Compare hospital prices in Detroit: Cash vs Insurance Rates
Self-pay cash prices for an upper GI endoscopy in Detroit range from $163 at Karmanos Cancer Center to $22,720 at Detroit Receiving Hospital, a 139x spread across 29 facilities.
Written by FairVisitHealth Editorial Team · Healthcare Pricing Analysts
Reviewed by the FairVisitHealth Editorial Team (Pricing & Billing Data Review). Not medical advice. Data sourced from CMS, HRSA, and hospital price transparency filings.
Key Takeaways
- Cash prices for identical medical procedures in Metro Detroit differ by up to 139 times across facilities.
- An upper GI endoscopy with biopsy ranges from $163 at Karmanos Cancer Center to $22,720 at Detroit Receiving Hospital.
- An MRI of the lumbar spine varies from $70 at McLaren Port Huron to $7,778 at DMC Sinai-Grace Hospital, an 110.8x price spread.
- Michigan hospitals provided $208 million in free or discounted financial assistance to low-income patients in fiscal year 2023.
- Federal regulations under 45 CFR Part 180 mandate hospitals publish machine-readable files listing standard charges and cash rates.
Hospital prices in Detroit across common medical procedures
Hospital prices in Detroit range from $12 for therapeutic injections up to $61,600 for total knee replacements across regional facilities.
Source: FairVisitHealth price data (2026)
| Procedure (CPT) | Hospitals | Lowest cash price | Median | Highest | Spread |
|---|---|---|---|---|---|
| Upper GI endoscopy with biopsy (43239) | 29 | $163 | $6,310 | $22,720 | 139x |
| MRI lumbar spine without contrast (72148) | 7 | $70 | $1,043 | $7,778 | 110.8x |
| MRI knee or other lower joint (73721) | 35 | $136 | $4,692 | $12,090 | 88.8x |
| Transforaminal epidural injection (64483) | 33 | $338 | $9,406 | $22,557 | 66.7x |
| Colonoscopy with biopsy (45380) | 32 | $606 | $6,235 | $36,535 | 60.3x |
| MRI brain without contrast (70551) | 39 | $136 | $4,147 | $7,846 | 57.6x |
| CT head without contrast (70450) | 7 | $65 | $469 | $3,631 | 56.3x |
| New patient office visit, 45 min (99204) | 36 | $92 | $2,777 | $4,857 | 52.9x |
| MRI brain with and without contrast (70553) | 7 | $218 | $1,670 | $11,486 | 52.7x |
| New patient office visit, 60 min (99205) | 9 | $86 | $533 | $4,266 | 49.6x |
| New patient office visit, 15 min (99202) | 30 | $43 | $1,595 | $2,101 | 49.1x |
| Diagnostic colonoscopy (45378) | 38 | $470 | $5,529 | $22,949 | 48.9x |
| Total hip replacement (27130) | 28 | $1,165 | $15,469 | $56,754 | 48.7x |
| New patient office visit, 30 min (99203) | 32 | $64 | $2,196 | $2,852 | 44.5x |
| CT abdomen and pelvis without contrast (74176) | 7 | $104 | $635 | $3,913 | 37.5x |
| Sleep study (polysomnography) (95810) | 7 | $281 | $544 | $8,174 | 29.1x |
| Emergency department visit, low complexity (99283) | 6 | $56 | $749 | $1,610 | 28.9x |
| Emergency department visit, high complexity (99285) | 6 | $135 | $1,746 | $3,772 | 27.9x |
| Knee arthroscopy with meniscectomy (29881) | 34 | $1,348 | $5,161 | $35,731 | 26.5x |
| Abdominal ultrasound, complete (76700) | 7 | $59 | $282 | $1,508 | 25.6x |
| Therapeutic injection (96372) | 7 | $12 | $45 | $291 | 24.9x |
| Transvaginal ultrasound (76830) | 7 | $51 | $347 | $1,223 | 23.8x |
| Left heart catheterization (93452) | 7 | $630 | $3,193 | $14,084 | 22.4x |
| Established patient office visit, 40 min (99215) | 7 | $75 | $148 | $1,577 | 21.1x |
| CT abdomen and pelvis with contrast (74177) | 7 | $218 | $754 | $4,441 | 20.4x |
| Basic metabolic panel (80048) | 41 | $29 | $38 | $566 | 19.5x |
| General health panel (80050) | 24 | $33 | $55 | $628 | 19.3x |
| Physical therapy, therapeutic exercise (97110) | 8 | $18 | $113 | $301 | 16.7x |
| Cataract surgery with lens implant (66984) | 13 | $1,268 | $1,380 | $18,786 | 14.8x |
| Comprehensive metabolic panel (80053) | 23 | $48 | $133 | $687 | 14.3x |
| Lumbar epidural steroid injection (62323) | 7 | $311 | $387 | $3,810 | 12.3x |
| Established patient office visit, 20 min (99213) | 8 | $33 | $144 | $379 | 11.5x |
| TSH thyroid test (84443) | 8 | $10 | $60 | $107 | 10.7x |
| Screening mammogram (77067) | 6 | $54 | $105 | $539 | 10x |
| Established patient office visit, 30 min (99214) | 7 | $59 | $130 | $496 | 8.5x |
| Total knee replacement (27447) | 27 | $7,327 | $16,201 | $61,600 | 8.4x |
| Complete blood count with differential (85025) | 5 | $22 | $167 | $175 | 8x |
