Henry Ford Health Macomb Hospital: charges and Medicare payments

Henry Ford Health Macomb Hospital reported 4,140 Medicare inpatient stays across 119 DRGs in 2024. Across them it charged 3.09 times what it was paid — mid-range in Michigan, number 39 of 76 hospitals with at least 100 stays (state median 3.09×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 412 stays at an average charge of $46,653, 48% below the national average. It also billed 3,082 outpatient services, charging 5.52 times what Medicare paid.

1Medicare inpatient stays 4,140
2Charge ÷ paid, inpatient 3.09×
3Rank in MI (highest ratio = 1) 39 of 76
4CMS price-transparency actions 0

Average charge per stay at Henry Ford Health Macomb Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 119 DRGs that can be compared with the national average, Henry Ford Health Macomb Hospital charged more than the national average in 1 (1%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	412	$46,653	-48%	$16,586
291 Heart Failure and Shock with MCC	231	$34,004	-40%	$11,178
280 Acute Myocardial Infarction, Discharged Alive with MCC	193	$36,394	-52%	$13,640
193 Simple Pneumonia and Pleurisy with MCC	135	$30,314	-49%	$11,294
177 Respiratory Infections and Inflammations with MCC	116	$41,549	-41%	$14,122
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	77	$22,103	-45%	$6,878
853 Infectious and Parasitic Diseases with O.R. Procedures with...	76	$110,926	-52%	$41,945
378 Gastrointestinal Hemorrhage with CC	75	$30,866	-36%	$8,907
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	70	$30,293	-46%	$8,686
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	70	$25,031	-49%	$9,172
309 Cardiac Arrhythmia and Conduction Disorders with CC	66	$18,679	-48%	$6,899
690 Kidney and Urinary Tract Infections without MCC	65	$22,086	-42%	$7,103
603 Cellulitis without MCC	64	$21,804	-42%	$7,481
189 Pulmonary Edema and Respiratory Failure	61	$41,665	-28%	$11,043
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	58	$18,791	-49%	$7,025
281 Acute Myocardial Infarction, Discharged Alive with CC	57	$27,130	-46%	$8,135
312 Syncope and Collapse	55	$26,851	-41%	$7,723
682 Renal Failure with MCC	55	$39,016	-41%	$12,200
689 Kidney and Urinary Tract Infections with MCC	55	$27,705	-46%	$9,863
194 Simple Pneumonia and Pleurisy with CC	52	$22,291	-42%	$7,261
481 Hip and Femur Procedures except Major Joint with CC	52	$62,475	-38%	$17,326
377 Gastrointestinal Hemorrhage with MCC	50	$57,900	-32%	$18,304
190 Chronic Obstructive Pulmonary Disease with MCC	48	$28,691	-43%	$9,962
698 Other Kidney and Urinary Tract Diagnoses with MCC	48	$33,794	-54%	$13,812
552 Medical Back Problems without MCC	47	$25,704	-47%	$8,186
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	47	$36,551	-39%	$11,581
322 Percutaneous Cardiovascular Procedures with Intraluminal...	46	$67,354	-41%	$15,998
812 Red Blood Cell Disorders without MCC	46	$23,826	-46%	$8,658
683 Renal Failure with CC	44	$22,879	-44%	$7,812
811 Red Blood Cell Disorders with MCC	38	$31,904	-53%	$11,713
286 Circulatory Disorders except AMI, with Cardiac...	36	$45,272	-60%	$18,224
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	33	$41,313	-37%	$11,398
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	33	$31,495	-48%	$11,402
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	32	$52,466	-47%	$16,857
208 Respiratory System Diagnosis with Ventilator Support <=96...	32	$85,884	-37%	$22,678
287 Circulatory Disorders except AMI, with Cardiac...	32	$36,658	-43%	$9,949
308 Cardiac Arrhythmia and Conduction Disorders with MCC	32	$34,343	-39%	$10,855
699 Other Kidney and Urinary Tract Diagnoses with CC	32	$19,781	-58%	$8,620
948 Signs and Symptoms without MCC	32	$21,141	-44%	$7,439
176 Pulmonary Embolism without MCC	31	$25,387	-39%	$7,365
321 Percutaneous Cardiovascular Procedures with Intraluminal...	31	$92,065	-44%	$24,243
638 Diabetes with CC	31	$26,561	-36%	$7,976
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	29	$63,952	-37%	$17,451
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	28	$16,937	-41%	$5,125
178 Respiratory Infections and Inflammations with CC	27	$29,012	-36%	$9,565
300 Peripheral Vascular Disorders with CC	26	$27,237	-45%	$9,148
274 Percutaneous and Other Intracardiac Procedures without MCC	25	$90,707	-42%	$25,268
602 Cellulitis with MCC	25	$29,305	-51%	$12,504
164 Major Chest Procedures with CC	24	$86,075	-32%	$21,093
191 Chronic Obstructive Pulmonary Disease with CC	24	$22,093	-44%	$7,379
236 Coronary Bypass without Cardiac Catheterization without MCC	24	$112,632	-47%	$33,422
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	23	$32,243	-52%	$11,341
057 Degenerative Nervous System Disorders without MCC	22	$24,636	-56%	$11,136
101 Seizures without MCC	21	$23,913	-51%	$7,804
870 Septicemia or Severe Sepsis with MV >96 Hours	21	$168,407	-48%	$54,010
418 Laparoscopic Cholecystectomy without C.D.E. with CC	20	$59,457	-36%	$15,672
659 Kidney and Ureter Procedures for Non-Neoplasm with MCC	20	$58,305	-51%	$20,612
149 Dysequilibrium	19	$23,214	-48%	$6,380
329 Major Small and Large Bowel Procedures with MCC	19	$134,723	-37%	$37,504
330 Major Small and Large Bowel Procedures with CC	19	$67,780	-43%	$21,080

