CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Spectrum Health

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,337
about 1.4× the $14,044 Medicare rate · typically $15,455–$26,736
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,312
About the fair price
about $1,025 under the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $19,337 This hospital $18,312

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $7,442 Priciest $18,312

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,337 (about 1.4× the $14,044 Medicare rate). Spectrum Health charges insurers about $18,312 — about the fair price. Located in Grand Rapids, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $17,440 - $52,016 124%
Aetnamajor $18,312 130%
Meridian $31,393 224%
Molina $18,312 - $31,393 130%
Priority Health $17,144 - $28,227 122%
+ 7 smaller / regional plans $17,440 - $18,312

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Facility Profile & Credentials

  • Address: 100 Michigan St Ne, Grand Rapids, MI 49503
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals