How many shoppable procedure prices are published for University of Michigan Health System?

University of Michigan Health System in Ann Arbor, MI currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do University of Michigan Health System's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, University of Michigan Health System's median negotiated commercial rate is 0.7× the regionally adjusted fair BaseRate benchmark.

What is University of Michigan Health System's CMS Care Compare overall star rating?

CMS Care Compare assigns University of Michigan Health System an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 954 Beds · urban Updated: 3/31/2026

University of Michigan Health System

1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI 48109 · 127 Priced Procedures · 85% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.74×vs. Fair Market Price

Typical commercial prices here are 26% below the fair benchmark (0.74×) after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 72% of the Time

File Completeness100

Price Logic67

Peer Alignment70

Clean Billing90

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.74× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

University of Michigan Health System maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.74× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.97× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#8 of 91 in MI · 7th State Percentile#175 of 3,385 in U.S. · 5th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 26% below peer Fair BaseRate (0.74×)
Self-pay cash beats commercial insurance on 72% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 85% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (46.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.74× 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 (1.1×) & laboratory (0.7×) services average 1.25× higher multiples than routine shoppable care (0.8×)
Upper-quartile procedures (Q75 0.97×) jump +31% above the median procedure ratio (Q50 0.74×)
Consolidated metro market (HHI 4,530) 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 & ER1.25× Divergence

1.0× Medicare

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

Quantile Tail Spread+31% Upper Tail

Q25 0.33× · Q50 0.74× · Q75 0.97×

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

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.7× MedicareGood

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

0.5× MedicareGood

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

72% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at University of Michigan Health System