| Complete blood count, automated (85027) | 5 | $15 | $41 | $97 | 6.4x |
| Urinalysis with microscopy (81001) | 30 | $20 | $27 | $106 | 5.3x |
| Blood glucose test (82947) | 5 | $25 | $69 | $92 | 3.6x |
| Hospital (Detroit, MI, Upper GI endoscopy with biopsy 43239) | Cash price | Negotiated median (3+ payers) | Gross charge |
|---|---|---|---|
| Karmanos Cancer Center | $163 | n/a | $376 |
| Mclaren Oakland | $482 | n/a | $2,835 |
| Mclaren Port Huron | $494 | n/a | $1,818 |
| Mclaren Macomb | $1,220 | n/a | $2,492 |
| Oakwood Healthcare | $3,952 | n/a | n/a |
| William Beaumont Hospital Crna | $3,952 | n/a | n/a |
| Oakwood Health Promotions | $3,952 | n/a | n/a |
| Harper Hutzel Hospital | $5,890 | n/a | n/a |
| William Beaumont Hospital | $6,310 | n/a | n/a |
| Beaumont Farmington Hills | $6,310 | n/a | n/a |
| Willliam Beaumont Hospital | $6,310 | n/a | n/a |
| Beaumont Health | $6,310 | n/a | n/a |
| Botsford General Hospital | $6,310 | n/a | n/a |
| Botsford Continuing Care | $6,310 | n/a | n/a |
| Beaumont Weight Control Center | $6,310 | n/a | n/a |
| Beaumont Medical Group Primary Care Services | $6,310 | n/a | n/a |
| William Beaumont | $6,310 | n/a | n/a |
| Beaumont Special Radiological Procedures | $6,310 | n/a | n/a |
| Beaumont Medical Group Hospital Based Services | $6,310 | n/a | n/a |
| William Beauont Hospital | $6,310 | n/a | n/a |
| William Beaumont Hosptial | $6,310 | n/a | n/a |
| Sinai Grace Hospital | $8,173 | n/a | n/a |
| Vhs Sinai Grace Hospital | $8,173 | n/a | n/a |
| Vhs Harper Hutzel Hospital | $9,716 | n/a | n/a |
| Huron Valley Hospital | $10,497 | n/a | n/a |
| Huron Valley Sinai Hospital | $10,497 | n/a | n/a |
| Detroit Medical Center Detroit Receiving Hospital | $10,945 | n/a | n/a |
| Vhs Detroit Receiving Hospital | $22,720 | n/a | n/a |
| Detroit Receiving Hospital | $22,720 | n/a | n/a |
How do hospital prices in Detroit vary for self-pay patients?
Hospital prices in Detroit vary by thousands of dollars depending on which facility you choose for your procedure.
Source: FairVisitHealth price data (2026)
Karmanos Cancer Center lists an upper GI endoscopy with biopsy (CPT 43239) at $163 according to FairVisitHealth price data. Detroit Receiving Hospital lists the same endoscopy at $22,720. An MRI of the lumbar spine (CPT 72148) costs $70 at McLaren Port Huron compared to $7,778 at DMC Sinai-Grace Hospital. A knee MRI (CPT 73721) costs $136 at McLaren Macomb compared to $12,090 at William Beaumont Hospital.
Federal regulations under 45 CFR Part 180 require hospitals to publish standard charge files according to CMS. Commercial hospital rates across Michigan average below 200% of Medicare reimbursement according to RAND Corporation. In 2022, private insurer payments for inpatient hospital facility services nationwide averaged 255% of Medicare reimbursement rates according to RAND Corporation.
Michigan health systems provided $208 million in free or discounted care in fiscal year 2023 according to Michigan Health & Hospital Association. Hospitals absorbed $461 million in uncollectible debt during fiscal year 2023 according to Michigan Health & Hospital Association. Henry Ford Health gives 100% financial assistance to uninsured patients earning at or below 250% FPL according to Henry Ford Health. Corewell Health provides full financial assistance for qualifying patients at or below 250% FPL according to CareRoute.
How to use hospital prices in Detroit to lower your bill
You can lower your hospital bills in Detroit by asking for written price estimates before care and comparing quotes against published cash rates.
Source: FairVisitHealth price data (2026)
Ask the hospital billing office for the cash price tied to your procedure CPT code before scheduling service. Request written price quotes on official hospital letterhead prior to receiving care. Remember that the number is not final when you receive a bill.
Compare written quotes against median cash rates across regional facilities. You can use FairVisitHealth to review local hospital price records before selecting a facility. Learning how cash prices work helps self-pay patients manage medical costs. Reference public price files during bill negotiation to challenge excessive hospital charges. Our Hospital Price Transparency Guide outlines federal rights and standard charge requirements.
Methodology for Detroit hospital pricing data
This dataset combines 2,146 hospital-published price rows gathered from public machine-readable files on October 12, 2026.
Source: FairVisitHealth price data (2026)
The main metric extracted is the disclosed cash price per CPT code. Analysts calculated facility medians across reported prices and combined hospital name variations to group regional facilities.
Metro assignment relies on three-digit ZIP code prefixes covering the Detroit region. Reporting groups require five or more independent hospitals for statistical reporting. Price spreads equal the highest cash price divided by the lowest cash price. Negotiated payer medians require three or more reporting insurance plans.
Limitations of Detroit hospital price transparency data
Hospital price transparency data reflects facility fees and varies by publication date, omitting professional charges and component entries.
Source: FairVisitHealth price data (2026)
File dates across Detroit facilities range from 2021 through 2026. On May 22, 2025, CMS mandated hospitals replace placeholder numbers with actual historical dollar amounts according to Michigan Health & Hospital Association.
Disclosed cash prices represent facility fees and exclude separate doctor or anesthesiologist billing. Low cash prices near $10 reflect laboratory component fees rather than full procedure charges. Hospital cash prices remain subject to provider updates without notice.
Download the raw Detroit hospital price dataset
You can download the complete file of 2,146 hospital-disclosed cash prices directly from the FairVisitHealth Detroit Hospital Price CSV File.
The dataset uses a Creative Commons Attribution 4.0 International license. Cite this dataset as 'FairVisitHealth, 2026' in public references.
Frequently Asked Questions
How much does a hospital stay cost in Detroit without insurance?
Uninsured hospital costs in Detroit depend on the care needed, facility pricing, and stay duration. Inpatient admissions, surgical procedures, and imaging tests accumulate thousands of dollars in facility charges. Self-pay patients can request itemized written estimates and apply for hospital financial assistance programs to reduce balances.
Which hospital in Detroit has the lowest prices for common medical procedures?
Karmanos Cancer Center and McLaren health system facilities record the lowest published cash prices in Metro Detroit. Karmanos Cancer Center lists an upper GI endoscopy cash price of $163, while McLaren Port Huron lists a lumbar spine MRI for $70. Cash prices vary by procedure code, making pre-service rate comparisons across hospitals essential.
How can I get an out-of-pocket hospital cost estimate in Detroit?
Request out-of-pocket cost estimates by calling hospital billing departments with procedure CPT codes before receiving treatment. Under federal rules, self-pay patients hold the right to receive a written Good Faith Estimate prior to scheduled care. Comparing written estimates against public price files verifies quote accuracy.
What is the difference between standard hospital charges and self-pay cash prices in Michigan?
Standard charges represent gross list prices listed on hospital chargemasters before insurance adjustments. Self-pay cash prices represent discounted rates offered to patients paying directly without commercial health insurance. Disclosed self-pay cash prices in Detroit fall significantly below standard gross charges across most facilities.
Are Detroit hospitals required to post negotiated rates with health insurers?
Federal rules under 45 CFR Part 180 require hospitals to publish standard charges, cash prices, and insurer-negotiated rates in public online files. Federal regulators require health systems to update public price listings regularly. Enforcement guidelines verify facilities post actual historical payment amounts.
Related Cost Guides
Frequently Asked Questions
How much does a hospital stay cost in Detroit without insurance?
Uninsured hospital costs in Detroit depend on the care needed, facility pricing, and stay duration. Inpatient admissions, surgical procedures, and imaging tests accumulate thousands of dollars in facility charges. Self-pay patients can request itemized written estimates and apply for hospital financial assistance programs to reduce balances.
Which hospital in Detroit has the lowest prices for common medical procedures?
Karmanos Cancer Center and McLaren health system facilities record the lowest published cash prices in Metro Detroit. Karmanos Cancer Center lists an upper GI endoscopy cash price of $163, while McLaren Port Huron lists a lumbar spine MRI for $70. Cash prices vary by procedure code, making pre-service rate comparisons across hospitals essential.
How can I get an out-of-pocket hospital cost estimate in Detroit?
Request out-of-pocket cost estimates by calling hospital billing departments with procedure CPT codes before receiving treatment. Under federal rules, self-pay patients hold the right to receive a written Good Faith Estimate prior to scheduled care. Comparing written estimates against public price files verifies quote accuracy.
What is the difference between standard hospital charges and self-pay cash prices in Michigan?
Standard charges represent gross list prices listed on hospital chargemasters before insurance adjustments. Self-pay cash prices represent discounted rates offered to patients paying directly without commercial health insurance. Disclosed self-pay cash prices in Detroit fall significantly below standard gross charges across most facilities.
Are Detroit hospitals required to post negotiated rates with health insurers?
Federal rules under 45 CFR Part 180 require hospitals to publish standard charges, cash prices, and insurer-negotiated rates in public online files. Federal regulators require health systems to update public price listings regularly. Enforcement guidelines verify facilities post actual historical payment amounts.
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