Frequently Asked Questions 

People deserve to know how much a procedure costs before they decide to have it. Before you make a purchase at a store, you know how much it will cost. Health care should be the same way. We recognize more people have high deductible health plans or health savings accounts and they have direct responsibility for their health care costs.

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.

Prices for more than 450 of the most common services are listed within the MyChart Patient Estimates tool. Occasionally, unique services are needed that are not listed in the tool. We apologize for the inconvenience and are regularly working to add the prices for additional services

When you see "Regional Hospitals" as a service location in the estimate tool, that refers to Spectrum Health’s eight community hospitals outside the Grand Rapids area. These hospitals include Spectrum Health Big Rapids Hospital, Gerber Memorial Hospital, Kelsey Hospital, Ludington Hospital, Pennock, Reed City Hospital, United Hospital and Zeeland Community Hospital.

When you see "Offsite Locations" as a service location in the estimate tool, that refers to those that are not physically located on a hospital campus. Examples may include stand-alone rehab, lab, imaging, or integrated care centers.

Procedures at Meijer Heart Center or Lemmen-Holton Cancer Pavilion are included in prices for Butterworth. If you see a procedure price for Butterworth, it is the same for Meijer Heart Center and Lemmen-Holton Cancer Pavilion.

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


After you select the service you need, the price estimate tool will share an estimated amount that you will owe if you do not have insurance. We encourage uninsured patients to contact customer satisfaction (patient billing) at 866.315.7047. 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 their 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 Practice Consultants

616.364.4200

Radiology (test interpretation)

Advanced Radiology Services, PC

616.363.7272

EKG (test interpretation)

Computer Health Services

616.458.6967

Lab/Pathology (test interpretation)

Michigan Pathology Specialists, PC

877.556.3955

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 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
• Information provided by the Centers for Medicare and Medicaid Services, the federal agency that manages the Medicare and Medicaid program

Prices for services at offsite outpatient locations may be 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 your copay or deductible, call your insurance provider or visit their website. When using the Patient Estimate tool, you will be able to enter your copay/coinsurance/deductible information. The tool will provide you with an estimate after your insurance information has been taken into account.

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.

The CPT code is helpful, but not necessary to look up the price of your service. If you do not have a CPT code from your provider, simply type in a word that defines the service you need (ex: ‘hip’ for hip replacement) and you will see a list of options to choose from.

You can talk to someone at Spectrum Health about pricing information for any Spectrum Health location by contacting our pricing specialist, either 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.

You can also get answers to questions about your bill by visiting our online Patient Billing Manager for answers to common questions or call toll-free at 866.315.7047.

 

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.