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 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`	—	$33,477	$30,775	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$20,621	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$20,485	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,829	$17,936	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,013	$8,223	1.1×
Trauma team activation HCPCS Code: `G0390`	$4,895	$4,895	$1,453	3.4×
Total hip replacement CPT Code: `27130`	$3,869	$3,869	$13,413	0.3×
Total knee replacement CPT Code: `27447`	$2,835	$2,835	$13,523	0.2×
C-section delivery (full package) CPT Code: `59510`	$2,894	$2,509	$2,975	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$1,026	$2,316	$855	unverified
Vaginal delivery (full package) CPT Code: `59400`	$4,099	$2,238	$2,680	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,025	$2,025	$448	4.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,378	$1,378	$6,109	0.2×
Rabies immune globulin HCPCS Code: `90375`	$1,146	$954	$322	3.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$842	$842	$151	unverified
Bunion correction surgery CPT Code: `28296`	$887	$560	$3,446	0.2×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$1,360	$492	$3,372	0.1×
Cataract surgery with lens implant CPT Code: `66984`	$1,199	$461	$2,540	0.2×
Inguinal hernia repair CPT Code: `49505`	$796	$485	$3,629	0.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$425	$425	$272	1.6×
Blood transfusion CPT Code: `36430`	$429	$429	$498	0.9×
Breast lump removal CPT Code: `19120`	$4,170	$445	$3,875	0.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,432	$401	$1,021	0.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$248	$248	$132	1.9×
Colonoscopy with biopsy CPT Code: `45380`	$1,673	$273	$1,256	0.2×
X-ray, lower back CPT Code: `72110`	$220	$220	$112	2.0×
Psychological testing by technician CPT Code: `96138`	$245	$245	$395	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$1,541	$235	$987	0.2×
X-ray, hand CPT Code: `73130`	$196	$196	$93	2.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$184	$184	$93	2.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,361	$195	$511	0.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,748	$216	$981	0.2×
X-ray, foot CPT Code: `73630`	$180	$180	$92	2.0×
X-ray, shoulder CPT Code: `73030`	$156	$156	$92	1.7×
X-ray, pelvis CPT Code: `72170`	$163	$163	$110	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	$77	$142	$185	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$68	$98	$38	2.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$75	$85	$35	2.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$226	$101	$148	0.7×
Psychotherapy session (60 minutes) CPT Code: `90837`	$89	$104	$181	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$102	$102	$201	0.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,728	$119	$303	0.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,370	$121	$338	0.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,315	$124	$583	0.2×
Physical therapy (gait training) CPT Code: `97116`	$74	$85	$33	2.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$84	$94	$38	2.5×
Occupational therapy (self-care training) CPT Code: `97535`	$71	$94	$38	2.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$52	$84	$123	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$166	$82	$123	0.7×
CT scan, pelvis CPT Code: `72192`	$947	$86	$163	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	$773	$86	$167	0.5×
Family therapy session CPT Code: `90847`	$59	$80	$173	0.5×
Orthotic fitting and training CPT Code: `97760`	$86	$86	$51	unverified
Prosthetic fitting and training CPT Code: `97761`	$96	$96	$45	unverified
Typhoid vaccine HCPCS Code: `90675`	$268	$293	$347	0.8×
Pneumococcal vaccine HCPCS Code: `90732`	$118	$133	$140	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$139	$139	$203	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$33	$78	$56	1.4×
X-ray, hip CPT Code: `73502`	$68	$68	$93	0.7×
Speech therapy (language evaluation) CPT Code: `92507`	$185	$61	$86	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$35	$56	$87	0.6×
New patient office visit (30-44 min) CPT Code: `99203`	$48	$70	$110	0.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$66	$66	$111	0.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$59	$36	$14	2.6×
Ultrasound, pelvis CPT Code: `76856`	$618	$61	$130	0.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$355	$51	$126	0.4×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$58	$19	$20	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$34	$26	$33	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$29	$29	$49	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$73	$36	$64	0.6×
Care planning with family CPT Code: `90887`	$82	$55	$107	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$71	$70	$166	0.4×
Neurobehavioral status check CPT Code: `96116`	$170	$77	$231	0.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$799	$38	$134	0.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$872	$46	$168	0.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$966	$46	$169	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$791	$40	$160	0.3×
CT scan, sinuses CPT Code: `70486`	$1,129	$40	$166	0.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,590	$59	$258	0.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,238	$53	$242	0.2×
MRI, brain (no contrast) CPT Code: `70551`	$903	$69	$343	0.2×
MRI, knee or other leg joint CPT Code: `73721`	$1,527	$63	$369	0.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$61	$11	$11	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$18	$5	$5	1.0×
Blood test, magnesium CPT Code: `83735`	$3	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$41	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$11	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$5	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$35	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$15	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$38	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$35	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$19	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$14	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$12	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$33	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$27	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$57	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$34	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$22	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$51	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$74	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$50	$13	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$13	$23	$25	0.9×
Culture, blood CPT Code: `87040`	$74	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$50	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$26	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$8	$6	$7	0.9×
Drug screening test HCPCS Code: `G0480`	$31	$31	$116	0.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$21	$4	$5	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$74	$29	$40	0.7×
Speech therapy (group session) CPT Code: `92508`	$115	$19	$27	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$81	$23	$34	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$29	$29	$49	0.6×
Blood test, hemoglobin CPT Code: `85018`	$23	$2	$3	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$21	$21	$39	0.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$59	$13	$25	0.5×
Hepatitis B vaccine HCPCS Code: `90744`	$17	$17	$37	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$115	$15	$35	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$29	$16	$48	0.3×
X-ray, ankle CPT Code: `73610`	$202	$23	$93	0.2×
X-ray, chest (two views) CPT Code: `71046`	$71	$22	$93	0.2×
Blood antibody screen CPT Code: `86850`	$36	$9	$46	0.2×
Group therapy session CPT Code: `90853`	$27	$19	$100	0.2×
X-ray, chest (single view) CPT Code: `71045`	$49	$17	$92	0.2×
Psychological testing evaluation CPT Code: `96136`	$98	$23	$128	0.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$2	$2	$86	0.0×

Showing top 25 high-impact procedures of 127 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 46.0%

Audit a Bill or Quote at University of Michigan Health System (Zero PHI Required)

CMS CCN: 230046

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $33,477

1. Amount on Your Bill or Quote ($) Pre-filled with University of Michigan Health System’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: $36,959 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $36,959

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (46.0% of gross = $36,959).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask University of Michigan Health System'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 +$49,570 Above Fair BaseRate

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

Your bill ($80,345) is $49,570 above the denoised Fair BaseRate ($30,775) and 3.4× 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: 386006309

Filing Period: 196110

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 (46.0% 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 Composite74/100

Would Recommend85%

Rated 9 or 10 (HCAHPS)81%

Median ER Wait358 min

Left ER Before Seen3%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate3.3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (846 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for University of Michigan Health System.

Price Index: 1.06× regional baseline

Quality: 88/100 CMS composite

Median Household Income$87,156U.S. Census ACS

Local Uninsured Share3.3%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 84/100 · Corroborated CMS CCN 230046 EIN 386006309

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 230046) ↗ Verify IRS Form 990 (EIN 386006309) ↗ CMS HCRIS Cost Reports ↗

Published MRF File386006309_university-of-michigan-health_standardcharges4-1-2026.zip!386006309_university-of-michigan-health_standardcharges.csv

Publication / Vintage3/31/2026 · 12.30 MB

Validated Rate Rows18,086 (CMS v3.0.0)

File Integrity Digestd4eca6ff3abd6a1e62b7…

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.

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