Showing the 60 most frequent of 119 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	930	$15,809	$2,379
Level 5 Musculoskeletal Procedures	319	$42,883	$11,273
Level 1 Endovascular Procedures	203	$14,580	$2,834
Level 2 Excision/ Biopsy/ Incision and Drainage	199	$6,761	$1,400
Level 4 Urology and Related Services	145	$12,774	$3,015
Level 3 Vascular Procedures	125	$12,528	$2,807
Level 1 Laparoscopy and Related Services	107	$32,567	$5,006
Level 5 Urology and Related Services	106	$17,695	$4,557
Level 6 Musculoskeletal Procedures	73	$69,593	$15,975
Level 3 Endovascular Procedures	71	$40,756	$9,345
Level 2 Upper GI Procedures	68	$6,405	$1,656
Level 4 Musculoskeletal Procedures	65	$26,433	$6,301
Level 3 Urology and Related Services	64	$9,754	$1,772
Level 3 Electrophysiologic Procedures	54	$60,818	$20,509
Level 2 Laparoscopy and Related Services	53	$50,417	$8,696
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	47	$14,495	$3,008
Level 4 Airway Endoscopy	46	$13,655	$3,241
Level 5 Airway Endoscopy	45	$28,092	$6,028
Level 3 Excision/ Biopsy/ Incision and Drainage	42	$10,483	$2,482
Level 2 Musculoskeletal Procedures	32	$6,299	$1,416
Level 2 Vascular Procedures	32	$6,850	$1,411
Level 2 Endovascular Procedures	32	$22,018	$5,034
Level 3 Musculoskeletal Procedures	29	$13,326	$2,726
Level 3 Pacemaker and Similar Procedures	29	$37,383	$9,399
Level 1 Breast/Lymphatic Surgery and Related Procedures	26	$13,051	$3,254

Against the Michigan average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Henry Ford Health Macomb Hospital charged $46,653 on average, 14% less than the Michigan average of $54,260, and was paid $16,586 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Henry Ford Health Macomb Hospital charged $34,004 on average, 5% less than the Michigan average of $35,827, and was paid $11,178 against a state average of $11,565. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Henry Ford Health Macomb Hospital charged $36,394 on average, 24% less than the Michigan average of $47,816, and was paid $13,640 against a state average of $13,931. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Henry Ford Health Macomb Hospital charged $30,314 on average, 15% less than the Michigan average of $35,850, and was paid $11,294 against a state average of $11,562. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,809 was 3% above the state average of $15,355. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $42,883 was 11% below the state average of $48,446. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $14,580 was 16% below the state average of $17,272. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,761 was 8% below the state average of $7,344.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.