Impres&prep oral surg splint at Henry Ford Hospital

2799 West Grand Blvd, Detroit MI 48202 | 19401 Hubbard Dr., MI · Henry Ford Health · · NPI 1134144801

Source: hospital's published price file ↗ · Published Jun 28, 2026 · Ingested Aug 13, 2026

$622.16

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$1,800.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$123.43 with ScriptGuideRX vs $2,441.00 with Cofinity — 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 →

Payer
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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
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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
ScriptGuideRX All Products $123.43 ↓ -80%
McLaren Medicaid HMO $126.56 ↓ -80%
Meridian Medicaid HMO $126.56 ↓ -80%
HAP HAP Caresource Medicaid $126.56 ↓ -80%
Blue Cross Blue Cross Complete $126.56 ↓ -80%
Priority Health Medicaid HMO $126.56 ↓ -80%
Aetna Better Health Medicaid HMO $129.09 ↓ -79%
Molina Medicaid HMO $133.29 ↓ -79%
Pace SE MI Medicare Advantage $224.20 ↓ -64%
Amerihealth Caritas Dual Products $231.28 ↓ -63%
Blue Cross BCN Advantage $236.00 ↓ -62%
Aetna Medicare Advantage $236.00 ↓ -62%
HAP Medicare Advantage $236.00 ↓ -62%
United Healthcare Erickson Advantage $236.00 ↓ -62%
Trinity Health Plan Medicare Advantage $236.00 ↓ -62%
Molina Dual MI Coordinated Health $236.00 ↓ -62%
Blue Cross Medicare Plus Blue $236.00 ↓ -62%
WellCare Wellcare Meridian Dual Align (HMO D-SNP) $236.00 ↓ -62%
Priority Health Dual Premier_HIDE-SNP $236.00 ↓ -62%
HAP HAP Dual Products $236.00 ↓ -62%
McLaren Medicare Advantage $236.00 ↓ -62%
WellCare Medicare Advantage $236.00 ↓ -62%
United Healthcare VACCN $236.00 ↓ -62%
Priority Health Medicare Advantage $236.00 ↓ -62%
Humana Medicare Advantage $238.36 ↓ -62%
Aetna Dual Products $259.60 ↓ -58%
Blue Cross Blue Cross Complete-Child-FAC $274.13 ↓ -56%
McLaren Medicaid HMO-Adult-FAC $274.13 ↓ -56%
McLaren Medicaid HMO-Child-FAC $274.13 ↓ -56%
United Healthcare Medicaid-Behavioral Health-Child-FAC $274.13 ↓ -56%
Blue Cross Blue Cross Complete-Adult-FAC $274.13 ↓ -56%
Meridian Medicaid HMO-Child-FAC $274.13 ↓ -56%
United Healthcare Medicaid-Behavioral Health-Adult-FAC $274.13 ↓ -56%
HAP HAP Caresource Medicaid-FAC $274.13 ↓ -56%
Meridian Medicaid HMO-Adult-FAC $274.13 ↓ -56%
Aetna Better Health Medicaid HMO-Adult-FAC $279.61 ↓ -55%
Aetna Better Health Medicaid HMO-Child-FAC $279.61 ↓ -55%
HAP Henry Ford Select -HPN commercial $283.20 ↓ -54%
Molina Medicaid HMO-Adult-FAC $285.10 ↓ -54%
Molina Medicaid HMO-Child-FAC $285.10 ↓ -54%
Priority Health Medicaid HMO-Adult-FAC $287.84 ↓ -54%
Priority Health Medicaid HMO-Child-FAC $287.84 ↓ -54%
NFL Cigna All Products $304.72 ↓ -51%
Meridian Ambetter From Meridian $318.60 ↓ -49%
HAP Self-Funded $321.83 ↓ -48%
Cigna Transplants Commercial $334.02 ↓ -46%
