Top Frequently Asked Questions
- Why would I need price information?
- Is the amount I owe the same if I have health insurance?
- What amount do I owe if I do not have insurance?
- What bills will I receive in addition to hospital charges?
- How are prices established for Spectrum Health services?
- Are prices for CT scan, PET scan, mammography, MRI, ultrasound and x-ray procedures also estimated?
- Why are prices for services at outpatient locations less than prices for services at Butterworth Hospital and Blodgett Hospital?
- How much is my copay/coinsurance/deductible?
- What is a procedure code?
- Can I talk to someone at Spectrum Health about pricing information for any Spectrum Health location?
- Where can I get answers to questions about my bills from Spectrum Health?
- Where can I get information on the quality of health care at Spectrum Health?
- How can I determine the overall value of Spectrum Health services?
Why would I need price information?
People deserve to know how much a procedure costs before they decide to have it. We recognize more people have high deductible health plans or health savings accounts and they have direct responsibility for their health care costs. Also, as the number of uninsured individuals continues to increase people need to know how much their care will cost.
We are in the process of creating a tool to give you a general idea of the hospital prices for common inpatient, outpatient and diagnostic procedures.
Please note your final bill from Spectrum Health will vary depending on the actual services provided, existing health conditions that may impact the procedure and your insurance coverage if you are insured.
The amount you owe depends on the benefits of your insurance plan. If you have health insurance, you should contact your insurance company directly to understand what your financial obligation will be. You may be asked to provide a procedure code that can be obtained from your physician's office.
Please note the amount you owe may vary due to circumstances such as:
- Additional testing, medications, services or procedures ordered
- The procedure planned may not be the procedure performed based on your physician's assessment
- Pre-existing health factors such as obesity, diabetes or smoking may impact your medical needs
- If you have insurance, the type of insurance you have, your deductibles, coinsurance or out-of-pocket limits will determine your final Spectrum Health bill
We encourage uninsured patients to contact Customer Satisfaction (patient billing) at 616.774.1710 or toll-free at 800.968.0145 to see if they qualify for Medicaid, Medicare or any other type of financial assistance.
Spectrum Health provides care to anyone who comes to us, regardless of his or her ability to pay. We work with patients on a case-by-case basis to assist with their financial needs. Spectrum Health uses the Federal Poverty Income Guidelines and State of Michigan Exempt Assets guidelines to determine financial standing and applicable discounts. We encourage anyone with questions about the hospital bill to call our financial counselors in Patient Financial Services. Spectrum Health supports and abides by American Hospital Association (AHA) hospital billing and collection practices.
In addition to your hospital charges, you will receive other bills for physician's fees from your surgeon, anesthesiologist or radiologist. Please contact those offices directly for price information.
|Anesthesiology||Anesthesia Medical Consultants||616.364.4200|
|Radiology (test interpretation)||Advanced Radiology Services, PC||616.363.7272|
|EKG (test interpretation)||Computer Health Services||616.458.6967|
|Surgery||Contact your surgeon's office. If you have not selected a surgeon or need a referral, visit Spectrum Health's Find a Doctor or call 616.391.5999.|
Prices are revised each year on July 1, and are subject to change during the year. To establish prices, we consider many factors including:
The cost of providing staff, equipment, facilities, medications and other supplies
The amount of time our facilities and staff are involved in providing services
Insurance company contracts information provided by the Centers for Medicare and Medicaid Services, the federal agency that manages the Medicare and Medicaid program
No. Prices for these procedures are fixed rates and are revised annually on July 1. However, the price provided does not include bills for physician's fees from your surgeon, anesthesiologist, pathologist or radiologist. They will bill you separately for their services. Please contact those offices directly for price information. The amount you owe may be different if you have health insurance. You should contact your insurance company directly to understand which charges are covered.
Anesthesia Practice Consultants
Radiology (test interpretation)
Advanced Radiology Services, PC
EKG (test interpretation)
Computer Health Services
Why are prices for services at outpatient locations less than prices for services at Butterworth Hospital and Blodgett Hospital?
In some cases, tests or procedures can be performed at either Butterworth or Blodgett hospitals or outpatient facilities. It costs less and can be more convenient to provide services in an outpatient setting. For this reason, the prices usually are less when there is an outpatient option.
If you have health insurance and would like to know the amount of any copays, please contact your health insurance company directly.
Current Procedural Terminology (CPT) codes are five-digit codes used by all hospitals, physicians and insurance companies to identify a specific type of service or procedure.
Can I talk to someone at Spectrum Health about pricing information for any Spectrum Health location?
Yes. Please contact our pricing specialist by sending a secure message, or by phone at 616.774.7595 or toll-free at 866.542.7909. A Spectrum Health pricing specialist is available Monday to Friday, 8 a.m. to 4 p.m. to answer questions.
Spectrum Health has a comprehensive quality program and reports clinical quality data on our website. Our quality report cards can assist you in making the best decisions about your health care. This information is updated and expanded on a regular basis. We believe better informed consumers make better informed decisions.
Health care value refers to a combination of quality and cost. Spectrum Health continues to provide high quality care efficiently and cost-effectively. We carefully control our costs and consistently are in the lowest 25 percentage of costs compared to hospitals of similar size in the nation. This translates to prices that are significantly less than other hospitals' prices.