Beacon Plainwell
411 Naomi St, Plainwell, MI 49080 · 110 Priced Procedures
Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader
Beacon Plainwell maintains disciplined commercial pricing across both elective shoppable care (1.2× Medicare) and captive emergency/ancillary departments (0.9× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.92× Fair BaseRate) without hidden ancillary cross-subsidization.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 8% below peer Fair BaseRate (0.92×)
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (36.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
- Commercial insurance median sits at 0.83× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.30×) jump +57% above the median procedure ratio (Q50 0.83×)
- Unnegotiated chargemaster list prices average 3.8× Medicare (26¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Beacon Plainwell
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $40,787 | unverified |
| Total knee replacement CPT Code: 27447 | $40,787 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $14,842 | 1.8× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $14,842 | 0.8× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $14,842 | 0.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $14,842 | 0.8× |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $14,842 | 0.5× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $2,181 | 0.4× |
| Inguinal hernia repair CPT Code: 49505 | $1,487 | 0.4× |
| Breast lump removal CPT Code: 19120 | $1,298 | 0.3× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,267 | 0.4× |
| Bunion correction surgery CPT Code: 28296 | $1,267 | 0.4× |
| Psychological testing by technician CPT Code: 96138 | $1,235 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $948 | 0.4× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $855 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $617 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $547 | 1.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $521 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $544 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $512 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $449 | 0.4× |
| Colonoscopy with biopsy CPT Code: 45380 | $456 | 0.4× |
| Psychological testing evaluation CPT Code: 96136 | $396 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $358 | 1.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $363 | 0.4× |
Audit a Bill or Quote at Beacon Plainwell (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $35,495
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $35,495).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Beacon Plainwell's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($97,889) is $84,476 above the denoised Fair BaseRate ($13,413) and 7.5× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Illustrative National Nonprofit Peer Median (36.3% of gross — request this hospital's exact FAP Look-Back AGB percentage)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Beacon Plainwell.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.