CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Henry Ford Macomb Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$30,680

about 1.3× the $23,504 Medicare rate · typically $17,932–$41,716

modeled estimate · not a bill or quote

What this hospital charges insurers

$22,412

Below the fair price — a good deal

about $8,268 under the fair price · 1.0× Medicare

Medicare pays $23,504 Fair price $30,680 This hospital $22,412

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 $14,842 Priciest $24,251

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $30,680 (about 1.3× the $23,504 Medicare rate). Henry Ford Macomb Hospital charges insurers about $22,412 — 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	$22,190 - $36,344	94%
Blue Cross Blue Shieldmajor	$47,719 - $54,392	203%
Aetnamajor	$23,078 - $38,955	98%
Humanamajor	$22,634 - $27,770	96%
AmeriHealth	$21,747	93%
CareSource	$22,190	94%
Meridian	$29,957	127%
Molina	$22,190 - $29,957	94%
Priority Health	$22,190 - $43,522	94%
WellCare	$22,190	94%
+ 6 smaller / regional plans	$21,081 - $41,052

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: 451.

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 451.
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: Spinal fusion, single level (inpatient stay) at other MI hospitals

Beacon Plainwell · Plainwell $14,842
Ascension River District Hospital · East China $20,415
Henry Ford Health West Bloomfield Hospital · W Bloomfield $22,002
Surgeons Choice Medical Center · Southfield $22,444
Wyandotte Hospital and Medical Center · Wyandotte $22,552
Henry Ford Allegiance Health · Jackson $22,628
Corewell Health Watervliet Hospital · Watervliet $23,160
Bronson Battle Creek Hospital · Battle Creek $24,251

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