CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Henry Ford Macomb Hospital

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$29
about 0.7× the $40 Medicare rate · typically $13–$50
modeled estimate · not a bill or quote
What this hospital charges insurers
$12
Below the fair price — a good deal
about $17 under the fair price · 0.3× Medicare
Medicare pays $40 Fair price $29 This hospital $12

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

One of the lower prices — 4 of 8 other MI hospitals charge more for the same procedure.

Cheapest $8 Priciest $15

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic procedure preparation is about $29 (about 0.7× the $40 Medicare rate). Henry Ford Macomb Hospital charges insurers about $12 — below the fair price — a good deal. Located in Clinton Township, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $8 - $45 20%
Aetnamajor $8 20%
Humanamajor $18 - $55 45%
Meridian $8 20%
Molina $9 22%
Priority Health $8 - $89 20%
WellCare $15 37%
+ 2 smaller / regional plans $8 - $29

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals