How many shoppable procedure prices are published for Corewell Health Watervliet Hospital?

Corewell Health Watervliet Hospital in Watervliet, MI currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Corewell Health Watervliet Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Corewell Health Watervliet Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 26 Beds · rural Updated: 2026-05-01

Corewell Health Watervliet Hospital

400 Medical Park Dr, Watervliet, MI 49098 · 106 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.15×vs. Fair Market Price

Typical commercial prices here are +15% above the fair benchmark (1.15×) even after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 1% of the Time

File Completeness100

Price Logic98

Peer Alignment69

Clean Billing63

Real Cash Discount6

Regional Benchmark Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 9,991), Corewell Health Watervliet Hospital commands a 1.15× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#78 of 91 in MI · 84th State Percentile#1,864 of 3,385 in U.S. · 55th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.99× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (85/100 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 (17.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
Commercial insurance median sits at 1.17× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.4× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 9,991) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.2× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.2× Medicare

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

Quantile Tail Spread+3% Upper Tail

Q25 0.99× · Q50 1.17× · Q75 1.20×

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

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

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

1.4× MedicareGood

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

1% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 85/100Good

Procedure Prices at Corewell Health Watervliet Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 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`	—	$23,160	$30,775	0.8×
Total hip replacement CPT Code: `27130`	—	$16,164	$13,413	1.2×
Total knee replacement CPT Code: `27447`	—	$16,164	$13,523	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$13,927	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$13,829	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$12,640	$17,936	0.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$5,589	$8,223	0.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,931	$4,931	$1,021	4.8×
Trauma team activation HCPCS Code: `G0390`	$4,305	$4,305	$1,453	3.0×
Bunion correction surgery CPT Code: `28296`	—	$4,119	$3,446	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,119	$3,372	unverified
Breast lump removal CPT Code: `19120`	$1,216	$1,216	$3,875	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,171	$981	1.2×
Injection procedure for pain management HCPCS Code: `G0260`	—	$889	$855	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,778	$688	$583	1.2×
Blood transfusion CPT Code: `36430`	$752	$555	$498	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,522	$439	$448	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,254	$439	$511	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$284	$284	$201	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,436	$300	$272	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,947	$300	$303	1.0×
MRI, lower back (no contrast) CPT Code: `72148`	$2,822	$300	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$2,715	$300	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,223	$300	$369	0.8×
Neurobehavioral status check CPT Code: `96116`	$468	$272	$231	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$289	$223	$185	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,893	$221	$242	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,199	$221	$258	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$253	$223	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$289	$223	$181	unverified
Family therapy session CPT Code: `90847`	—	$223	$173	unverified
Psychological testing evaluation CPT Code: `96136`	$217	$168	$128	1.3×
X-ray, pelvis CPT Code: `72170`	$291	$132	$110	1.2×
X-ray, chest (single view) CPT Code: `71045`	$329	$110	$92	1.2×
X-ray, shoulder CPT Code: `73030`	$473	$110	$92	1.2×
X-ray, foot CPT Code: `73630`	$431	$110	$92	1.2×
X-ray, chest (two views) CPT Code: `71046`	$390	$110	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$430	$110	$93	1.2×
X-ray, hand CPT Code: `73130`	$352	$110	$93	1.2×
X-ray, hip CPT Code: `73502`	$369	$110	$93	1.2×
X-ray, ankle CPT Code: `73610`	$443	$110	$93	1.2×
X-ray, lower back CPT Code: `72110`	$599	$132	$112	1.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$771	$132	$126	1.0×
Ultrasound, pelvis CPT Code: `76856`	$886	$132	$130	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$580	$132	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,218	$132	$134	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$585	$126	$148	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$1,209	$132	$160	0.8×
CT scan, pelvis CPT Code: `72192`	$1,459	$132	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$1,259	$132	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,638	$132	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,554	$132	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,234	$132	$169	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$105	$105	$86	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$377	$94	$86	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$515	$104	$123	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$135	$135	$56	2.4×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$135	$135	$111	1.2×
Drug screening test HCPCS Code: `G0480`	$103	$103	$116	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	—	$59	$49	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$278	$74	$64	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$38	$38	$25	1.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$59	$49	1.2×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$33	$27	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$88	$42	$38	1.1×
Physical therapy (gait training) CPT Code: `97116`	$118	$36	$33	1.1×
Orthotic fitting and training CPT Code: `97760`	$166	$55	$51	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$24	$20	1.2×
Blood test, vitamin D CPT Code: `82306`	$182	$37	$31	1.2×
Prosthetic fitting and training CPT Code: `97761`	$111	$48	$45	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$127	$42	$40	1.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$121	$39	$38	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$140	$39	$38	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$149	$35	$35	1.0×
Blood antibody screen CPT Code: `86850`	$44	$44	$46	unverified
Flu vaccine injection HCPCS Code: `G0008`	—	$59	$48	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$34	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$65	$8	$6	1.3×
Blood test, lipase CPT Code: `83690`	$74	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$40	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$40	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$63	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$59	$11	$9	1.2×
Culture, bacterial CPT Code: `87070`	$77	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$78	$17	$14	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$147	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$99	$23	$19	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$63	$12	$10	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$149	$33	$34	1.0×
Blood test, calcium CPT Code: `82310`	$36	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$46	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$44	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$34	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$119	$18	$15	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$125	$19	$16	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$75	$13	$11	1.2×
Culture, blood CPT Code: `87040`	$63	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$125	$21	$18	1.2×
Blood test, amylase CPT Code: `82150`	$70	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$52	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$48	$10	$9	1.1×
Speech therapy (group session) CPT Code: `92508`	—	$30	$27	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$15	$14	1.1×
Blood test, hemoglobin CPT Code: `85018`	$25	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$42	$5	$5	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$96	$14	$35	0.4×

Showing top 25 high-impact procedures of 106 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 17.9%

Audit a Bill or Quote at Corewell Health Watervliet Hospital (Zero PHI Required)

CMS CCN: 230078

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $23,160

1. Amount on Your Bill or Quote ($) Pre-filled with Corewell Health Watervliet 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 501(r) AGB Cap: $9,933 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $9,933

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (17.9% of gross = $9,933).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Corewell Health Watervliet 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 +$24,809 Above Fair BaseRate

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

Your bill ($55,584) is $24,809 above the denoised Fair BaseRate ($30,775) and 2.4× 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) 501(c)(3) Nonprofit Hospital

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

EIN: 381368745

Filing Period: 201403

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (17.9% of gross charges)

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. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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

Safety Composite85/100

Median ER Wait101 min

Left ER Before Seen1%

Source: CMS Hospital Care Compare. 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 Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Corewell Health Watervliet Hospital.

Price Index: 0.90× regional baseline

Quality: 56/100 CMS composite

Median Household Income$63,152U.S. Census ACS

Local Uninsured Share6.2%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 71/100 · Corroborated CMS CCN 230078 EIN 381368745

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 230078) ↗ Verify IRS Form 990 (EIN 381368745) ↗ CMS HCRIS Cost Reports ↗

Published MRF File381368745_corewell-health-watervliet-hospital_standardcharges.csv

Publication / Vintage2026-05-01 · 9.95 MB

Validated Rate Rows232 (CMS v3.0.0)

File Integrity Digestfab4112a55e8f52dcdc6…

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