Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at Henry Ford Macomb Hospital
15855 19 Mile Rd, Clinton Twp, MI · Henry Ford Health · · NPI 1023114634
$62.61
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.
?
What you pay up front if you don't use insurance.
$771.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$27.48 with Meridian vs $2,056.00 with Aetna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Meridian | Medicaid HMO-Child-FAC | $27.48 | ↓ -56% |
| HAP | HAP Caresource Medicaid-FAC | $27.48 | ↓ -56% |
| McLaren | Medicaid HMO-Adult-FAC | $27.48 | ↓ -56% |
| McLaren | Medicaid HMO-Child-FAC | $27.48 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $27.48 | ↓ -56% |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $27.48 | ↓ -56% |
| Meridian | Medicaid HMO-Adult-FAC | $27.48 | ↓ -56% |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $28.03 | ↓ -55% |
| Aetna Better Health | Medicaid HMO-Child-FAC | $28.03 | ↓ -55% |
| Molina | Medicaid HMO-Child-FAC | $28.58 | ↓ -54% |
| Molina | Medicaid HMO-Adult-FAC | $28.58 | ↓ -54% |
| Priority Health | Medicaid HMO-Adult-FAC | $28.85 | ↓ -54% |
| Priority Health | Medicaid HMO-Child-FAC | $28.85 | ↓ -54% |
| ScriptGuideRX | All Products | $30.85 | ↓ -51% |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $38.34 | ↓ -39% |
| Meridian | Medicaid HMO-Child-NONFAC | $38.34 | ↓ -39% |
| Meridian | Medicaid HMO-Adult-NONFAC | $38.34 | ↓ -39% |
| McLaren | Medicaid HMO-Child-NONFAC | $38.34 | ↓ -39% |
| McLaren | Medicaid HMO-Adult-NONFAC | $38.34 | ↓ -39% |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $38.34 | ↓ -39% |
| HAP | HAP Caresource Medicaid-NONFAC | $38.34 | ↓ -39% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $38.56 | ↓ -38% |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $39.11 | ↓ -38% |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $39.11 | ↓ -38% |
| Humana Military | Tricare-NonPhysician-FAC | $39.19 | ↓ -37% |
| Molina | Medicaid HMO-Child-NONFAC | $39.87 | ↓ -36% |
| Priority Health | Medicaid HMO-Child-NONFAC | $40.26 | ↓ -36% |
| Priority Health | Medicaid HMO-Adult-NONFAC | $40.26 | ↓ -36% |
| Molina | Medicaid HMO-Adult-NONFAC | $41.47 | ↓ -34% |
| Pace SE MI | Medicare Advantage-FAC | $43.10 | ↓ -31% |
| BC3NP | Medicaid HMO | $44.18 | ↓ -29% |
| Amerihealth Caritas | Dual Products-FAC | $44.46 | ↓ -29% |
| HAP | HAP Dual Products-FAC | $45.37 | ↓ -28% |
| Priority Health | Medicare Advantage-FAC | $45.37 | ↓ -28% |
| Aetna | Medicare Advantage-FAC | $45.37 | ↓ -28% |
| WellCare | Medicare Advantage-FAC | $45.37 | ↓ -28% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | $45.37 | ↓ -28% |
| Blue Cross | BCN Medicare Advantage -FAC | $45.37 | ↓ -28% |
| Blue Cross | Medicare Plus Blue-FAC | $45.37 | ↓ -28% |
| United Healthcare | Medicare-Behavioral Health-FAC | $45.37 | ↓ -28% |
| United Healthcare | Medicare Advantage-FAC | $45.37 | ↓ -28% |
| HAP | Medicare Advantage-FAC | $45.37 | ↓ -28% |
| HAP | Medicare Advantage-Physician-FAC | $45.37 | ↓ -28% |
| Humana | Medicare Advantage-FAC | $45.37 | ↓ -28% |
| McLaren | Medicare Advantage-FAC | $45.37 | ↓ -28% |
| Meridian | Ambetter From Meridian-FAC | $45.37 | ↓ -28% |
| Molina | Dual Product-FAC | $45.37 | ↓ -28% |
| Molina | Medicare Advantage-FAC | $45.37 | ↓ -28% |
| Trinity Health Plan | Medicare Advantage-FAC | $45.37 | ↓ -28% |
| Humana Military | Tricare-Physician-FAC | $46.11 | ↓ -26% |
| Humana Military | Tricare | $46.11 | ↓ -26% |
| Humana | Medicare Advantage-Physician-FAC | $50.62 | ↓ -19% |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $52.54 | ↓ -16% |
