24/100
#2,054 nationally
Harper University Hospital
3990 John R Street, Detroit, MI 48201 · (313) 745-6211
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Harper University Hospital billed $5.59 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.6x
- volume-weighted across all its priced work
- Procedures priced
- 41
- inpatient and outpatient combined
- Rank in MI
- #76
- lower markup ranks higher
- CMS quality stars
- 1/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 42% of U.S. hospitals.
Better than 14% of U.S. hospitals.
Better than 16% of U.S. hospitals.
Better than 15% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
111 | $29,738 | $1,991 | +153% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
100 | $30,188 | $2,801 | +58% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
90 | $37,029 | $3,606 | +79% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
86 | $21,867 | $2,399 | +13% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
75 | $50,645 | $16,257 | +17% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
72 | $100,248 | $11,458 | +60% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
50 | $97,220 | $24,919 | +49% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
48 | $28,348 | $2,914 | +12% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
35 | $74,103 | $20,590 | +21% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
35 | $51,186 | $13,581 | +38% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$33,095 | $1,384 | +228% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$29,738 | $1,991 | +153% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$32,679 | $1,768 | +153% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$60,517 | $4,667 | +149% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$90,512 | $6,388 | +127% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$45,847 | $2,890 | +125% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$40,407 | $2,653 | +123% |
|
ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except
MS-DRG 003 · Inpatient stay |
$1,910,874 | $371,256 | +118% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$49,546 | $16,177 | about average |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$94,554 | $26,077 | +7% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$106,005 | $15,627 | +11% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
$162,171 | $37,845 | +12% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$28,348 | $2,914 | +12% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$21,867 | $2,399 | +13% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$53,254 | $16,729 | +14% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$50,645 | $16,257 | +17% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.