How many shoppable procedure prices are published for Sparrow Ionia Hospital?

Sparrow Ionia Hospital in Ionia, MI currently has 110 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Sparrow Ionia Hospital's commercial prices compare to the fair BaseRate?

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

What is Sparrow Ionia Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Sparrow Ionia Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 22 Beds · rural Updated: 4/1/2026

Sparrow Ionia Hospital

3565 S State Road, Ionia, MI 48846 · 110 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.90×vs. Fair Market Price

Typical commercial prices here are 10% below the fair benchmark (0.90×) after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 81% of the Time

File Completeness66

Price Logic66

Peer Alignment69

Clean Billing91

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.90× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Sparrow Ionia Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.80× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.93× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#44 of 91 in MI · 47th State Percentile#636 of 3,385 in U.S. · 18th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 10% below peer Fair BaseRate (0.90×)
Self-pay cash beats commercial insurance on 81% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 72% patient recommendation (72/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (43.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.90× 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.
Captive ER (1.2×) & laboratory (1.0×) services average 1.13× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 0.93×) jump +16% above the median procedure ratio (Q50 0.80×)
Consolidated metro market (HHI 3,149) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.8× Medicare

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

Back-Door Captive & ER1.13× Divergence

0.9× Medicare

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

Quantile Tail Spread+16% Upper Tail

Q25 0.62× · Q50 0.80× · Q75 0.93×

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

0.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× 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

0.6× MedicareGood

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

81% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 72/100Fair

Procedure Prices at Sparrow Ionia Hospital

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.