| Blue Cross | GM Connected Care | $55.94 | ↓ -11% |
| Pace SE MI | Medicare Advantage-NONFAC | $58.72 | ↓ -6% |
| United Healthcare | Medicare-Behavioral Health-NONFAC | $60.33 | ↓ -4% |
| Amerihealth Caritas | Dual Products-NONFAC | $60.57 | ↓ -3% |
| Blue Cross | Medicare Plus Blue-NONFAC | $61.81 | ↓ -1% |
| HAP | HAP Dual Products-NONFAC | $61.81 | ↓ -1% |
| United Healthcare | Medicare Advantage-NONFAC | $61.81 | ↓ -1% |
| McLaren | Medicare Advantage-NONFAC | $61.81 | ↓ -1% |
| Meridian | Ambetter From Meridian-NONFAC | $61.81 | ↓ -1% |
| Blue Cross | BCN Medicare Advantage -NONFAC | $61.81 | ↓ -1% |
| Aetna | Medicare Advantage-NONFAC | $61.81 | ↓ -1% |
| Molina | Dual Product-NONFAC | $61.81 | ↓ -1% |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | $61.81 | ↓ -1% |
| WellCare | Medicare Advantage-NONFAC | $61.81 | ↓ -1% |
| Molina | Medicare Advantage-NONFAC | $61.81 | ↓ -1% |
| Trinity Health Plan | Medicare Advantage-NONFAC | $61.81 | ↓ -1% |
| Priority Health | Medicare Advantage-NONFAC | $61.81 | ↓ -1% |
| HAP | Medicare Advantage-NONFAC | $61.81 | ↓ -1% |
| HAP | Medicare Advantage-Physician-NONFAC | $61.81 | ↓ -1% |
| Blue Cross | BCN Commercial-FAC | $62.16 | ↓ -1% |
| Humana | Medicare Advantage-NONFAC | $63.05 | ↑ +1% |
| Priority Health | All Products | $67.45 | ↑ +8% |
| Priority Health | Priority Cigna | $74.20 | ↑ +19% |
| Blue Cross | BCBSM Commercial | $75.60 | ↑ +21% |
| Blue Cross | BCN Commercial-NONFAC | $75.60 | ↑ +21% |
| Priority Health | Commercial | $77.29 | ↑ +23% |
| United Healthcare | All Products-Prof | $81.06 | ↑ +29% |
| HAP | HAP HMO_AHL_Fully-Insured | $81.87 | ↑ +31% |
| Aetna | All Products-NONFAC | $88.25 | ↑ +41% |
| HAP | Self-Funded | $95.61 | ↑ +53% |
| United Healthcare | All Products-Midlevel | $105.07 | ↑ +68% |
| WellCare | Medicare Advantage | $197.76 | ↑ +216% |
| Molina | Dual MI Coordinated Health | $231.30 | ↑ +269% |
| Amerihealth Caritas | Dual Products | $308.40 | ↑ +393% |
| HAP | HAP HMO_AHL_Fully Insured | $363.99 | ↑ +481% |
| United Healthcare | UHC Commercial | $382.42 | ↑ +511% |
| Vitalcore | All Products | $385.50 | ↑ +516% |
| Multiplan | All Products | $508.86 | ↑ +713% |
| Cofinity | Commercial | $545.10 | ↑ +771% |
| United Healthcare | Baseline Benefit Plan | $562.06 | ↑ +798% |
| BCN | HMO | $771.00 | ↑ +1131% |
| Blue Cross | BCBSM GM Connected Care | $771.00 | ↑ +1131% |
| Blue Cross | BCN Commercial | $771.00 | ↑ +1131% |
| Aetna | Commercial | $2,056.00 | ↑ +3184% |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| Nomi | All Products | not published by hospital | — |
| Molina | Medicaid HMO | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MA | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-MD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-PhD | not published by hospital | — |
| United Healthcare | Commercial-Behavioral Health-RN | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| Humana | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Big Rapids | Big Rapids | $1,168.00 | not published |
| Corewell Health Gerber | Fremont | $1,168.00 | not published |
| Corewell Health Lakeland Watervliet | Watervliet | $118.00 | not published |
| Corewell Health Lakeland St. Joseph | St Joseph | $118.00 | not published |
| Corewell Health Butterworth Hospital | Grand Rapids | $1,137.00 | not published |
| Corewell Health Blodgett Hospital | East Grand Rapids | $1,137.00 | not published |
| Corewell Health Reed City | Po Box 75 | $1,168.00 | not published |
| Corewell Health Greenville | Greenville | $1,168.00 | not published |