CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Karmanos Cancer Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$7,627

about 1.3× the $5,676 Medicare rate · typically $3,947–$12,018

modeled estimate · not a bill or quote

What this hospital charges insurers

$8,185

About the fair price

about $558 over the fair price · 1.4× Medicare

Medicare pays $5,676 Fair price $7,627 This hospital $8,185 Cash price $10,565 Hospital's list price $21,130

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 $5,277 Priciest $8,185

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 $7,627 (about 1.3× the $5,676 Medicare rate). Karmanos Cancer Center charges insurers about $8,185, or about $10,565 in cash — about the fair price. Located in Detroit, 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	$18,068	318%
Blue Cross Blue Shieldmajor	$9,277 - $10,231	163%
Aetnamajor	$8,186 - $14,243	144%
Humanamajor	$5,366 - $5,419	95%
Priority Health	$7,640	135%
+ 2 smaller / regional plans	$8,136 - $8,185

Government programs also on file: Medicare, Military & VA.

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 (about 10,565), 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 Karmanos Cancer Center 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 Karmanos Cancer Center

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

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