HAP HAP HMO_AHL_Fully Insured $350.02 ↓ -44%
Ontario Ministry of Health and Long-Term Care ALL PRODUCTS $351.60 ↓ -43%
Priority Health Commercial $361.82 ↓ -42%
Aetna Commercial $378.44 ↓ -39%
Humana Transplant Med Adv $380.90 ↓ -39%
HAP Medicare Advantage HMO/PPO-NonPhysician-FAC $383.21 ↓ -38%
Priority Health Priority Cigna $383.42 ↓ -38%
Humana Military Tricare-NonPhysician-FAC $387.04 ↓ -38%
Multiplan All Products $392.62 ↓ -37%
Humana Military Tricare $410.20 ↓ -34%
United Healthcare Baseline Benefit Plan $417.23 ↓ -33%
United Healthcare UHC Commercial $417.23 ↓ -33%
Humana Medicare Advantage-NP-FAC $424.91 ↓ -32%
Pace SE MI Medicare Advantage-FAC $428.30 ↓ -31%
Amerihealth Caritas Dual Products-FAC $441.82 ↓ -29%
Blue Cross BCN Medicare Advantage -FAC $450.84 ↓ -28%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-FAC $450.84 ↓ -28%
Aetna Medicare Advantage-FAC $450.84 ↓ -28%
WellCare Medicare Advantage-FAC $450.84 ↓ -28%
United Healthcare Medicare-Behavioral Health-FAC $450.84 ↓ -28%
United Healthcare Medicare Advantage-FAC $450.84 ↓ -28%
Blue Cross Medicare Plus Blue-FAC $450.84 ↓ -28%
Trinity Health Plan Medicare Advantage-FAC $450.84 ↓ -28%
HAP HAP Dual Products-FAC $450.84 ↓ -28%
HAP Medicare Advantage-FAC $450.84 ↓ -28%
Priority Health Medicare Advantage-FAC $450.84 ↓ -28%
HAP Medicare Advantage-Physician-FAC $450.84 ↓ -28%
McLaren Medicare Advantage-FAC $450.84 ↓ -28%
Meridian Ambetter From Meridian-FAC $450.84 ↓ -28%
Molina Dual Product-FAC $450.84 ↓ -28%
Molina Medicare Advantage-FAC $450.84 ↓ -28%
United Healthcare Medicaid-Behavioral Health-Child-NONFAC $452.84 ↓ -27%
HAP HAP Caresource Medicaid-NONFAC $452.84 ↓ -27%
Meridian Medicaid HMO-Adult-NONFAC $452.84 ↓ -27%
United Healthcare Medicaid-Behavioral Health-Adult-NONFAC $452.84 ↓ -27%
Meridian Medicaid HMO-Child-NONFAC $452.84 ↓ -27%
Blue Cross Blue Cross Complete-Child-NONFAC $452.84 ↓ -27%
McLaren Medicaid HMO-Adult-NONFAC $452.84 ↓ -27%
McLaren Medicaid HMO-Child-NONFAC $452.84 ↓ -27%
Blue Cross Blue Cross Complete-Adult-NONFAC $452.84 ↓ -27%
Humana Military Tricare-Physician-FAC $455.34 ↓ -27%
Nomi All Products $460.20 ↓ -26%
Aetna Better Health Medicaid HMO-Child-NONFAC $461.90 ↓ -26%
Aetna Better Health Medicaid HMO-Adult-NONFAC $461.90 ↓ -26%
Molina Medicaid HMO-Child-NONFAC $470.95 ↓ -24%
Priority Health Medicaid HMO-Child-NONFAC $475.48 ↓ -24%
Priority Health Medicaid HMO-Adult-NONFAC $475.48 ↓ -24%
Molina Medicaid HMO-Adult-NONFAC $478.05 ↓ -23%
Humana Medicare Advantage-Physician-FAC $499.89 ↓ -20%
Humana Military Tricare-NonPhysician-NONFAC $537.68 ↓ -14%
Vitalcore All Products $542.80 ↓ -13%
Humana Medicare Advantage-NP-NONFAC $590.28 ↓ -5%
Humana Medicare Advantage-Physician-NONFAC $590.28 ↓ -5%
HAP Medicare Advantage HMO/PPO-NonPhysician-NONFAC $613.08 ↓ -1%
Humana Military Tricare-Physician-NONFAC $632.56 ↑ +2%
Pace SE MI Medicare Advantage-NONFAC $685.21 ↑ +10%
United Healthcare Medicare-Behavioral Health-NONFAC $687.57 ↑ +11%
Blue Cross GM Connected Care $705.11 ↑ +13%
Amerihealth Caritas Dual Products-NONFAC $706.84 ↑ +14%
United Healthcare Medicare Advantage-NONFAC $721.27 ↑ +16%
Molina Dual Product-NONFAC $721.27 ↑ +16%
Meridian Ambetter From Meridian-NONFAC $721.27 ↑ +16%
McLaren Medicare Advantage-NONFAC $721.27 ↑ +16%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC $721.27 ↑ +16%
HAP Medicare Advantage-Physician-NONFAC $721.27 ↑ +16%
HAP Medicare Advantage-NONFAC $721.27 ↑ +16%
Priority Health Medicare Advantage-NONFAC $721.27 ↑ +16%
HAP HAP Dual Products-NONFAC $721.27 ↑ +16%
Trinity Health Plan Medicare Advantage-NONFAC $721.27 ↑ +16%
Blue Cross Medicare Plus Blue-NONFAC $721.27 ↑ +16%
Blue Cross BCN Medicare Advantage -NONFAC $721.27 ↑ +16%
WellCare Medicare Advantage-NONFAC $721.27 ↑ +16%
Aetna Medicare Advantage-NONFAC $721.27 ↑ +16%
Molina Medicare Advantage-NONFAC $721.27 ↑ +16%
Priority Health All Products $783.06 ↑ +26%
Blue Cross BCN Commercial-FAC $783.45 ↑ +26%
Aetna All Products-FAC $808.57 ↑ +30%
Cofinity All Products $891.84 ↑ +43%
Vitalcore All Products-NONFAC $937.65 ↑ +51%
Blue Cross BCBSM Commercial $1,087.57 ↑ +75%
Aetna All Products-NONFAC $1,103.25 ↑ +77%
Blue Cross BCN Commercial-NONFAC $1,105.15 ↑ +78%
United Healthcare All Products-Midlevel $1,120.48 ↑ +80%
HAP HAP HMO_AHL_Fully-Insured $1,153.37 ↑ +85%
United Healthcare All Products-Prof $1,221.10 ↑ +96%
Cofinity Commercial $2,441.00 ↑ +292%
United Healthcare Commercial-Behavioral Health-MD not published by hospital
United Healthcare Commercial-Behavioral Health-RN not published by hospital
Interlink All Products not published by hospital
Detroit Wayne Integrated Health Medicaid HMO not published by hospital
Blue Cross BCN Commercial not published by hospital
Blue Cross BCBSM GM Connected Care not published by hospital
BCN HMO not published by hospital
United Healthcare Commercial-Behavioral Health-MA not published by hospital
United Healthcare Commercial-Behavioral Health-PhD not published by hospital

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Impres&prep oral surg splint at other Michigan hospitals

Hospital City Cash price Negotiated range
Henry Ford West Bloomfield Hospital West Bloomfield $622.16 $126.56 – $891.84
Henry Ford Wyandotte Hospital: Wyandotte $622.16 $123.43 – $617.63
Henry Ford Macomb Hospital Clinton Twp $622.16 $123.43 – $542.80
Corewell Health Big Rapids Big Rapids not published $236.00 – $956.13
Corewell Health Gerber Fremont not published $956.13 – $956.13
Corewell Health Lakeland St. Joseph St Joseph not published $236.00 – $1,342.14
Corewell Health Butterworth Hospital Grand Rapids not published $236.00 – $428.37
Corewell Health Blodgett Hospital East Grand Rapids not published $236.00 – $428.37

All Michigan hospitals for this procedure →