Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at Henry Ford Wyandotte Hospital:

2333 Biddie Avenue, Wyandotte, MI · Henry Ford Health · · NPI 1992725352

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

$171.12

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.

$43.00

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.

$30.10 with Humana Military vs $228.16 with Nomi — 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
Humana Military Tricare-NonPhysician-FAC $30.10 ↓ -82%
Humana Military Tricare-Physician-FAC $30.10 ↓ -82%
United Healthcare All Products-Midlevel $40.48 ↓ -76%
Blue Cross GM Connected Care $41.14 ↓ -76%
Humana Medicare Advantage-NP-NONFAC $41.59 ↓ -76%
Humana Medicare Advantage-NP-FAC $41.59 ↓ -76%
Humana Medicare Advantage-Physician-NONFAC $41.59 ↓ -76%
Priority Health All Products $43.00 ↓ -75%
Priority Health Priority Cigna $43.00 ↓ -75%
Blue Cross BCN Commercial-FAC $45.71 ↓ -73%
Blue Cross BCN Commercial-NONFAC $45.71 ↓ -73%
Blue Cross BCBSM Commercial $46.48 ↓ -73%
Cofinity All Products $48.39 ↓ -72%
Humana Military Tricare $48.53 ↓ -72%
Humana Medicare Advantage-Physician-FAC $48.93 ↓ -71%
Priority Health Commercial $50.28 ↓ -71%
Molina Medicaid HMO-Adult-NONFAC $52.40 ↓ -69%
United Healthcare All Products-Prof $53.81 ↓ -69%
Aetna All Products-NONFAC $62.91 ↓ -63%
Priority Health Medicaid HMO $66.49 ↓ -61%
HAP HAP Caresource Medicaid $66.49 ↓ -61%
Meridian Medicaid HMO $66.49 ↓ -61%
McLaren Medicaid HMO $66.49 ↓ -61%
Aetna Better Health Medicaid HMO $67.82 ↓ -60%
HAP HAP HMO_AHL_Fully-Insured $70.43 ↓ -59%
Molina Medicaid HMO $71.81 ↓ -58%
BCN HMO $73.91 ↓ -57%
Blue Cross BCN Commercial $73.91 ↓ -57%
HAP HAP HMO_AHL_Fully Insured $74.62 ↓ -56%
United Healthcare Medicaid-Behavioral Health-Adult-NONFAC $81.15 ↓ -53%
Meridian Medicaid HMO-Child-NONFAC $81.15 ↓ -53%
Meridian Medicaid HMO-Adult-NONFAC $81.15 ↓ -53%
HAP HAP Caresource Medicaid-NONFAC $81.15 ↓ -53%
McLaren Medicaid HMO-Adult-NONFAC $81.15 ↓ -53%
McLaren Medicaid HMO-Child-NONFAC $81.15 ↓ -53%
United Healthcare Medicaid-Behavioral Health-Child-NONFAC $81.15 ↓ -53%
HAP Self-Funded $82.08 ↓ -52%
Aetna Better Health Medicaid HMO-Child-NONFAC $82.77 ↓ -52%
Aetna Better Health Medicaid HMO-Adult-NONFAC $82.77 ↓ -52%
Molina Medicaid HMO-Child-NONFAC $84.40 ↓ -51%
Priority Health Medicaid HMO-Adult-NONFAC $85.21 ↓ -50%
Priority Health Medicaid HMO-Child-NONFAC $85.21 ↓ -50%
Blue Cross BCBSM GM Connected Care $92.79 ↓ -46%
HAP Medicare Advantage HMO/PPO-NonPhysician-NONFAC $104.38 ↓ -39%
HAP Medicare Advantage HMO/PPO-NonPhysician-FAC $104.38 ↓ -39%
HAP Medicare Advantage-NonPhysician-FAC $104.38 ↓ -39%
HAP Medicare Advantage-NonPhysician-NONFAC $104.38 ↓ -39%
Pace SE MI Medicare Advantage-NONFAC $116.66 ↓ -32%
Pace SE MI Medicare Advantage-FAC $116.66 ↓ -32%
Pace SE MI Medicare Advantage $117.80 ↓ -31%
Amerihealth Caritas Dual Products-NONFAC $120.34 ↓ -30%
Amerihealth Caritas Dual Products-FAC $120.34 ↓ -30%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC $122.80 ↓ -28%
Aetna Medicare Advantage-FAC $122.80 ↓ -28%
Aetna Medicare Advantage-NONFAC $122.80 ↓ -28%
Blue Cross BCN Medicare Advantage -FAC $122.80 ↓ -28%
