Harper University Hospital
HARPER UNIVERSITY HOSPITAL in Detroit, MI charges 5.3x the Medicare reimbursement rate across 25 analyzed procedures, reflecting the pricing variations patients may encounter at this for-profit facility.
Detroit, MI 48201 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
D
High
Avg markup vs Medicare
5.33x
Charge / Medicare rate
Max markup
9.66x
Worst procedure
Procedures analyzed
25
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $147,115 | $73,557 | — | 9.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $197,811 | $98,906 | — | 7.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $52,632 | $26,316 | — | 6.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $41,296 | $20,648 | — | 6.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $59,724 | $29,862 | — | 6.5x |
| SEIZURES WITHOUT MCC | 101 | $45,252 | $22,626 | — | 6.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $106,252 | $53,126 | — | 6.1x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $79,660 | $39,830 | — | 6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $86,897 | $43,448 | — | 5.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $106,198 | $53,099 | — | 5.5x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $156,704 | $78,352 | — | 5.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $81,474 | $40,737 | — | 5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $56,442 | $28,221 | — | 5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $83,745 | $41,873 | — | 4.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $39,011 | $19,506 | — | 4.9x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $1,497,765 | $748,882 | — | 4.7x |
| RENAL FAILURE WITH MCC | 682 | $69,081 | $34,541 | — | 4.7x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $141,857 | $70,928 | — | 4.6x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $42,585 | $21,293 | — | 4.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $61,065 | $30,532 | — | 4.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $50,125 | $25,063 | — | 4.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $42,209 | $21,105 | — | 4.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $62,923 | $31,462 | — | 3.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $41,289 | $20,644 | — | 3.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $48,849 | $24,424 | — | 2.8x |
How HARPER UNIVERSITY HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use