-NONFAC | $178.27 | ↓ -76% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $183.33 | ↓ -75% |
| Amerihealth Caritas | Dual Products-NONFAC | $183.90 | ↓ -75% |
| Priority Health | Medicare Advantage-NONFAC | $187.65 | ↓ -75% |
| HAP | Medicare Advantage-Physician-NONFAC | $187.65 | ↓ -75% |
| HAP | Medicare Advantage-NONFAC | $187.65 | ↓ -75% |
| Aetna | Medicare Advantage-NONFAC | $187.65 | ↓ -75% |
| HAP | HAP Dual Products-NONFAC | $187.65 | ↓ -75% |
| Blue Cross | Medicare Plus Blue-NONFAC | $187.65 | ↓ -75% |
| McLaren | Medicare Advantage-NONFAC | $187.65 | ↓ -75% |
| United Healthcare | Medicare Advantage-NONFAC | $187.65 | ↓ -75% |
| Meridian | Ambetter From Meridian-NONFAC | $187.65 | ↓ -75% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $187.65 | ↓ -75% |
| WellCare | Medicare Advantage-NONFAC | $187.65 | ↓ -75% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $187.65 | ↓ -75% |
| Molina | Dual Product-NONFAC | $187.65 | ↓ -75% |
| Molina | Medicare Advantage-NONFAC | $187.65 | ↓ -75% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $187.65 | ↓ -75% |
| Humana | Medicare Advantage-NONFAC | $191.40 | ↓ -74% |
| Multiplan | All Products | $191.40 | ↓ -74% |
| United Healthcare | All Products-Midlevel | $193.88 | ↓ -74% |
| Priority Health | All Products | $197.80 | ↓ -73% |
| Cofinity | Commercial | $205.03 | ↓ -72% |
| United Healthcare | Baseline Benefit Plan | $211.41 | ↓ -71% |
| Priority Health | Priority Cigna | $217.58 | ↓ -71% |
| HAP | HAP HMO_AHL_Fully-Insured | $228.28 | ↓ -69% |
| United Healthcare | All Products-Prof | $232.09 | ↓ -69% |
| Meridian | Medicaid HMO | $288.18 | ↓ -61% |
| Priority Health | Medicaid HMO | $288.18 | ↓ -61% |
| McLaren | Medicaid HMO | $288.18 | ↓ -61% |
| HAP | HAP Caresource Medicaid | $288.18 | ↓ -61% |
| Meridian | Ambetter From Meridian | $290.00 | ↓ -61% |
| BCN | HMO | $290.00 | ↓ -61% |
| Blue Cross | BCBSM Commercial | $290.00 | ↓ -61% |
| Blue Cross | BCBSM GM Connected Care | $290.00 | ↓ -61% |
| Blue Cross | BCN Commercial | $290.00 | ↓ -61% |
| HAP | Henry Ford Select -HPN commercial | $290.00 | ↓ -61% |
| HAP | Medicare Advantage | $290.00 | ↓ -61% |
| Humana | Medicare Advantage | $290.00 | ↓ -61% |
| Priority Health | Commercial | $290.00 | ↓ -61% |
| Aetna | All Products-NONFAC | $292.63 | ↓ -61% |
| Aetna Better Health | Medicaid HMO | $293.94 | ↓ -60% |
| Blue Cross | BCN Commercial-NONFAC | $297.72 | ↓ -60% |
| Molina | Medicaid HMO | $303.52 | ↓ -59% |
| HAP | HAP Dual Products | $498.95 | ↓ -33% |
| Pace SE MI | Medicare Advantage | $510.52 | ↓ -31% |
| Amerihealth Caritas | Dual Products | $526.64 | ↓ -29% |
| McLaren | Medicare Advantage | $537.39 | ↓ -28% |
| WellCare | Medicare Advantage | $537.39 | ↓ -28% |
| Blue Cross | Medicare Plus Blue | $537.39 | ↓ -28% |
| Blue Cross | BCN Advantage | $537.39 | ↓ -28% |
| United Healthcare | VACCN | $537.39 | ↓ -28% |
| Priority Health | Medicare Advantage | $537.39 | ↓ -28% |
| Priority Health | Dual Premier_HIDE-SNP | $537.39 | ↓ -28% |
| Molina | Dual MI Coordinated Health | $537.39 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage | $537.39 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $537.39 | ↓ -28% |
| Aetna | Medicare Advantage | $537.39 | ↓ -28% |
| Aetna | Dual Products | $591.13 | ↓ -20% |
| Vitalcore | All Products | $1,236.00 | ↑ +67% |
| Aetna | Commercial | $2,056.00 | ↑ +177% |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | 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 | — |
Visitor-reported prices
Comments
Biopsy tongue anterior two-thirds at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $1,376.00 | $290.42 – $967.30 |
| Corewell Health Gerber | Fremont | $1,376.00 | $290.42 – $290.42 |
| Corewell Health Butterworth Hospital | Grand Rapids | $1,238.00 | $206.85 – $967.30 |
| Corewell Health Blodgett Hospital | East Grand Rapids | $1,238.00 | $206.85 – $967.30 |
| Corewell Health Reed City | Po Box 75 | $1,376.00 | not published |
| Corewell Health Greenville | Greenville | $1,376.00 | $290.42 – $967.30 |
| Corewell Health Zeeland | Zeeland | $1,376.00 | $290.42 – $967.30 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $741.60 | $62.20 – $290.00 |