Forest Health Medical Center
135 S Prospect St, Ypsilanti, MI 48198 · 48 Priced Procedures · 83% Patient Recommendation
Typical commercial prices here match the fair market benchmark (0.98×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Aligned Regional Benchmark Peer
Forest Health Medical Center prices shoppable and inpatient services (1.0× to 1.1× Medicare, divergence 1.10×) in alignment with regional hospital peers (0.98× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 2% below peer Fair BaseRate (0.98×)
- Self-pay cash beats commercial insurance on 10% of shoppable procedures (31/100 Cash Honesty)
- CMS clinical safety score (83/100 safety score) with 83% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
- Captive ER (1.4×) & laboratory (1.3×) services average 1.10× higher multiples than routine shoppable care (1.0×)
- Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 4,530) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Forest Health Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 48 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $66,132 | 10.8× |
| Breast lump removal CPT Code: 19120 | $32,000 | 8.3× |
| Upper endoscopy with biopsy CPT Code: 43239 | $973 | 1.0× |
| Blood transfusion CPT Code: 36430 | $454 | 0.9× |
| X-ray, pelvis CPT Code: 72170 | $110 | 1.0× |
| X-ray, shoulder CPT Code: 73030 | $91 | 1.0× |
| X-ray, foot CPT Code: 73630 | $91 | 1.0× |
| X-ray, lower back CPT Code: 72110 | $110 | 1.0× |
| X-ray, hip CPT Code: 73502 | $91 | 1.0× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $110 | 0.9× |
| Ultrasound, pelvis CPT Code: 76856 | $110 | 0.8× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $110 | 0.8× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $133 | 0.7× |
| X-ray, chest (single view) CPT Code: 71045 | $91 | unverified |
| X-ray, chest (two views) CPT Code: 71046 | $91 | unverified |
| X-ray, neck (cervical spine) CPT Code: 72040 | $91 | unverified |
| X-ray, hand CPT Code: 73130 | $91 | unverified |
| X-ray, ankle CPT Code: 73610 | $91 | unverified |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $62 | 1.0× |
| Drug screening test HCPCS Code: G0480 | $85 | 0.7× |
| Blood antibody screen CPT Code: 86850 | $65 | unverified |
| Blood test, glucose (blood sugar) CPT Code: 82947 | $5 | 1.3× |
| Culture, bacterial CPT Code: 87070 | $11 | 1.2× |
| Blood test, creatinine (kidney) CPT Code: 82565 | $6 | 1.2× |
| Blood test, cholesterol (lipid panel) CPT Code: 80061 | $16 | 1.1× |
Audit a Bill or Quote at Forest Health Medical Center (Zero PHI Required)
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.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Forest Health Medical Center's published 45 CFR § 180 self-pay cash rate is $66,132 (vs. $66,132 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)
Your bill ($66,132) is $60,023 above the denoised Fair BaseRate ($6,109) and 10.7× the $6,176 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Forest Health Medical Center 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Forest Health Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-04-22·administrative_or_closure
Closure Notice
Recorded - 2026-01-20·cap_corrective_action
CAP Request
Recorded
Source: CMS Hospital Care Compare (48 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
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 Forest Health Medical Center.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.