Michigan / University of Michigan Health - West

CMS certification 230236 · Wyoming, MI · 2 entries in CMS's price-transparency list

University of Michigan Health - West: charges and Medicare payments

University of Michigan Health - West reported 615 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 2.81 times what it was paid — among the lower ratios in Michigan, number 51 of 76 hospitals with at least 100 stays (state median 3.09×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 111 stays at an average charge of $37,789, 58% below the national average. It also billed 1,703 outpatient services, charging 5.22 times what Medicare paid.

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  1. 1Medicare inpatient stays 615
  2. 2Charge ÷ paid, inpatient 2.81×
  3. 3Rank in MI (highest ratio = 1) 51 of 76
  4. 4CMS price-transparency actions 2
DRG 871$37,789DRG 189$29,060DRG 280$39,512DRG 378$25,003DRG 682$35,171DRG 872$23,672DRG 455$132,023DRG 460$115,350DRG 291$26,336DRG 641$17,867
Average charge per stay at University of Michigan Health - West, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 27 DRGs that can be compared with the national average, University of Michigan Health - West charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC111$37,789-58%$15,632
189 Pulmonary Edema and Respiratory Failure68$29,060-50%$11,800
280 Acute Myocardial Infarction, Discharged Alive with MCC28$39,512-48%$20,234
378 Gastrointestinal Hemorrhage with CC24$25,003-49%$9,083
682 Renal Failure with MCC24$35,171-47%$13,410
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC23$23,672-52%$9,160
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC22$132,023-35%$47,600
460 Spinal Fusion except Cervical without MCC21$115,350-32%$30,419
291 Heart Failure and Shock with MCC20$26,336-53%$11,718
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...20$17,867-52%$7,357
281 Acute Myocardial Infarction, Discharged Alive with CC19$31,563-37%$8,801
683 Renal Failure with CC19$23,032-43%$8,816
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...18$41,134-26%$11,484
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...17$26,159-57%$11,660
066 Intracranial Hemorrhage or Cerebral Infarction without...16$27,665-35%$7,087
472 Cervical Spinal Fusion with CC16$79,860-44%$29,735
286 Circulatory Disorders except AMI, with Cardiac...15$50,873-55%$18,984
454 Combined Anterior and Posterior Spinal Fusion with CC15$180,525-35%$57,364
853 Infectious and Parasitic Diseases with O.R. Procedures with...15$109,982-52%$36,537
177 Respiratory Infections and Inflammations with MCC14$28,811-59%$14,394
473 Cervical Spinal Fusion without CC/MCC14$62,860-45%$23,043
481 Hip and Femur Procedures except Major Joint with CC14$58,181-42%$17,789
064 Intracranial Hemorrhage or Cerebral Infarction with MCC13$62,318-38%$18,159
322 Percutaneous Cardiovascular Procedures with Intraluminal...13$74,670-35%$16,318
522 Hip Replacement with Principal Diagnosis of Hip Fracture...13$58,732-43%$18,002
193 Simple Pneumonia and Pleurisy with MCC12$40,120-33%$12,668
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...11$19,493-51%$7,511

Outpatient services

Against the Michigan average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), University of Michigan Health - West charged $37,789 on average, 30% less than the Michigan average of $54,260, and was paid $15,632 against a state average of $17,096. For Pulmonary Edema and Respiratory Failure (DRG 189), University of Michigan Health - West charged $29,060 on average, 23% less than the Michigan average of $37,617, and was paid $11,800 against a state average of $11,581. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), University of Michigan Health - West charged $39,512 on average, 17% less than the Michigan average of $47,816, and was paid $20,234 against a state average of $13,931. For Gastrointestinal Hemorrhage with CC (DRG 378), University of Michigan Health - West charged $25,003 on average, 22% less than the Michigan average of $32,159, and was paid $9,083 against a state average of $9,010. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,265 was 56% below the state average of $11,973. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,824 was 20% below the state average of $48,446. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,154 was 1% below the state average of $15,355. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,438 was 1% above the state average of $17,272.

Price-transparency record

CMS's enforcement list records these actions for a hospital named University of Michigan Health - West in Wyoming, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.