CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: University of Michigan Health - West

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

$21,825

About the fair price

about $2,488 over the fair price · 1.6× Medicare

Medicare pays $14,044 Fair price $19,337 This hospital $21,825 Cash price $90,367 Hospital's list price $225,919

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 $21,825

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,337 (about 1.4× the $14,044 Medicare rate). University of Michigan Health - West charges insurers about $21,825, or about $90,367 in cash — about the fair price. Located in Wyoming, MI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor	$21,825	155%
Blue Cross Blue Shieldmajor	$34,358	245%
Aetnamajor	$12,229 - $24,804	87%
Cignamajor	$23,285	166%
Humanamajor	$12,229 - $13,242	87%
HealthPartners	$23,285	166%
Medica	$21,825	155%
Molina	$12,229	87%
Priority Health	$23,285	166%
+ 11 smaller / regional plans	$11,006 - $188,642

Government programs also on file: Medicare.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 90,367), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm University of Michigan Health - West is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at University of Michigan Health - West

Compare: Hip or knee replacement (inpatient stay) at other MI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.