Audit/dast over 30 min at Henry Ford Wyandotte Hospital:
2333 Biddie Avenue, Wyandotte, MI · Henry Ford Health · · NPI 1992725352
not published by hospital
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.
$325.00
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.
$35.36 with McLaren vs $211.25 with Blue Cross — 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-Adult-FAC | $35.36 | — |
| McLaren | Medicaid HMO-Child-FAC | $35.36 | — |
| United Healthcare | Medicaid-Behavioral Health-Child-FAC | $35.36 | — |
| HAP | HAP Caresource Medicaid-FAC | $35.36 | — |
| United Healthcare | Medicaid-Behavioral Health-Adult-FAC | $35.36 | — |
| Meridian | Medicaid HMO-Child-FAC | $35.36 | — |
| Meridian | Medicaid HMO-Adult-FAC | $35.36 | — |
| Aetna Better Health | Medicaid HMO-Child-FAC | $36.07 | — |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $36.07 | — |
| Molina | Medicaid HMO-Child-FAC | $36.77 | — |
| Molina | Medicaid HMO-Adult-FAC | $36.77 | — |
| Priority Health | Medicaid HMO-Adult-FAC | $37.13 | — |
| Priority Health | Medicaid HMO-Child-FAC | $37.13 | — |
| McLaren | Medicaid HMO-Child-NONFAC | $43.03 | — |
| McLaren | Medicaid HMO-Adult-NONFAC | $43.03 | — |
| United Healthcare | Medicaid-Behavioral Health-Adult-NONFAC | $43.03 | — |
| Meridian | Medicaid HMO-Child-NONFAC | $43.03 | — |
| Meridian | Medicaid HMO-Adult-NONFAC | $43.03 | — |
| United Healthcare | Medicaid-Behavioral Health-Child-NONFAC | $43.03 | — |
| HAP | HAP Caresource Medicaid-NONFAC | $43.03 | — |
| Aetna Better Health | Medicaid HMO-Child-NONFAC | $43.89 | — |
| Aetna Better Health | Medicaid HMO-Adult-NONFAC | $43.89 | — |
| Molina | Medicaid HMO-Child-NONFAC | $44.75 | — |
| Molina | Medicaid HMO-Adult-NONFAC | $45.16 | — |
| Priority Health | Medicaid HMO-Child-NONFAC | $45.18 | — |
| Priority Health | Medicaid HMO-Adult-NONFAC | $45.18 | — |
| ScriptGuideRX | All Products | $45.97 | — |
| Humana Military | Tricare-NonPhysician-FAC | $48.74 | — |
| United Healthcare | Commercial-Behavioral Health-MA | $50.07 | — |
| Humana | Medicare Advantage-NP-FAC | $53.51 | — |
| Humana | Medicare Advantage-NP-NONFAC | $55.70 | — |
| Humana | Medicare Advantage-Physician-NONFAC | $55.70 | — |
| United Healthcare | Commercial-Behavioral Health-RN | $56.75 | — |
| Humana Military | Tricare-Physician-FAC | $57.34 | — |
| Humana Military | Tricare | $57.34 | — |
| United Healthcare | All Products-Midlevel | $61.60 | — |
| Humana | Medicare Advantage-Physician-FAC | $62.95 | — |
| BCN | HMO | $63.80 | — |
| Blue Cross | BCBSM Commercial | $63.80 | — |
| Blue Cross | BCN Commercial | $63.80 | — |
| United Healthcare | Commercial-Behavioral Health-PhD | $66.76 | — |
| United Healthcare | Commercial-Behavioral Health-MD | $66.76 | — |
| United Healthcare | VACCN-NONFAC | $67.20 | — |
| Cofinity | All Products | $69.67 | — |
| Priority Health | Commercial | $72.23 | — |
| United Healthcare | All Products-Prof | $73.01 | — |
| Priority Health | All Products | $80.20 | — |
| Aetna | All Products-NONFAC | $87.19 | — |
| Blue Cross | BCBSM GM Connected Care | $87.23 | — |
| HAP | HAP HMO_AHL_Fully-Insured | $88.75 | — |
| Blue Cross | GM Connected Care | $90.12 | — |
| Priority Health | Priority Cigna | $92.63 | — |
| Blue Cross | BCN Commercial-FAC | $100.13 | — |
| HAP | HAP HMO_AHL_Fully Insured | $102.37 | — |
| HAP | Self-Funded | $103.43 | — |
| Blue Cross | BCN Commercial-NONFAC | $104.39 | — |
| Amerihealth Caritas | Dual Products-NONFAC | $130.00 | — |
| Amerihealth Caritas | Dual Products-FAC | $130.00 | — |
| Vitalcore | All Products-FAC | $162.50 | — |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $162.50 | — |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $162.50 | — |
| Blue Cross | Medicare Plus Blue-NONFAC | $211.25 | — |
| Blue Cross | BCN Medicare Advantage -FAC | $211.25 | — |
| Blue Cross | BCN Medicare Advantage -NONFAC | $211.25 | — |
| Blue Cross | Medicare Plus Blue-FAC | $211.25 | — |
| Nomi | All Products | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-FAC | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC | not published by hospital | — |
Visitor-reported prices
Comments
Audit/dast over 30 min at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Corewell Health Lakeland St. Joseph | St Joseph | not published | $61.92 – $61.92 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $35.34 – $35.34 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $35.34 – $35.34 |
| Corewell Health Gross Pointe | Grosse Pointe | not published | $93.97 – $188.79 |
| Corewell Health Taylor | Taylor | not published | $332.26 – $332.26 |
| Corewell Health Trenton | Trenton | not published | $253.05 – $253.05 |
| Corewell Health Troy | Troy | not published | $93.52 – $318.18 |
| Corewell Health Wayne | Wayne | not published | $283.70 – $283.70 |