CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: University of Michigan Health-Sparrow Specialty Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$21,617

about 1.5× the $14,044 Medicare rate · typically $11,913–$37,189

modeled estimate · not a bill or quote

What this hospital charges insurers

$9,618

Below the fair price — a good deal

about $11,999 under the fair price · 0.7× Medicare

Medicare pays $14,044 Fair price $21,617 This hospital $9,618 Cash price $11,125 Hospital's list price $44,498

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

One of the lower prices — 6 of 8 other MI hospitals charge more for the same procedure.

Cheapest $7,442 Priciest $13,932

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 $21,617 (about 1.5× the $14,044 Medicare rate). University of Michigan Health-Sparrow Specialty Hospital charges insurers about $9,618, or about $11,125 in cash — below the fair price — a good deal. Located in Lansing, 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	$18,028 - $30,273	128%
Blue Cross Blue Shieldmajor	$5,727 - $23,506	41%
Aetnamajor	$5,727 - $30,739	41%
Cignamajor	$21,967 - $36,887	156%
Humanamajor	$8,862 - $14,880	63%
+ 8 smaller / regional plans	$1,500 - $37,259

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 2 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 11,125), 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-Sparrow Specialty Hospital 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-Sparrow Specialty Hospital

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

Harper University Hospital · Detroit $7,442
Huron Valley-Sinai Hospital · Commerce Township $7,442
Ascension River District Hospital · East China $12,251
Trinity Health Grand Haven Hospital · Grand Haven $12,838
Surgeons Choice Medical Center · Southfield $13,401
Henry Ford Health West Bloomfield Hospital · W Bloomfield $13,659
Corewell Health Watervliet Hospital · Watervliet $13,829
Henry Ford Macomb Hospital · Clinton Township $13,932

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