78/100
#411 nationally
Spectrum Health
100 Michigan St Ne, Grand Rapids, MI 49503 · (616) 391-1774
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Spectrum Health billed $3.08 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
- 3.1x
- volume-weighted across all its priced work
- Procedures priced
- 227
- inpatient and outpatient combined
- Rank in MI
- #25
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 75% of U.S. hospitals.
Better than 78% of U.S. hospitals.
Better than 80% of U.S. hospitals.
Better than 86% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
849 | $10,143 | $2,294 | -48% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
657 | $7,003 | $1,614 | -40% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
559 | $48,484 | $18,247 | -26% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
464 | $5,244 | $1,300 | -48% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
376 | $13,828 | $2,786 | -45% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
355 | $39,526 | $11,189 | -37% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
275 | $29,132 | $12,166 | -33% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
238 | $9,352 | $2,412 | -51% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
195 | $13,632 | $2,926 | -34% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
187 | $38,774 | $12,995 | -20% |
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 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$4,609 | $490 | +47% |
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
$170,900 | $50,263 | +26% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$89,796 | $17,260 | +11% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
$53,097 | $10,189 | about average |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$184,568 | $41,363 | about average |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 024 · Inpatient stay |
$148,714 | $33,170 | -3% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$11,118 | $2,052 | -5% |
|
Other Heart Assist System Implant
MS-DRG 215 · Inpatient stay |
$377,765 | $127,593 | -6% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$2,845 | $964 | -67% |
|
Revision of Hip or Knee Replacement with Major Complications
MS-DRG 466 · Inpatient stay |
$86,159 | $36,417 | -60% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with Major
MS-DRG 515 · Inpatient stay |
$47,762 | $26,129 | -60% |
|
Traumatic Stupor and Coma <1 Hour with Major Complications
MS-DRG 085 · Inpatient stay |
$40,396 | $18,135 | -59% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
$24,103 | $13,328 | -58% |
|
Other Digestive System Operating Room Procedures with Major Complications
MS-DRG 356 · Inpatient stay |
$81,849 | $34,727 | -56% |
|
Headaches without Major Complications
MS-DRG 103 · Inpatient stay |
$20,871 | $10,247 | -55% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$10,736 | $2,457 | -54% |
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.