Lake Huron Medical Center
2601 Electric Avenue, Port Huron, MI 48060 · 108 Priced Procedures · 66% Patient Recommendation
Typical commercial prices here are 5% below the fair benchmark (0.95×) after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 0.95× fair market pricing.
Aligned Regional Benchmark Peer
Lake Huron Medical Center prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.95× 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 5% below peer Fair BaseRate (0.95×)
- Self-pay cash beats commercial insurance on 79% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 66% patient recommendation (61/100 safety score)
- 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 1.2× markup over Medicare rates
- Commercial insurance median sits at 0.93× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (0.95× 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 12.0× Medicare (14¢ 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 Lake Huron Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $16,422 | 0.9× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $16,309 | 0.8× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $14,925 | 0.8× |
| Total hip replacement CPT Code: 27130 | $12,730 | 0.9× |
| Total knee replacement CPT Code: 27447 | $12,730 | 0.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,719 | 0.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,994 | 1.0× |
| Breast lump removal CPT Code: 19120 | $3,882 | 1.0× |
| Inguinal hernia repair CPT Code: 49505 | $3,550 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,244 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $1,845 | 0.5× |
| Trauma team activation HCPCS Code: G0390 | $1,627 | 1.1× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,186 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $922 | 0.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $899 | 0.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $851 | 0.8× |
| Injection procedure for pain management HCPCS Code: G0260 | $700 | 0.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $542 | 0.9× |
| Blood transfusion CPT Code: 36430 | $437 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $346 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $346 | 0.7× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $217 | 1.1× |
| Neurobehavioral status check CPT Code: 96116 | $214 | 0.9× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $237 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $237 | 0.8× |
Audit a Bill or Quote at Lake Huron 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.
Self-Pay Cash Rate ($14,260) Beats Your Bill
Lake Huron Medical Center's published 45 CFR § 180 self-pay cash rate is $14,260 (vs. $16,422 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($39,413) is $20,326 above the denoised Fair BaseRate ($19,087) and 2.8× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Lake Huron 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
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Lake Huron Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-04-08·administrative_or_closure
Met Requirements
Recorded - 2021-07-20·administrative_or_closure
Closure Notice
Recorded - 2021-05-18·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (388 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 Lake Huron Medical Center.
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.