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Henry Ford Health St John Hospital

Henry Ford Health St John Hospital in Detroit, MI charges 3.5x the Medicare reimbursement rate across 102 analyzed procedures at this nonprofit-religious facility.

Detroit, MI 48236 · Acute Care Hospitals · CMS Rating: 2/5

By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.

102 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.0x1.4x15.0x
3.5x
Medicare markup ratio
MI lowestHenry Ford Health St J...MI highest
3.5x
Avg markup ratio
3.4x
Median markup
102
Procedures
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Billing patterns — nonprofit-religious

Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.

Pricing grade

C

Average

Avg markup vs Medicare

3.45x

Charge / Medicare rate

Max markup

5.8x

Worst procedure

Procedures analyzed

102

With pricing data

Outlier procedures

0%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$42,364$21,1825.8x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$14,578$7,2895.7x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$27,471$13,7355.4x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$67,154$33,5775.4x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$30,521$15,2605.3x
CAROTID ARTERY STENT PROCEDURES WITH CC035$80,429$40,2145.2x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$37,222$18,6115.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$64,878$32,4394.8x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC251$54,800$27,4004.7x
DIABETES WITH CC638$28,573$14,2874.7x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$181,198$90,5994.7x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC659$81,669$40,8354.5x
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC036$55,888$27,9444.4x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$108,754$54,3774.4x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC026$101,672$50,8364.3x
OTHER VASCULAR PROCEDURES WITH MCC252$116,312$58,1564.2x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$67,825$33,9134.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$20,454$10,2274.1x
PERIPHERAL VASCULAR DISORDERS WITH CC300$28,541$14,2714.1x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$67,936$33,9684x
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$122,063$61,0314x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$138,924$69,4624x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$57,838$28,9193.9x
HYPERTENSION WITHOUT MCC305$21,766$10,8833.9x
RED BLOOD CELL DISORDERS WITHOUT MCC812$24,167$12,0843.9x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$58,452$29,2263.9x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$20,985$10,4933.9x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$142,044$71,0223.8x
OTHER HEART ASSIST SYSTEM IMPLANT215$257,131$128,5653.8x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O023$163,585$81,7933.8x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$23,484$11,7423.8x
HYPERTENSION WITH MCC304$29,507$14,7533.8x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION219$234,659$117,3303.7x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$58,468$29,2343.7x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$39,469$19,7353.6x
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC432$50,725$25,3623.6x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$30,815$15,4083.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$40,367$20,1843.6x
DISORDERS OF THE BILIARY TRACT WITH MCC444$45,691$22,8463.6x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$56,866$28,4333.6x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC024$106,889$53,4443.6x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$80,978$40,4893.6x
SYNCOPE AND COLLAPSE312$22,457$11,2293.6x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$116,547$58,2733.5x
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY884$41,775$20,8883.5x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$20,475$10,2373.5x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$79,132$39,5663.5x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$23,958$11,9793.5x
SEIZURES WITH MCC100$51,544$25,7723.4x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$24,102$12,0513.4x

Showing 50 of 102 procedures

How HENRY FORD HEALTH ST JOHN HOSPITAL compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — nonprofit-religious hospital billing

How do nonprofit religious hospital charges compare to Medicare rates?
Data shows that 203 nonprofit religious hospitals have an average markup of 5.4 times Medicare rates for similar services. These hospitals operate under religious organizational structures while maintaining nonprofit tax status, which provides context for their billing practices and pricing structures.
What does a 5.4x Medicare markup mean for my medical bills?
A 5.4x markup means these hospitals typically charge 5.4 times what Medicare would pay for the same service. For example, if Medicare pays $1,000 for a procedure, the hospital's standard charge would average $5,400, though your actual out-of-pocket costs depend on your insurance coverage and negotiated rates.
Are nonprofit religious hospitals required to offer financial assistance?
Yes, nonprofit hospitals including religious institutions must provide charity care and financial assistance programs as a condition of their tax-exempt status. These hospitals are required to have written financial assistance policies and must make them publicly available, though the specific terms and eligibility requirements vary by institution.
How can I find out the actual charges at a specific nonprofit religious hospital?
Nonprofit hospitals are required to publish their standard charges online, typically called a 'chargemaster' or price transparency list. You can also request a good faith estimate before receiving services, which may show potential differences between standard charges and what you might actually pay based on your insurance coverage.

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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