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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Henry Ford Macomb - Mt Clemens

Henry Ford Health System · Clinton Township, MI

15855 19 Mile Road, Clinton Township, MI 48038(586) 263-2300

3 of 5

CMS star rating

357

Beds

20,336

Inpatient discharges a year

$634.3M

Net patient revenue a year

30

In-network payers

About this hospital

Henry Ford Macomb - Mt Clemens is a 357-bed voluntary non-profit - private hospital in Clinton Township, MI, affiliated with Henry Ford Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 342 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • ACO participant
  • Helipad
CCN
230047
NPI
1023114634
Health system
Henry Ford Health System
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
2019

Prices for common services

The 24 services Henry Ford Macomb - Mt Clemens 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

$7,830 - $10,911

from 3 insurers · median $8,965

Aetna$7,830
Insurer A*$8,965
Insurer B*$10,911

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 neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$10,593 - $17,213

from 3 insurers · median $12,386

Aetna$10,593
Insurer A*$12,386
Insurer B*$17,213

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 neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,019 - $6,546

from 4 insurers · median $5,171

Blue Cross$6,546
Insurer A*est.$1,019
Insurer B*$4,523
Insurer C*$5,819
Medicare $3,012Nearby hospitals $4,14225% above nearby hospitals

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$545 - $1,466

from 4 insurers · median $798

Blue Cross$545
Insurer A*$768
Insurer B*$829
Insurer C*est.$1,466
Medicare $325Nearby hospitals $43285% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Henry Ford Macomb - Mt Clemens

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*24
233%
108
Insurer B*24
160%
150
Insurer C*24
153%
172
Insurer D*15
117%
00

How we chose these services: 7 appear in this hospital's own Medicare claims, 11 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 Henry Ford Macomb - Mt Clemens, 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 HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    3 of 5 stars

    • 306 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.01%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 47 services, including trauma care
    • 1,464 affiliated clinicians
    See doctors and services
  • Finances

    $634.3M net patient revenue

    • Operating margin on patient care 0.8%
    • $12.4M unreimbursed and uncompensated care
    • $48.6M net income
    See finances
  • Ownership and leadership

    Owned by Henry Ford Health System

    • Private (not for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
38-2947657Henry Ford Macomb Hospital CORP48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 43 more1023114634 Henry Ford Macomb Hospital Corporation1568508059 Henry Ford Macomb Hospital Corporation1619066594 Henry Ford Macomb Hospital Corporationand 88 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

15855 19 Mile Road, Clinton Township, MI 48038

(586) 263-2300

Get directions

Frequently asked questions

About Henry Ford Macomb - Mt Clemens's rates and hospital price transparency.

How much does an MRI cost at Henry Ford Macomb - Mt Clemens?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Henry Ford Macomb - Mt Clemens range from $488 to $1,756 across 4 insurers. UnitedHealthcare's rate is $1,067. The median at nearby comparable hospitals is $432. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Henry Ford Macomb - Mt Clemens?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Henry Ford Macomb - Mt Clemens range from $545 to $1,466 across 4 insurers. Blue Cross Blue Shield's rate is $545. The median at nearby comparable hospitals is $432. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Henry Ford Macomb - Mt Clemens?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Henry Ford Macomb - Mt Clemens range from $993 to $4,941 across 4 insurers. UnitedHealthcare's rate is $4,941. The median at nearby comparable hospitals is $1,087. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Henry Ford Macomb - Mt Clemens?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Henry Ford Macomb - Mt Clemens range from $7,830 to $10,911 across 3 insurers. Aetna's rate is $7,830. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Henry Ford Macomb - Mt Clemens?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Henry Ford Macomb - Mt Clemens range from $162 to $188 across 4 insurers. UnitedHealthcare's rate is $179. The median at nearby comparable hospitals is $146. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Henry Ford Macomb - Mt Clemens's CMS star rating?

Henry Ford Macomb - Mt Clemens has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Henry Ford Macomb - Mt Clemens a teaching hospital?

Yes. CMS counts 0.36 Medicare-funded residents per bed at Henry Ford Macomb - Mt Clemens for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Henry Ford Macomb - Mt Clemens for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Henry Ford Macomb - Mt Clemens's base inpatient payments by an estimated 0.01% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Henry Ford Macomb - Mt Clemens?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (412 discharges), heart failure and shock with mcc (231 discharges), acute myocardial infarction, discharged alive with mcc (193 discharges).

What is Henry Ford Macomb - Mt Clemens's case mix index?

Henry Ford Macomb - Mt Clemens's Medicare case mix index is 1.86 for fiscal year 2027, higher than 67% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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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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CodingPricingPayer contractsCompliance
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