How many shoppable procedure prices are published for Ascension River District Hospital?

Ascension River District Hospital in East China, MI currently has 124 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Ascension River District Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Ascension River District Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Ascension River District Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Ascension River District Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 18 Beds · urban Updated: 01/01/2026

Ascension River District Hospital

4100 River Rd, East China, MI 48054 · 124 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.89×vs. Fair Market Price

Typical commercial prices here are 11% below the fair benchmark (0.89×) after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 21% of the Time

File Completeness66

Price Logic92

Peer Alignment78

Clean Billing69

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.89× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Ascension River District Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.91× Fair BaseRate) and emergency/ancillary services (1.2× Medicare, p75 1.00× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#42 of 91 in MI · 45th State Percentile#590 of 3,385 in U.S. · 17th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 11% below peer Fair BaseRate (0.89×)
Self-pay cash beats commercial insurance on 21% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (70/100 safety score) with 73% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (1.2×) & laboratory (1.0×) services average 1.33× higher multiples than routine shoppable care (0.9×)
Even at low-cost facilities (0.89× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 3.9× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

0.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.33× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+10% Upper Tail

Q25 0.78× · Q50 0.91× · Q75 1.00×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

21% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 70/100Fair

Procedure Prices at Ascension River District Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 124 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$20,415	$30,775	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$12,337	$19,087	0.6×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$12,251	$19,432	0.6×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$11,142	$17,936	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,358	$8,223	0.9×
Trauma team activation HCPCS Code: `G0390`	$4,200	$4,200	$1,453	unverified
Total knee replacement CPT Code: `27447`	—	$3,190	$13,523	0.2×
Total hip replacement CPT Code: `27130`	—	$2,937	$13,413	0.2×
C-section delivery (full package) CPT Code: `59510`	—	$2,811	$2,975	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,730	$2,680	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$2,043	$3,372	0.6×
Inguinal hernia repair CPT Code: `49505`	—	$2,043	$3,629	0.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$1,679	$6,109	0.3×
Bunion correction surgery CPT Code: `28296`	—	$1,492	$3,446	0.4×
Breast lump removal CPT Code: `19120`	—	$1,492	$3,875	0.4×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,186	$1,256	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,002	$1,021	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	$965	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$938	$981	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$948	$2,540	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,494	$537	$583	0.9×
Blood transfusion CPT Code: `36430`	$652	$450	$498	0.9×
Psychological testing by technician CPT Code: `96138`	—	$395	$395	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,103	$360	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$889	$367	$511	0.7×
Rabies immune globulin HCPCS Code: `90375`	$1,700	$304	$322	0.9×
Neurobehavioral status check CPT Code: `96116`	—	$307	$231	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$388	$249	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$966	$244	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$587	$249	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$676	$249	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$815	$249	$369	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$159	$166	1.0×
Family therapy session CPT Code: `90847`	—	$158	$173	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$165	$185	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$159	$181	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$491	$176	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$557	$176	$258	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	—	$127	$110	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$125	$123	1.0×
Psychological testing evaluation CPT Code: `96136`	—	$128	$128	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$145	$105	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$307	$105	$130	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$510	$130	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$422	$130	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$422	$130	$169	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$85	$87	1.0×
X-ray, shoulder CPT Code: `73030`	$72	$86	$92	0.9×
Care planning with family CPT Code: `90887`	—	$98	$107	0.9×
Group therapy session CPT Code: `90853`	—	$91	$100	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$422	$109	$160	0.7×
CT scan, sinuses CPT Code: `70486`	$422	$113	$166	0.7×
X-ray, ankle CPT Code: `73610`	$77	$86	$93	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$143	$105	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$282	$105	$134	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$424	$104	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$199	$86	$123	0.7×
CT scan, pelvis CPT Code: `72192`	$422	$109	$163	0.7×
X-ray, chest (two views) CPT Code: `71046`	$54	$87	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$54	$86	$93	unverified
X-ray, lower back CPT Code: `72110`	$83	$104	$112	unverified
X-ray, hand CPT Code: `73130`	$77	$86	$93	unverified
X-ray, hip CPT Code: `73502`	$119	$87	$93	unverified
X-ray, foot CPT Code: `73630`	$77	$86	$92	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$334	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$177	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	—	$131	$140	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$103	$111	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$54	$58	$64	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$88	$76	$86	0.9×
Review of medical records for care CPT Code: `90889`	—	$76	$114	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$20	$32	$35	0.9×
Prosthetic fitting and training CPT Code: `97761`	$53	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$53	$44	$51	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$69	$61	$86	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$60	$60	$151	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$64	$64	$201	0.3×
Blood test, vitamin D CPT Code: `82306`	$37	$34	$31	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$53	$15	$14	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$64	$34	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$53	$35	$40	0.9×
X-ray, chest (single view) CPT Code: `71045`	$48	$48	$92	unverified
X-ray, pelvis CPT Code: `72170`	$48	$48	$110	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$10	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$7	$8	$6	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$15	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$8	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$22	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$18	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$22	$17	$14	1.2×
Blood test, calcium CPT Code: `82310`	$15	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$7	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$11	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$15	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$15	$6	$5	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$25	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$30	$19	$18	1.1×
Blood test, hemoglobin CPT Code: `85018`	$10	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$13	$5	$5	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$23	$25	0.9×
Culture, blood CPT Code: `87040`	$37	$10	$11	0.9×
Speech therapy (group session) CPT Code: `92508`	—	$24	$27	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$53	$31	$35	0.9×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$22	$25	0.9×
Physical therapy (gait training) CPT Code: `97116`	$53	$29	$33	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$34	$39	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$33	$38	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$53	$29	$34	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$53	$32	$38	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	—	$31	$37	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$38	$56	0.7×
Blood test, liver function panel CPT Code: `80076`	$24	$8	$9	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$25	$22	$48	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$28	$22	$49	0.4×
Drug screening test HCPCS Code: `G0480`	$32	$32	$116	0.3×
Blood test, amylase CPT Code: `82150`	$6	$8	$7	unverified
Blood test, vitamin B12 CPT Code: `82607`	$26	$19	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$33	$17	$14	unverified
Blood test, lipase CPT Code: `83690`	$19	$9	$7	unverified
Blood test, magnesium CPT Code: `83735`	$8	$8	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$48	$23	$19	unverified
Hepatitis C antibody test CPT Code: `86803`	$31	$18	$15	unverified
Blood antibody screen CPT Code: `86850`	$14	$14	$46	unverified
Culture, bacterial CPT Code: `87070`	$46	$11	$9	unverified

Showing top 25 high-impact procedures of 124 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Ascension River District Hospital (Zero PHI Required)

CMS CCN: 230241

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $20,415

1. Amount on Your Bill or Quote ($) Pre-filled with Ascension River District Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Ascension River District Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$18,221 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($48,996) is $18,221 above the denoised Fair BaseRate ($30,775) and 2.1× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Ascension River District Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite70/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)83%

Median ER Wait123 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (93 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Ascension River District Hospital.

Price Index: 0.82× regional baseline

Quality: 56/100 CMS composite

Median Household Income$69,349U.S. Census ACS

Local Uninsured Share4.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 81/100 · Corroborated CMS CCN 230241

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 230241) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage01/01/2026

Validated Rate Rows2,580 (CMS v3.0.0)

File Integrity DigestVerified · CCN 230241

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy