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

University of Michigan Health - West in Wyoming, MI currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, University of Michigan Health - West's median negotiated commercial rate is 1.6× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns University of Michigan Health - West 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 201 Beds · rural Updated: 4/7/2026

University of Michigan Health - West

5900 Byron Center Avenue, Sw, Wyoming, MI 49519 · 107 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.65×vs. Fair Market Price

Typical commercial prices here are +65% above the fair benchmark (1.65×) even after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 81% of the Time

File Completeness56

Price Logic65

Peer Alignment67

Clean Billing82

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.65× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +56% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

University of Michigan Health - West prices routine shoppable procedures at 2.5× Medicare (median 1.58× Fair BaseRate) while upper-quartile commercial rates jump +56% to 2.47× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#89 of 91 in MI · 96th State Percentile#2,825 of 3,385 in U.S. · 83rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 81% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 77% patient recommendation (73/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (67.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.65× 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.
Commercial insurance median sits at 1.58× Fair BaseRate (2.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.47×) jump +56% above the median procedure ratio (Q50 1.58×)
Consolidated metro market (HHI 3,149) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.5× Medicare

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

Back-Door Captive & ER0.64× Divergence

1.6× Medicare

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

Quantile Tail Spread+56% Upper Tail

Q25 0.97× · Q50 1.58× · Q75 2.47×

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

2.5× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.5× MedicareElevated

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

1.0× MedicareGood

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

81% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 73/100Fair

Procedure Prices at University of Michigan Health - West

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 107 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`	$156,655	$35,720	$30,775	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$35,582	$22,711	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$90,367	$21,825	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$139,027	$20,941	$17,936	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$27,917	$9,032	$8,223	1.1×
Breast lump removal CPT Code: `19120`	$2,336	$4,000	$3,875	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$2,143	$1,882	$1,021	unverified
Trauma team activation HCPCS Code: `G0390`	$1,500	$1,567	$1,453	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,710	$1,419	$448	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$1,784	$1,382	$511	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$791	$1,097	$169	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$610	$1,061	$855	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$925	$810	$583	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,488	$830	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,300	$797	$338	unverified
CT scan, pelvis CPT Code: `72192`	$724	$796	$163	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,450	$667	$303	unverified
CT scan, head (with contrast) CPT Code: `70460`	$645	$621	$242	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$727	$623	$272	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$264	$552	$987	0.6×
CT scan, sinuses CPT Code: `70486`	$578	$573	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$720	$537	$167	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$852	$537	$168	unverified
Colonoscopy with biopsy CPT Code: `45380`	$240	$501	$1,256	0.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$492	$494	$134	unverified
CT scan, head (no contrast) CPT Code: `70450`	$538	$433	$160	2.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,079	$421	$369	1.1×
Blood transfusion CPT Code: `36430`	$245	$427	$498	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$194	$405	$981	0.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$378	$374	$126	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$214	$372	$148	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$793	$346	$258	1.3×
Ultrasound, pelvis CPT Code: `76856`	$296	$325	$130	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$253	$277	$132	2.1×
Screening mammogram (both breasts) CPT Code: `77067`	$161	$290	$123	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$144	$250	$123	2.0×
X-ray, lower back CPT Code: `72110`	$352	$249	$112	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$101	$194	$87	2.2×
X-ray, hip CPT Code: `73502`	$154	$170	$93	1.8×
New patient office visit (30-44 min) CPT Code: `99203`	$109	$194	$110	1.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$156	$182	$93	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$70	$122	$40	3.0×
Orthotic fitting and training CPT Code: `97760`	$70	$126	$51	2.5×
X-ray, chest (two views) CPT Code: `71046`	$177	$147	$93	1.6×
X-ray, ankle CPT Code: `73610`	$119	$131	$93	1.4×
X-ray, hand CPT Code: `73130`	$117	$129	$93	1.4×
X-ray, pelvis CPT Code: `72170`	$119	$131	$110	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$243	$143	$151	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$157	$157	$86	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$70	$122	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$70	$122	$33	unverified
Prosthetic fitting and training CPT Code: `97761`	$70	$126	$45	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$59	$88	$35	2.5×
Occupational therapy (self-care training) CPT Code: `97535`	$52	$82	$38	2.2×
X-ray, chest (single view) CPT Code: `71045`	$60	$89	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$166	$89	$92	1.0×
X-ray, foot CPT Code: `73630`	$167	$89	$92	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$39	$88	$201	0.4×
Physical therapy (manual therapy) CPT Code: `97140`	$70	$103	$34	unverified
Typhoid vaccine HCPCS Code: `90675`	$148	$304	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$59	$124	$140	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$80	$144	$203	0.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$42	$75	$38	2.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$52	$93	$111	0.8×
Drug screening test HCPCS Code: `G0480`	$58	$97	$116	0.8×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$34	$34	$20	1.7×
Blood antibody screen CPT Code: `86850`	$32	$53	$46	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$19	$40	$48	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$19	$40	$49	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$21	$46	$64	0.7×
Culture, blood CPT Code: `87040`	$57	$57	$11	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$75	$75	$14	unverified
Blood test, potassium CPT Code: `84132`	$16	$16	$5	3.2×
Blood test, sodium CPT Code: `84295`	$13	$13	$5	2.6×
Blood test, hemoglobin CPT Code: `85018`	$9	$7	$3	2.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$32	$32	$18	1.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$24	$24	$14	1.7×
Blood test, vitamin B12 CPT Code: `82607`	$25	$25	$16	1.6×
Blood test, vitamin D CPT Code: `82306`	$36	$36	$31	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$10	$19	$19	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$14	$32	$49	0.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$16	$33	$56	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$32	$32	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$40	$40	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$36	$36	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$48	$48	$9	unverified
Blood test, amylase CPT Code: `82150`	$45	$45	$7	unverified
Blood test, magnesium CPT Code: `83735`	$28	$28	$7	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$24	$24	$4	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$38	$38	$8	unverified
Culture, bacterial CPT Code: `87070`	$40	$40	$9	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$45	$45	$27	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$12	$9	$3	3.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$7	$4	1.8×
Flu vaccine (high dose) HCPCS Code: `90656`	$7	$14	$25	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$12	$21	$39	0.5×
Blood test, calcium CPT Code: `82310`	$24	$24	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$24	$24	$5	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$26	$26	$10	unverified
Blood test, lipase CPT Code: `83690`	$44	$44	$7	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$11	$11	$37	0.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$14	$14	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$23	$23	$6	unverified
Hepatitis C antibody test CPT Code: `86803`	$39	$39	$15	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$15	$15	$185	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$7	$7	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$9	$9	$181	unverified

Showing top 25 high-impact procedures of 107 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 67.0%

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

CMS CCN: 230236

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $156,655

Insurer Median $35,720

1. Amount on Your Bill or Quote ($) Pre-filled with University of Michigan Health - West’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: $262,397 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $262,397

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (67.0% of gross = $262,397).

Step 2 · Cash vs. Insurance Arbitrage Save $234,982 Paying Cash

Self-Pay Cash Rate ($156,655) Beats Your Bill

University of Michigan Health - West's published 45 CFR § 180 self-pay cash rate is $156,655 (vs. $35,720 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$360,862 Above Fair BaseRate

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

Your bill ($391,637) is $360,862 above the denoised Fair BaseRate ($30,775) and 16.7× 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)

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 (67.0% 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 Composite73/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait184 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at University of Michigan Health - West. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-17·administrative_or_closure
Met Requirements
Recorded
2025-03-25·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (593 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

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

Price Index: 1.28× regional baseline

Quality: 72/100 CMS composite

Median Household Income$80,390U.S. Census ACS

Local Uninsured Share4.9%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 72/100 · Corroborated CMS CCN 230236

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 230236) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/7/2026

Validated Rate Rows2,708 (CMS v3.1.0)

File Integrity DigestVerified · CCN 230236

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