CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Henry Ford Macomb Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$8,051

about 1.4× the $5,676 Medicare rate · typically $5,498–$11,266

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,805

Below the fair price — a good deal

about $2,246 under the fair price · 1.0× Medicare

Medicare pays $5,676 Fair price $8,051 This hospital $5,805

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MI hospitals compared.

Cheapest $5,277 Priciest $6,408

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,051 (about 1.4× the $5,676 Medicare rate). Henry Ford Macomb Hospital charges insurers about $5,805 — 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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
UnitedHealthcaremajor	$5,805 - $9,190	102%
Blue Cross Blue Shieldmajor	$5,805 - $12,777	102%
Aetnamajor	$5,805 - $9,850	102%
Humanamajor	$5,277 - $5,921	93%
AmeriHealth	$5,689	100%
CareSource	$5,805	102%
Meridian	$7,837	138%
Molina	$5,805 - $7,837	102%
Priority Health	$5,805 - $11,005	102%
WellCare	$5,805	102%
+ 6 smaller / regional plans	$5,515 - $11,517

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Henry Ford Macomb Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Henry Ford Macomb Hospital

Compare: Digestive disorders treatment (inpatient stay) at other MI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.