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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Southeast Michigan Surgical Hospital

Warren, MI

21230 Dequindre, Warren, MI 48091(586) 427-1000

Not rated by CMS

CMS star rating

39

Beds

205

Inpatient discharges a year

$46.3M

Net patient revenue a year

18

In-network payers

About this hospital

Southeast Michigan Surgical Hospital is a 39-bed voluntary non-profit - private hospital in Warren, MI. Below you'll find publicly disclosed negotiated rates and facility details, including 18 in-network payers and 315 disclosed rate categories.

  • Disproportionate share hospital
CCN
230264
NPI
1962402354
Teaching
No Medicare-funded residents
County
Macomb County
Metro area
Detroit-Warren-Dearborn, MI MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1973
Last CMS survey
2007

Prices for common services

The 24 services Southeast Michigan Surgical 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.

Medicine & Surgery

Arthroscopic knee meniscectomy

CPT 29881

$4,388 - $5,244

from 2 insurers · median $4,816

Blue Cross$5,244
Insurer A*$4,388
Medicare $3,089Nearby hospitals $4,18515% above nearby hospitals

12 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)

Orthopedics and pain

Open carpal tunnel release

CPT 64721

$575 - $3,213

from 3 insurers · median $2,619

UnitedHealthcare$2,619
Insurer A*$575
Insurer B*$3,213
Medicare $1,844Nearby hospitals $2,678In line with nearby hospitals

31 Medicare claims in Level 1 Nerve Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$412 - $510

from 3 insurers · median $468

Aetna$412
Insurer A*$468
Insurer B*$510
Medicare $329Nearby hospitals $58520% 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

$11,592 - $14,256

from 2 insurers · median $12,924

UnitedHealthcare$14,256
Insurer A*$11,592
Medicare $10,860Nearby hospitals $14,36410% below nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Southeast Michigan Surgical 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*24
145%
911
Insurer B*24
131%
211
Insurer C*8
121%
25

How we chose these services: 2 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 12 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 Southeast Michigan Surgical 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)
AmbetterAspirus Health PlanBanner HealthCenteneEMI HealthHealth Alliance

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Southeast Michigan Surgical 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
13-4257646Southeast Michigan Surgical Hospital LLC36Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 31 more1962402354 Southeast Michigan Surgical Hospital LLC1295865392 Southeast Michigan Surgical Hospital LLC1679605570 Southeast Michigan Surgical Hospital LLCand 1 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

21230 Dequindre, Warren, MI 48091

(586) 427-1000

Get directions

Frequently asked questions

About Southeast Michigan Surgical Hospital's rates and hospital price transparency.

How much does an MRI cost at Southeast Michigan Surgical Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Southeast Michigan Surgical Hospital range from $364 to $552 across 3 insurers. Aetna's rate is $364. The median at nearby comparable hospitals is $646. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Southeast Michigan Surgical Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Southeast Michigan Surgical Hospital range from $412 to $510 across 3 insurers. Aetna's rate is $412. The median at nearby comparable hospitals is $585. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Southeast Michigan Surgical Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Southeast Michigan Surgical Hospital range from $1,051 to $1,605 across 2 insurers. Blue Cross Blue Shield's rate is $1,051. The median at nearby comparable hospitals is $1,599. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Southeast Michigan Surgical Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Southeast Michigan Surgical Hospital range from $73 to $221 across 3 insurers. Aetna's rate is $117. The median at nearby comparable hospitals is $91. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Southeast Michigan Surgical Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Southeast Michigan Surgical Hospital for fiscal year 2027.

Does Medicare penalize Southeast Michigan Surgical Hospital for readmissions?

No. Southeast Michigan Surgical Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What is Southeast Michigan Surgical Hospital's case mix index?

Southeast Michigan Surgical Hospital's Medicare case mix index is 4.23 for fiscal year 2027, higher than 100% of hospitals paid under the inpatient prospective payment system.

How many patients does Southeast Michigan Surgical Hospital admit?

Southeast Michigan Surgical Hospital reported 205 inpatient discharges and 870 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Southeast Michigan Surgical Hospital have?

Southeast Michigan Surgical Hospital reported 135 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Southeast Michigan Surgical Hospital make?

Southeast Michigan Surgical Hospital reported $46.3M in net patient revenue on $310.2M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -18.4%, and net income of $1M.

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
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • 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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  • Missing, duplicate and outdated charge lines identified
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