PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalProprietary

Karmanos Cancer Institute

McLaren Health Care Corporation · Detroit, MI

4100 John 'r' Street, Detroit, MI 48201(800) 576-6266

3 of 5

CMS star rating

115

Beds

2,351

Inpatient discharges a year

$401.6M

Net patient revenue a year

26

In-network payers

About this hospital

Karmanos Cancer Institute is a 115-bed proprietary hospital in Detroit, MI, affiliated with McLaren Health Care Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 299 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
230297
NPI
1316900277
Health system
McLaren Health Care Corporation
Teaching
Major teaching hospital
County
Wayne County
Metro area
Detroit-Warren-Dearborn, MI MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
2005
Last CMS survey
2005

Prices for common services

The 24 services Karmanos Cancer Institute 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$277 - $2,049

from 3 insurers · median $767

UnitedHealthcare$277
Insurer A*$767
Insurer B*$2,049
Medicare $328Nearby hospitals $1,55351% below nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$8,493 - $8,653

from 2 insurers · median $8,573

UnitedHealthcare$8,653
Insurer A*$8,493
Medicare $10,001Nearby hospitals $28,86470% below nearby hospitals

26 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$43,828 - $63,952

from 2 insurers · median $53,890

Blue Cross$63,952
Insurer A*$43,828
Medicare $27,950Nearby hospitals $56,860In line with nearby hospitals

Hospital reports neurosurgical services to CMS

Mammography

Screening mammography, bilateral

CPT 77067

$88 - $424

from 3 insurers · median $229

Aetna$424
Insurer A*$88
Insurer B*$229
Medicare $85Nearby hospitals $31828% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Karmanos Cancer Institute

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*15
498%
46
Insurer B*24
138%
418
Insurer C*23
99%
616

How we chose these services: 5 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 5 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 Karmanos Cancer Institute, 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)
Ameri HealthAvera Health PlansCenteneHarvard Pilgrim Health Care (Point32Health)Health AllianceHealth Alliance HAP

More about this hospital

  • Quality

    3 of 5 stars

    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 33 services
    • 331 affiliated clinicians
    See doctors and services
  • Finances

    $401.6M net patient revenue

    • Operating margin on patient care -30.3%
    • $2.2M unreimbursed and uncompensated care
    • $55.3M net income
    See finances
  • Ownership and leadership

    Owned by Barbara Ann Karmanos Cancer Institute

    • Private (for profit)
    • Brian R Gamble, chief executive
    • 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 Karmanos Cancer Institute in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
20-1649466Barbara Ann Karmanos Cancer Hospital46Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 41 more1316900277 Barbara Ann Karmanos Cancer Hospital1043755788 Barbara Ann Karmanos Cancer Center1871913228 Ascension Medical Group Michiganand 4 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

4100 John 'r' Street, Detroit, MI 48201

(800) 576-6266

Get directions

Frequently asked questions

About Karmanos Cancer Institute's rates and hospital price transparency.

How much does an MRI cost at Karmanos Cancer Institute?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Karmanos Cancer Institute range from $277 to $5,431 across 3 insurers. Aetna's rate is $5,431. The median at nearby comparable hospitals is $1,951. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Karmanos Cancer Institute?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Karmanos Cancer Institute range from $277 to $2,049 across 3 insurers. UnitedHealthcare's rate is $277. The median at nearby comparable hospitals is $1,553. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Karmanos Cancer Institute?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Karmanos Cancer Institute range from $1,034 to $3,319 across 3 insurers. Blue Cross Blue Shield's rate is $1,034. The median at nearby comparable hospitals is $5,218. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Karmanos Cancer Institute?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Karmanos Cancer Institute range from $88 to $424 across 3 insurers. Aetna's rate is $424. The median at nearby comparable hospitals is $318. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Karmanos Cancer Institute's CMS star rating?

Karmanos Cancer Institute 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 Karmanos Cancer Institute a teaching hospital?

Yes. CMS counts 0.36 Medicare-funded residents per bed at Karmanos Cancer Institute for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Karmanos Cancer Institute for readmissions?

No. Karmanos Cancer Institute has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Karmanos Cancer Institute?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (31 discharges), autologous bone marrow transplant with cc/mcc (23 discharges), allogeneic bone marrow transplant (17 discharges).

What is Karmanos Cancer Institute's case mix index?

Karmanos Cancer Institute's Medicare case mix index is 3.20 for fiscal year 2027, higher than 98% of hospitals paid under the inpatient prospective payment system.

How many patients does Karmanos Cancer Institute admit?

Karmanos Cancer Institute reported 2,351 inpatient discharges and 20,853 inpatient days from Oct 1, 2024 to Sep 30, 2025.

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.

Compliance MRF

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster