Michigan / Harper University Hospital
CMS certification 230104 · Detroit, MI · 3 entries in CMS's price-transparency list
Harper University Hospital: charges and Medicare payments
Harper University Hospital reported 444 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 4.4 times what it was paid — among the higher ratios in Michigan, number 9 of 76 hospitals with at least 100 stays (state median 3.09×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 75 stays at an average charge of $50,645, 10% below the national average. It also billed 796 outpatient services, charging 13.51 times what Medicare paid.
- 1Medicare inpatient stays 444
- 2Charge ÷ paid, inpatient 4.4×
- 3Rank in MI (highest ratio = 1) 9 of 76
- 4CMS price-transparency actions 3
Inpatient stays
For the 19 DRGs that can be compared with the national average, Harper University Hospital charged more than the national average in 12 (63%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 75 | $50,645 | -10% | $16,257 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 50 | $97,220 | +8% | $24,919 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 35 | $74,103 | -2% | $20,590 |
| 812 Red Blood Cell Disorders without MCC | 35 | $51,186 | +15% | $13,581 |
| 252 Other Vascular Procedures with MCC | 26 | $162,171 | -5% | $37,845 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $49,546 | -18% | $16,177 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $48,689 | +21% | $11,159 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 19 | $117,421 | +26% | $21,882 |
| 682 Renal Failure with MCC | 17 | $70,644 | +7% | $20,567 |
| 683 Renal Failure with CC | 17 | $42,786 | +5% | $12,262 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $258,429 | +13% | $60,855 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 15 | $94,554 | -16% | $26,077 |
| 314 Other Circulatory System Diagnoses with MCC | 15 | $92,584 | -2% | $25,544 |
| 193 Simple Pneumonia and Pleurisy with MCC | 14 | $53,254 | -11% | $16,729 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 13 | $1,910,874 | +81% | $371,256 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 13 | $75,478 | +3% | $22,030 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $56,794 | +12% | $12,781 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $237,781 | +45% | $37,333 |
| 270 Other Major Cardiovascular Procedures with MCC | 11 | $400,041 | +54% | $76,309 |
Outpatient services
Against the Michigan average
For Heart Failure and Shock with MCC (DRG 291), Harper University Hospital charged $50,645 on average, 41% more than the Michigan average of $35,827, and was paid $16,257 against a state average of $11,565. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Harper University Hospital charged $97,220 on average, 79% more than the Michigan average of $54,260, and was paid $24,919 against a state average of $17,096. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Harper University Hospital charged $74,103 on average, 55% more than the Michigan average of $47,816, and was paid $20,590 against a state average of $13,931. For Red Blood Cell Disorders without MCC (DRG 812), Harper University Hospital charged $51,186 on average, 76% more than the Michigan average of $29,027, and was paid $13,581 against a state average of $8,661. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $29,738 was 148% above the state average of $11,973. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $30,188 was 93% above the state average of $15,679. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $37,029 was 80% above the state average of $20,548. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,867 was 42% above the state average of $15,355.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Harper University Hospital in Detroit, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-03-05 (CMS case 3191)
- Closure Notice — 2025-06-05 (CMS case 3191)
- Met Requirements — 2026-07-23 (CMS case 8343)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.