How many shoppable procedure prices are published for Karmanos Cancer Center?

Karmanos Cancer Center in Detroit, MI currently has 94 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Karmanos Cancer Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Karmanos Cancer Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Karmanos Cancer Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Karmanos Cancer Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 102 Beds · urban Updated: 2025-12-31

Karmanos Cancer Center

4100 John R, Detroit, MI 48201 · 94 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.12×vs. Fair Market Price

Typical commercial prices here are +12% above the fair benchmark (1.12×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 53% of the Time

File Completeness51

Price Logic86

Peer Alignment70

Clean Billing76

Real Cash Discount100

High Quality · Fair Price

4-Star CMS clinical quality rating paired with 1.12× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Karmanos Cancer Center maintains elevated commercial insurance contracts (1.12× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 53% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#77 of 91 in MI · 83rd State Percentile#1,755 of 3,385 in U.S. · 51st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.80× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 53% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (73/100 safety score) with 76% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.12× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.92× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.3× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 7.7× Medicare (18¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.91× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+2% Upper Tail

Q25 0.80× · Q50 0.92× · Q75 0.94×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.0× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.3× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

53% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Karmanos Cancer Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 94 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$74,949	$32,238	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$27,807	$20,614	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$45,167	$19,439	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$45,791	$17,807	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$10,565	$8,185	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,720	$5,693	$6,109	0.9×
Breast lump removal CPT Code: `19120`	$5,844	$3,736	$3,875	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$691	$993	$1,021	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$461	$890	$981	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$564	$564	$1,256	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$798	$535	$583	0.9×
Blood transfusion CPT Code: `36430`	$660	$427	$498	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$434	$434	$987	0.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$347	$398	$148	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,372	$348	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,447	$348	$511	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$284	$329	$123	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$623	$236	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,230	$236	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$2,004	$236	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,935	$236	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$792	$236	$369	0.6×
Family therapy session CPT Code: `90847`	$124	$157	$173	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$94	$157	$181	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$647	$174	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,317	$174	$258	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$75	$89	$86	1.0×
X-ray, pelvis CPT Code: `72170`	$127	$104	$110	0.9×
X-ray, lower back CPT Code: `72110`	$275	$104	$112	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$90	$86	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$232	$104	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$798	$104	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$401	$104	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$372	$104	$134	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$538	$104	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$680	$104	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$576	$104	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$888	$104	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$888	$104	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$888	$104	$169	0.6×
X-ray, chest (single view) CPT Code: `71045`	$46	$86	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$125	$86	$93	unverified
X-ray, shoulder CPT Code: `73030`	$95	$86	$92	unverified
X-ray, hand CPT Code: `73130`	$189	$86	$93	unverified
X-ray, hip CPT Code: `73502`	$111	$86	$93	unverified
X-ray, ankle CPT Code: `73610`	$63	$86	$93	unverified
X-ray, foot CPT Code: `73630`	$78	$86	$92	unverified
Physical therapy (gait training) CPT Code: `97116`	$69	$69	$33	2.1×
Physical therapy (manual therapy) CPT Code: `97140`	$69	$69	$34	2.0×
Occupational therapy (self-care training) CPT Code: `97535`	$69	$69	$38	1.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$62	$62	$40	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$54	$54	$35	1.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$54	$54	$38	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$54	$54	$38	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$50	$58	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$66	$66	$86	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$74	$74	$166	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$29	$45	$48	0.9×
Orthotic fitting and training CPT Code: `97760`	$47	$47	$51	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$29	$45	$49	0.9×
Drug screening test HCPCS Code: `G0480`	$54	$54	$116	0.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$62	$62	$201	0.3×
Pneumococcal vaccine HCPCS Code: `90732`	$66	$66	$140	unverified
Blood test, vitamin D CPT Code: `82306`	$148	$29	$31	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$11	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$17	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$13	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$34	$4	$4	1.0×
Blood test, lipase CPT Code: `83690`	$37	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$18	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$41	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$44	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$27	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$22	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$34	$6	$6	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$49	$18	$19	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$76	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$45	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$66	$13	$14	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$57	$13	$14	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$155	$10	$11	0.9×
Culture, blood CPT Code: `87040`	$86	$10	$11	0.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$19	$9	$10	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$144	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$41	$8	$9	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$85	$16	$18	0.9×
Culture, bacterial CPT Code: `87070`	$99	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$29	$6	$7	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$31	$31	$56	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$23	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$50	$2	$3	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$17	$17	$49	0.3×
Blood antibody screen CPT Code: `86850`	$29	$10	$46	0.2×

Showing top 25 high-impact procedures of 94 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Karmanos Cancer Center (Zero PHI Required)

CMS CCN: 230297

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $74,949

Insurer Median $32,238

1. Amount on Your Bill or Quote ($) Pre-filled with Karmanos Cancer Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $74,949 Paying Cash

Self-Pay Cash Rate ($74,949) Beats Your Bill

Karmanos Cancer Center's published 45 CFR § 180 self-pay cash rate is $74,949 (vs. $32,238 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$119,123 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($149,898) is $119,123 above the denoised Fair BaseRate ($30,775) and 6.4× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Karmanos Cancer Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend76%

Rated 9 or 10 (HCAHPS)76%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Karmanos Cancer Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-28·administrative_or_closure
Met Requirements
Recorded
2024-10-15·administrative_or_closure
Closure Notice
Recorded
2024-10-02·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (362 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Karmanos Cancer Center.

Price Index: 1.77× regional baseline

Quality: 68/100 CMS composite

Median Household Income$59,521U.S. Census ACS

Local Uninsured Share5.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 76/100 · Corroborated CMS CCN 230297

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 230297) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-12-31

Validated Rate Rows1,931 (CMS vV3.0.0)

File Integrity DigestVerified · CCN 230297

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy