CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Henry Ford Macomb Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$85
about 0.7× the $118 Medicare rate · typically $54–$116
modeled estimate · not a bill or quote
What this hospital charges insurers
$83
About the fair price
about $2 under the fair price · 0.7× Medicare
Medicare pays $118 Fair price $85 This hospital $83 Hospital's list price $105

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $47 Priciest $83

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

A fair price for a New patient office visit (30-44 min) is about $85 (about 0.7× the $118 Medicare rate). Henry Ford Macomb Hospital charges insurers about $83 — about the fair price. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $53 - $112 45%
Blue Cross Blue Shieldmajor $44 - $117 37%
Aetnamajor $44 - $112 37%
Cignamajor $84 - $152 71%
Humanamajor $63 - $114 54%
AmeriHealth $52 - $110 44%
CareSource $52 - $72 44%
Meridian $44 - $112 37%
Molina $32 - $123 27%
Priority Health $44 - $105 37%
WellCare $83 - $84 71%
+ 11 smaller / regional plans $44 - $169
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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