Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
NEURO ALZ DS ΒAMYL&TAU PRTN
Novi, MI
See all hospitals reporting CPT 0503U →Price type
Henry Ford Health’s median price of $750 is 3% below the median hospital's median price ($773), higher than 8% of the 1,331 hospitals reporting CPT 0503U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 15 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Medicaid 1263_sjpk,sjpr mi medicaid outpatient 20250101 other · outpatient | $435.00 | $435.00 | $435.00 – $435.00 |
| 2 | Molina 1264_sjpk,sjpr medicaid replacement molina health outpatient 20250101 other · outpatient | $435.00 | $435.00 | $435.00 – $435.00 |
| 3 | UnitedHealthcare 1247_sjpk,sjpr medicaid replacement great lakes health plan outpatient 20250101 other · outpatient | $435.00 | $435.00 | $435.00 – $435.00 |
| 4 | Aetna 1171_sjpk,sjpr medicare advantage aetna inpatient 20241001 other · inpatient | $750.00 | $750.00 | $750.00 – $750.00 |
| 5 | Aetna 1255_sjpk,sjpr medicare advantage aetna outpatient 20250101 other · outpatient | $750.00 | $750.00 | $750.00 – $750.00 |
| 6 | Humana 1177_sjpk,sjpr medicare advantage humana inpatient 20241001 other · inpatient | $757.50 | $757.50 | $757.50 – $757.50 |
| 7 | Humana 1252_sjpk,sjpr medicare advantage humana outpatient 20250101 other · outpatient | $757.50 | $757.50 | $757.50 – $757.50 |
| 8 | Molina 1192_sjpk,sjpr medicare advantage molina inpatient 20241001 other · inpatient | $787.50 | $787.50 | $787.50 – $787.50 |
| 9 | Molina 1249_sjpk,sjpr medicare advantage molina outpatient 20250101 other · outpatient | $787.50 | $787.50 | $787.50 – $787.50 |
| 10 | WellCare 1189_sjpk,sjpr medicare advantage meridian wellcare inpatient 20241001 other · inpatient | $787.50 | $787.50 | $787.50 – $787.50 |
| 11 | WellCare 1250_sjpk,sjpr medicare advantage meridian wellcare outpatient 20250101 other · outpatient | $787.50 | $787.50 | $787.50 – $787.50 |
| 12 | Ambetter 1221_sjpk,sjpr meridian ambetter inpatient 20241001 other · inpatient | $937.50 | $937.50 | $937.50 – $937.50 |
| 13 | Ambetter 1258_sjpk,sjpr meridian ambetter outpatient 20250101 other · outpatient | $937.50 | $937.50 | $937.50 – $937.50 |
| 14 | Molina 1223_sjpk,sjpr molina marketplace inpatient 20241001 other · inpatient | $937.50 | $937.50 | $937.50 – $937.50 |
| 15 | Molina 1259_sjpk,sjpr molina marketplace outpatient 20250101 other · outpatient | $937.50 | $937.50 | $937.50 – $937.50 |
Last updated: Jan 1, 2026
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