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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`	$29,155	$29,155	$30,775	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$19,863	$19,863	$17,936	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$14,646	$14,646	$19,432	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$4,775	$4,775	$19,087	0.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$3,737	$3,737	$8,223	0.5×
Vaginal delivery (full package) CPT Code: `59400`	$2,191	$3,505	$2,680	1.3×
C-section delivery (full package) CPT Code: `59510`	$2,191	$3,505	$2,975	1.2×
Cataract surgery with lens implant CPT Code: `66984`	$825	$2,358	$2,540	0.9×
Total hip replacement CPT Code: `27130`	$4,211	$2,278	$13,413	0.2×
Total knee replacement CPT Code: `27447`	$4,210	$2,275	$13,523	0.2×
Bunion correction surgery CPT Code: `28296`	$876	$1,119	$3,446	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$609	$974	$3,372	0.3×
Breast lump removal CPT Code: `19120`	$813	$760	$3,875	0.2×
Injection procedure for pain management HCPCS Code: `G0260`	$433	$693	$855	0.8×
Inguinal hernia repair CPT Code: `49505`	$265	$586	$3,629	0.2×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$501	$501	$6,109	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$494	$452	$1,021	0.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$660	$356	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$435	$356	$511	0.7×
Colonoscopy with biopsy CPT Code: `45380`	$320	$320	$1,256	0.3×
Rabies immune globulin HCPCS Code: `90375`	$638	$287	$322	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$187	$309	$583	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$276	$276	$987	0.3×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$237	$244	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$548	$244	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$319	$244	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$415	$244	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$404	$244	$369	0.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$225	$225	$981	0.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$146	$178	$148	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$109	$174	$151	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$68	$181	$185	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$63	$168	$181	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$268	$179	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$408	$179	$258	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$120	$122	$132	0.9×
Neurobehavioral status check CPT Code: `96116`	$91	$140	$231	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$108	$108	$86	1.3×
Care planning with family CPT Code: `90887`	$51	$99	$107	0.9×
Ultrasound, pelvis CPT Code: `76856`	$154	$112	$130	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$135	$107	$126	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$159	$107	$134	0.8×
CT scan, pelvis CPT Code: `72192`	$296	$112	$163	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$46	$114	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$296	$112	$167	0.7×
X-ray, lower back CPT Code: `72110`	$80	$83	$112	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$108	$107	$160	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$294	$112	$168	0.7×
CT scan, sinuses CPT Code: `70486`	$249	$107	$166	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$132	$107	$169	0.6×
Family therapy session CPT Code: `90847`	$46	$88	$173	0.5×
Typhoid vaccine HCPCS Code: `90675`	$311	$314	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$144	$230	$140	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$113	$180	$203	0.9×
Orthotic fitting and training CPT Code: `97760`	$38	$76	$51	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$68	$93	$111	0.8×
X-ray, hip CPT Code: `73502`	$45	$76	$93	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$44	$45	$35	1.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$19	$60	$64	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$57	$63	$93	0.7×
X-ray, hand CPT Code: `73130`	$56	$60	$93	0.6×
X-ray, ankle CPT Code: `73610`	$55	$58	$93	0.6×
Psychological testing evaluation CPT Code: `96136`	$42	$67	$128	0.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$21	$14	$14	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$46	$37	$38	1.0×
Physical therapy (gait training) CPT Code: `97116`	$24	$32	$33	1.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$19	$32	$33	1.0×
Blood test, vitamin D CPT Code: `82306`	$46	$30	$31	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$28	$38	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$28	$35	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$27	$35	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$26	$32	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$24	$30	$34	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$18	$32	$37	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$33	$41	$56	0.7×
X-ray, shoulder CPT Code: `73030`	$54	$55	$92	0.6×
X-ray, foot CPT Code: `73630`	$54	$54	$92	0.6×
X-ray, chest (two views) CPT Code: `71046`	$34	$54	$93	0.6×
Screening mammogram (both breasts) CPT Code: `77067`	$70	$58	$123	0.5×
X-ray, chest (single view) CPT Code: `71045`	$37	$42	$92	0.5×
New patient office visit (30-44 min) CPT Code: `99203`	$87	$47	$110	0.4×
X-ray, pelvis CPT Code: `72170`	$51	$45	$110	0.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$100	$50	$123	0.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$34	$34	$87	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$53	$53	$201	0.3×
Psychological testing by technician CPT Code: `96138`	$35	$55	$395	0.1×
Blood transfusion CPT Code: `36430`	$43	$43	$498	0.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$5	$15	$10	1.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$2	$3	$3	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$8	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$1	$4	$4	1.0×
Blood test, magnesium CPT Code: `83735`	$10	$7	$7	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$6	$4	$4	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$21	$13	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$13	$23	$25	0.9×
Culture, blood CPT Code: `87040`	$16	$10	$11	0.9×
Blood test, liver function panel CPT Code: `80076`	$13	$8	$9	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$26	$30	$39	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$2	$4	$5	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$16	$18	$25	0.7×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$7	$14	$20	0.7×
Prosthetic fitting and training CPT Code: `97761`	$29	$29	$45	0.6×
Behavioral health assessment HCPCS Code: `H0001`	$43	$43	$157	0.3×
Blood test, hemoglobin CPT Code: `85018`	$5	$2	$3	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$15	$15	$49	0.3×
Colorectal cancer screening HCPCS Code: `G0010`	$15	$15	$49	0.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$3	$3	$11	0.3×
Group therapy session CPT Code: `90853`	$25	$25	$100	0.3×
Flu vaccine injection HCPCS Code: `G0008`	$9	$9	$48	0.2×
Blood antibody screen CPT Code: `86850`	$5	$7	$46	0.2×

Showing top 25 high-impact procedures of 110 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 43.6%

Audit a Bill or Quote at Sparrow Ionia Hospital (Zero PHI Required)

CMS CCN: 231331

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $29,155

Insurer Median $29,155

1. Amount on Your Bill or Quote ($) Pre-filled with Sparrow Ionia 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: $50,811 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $50,811

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (43.6% of gross = $50,811).

Step 2 · Cash vs. Insurance Arbitrage Save $87,464 Paying Cash

Self-Pay Cash Rate ($29,155) Beats Your Bill

Sparrow Ionia Hospital's published 45 CFR § 180 self-pay cash rate is $29,155 (vs. $29,155 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$85,844 Above Fair BaseRate

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

Your bill ($116,619) is $85,844 above the denoised Fair BaseRate ($30,775) and 5.0× 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: 383218134

Filing Period: 199507

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 (43.6% 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

CMS Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait158 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (212 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sparrow Ionia Hospital.

Price Index: 1.19× regional baseline

Quality: 69/100 CMS composite

Median Household Income$73,436U.S. Census ACS

Local Uninsured Share6.0%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 77/100 · Corroborated CMS CCN 231331 EIN 383218134

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 231331) ↗ Verify IRS Form 990 (EIN 383218134) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/1/2026

Validated Rate Rows3,060 (CMS v4.1.0)

File Integrity DigestVerified · CCN 231331

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