Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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4393260 — Cathpumpheart#433333

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $32,000

Usually $20,000–$37,500 (25th–75th percentile) across 1 hospital · 12 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CDM 4393260 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital Payer Plan Negotiated rate Gross Cash Observed Source
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient MAGELLAN BEHAVIORAL 1784_SJMA SJMC MAGELLAN BEHAVIORAL 20200101 $15,000.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient PRIORITY PPO 2009_PRIORITY PPO 20210801 $19,500.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient HAP HMO 2174_SJMA HEALTH ALLIANCE HMO 20241001 $20,000.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient HAP HMO 2166_HEALTH ALLIANCE HMO 20241001 $20,000.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient AHLIC 2163_AHLIC 20241001 $20,000.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient CIGNA 2014_SJRD,SJMC CIGNA 20210701 $20,500.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient PRIORITY HMO 2010_PRIORITY HMO 20210701 $20,500.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient HOSPICE 447_SJMA, SJMC HOSPICE 20160101 $25,000.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient HAP PREFERRED 2171_HAP PREFERRED (PHP) 20241001 $32,000.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient HEALTHPLUS PPO 990_HEALTHPLUS PPO 20200101 $32,500.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient AETNA PPO 2136_AETNA 20241001 $34,500.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient PHCS POS 1311_PHCS POS 20201001 $35,000.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient PHCS PPO 1457_PHCS PPO 20201001 $37,500.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient PHCS PPO GREAT WEST & MAILHANDLERS 1458_PHCS PPO GR WEST & MAILHANDLERS 20201001 $37,500.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient PPOM 934_PPOM 20191001 $44,280.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Both CDM DEFAULT - NON-NEGOTIATED RATE CDM DEFAULT - NON-NEGOTIATED RATE $50,000.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗
Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient BCCCP 1782_BCCCP 20210201 $50,000.00 $50,000.00 $28,000.00 2026-01-01 MRF ↗