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Heart valve surgery (open) in Michigan: what insurers pay

Posted commercial rates at 8 Michigan hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 220

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$74,7022.0×32026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$74,7022.0×32026-05-01
Corewell Health Beaumont Troy Hospital Troy$74,7022.0×32026-05-01
Henry Ford Health Rochester Hospital Rochester$76,3142.0×22026-01-01
Corewell Health Dearborn Hospital Dearborn$89,2782.4×22026-05-01
Mclaren Port Huron Port Huron$96,4462.5×12025-12-31
Trinity Health Oakland Hospital Pontiac$109,9112.9×162026-03-31
Harper University Hospital Detroit$111,4603.0×22026-09-02

MS-DRG 219

HospitalMedian across insurers× MedicareInsurersFile date
Henry Ford Health Rochester Hospital Rochester$96,0801.8×22026-01-01
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$107,5582.0×32026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$107,5582.0×32026-05-01
Corewell Health Beaumont Troy Hospital Troy$107,5582.0×32026-05-01
Corewell Health Dearborn Hospital Dearborn$123,6702.3×22026-05-01
Mclaren Port Huron Port Huron$129,8122.4×12025-12-31
Trinity Health Oakland Hospital Pontiac$147,9352.7×162026-03-31
Harper University Hospital Detroit$154,3002.8×22026-09-02

MS-DRG 216

HospitalMedian across insurers× MedicareInsurersFile date
Henry Ford Health Rochester Hospital Rochester$132,5671.9×22026-01-01
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$137,0372.0×32026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$137,0372.0×32026-05-01
Corewell Health Beaumont Troy Hospital Troy$137,0372.0×32026-05-01
Corewell Health Dearborn Hospital Dearborn$164,7552.4×22026-05-01
Mclaren Port Huron Port Huron$178,7452.6×12025-12-31
Trinity Health Oakland Hospital Pontiac$203,7002.9×162026-03-31
Harper University Hospital Detroit$205,7103.0×22026-09-02

MS-DRG 217

HospitalMedian across insurers× MedicareInsurersFile date
Corewell Health Beaumont Grosse Pointe Hospital Grosse Pointe$92,1072.0×32026-05-01
Corewell Health William Beaumont University Hospit Royal Oak$92,1072.0×32026-05-01
Corewell Health Beaumont Troy Hospital Troy$92,1072.0×32026-05-01
Henry Ford Health Rochester Hospital Rochester$97,1282.1×22026-01-01
Corewell Health Dearborn Hospital Dearborn$110,5372.4×22026-05-01
Mclaren Port Huron Port Huron$119,7682.6×12025-12-31
Trinity Health Oakland Hospital Pontiac$136,4892.9×162026-03-31
Harper University Hospital Detroit$138,0103.0×22026-09-02

Questions

How much do insurers pay for heart valve surgery (open) in Michigan?

8 Michigan hospitals post usable commercial rates for heart valve surgery (open) in their federal price-transparency files. For inpatient stay (MS-DRG 220), the median across 8 hospitals is $82,796, 2.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.