Blue Cross BCN Medicare Advantage -NONFAC $122.80 ↓ -28%
Blue Cross Medicare Plus Blue-FAC $122.80 ↓ -28%
Blue Cross Medicare Plus Blue-NONFAC $122.80 ↓ -28%
HAP HAP Dual Products-FAC $122.80 ↓ -28%
HAP HAP Dual Products-NONFAC $122.80 ↓ -28%
HAP Medicare Advantage-FAC $122.80 ↓ -28%
HAP Medicare Advantage-NONFAC $122.80 ↓ -28%
HAP Medicare Advantage-Physician-FAC $122.80 ↓ -28%
HAP Medicare Advantage-Physician-NONFAC $122.80 ↓ -28%
Humana Medicare Advantage-FAC $122.80 ↓ -28%
McLaren Medicare Advantage-FAC $122.80 ↓ -28%
McLaren Medicare Advantage-NONFAC $122.80 ↓ -28%
Meridian Ambetter From Meridian-FAC $122.80 ↓ -28%
Meridian Ambetter From Meridian-NONFAC $122.80 ↓ -28%
Molina Dual Product-FAC $122.80 ↓ -28%
Molina Dual Product-NONFAC $122.80 ↓ -28%
Molina Medicare Advantage-FAC $122.80 ↓ -28%
Molina Medicare Advantage-NONFAC $122.80 ↓ -28%
Priority Health Medicare Advantage-FAC $122.80 ↓ -28%
Priority Health Medicare Advantage-NONFAC $122.80 ↓ -28%
Trinity Health Plan Medicare Advantage-FAC $122.80 ↓ -28%
Trinity Health Plan Medicare Advantage-NONFAC $122.80 ↓ -28%
United Healthcare Medicare Advantage-FAC $122.80 ↓ -28%
United Healthcare Medicare Advantage-NONFAC $122.80 ↓ -28%
United Healthcare Medicare-Behavioral Health-FAC $122.80 ↓ -28%
WellCare Medicare Advantage-FAC $122.80 ↓ -28%
WellCare Medicare Advantage-NONFAC $122.80 ↓ -28%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-FAC $122.80 ↓ -28%
Trinity Health Plan Medicare Advantage $124.00 ↓ -28%
Blue Cross Medicare Plus Blue $124.00 ↓ -28%
United Healthcare Erickson Advantage $124.00 ↓ -28%
Blue Cross BCN Advantage $124.00 ↓ -28%
Aetna Medicare Advantage $124.00 ↓ -28%
Molina Dual MI Coordinated Health $124.00 ↓ -28%
Priority Health Dual Premier_HIDE-SNP $124.00 ↓ -28%
McLaren Medicare Advantage $124.00 ↓ -28%
HAP Medicare Advantage $124.00 ↓ -28%
Priority Health Medicare Advantage $124.00 ↓ -28%
United Healthcare VACCN $124.00 ↓ -28%
HAP HAP Dual Products $124.00 ↓ -28%
Humana Medicare Advantage $125.24 ↓ -27%
Aetna Dual Products $136.40 ↓ -20%
HAP Henry Ford Select -HPN commercial $148.80 ↓ -13%
Vitalcore All Products-FAC $159.64 ↓ -7%
United Healthcare UHC Commercial $209.78 ↑ +23%
Nomi All Products $228.16 ↑ +33%
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-MA not published by hospital —
United Healthcare Commercial-Behavioral Health-MD not published by hospital —

Visitor-reported prices

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Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm at other Michigan hospitals

Hospital City Cash price Negotiated range
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr. $171.12 $17.20 – $241.80
Henry Ford West Bloomfield Hospital West Bloomfield $171.12 $30.10 – $228.16
Henry Ford Macomb Hospital Clinton Twp $171.12 $30.10 – $228.16
Henry Ford Providence Novi Hospital Novi $196.00 $18.94 – $62.17
Henry Ford St John Hospital Detroit $196.00 $18.94 – $61.17
Henry Ford Rochester Hospital Rochester $679.62 $71.14 – $79.12
Henry Ford Genesys Hospital Grand Blanc Twp $98.70 $40.78 – $108.18
Henry Ford River District Hospital China Township $196.00 $18.94 – $61.17

All Michigan hospitals for this procedure →