Spectrum Health
Spectrum Health in Grand Rapids, MI charges 4.0x the Medicare reimbursement rate across 187 analyzed procedures, reflecting typical pricing patterns for nonprofit-private hospitals.
Grand Rapids, MI 49503 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
3.99x
Charge / Medicare rate
Max markup
7.29x
Worst procedure
Procedures analyzed
187
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 |
|---|---|---|---|---|---|
| LUNG TRANSPLANT | 007 | $625,014 | $312,507 | — | 7.3x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $137,365 | $68,682 | — | 6.7x |
| INFLAMMATORY BOWEL DISEASE WITH CC | 386 | $51,211 | $25,605 | — | 6.5x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $38,005 | $19,003 | — | 6.1x |
| PNEUMOTHORAX WITH CC | 200 | $41,771 | $20,886 | — | 5.9x |
| ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | 880 | $39,205 | $19,603 | — | 5.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $19,996 | $9,998 | — | 5.6x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $63,204 | $31,602 | — | 5.6x |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $109,136 | $54,568 | — | 5.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $24,427 | $12,213 | — | 5.5x |
| O.R. PROCEDURES FOR OBESITY WITH CC | 620 | $49,506 | $24,753 | — | 5.4x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $67,860 | $33,930 | — | 5.4x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $67,213 | $33,607 | — | 5.3x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $52,533 | $26,267 | — | 5.3x |
| COAGULATION DISORDERS | 813 | $51,770 | $25,885 | — | 5.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $50,046 | $25,023 | — | 5.3x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $101,436 | $50,718 | — | 5.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $74,253 | $37,127 | — | 5.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $67,754 | $33,877 | — | 5.2x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $40,765 | $20,383 | — | 5.1x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $130,541 | $65,271 | — | 5.1x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $129,750 | $64,875 | — | 5.1x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $61,112 | $30,556 | — | 5x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $62,955 | $31,477 | — | 5x |
| FEVER AND INFLAMMATORY CONDITIONS | 864 | $28,392 | $14,196 | — | 5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $66,618 | $33,309 | — | 4.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $22,873 | $11,436 | — | 4.9x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $75,853 | $37,927 | — | 4.9x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $22,299 | $11,150 | — | 4.8x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $86,732 | $43,366 | — | 4.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $28,598 | $14,299 | — | 4.8x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $170,058 | $85,029 | — | 4.7x |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $75,699 | $37,849 | — | 4.7x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $55,444 | $27,722 | — | 4.7x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $179,064 | $89,532 | — | 4.6x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | 907 | $135,900 | $67,950 | — | 4.6x |
| HYPERTENSION WITH MCC | 304 | $31,192 | $15,596 | — | 4.6x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $39,208 | $19,604 | — | 4.6x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $23,583 | $11,791 | — | 4.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $98,890 | $49,445 | — | 4.5x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $56,380 | $28,190 | — | 4.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $69,841 | $34,921 | — | 4.5x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $650,997 | $325,499 | — | 4.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $24,443 | $12,222 | — | 4.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $25,018 | $12,509 | — | 4.5x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $105,132 | $52,566 | — | 4.5x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $35,113 | $17,557 | — | 4.4x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $51,244 | $25,622 | — | 4.4x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WIT | 216 | $276,312 | $138,156 | — | 4.4x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $61,346 | $30,673 | — | 4.3x |
Showing 50 of 187 procedures
How SPECTRUM HEALTH 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