Impres&prep oral surg splint 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

$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 $1,371.81 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%
HAP HAP Caresource Medicaid $126.56 ↓ -80%
Priority Health Medicaid HMO $126.56 ↓ -80%
Meridian Medicaid HMO $126.56 ↓ -80%
McLaren 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%
Priority Health Medicare Advantage $236.00 ↓ -62%
Molina Dual MI Coordinated Health $236.00 ↓ -62%
WellCare Wellcare Meridian Dual Align (HMO D-SNP) $236.00 ↓ -62%
WellCare Medicare Advantage $236.00 ↓ -62%
United Healthcare VACCN $236.00 ↓ -62%
Blue Cross BCN Advantage $236.00 ↓ -62%
Blue Cross Medicare Plus Blue $236.00 ↓ -62%
United Healthcare Erickson Advantage $236.00 ↓ -62%
Trinity Health Plan Medicare Advantage $236.00 ↓ -62%
HAP HAP Dual Products $236.00 ↓ -62%
HAP Medicare Advantage $236.00 ↓ -62%
Priority Health Dual Premier_HIDE-SNP $236.00 ↓ -62%
Aetna Medicare Advantage $236.00 ↓ -62%
McLaren Medicare Advantage $236.00 ↓ -62%
Humana Medicare Advantage $238.36 ↓ -62%
Aetna Dual Products $259.60 ↓ -58%
HAP HAP Caresource Medicaid-FAC $274.13 ↓ -56%
Meridian Medicaid HMO-Adult-FAC $274.13 ↓ -56%
United Healthcare Medicaid-Behavioral Health-Child-FAC $274.13 ↓ -56%
McLaren Medicaid HMO-Child-FAC $274.13 ↓ -56%
Meridian Medicaid HMO-Child-FAC $274.13 ↓ -56%
McLaren Medicaid HMO-Adult-FAC $274.13 ↓ -56%
United Healthcare Medicaid-Behavioral Health-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-Child-FAC $285.10 ↓ -54%
Molina Medicaid HMO-Adult-FAC $285.10 ↓ -54%
Priority Health Medicaid HMO-Child-FAC $287.84 ↓ -54%
Priority Health Medicaid HMO-Adult-FAC $287.84 ↓ -54%
Meridian Ambetter From Meridian $318.60 ↓ -49%
Priority Health Commercial $361.82 ↓ -42%
HAP Medicare Advantage-NonPhysician-FAC $383.21 ↓ -38%
HAP Medicare Advantage HMO/PPO-NonPhysician-FAC $383.21 ↓ -38%
Humana Military Tricare-NonPhysician-FAC $387.04 ↓ -38%
Humana Medicare Advantage-NP-FAC $424.91 ↓ -32%
Pace SE MI Medicare Advantage-FAC $428.30 ↓ -31%
Nomi All Products $434.24 ↓ -30%
Amerihealth Caritas Dual Products-FAC $441.82 ↓ -29%
HAP Medicare Advantage-FAC $450.84 ↓ -28%
Molina Dual Product-FAC $450.84 ↓ -28%
Priority Health Medicare Advantage-FAC $450.84 ↓ -28%
WellCare Medicare Advantage-FAC $450.84 ↓ -28%
HAP HAP Dual Products-FAC $450.84 ↓ -28%
United Healthcare Medicare-Behavioral Health-FAC $450.84 ↓ -28%
United Healthcare Medicare Advantage-FAC $450.84 ↓ -28%
Blue Cross BCN Medicare Advantage -FAC $450.84 ↓ -28%
McLaren Medicare Advantage-FAC $450.84 ↓ -28%
Aetna Medicare Advantage-FAC $450.84 ↓ -28%
Blue Cross Medicare Plus Blue-FAC $450.84 ↓ -28%
Meridian Ambetter From Meridian-FAC $450.84 ↓ -28%
WellCare Wellcare Meridian Dual Align (HMO D-SNP)-FAC $450.84 ↓ -28%
HAP Medicare Advantage-Physician-FAC $450.84 ↓ -28%
Humana Medicare Advantage-FAC $450.84 ↓ -28%
Trinity Health Plan Medicare Advantage-FAC $450.84 ↓ -28%
Molina Medicare Advantage-FAC $450.84 ↓ -28%
United Healthcare Medicaid-Behavioral Health-Adult-NONFAC $452.84 ↓ -27%
HAP HAP Caresource Medicaid-NONFAC $452.84 ↓ -27%
McLaren Medicaid HMO-Adult-NONFAC $452.84 ↓ -27%
McLaren Medicaid HMO-Child-NONFAC $452.84 ↓ -27%
Meridian Medicaid HMO-Adult-NONFAC $452.84 ↓ -27%
Meridian Medicaid HMO-Child-NONFAC $452.84 ↓ -27%
United Healthcare Medicaid-Behavioral Health-Child-NONFAC $452.84 ↓ -27%
Humana Military Tricare-Physician-FAC $455.34 ↓ -27%
Humana Military Tricare $455.34 ↓ -27%
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-Adult-NONFAC $475.48 ↓ -24%
Priority Health Medicaid HMO-Child-NONFAC $475.48 ↓ -24%
Molina Medicaid HMO-Adult-NONFAC $478.05 ↓ -23%
Humana Medicare Advantage-Physician-FAC $499.89 ↓ -20%
Vitalcore All Products $542.80 ↓ -13%
Vitalcore All Products-FAC $586.09 ↓ -6%
Humana Medicare Advantage-Physician-NONFAC $590.28 ↓ -5%
Humana Medicare Advantage-NP-NONFAC $590.28 ↓ -5%
HAP Medicare Advantage-NonPhysician-NONFAC $613.08 ↓ -1%
HAP Medicare Advantage HMO/PPO-NonPhysician-NONFAC $613.08 ↓ -1%
Cofinity All Products $617.63 ↓ -1%
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%
Meridian Ambetter From Meridian-NONFAC $721.27 ↑ +16%
McLaren Medicare Advantage-NONFAC $721.27 ↑ +16%
Molina Medicare Advantage-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 Wellcare Meridian Dual Align (HMO D-SNP)-NONFAC $721.27 ↑ +16%
United Healthcare Medicare Advantage-NONFAC $721.27 ↑ +16%
WellCare Medicare Advantage-NONFAC $721.27 ↑ +16%
Aetna Medicare Advantage-NONFAC $721.27 ↑ +16%
Molina Dual Product-NONFAC $721.27 ↑ +16%
Priority Health All Products $783.06 ↑ +26%
Blue Cross BCN Commercial-FAC $783.45 ↑ +26%
United Healthcare All Products-Midlevel $826.09 ↑ +33%
Priority Health Priority Cigna $861.37 ↑ +38%
United Healthcare All Products-Prof $906.70 ↑ +46%
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%
HAP HAP HMO_AHL_Fully-Insured $1,153.37 ↑ +85%
HAP HAP HMO_AHL_Fully Insured $1,330.37 ↑ +114%
HAP Self-Funded $1,344.19 ↑ +116%
Cofinity Commercial $1,371.81 ↑ +120%
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

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Impres&prep oral surg splint at other Michigan hospitals

Hospital City Cash price Negotiated range
Henry Ford Hospital Detroit MI 48202 | 19401 Hubbard Dr. $622.16 $123.43 – $891.84
Henry Ford West Bloomfield Hospital West Bloomfield $622.16 $126.56 – $891.84
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 →