Ascension Borgess Hospital: charges and Medicare payments

Ascension Borgess Hospital reported 1,343 Medicare inpatient stays across 41 DRGs in 2024. Across them it charged 3.67 times what it was paid — among the higher ratios in Michigan, number 18 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: 249 stays at an average charge of $59,766, 34% below the national average. It also billed 1,783 outpatient services, charging 6.68 times what Medicare paid.

1Medicare inpatient stays 1,343
2Charge ÷ paid, inpatient 3.67×
3Rank in MI (highest ratio = 1) 18 of 76
4CMS price-transparency actions 0

Average charge per stay at Ascension Borgess Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 41 DRGs that can be compared with the national average, Ascension Borgess Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	249	$59,766	-34%	$16,214
274 Percutaneous and Other Intracardiac Procedures without MCC	101	$102,210	-35%	$26,420
280 Acute Myocardial Infarction, Discharged Alive with MCC	93	$46,416	-39%	$13,561
291 Heart Failure and Shock with MCC	91	$36,589	-35%	$11,476
321 Percutaneous Cardiovascular Procedures with Intraluminal...	61	$88,667	-46%	$24,811
193 Simple Pneumonia and Pleurisy with MCC	45	$40,694	-32%	$11,239
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	39	$70,550	-29%	$17,092
322 Percutaneous Cardiovascular Procedures with Intraluminal...	37	$65,862	-43%	$15,210
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	36	$45,003	-19%	$9,171
853 Infectious and Parasitic Diseases with O.R. Procedures with...	36	$149,472	-35%	$36,498
266 Endovascular Cardiac Valve Replacement and Supplement...	31	$134,208	-53%	$49,549
377 Gastrointestinal Hemorrhage with MCC	31	$46,107	-46%	$16,051
189 Pulmonary Edema and Respiratory Failure	29	$43,429	-25%	$11,516
281 Acute Myocardial Infarction, Discharged Alive with CC	27	$35,576	-30%	$8,485
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	26	$36,231	-26%	$9,759
378 Gastrointestinal Hemorrhage with CC	24	$31,441	-35%	$8,708
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	24	$42,751	-29%	$11,842
682 Renal Failure with MCC	24	$52,502	-20%	$12,764
242 Permanent Cardiac Pacemaker Implant with MCC	22	$102,757	-36%	$28,222
243 Permanent Cardiac Pacemaker Implant with CC	20	$67,362	-39%	$19,575
287 Circulatory Disorders except AMI, with Cardiac...	20	$47,861	-25%	$9,829
481 Hip and Femur Procedures except Major Joint with CC	20	$76,597	-24%	$18,657
177 Respiratory Infections and Inflammations with MCC	19	$39,311	-44%	$13,807
309 Cardiac Arrhythmia and Conduction Disorders with CC	17	$21,580	-40%	$7,048
683 Renal Failure with CC	17	$28,899	-29%	$8,469
233 Coronary Bypass with Cardiac Catheterization or Open...	16	$232,530	-40%	$64,805
235 Coronary Bypass without Cardiac Catheterization with MCC	15	$192,218	-34%	$43,634
286 Circulatory Disorders except AMI, with Cardiac...	15	$58,518	-48%	$20,184
312 Syncope and Collapse	15	$23,778	-48%	$7,666
036 Carotid Artery Stent Procedures without CC/MCC	13	$61,564	-30%	$14,955
308 Cardiac Arrhythmia and Conduction Disorders with MCC	13	$34,360	-39%	$10,847
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	13	$32,935	-18%	$7,407
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	12	$35,657	-45%	$12,160
208 Respiratory System Diagnosis with Ventilator Support <=96...	12	$103,089	-24%	$22,866
253 Other Vascular Procedures with CC	12	$84,582	-36%	$21,025
470 Major Hip and Knee Joint Replacement or Reattachment of...	12	$68,308	-27%	$17,508
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	12	$76,821	-25%	$17,166
035 Carotid Artery Stent Procedures with CC	11	$73,449	-35%	$18,797
163 Major Chest Procedures with MCC	11	$114,706	-46%	$38,493
194 Simple Pneumonia and Pleurisy with CC	11	$24,558	-36%	$7,782
698 Other Kidney and Urinary Tract Diagnoses with MCC	11	$57,939	-21%	$14,553

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	278	$17,163	$2,351
Level 1 Endovascular Procedures	230	$18,611	$2,808
Level 5 Musculoskeletal Procedures	120	$55,410	$11,206
Level 3 Endovascular Procedures	119	$48,440	$9,377
Level 2 Excision/ Biopsy/ Incision and Drainage	106	$9,357	$1,405
Level 3 Electrophysiologic Procedures	69	$128,393	$20,144
Level 1 Laparoscopy and Related Services	68	$30,962	$4,971
Level 3 Vascular Procedures	67	$18,506	$2,777
Level 3 Pacemaker and Similar Procedures	64	$41,267	$9,178
Level 4 Musculoskeletal Procedures	58	$35,715	$6,147
Level 2 Endovascular Procedures	50	$33,464	$4,900
Level 2 Upper GI Procedures	50	$7,445	$1,634
Level 3 Excision/ Biopsy/ Incision and Drainage	47	$16,074	$2,475
Level 4 Vascular Procedures	43	$44,879	$4,699
Level 2 Pacemaker and Similar Procedures	42	$28,683	$7,357
Level 2 ICD and Similar Procedures	34	$131,008	$26,994
Level 3 Musculoskeletal Procedures	33	$21,419	$2,690
Level 4 Endovascular Procedures	31	$68,094	$14,368
Level 1 Nerve Procedures	28	$12,025	$1,586
Level 6 Musculoskeletal Procedures	27	$69,399	$15,123
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	26	$24,033	$3,014
Level 3 Airway Endoscopy	24	$7,992	$1,479
Level 4 Airway Endoscopy	21	$12,808	$3,262
Level 2 Laparoscopy and Related Services	21	$49,139	$8,964
Level 1 Breast/Lymphatic Surgery and Related Procedures	20	$25,663	$3,321

Against the Michigan average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ascension Borgess Hospital charged $59,766 on average, 10% more than the Michigan average of $54,260, and was paid $16,214 against a state average of $17,096. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Ascension Borgess Hospital charged $102,210 on average, 15% more than the Michigan average of $89,112, and was paid $26,420 against a state average of $27,005. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Ascension Borgess Hospital charged $46,416 on average, 3% less than the Michigan average of $47,816, and was paid $13,561 against a state average of $13,931. For Heart Failure and Shock with MCC (DRG 291), Ascension Borgess Hospital charged $36,589 on average, 2% more than the Michigan average of $35,827, and was paid $11,476 against a state average of $11,565. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,163 was 12% above the state average of $15,355. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,611 was 8% above the state average of $17,272. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $55,410 was 14% above the state average of $48,446. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $48,440 was 10% below the state average of $53,702.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.