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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Ascension Macomb-Oakland Hospital

Ascension Health · Warren, MI

11800 East 12 Mile Road, Warren, MI 48093(586) 573-5000

1 of 5

CMS star rating

469

Beds

19,210

Inpatient discharges a year

$491.4M

Net patient revenue a year

35

In-network payers

About this hospital

Ascension Macomb-Oakland Hospital is a 469-bed voluntary non-profit - private hospital in Warren, MI, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 350 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
230195
NPI
1124099858
Health system
Ascension Health
Teaching
Major teaching hospital
County
Macomb County
Metro area
Detroit-Warren-Dearborn, MI MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2010

Prices for common services

The 24 services Ascension Macomb-Oakland Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,344 - $10,860

from 3 insurers · median $7,116

UnitedHealthcare$7,116
Insurer A*$6,344
Insurer B*$10,860

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$9,022 - $15,671

from 3 insurers · median $9,894

UnitedHealthcare$9,894
Insurer A*$9,022
Insurer B*$15,671

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$935 - $4,675

from 2 insurers · median $2,805

Blue Cross$4,675
Insurer A*$935
Medicare $2,976Nearby hospitals $4,15532% below nearby hospitals

16 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$6,344 - $10,860

from 3 insurers · median $7,116

UnitedHealthcare$7,116
Insurer A*$6,344
Insurer B*$10,860

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

How the insurers pay at Ascension Macomb-Oakland Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
133%
163
Insurer B*20
100%
114
Insurer C*7
-
04

How we chose these services: 5 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ascension Macomb-Oakland Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    1 of 5 stars

    • 203 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.44%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 39 services
    • 745 affiliated clinicians
    See doctors and services
  • Finances

    $491.4M net patient revenue

    • Operating margin on patient care -2.0%
    • $17.9M unreimbursed and uncompensated care
    • -$4.9M net income
    See finances
  • Ownership and leadership

    Owned by Henry Ford Health System

    • Private (not for profit)
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Ascension Macomb-Oakland Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
38-3322109Ascension Macomb Oakland Hospital59Aetna, BCBS Michigan, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems and 54 more1124099858 Henry Ford Health Macomb Oakland Hospital1033180765 Henry Ford Health Macomb Oakland Hospital1720390453 Henry Ford Health Macomb-Oakland Hospitaland 48 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

11800 East 12 Mile Road, Warren, MI 48093

(586) 573-5000

Get directions

Frequently asked questions

About Ascension Macomb-Oakland Hospital's rates and hospital price transparency.

How much does an MRI cost at Ascension Macomb-Oakland Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ascension Macomb-Oakland Hospital range from $410 to $546 across 2 insurers. Blue Cross Blue Shield's rate is $546. The median at nearby comparable hospitals is $496. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Ascension Macomb-Oakland Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ascension Macomb-Oakland Hospital range from $411 to $432 across 2 insurers. Aetna's rate is $432. The median at nearby comparable hospitals is $577. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Ascension Macomb-Oakland Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ascension Macomb-Oakland Hospital range from $445 to $1,087 across 2 insurers. Blue Cross Blue Shield's rate is $1,087. The median at nearby comparable hospitals is $873. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Ascension Macomb-Oakland Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ascension Macomb-Oakland Hospital range from $6,344 to $10,860 across 3 insurers. UnitedHealthcare's rate is $7,116. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Ascension Macomb-Oakland Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ascension Macomb-Oakland Hospital range from $146 to $164 across 2 insurers. Aetna's rate is $146. The median at nearby comparable hospitals is $163. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Ascension Macomb-Oakland Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Ascension Macomb-Oakland Hospital range from $18,151 to $40,322 across 3 insurers. Blue Cross Blue Shield's rate is $40,322. The median at nearby comparable hospitals is $26,189. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Ascension Macomb-Oakland Hospital's CMS star rating?

Ascension Macomb-Oakland Hospital has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Ascension Macomb-Oakland Hospital a teaching hospital?

Yes. CMS counts 0.43 Medicare-funded residents per bed at Ascension Macomb-Oakland Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Ascension Macomb-Oakland Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Ascension Macomb-Oakland Hospital's base inpatient payments by an estimated 0.44% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Ascension Macomb-Oakland Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (366 discharges), acute myocardial infarction, discharged alive with mcc (216 discharges), heart failure and shock with mcc (148 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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