Kyleena, 19.5 mg at Henry Ford Wyandotte Hospital:
2333 Biddie Avenue, Wyandotte, MI · Henry Ford Health · · NPI 1992725352
$1,289.09
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.
$3,718.89
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.
$709.94 with WellCare vs $3,718.89 with United Healthcare — 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 |
|---|---|---|---|
| WellCare | Medicare Advantage | $709.94 | ↓ -45% |
| Molina | Dual MI Coordinated Health | $1,115.67 | ↓ -13% |
| Priority Health | Commercial | $1,238.93 | ↓ -4% |
| Amerihealth Caritas | Dual Products | $1,487.56 | ↑ +15% |
| Vitalcore | All Products | $1,859.45 | ↑ +44% |
| Aetna | Commercial | $2,073.65 | ↑ +61% |
| HAP | HAP HMO_AHL_Fully Insured | $2,124.52 | ↑ +65% |
| Priority Health | Priority Cigna | $2,433.27 | ↑ +89% |
| Multiplan | All Products | $2,491.66 | ↑ +93% |
| United Healthcare | UHC Commercial | $2,519.43 | ↑ +95% |
| Cofinity | Commercial | $2,521.41 | ↑ +96% |
| Blue Cross | BCBSM Commercial | $2,631.15 | ↑ +104% |
| BCN | HMO | $2,631.15 | ↑ +104% |
| Blue Cross | BCN Commercial | $2,631.15 | ↑ +104% |
| Blue Cross | BCBSM GM Connected Care | $3,302.93 | ↑ +156% |
| HAP | Self-Funded | $3,396.20 | ↑ +163% |
| United Healthcare | Baseline Benefit Plan | $3,718.89 | ↑ +188% |
| Molina | Medicaid HMO | not published by hospital | — |
| Nomi | All Products | not published by hospital | — |
| Pace SE MI | Medicare Advantage | not published by hospital | — |
| Priority Health | Dual Premier_HIDE-SNP | not published by hospital | — |
| Priority Health | Medicaid HMO | not published by hospital | — |
| Priority Health | Medicare Advantage | not published by hospital | — |
| ScriptGuideRX | All Products | not published by hospital | — |
| Trinity Health Plan | Medicare Advantage | not published by hospital | — |
| United Healthcare | Erickson Advantage | not published by hospital | — |
| United Healthcare | VACCN | not published by hospital | — |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | not published by hospital | — |
| Aetna | Dual Products | not published by hospital | — |
| Aetna | Medicare Advantage | not published by hospital | — |
| Aetna Better Health | Medicaid HMO | not published by hospital | — |
| Blue Cross | BCN Advantage | not published by hospital | — |
| Blue Cross | Medicare Plus Blue | not published by hospital | — |
| Carelon Behavioral Health | Behavioral Health | not published by hospital | — |
| Detroit Wayne Integrated Health | Medicaid HMO | not published by hospital | — |
| HAP | HAP Caresource Medicaid | not published by hospital | — |
| HAP | HAP Dual Products | not published by hospital | — |
| HAP | Henry Ford Select -HPN commercial | not published by hospital | — |
| HAP | Medicare Advantage | not published by hospital | — |
| Humana Military | Tricare | not published by hospital | — |
| McLaren | Medicaid HMO | not published by hospital | — |
| McLaren | Medicare Advantage | not published by hospital | — |
| Meridian | Ambetter From Meridian | not published by hospital | — |
| Meridian | Medicaid HMO | not published by hospital | — |
Visitor-reported prices
Comments
Kyleena, 19.5 mg at other Michigan hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr. | $1,289.09 | $1,115.67 – $3,613.67 |
| Henry Ford West Bloomfield Hospital | West Bloomfield | $1,289.09 | $1,115.67 – $3,205.68 |
| Henry Ford Macomb Hospital | Clinton Twp | $1,289.09 | $953.90 – $2,629.26 |
| Corewell Health Big Rapids | Big Rapids | not published | $1,238.93 – $1,238.93 |
| Corewell Health Gerber | Fremont | not published | $1,238.93 – $1,238.93 |
| Corewell Health Butterworth Hospital | Grand Rapids | not published | $1,238.93 – $1,238.93 |
| Corewell Health Blodgett Hospital | East Grand Rapids | not published | $1,238.93 – $1,238.93 |
| Corewell Health Reed City | Po Box 75 | not published | $1,238.93 – $1,238.93 |