CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Henry Ford Health Warren Hospital

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $7,321
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Henry Ford Health Warren Hospital is $7,321. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $5,675.87, this hospital’s rate is 1.29x the Medicare baseline. Located in 11800 East Twelve Mile Road, Warren, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,321

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $7,321 (129%)
Ins. Median: $7,321 (129% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicare (plans) $5,564 - $6,150 98%
Amerihealth Vip Care $5,798 102%
Aetna $5,857 - $9,410 103%
Harbor Advantage Hmo $5,857 103%
Tricare $5,857 103%
Veterans Choice $5,857 103%
Humana $5,915 - $8,400 104%
Total Health Care $5,915 104%
Meridian Wellcare $6,150 108%
Molina Advantage $6,150 108%
Molina Health Link $6,150 108%
Ambetter / Centene $7,321 129%
Molina Market Place $7,321 129%
Ppom $7,819 138%
Smarthealth $8,199 144%
Phcs Pos $9,410 166%
Phcs Ppo $9,410 166%
Priority Hmo $9,688 171%
Priority Ppo $9,688 171%
UnitedHealthcare $10,828 191%
Aaa-Auto Insurance $11,128 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11800 East Twelve Mile Road, Warren, MI 48093
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals