Michigan / Chelsea Hospital
CMS certification 230259 · Chelsea, MI · 3 entries in CMS's price-transparency list
Chelsea Hospital: charges and Medicare payments
Chelsea Hospital reported 695 Medicare inpatient stays across 28 DRGs in 2024. Across them it charged 3.15 times what it was paid — mid-range in Michigan, number 36 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: 117 stays at an average charge of $25,112, 55% below the national average. It also billed 1,375 outpatient services, charging 6.04 times what Medicare paid.
- 1Medicare inpatient stays 695
- 2Charge ÷ paid, inpatient 3.15×
- 3Rank in MI (highest ratio = 1) 36 of 76
- 4CMS price-transparency actions 3
Inpatient stays
For the 28 DRGs that can be compared with the national average, Chelsea 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 117 | $25,112 | -55% | $9,436 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 70 | $37,199 | -59% | $14,267 |
| 177 Respiratory Infections and Inflammations with MCC | 39 | $31,403 | -56% | $11,841 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $28,115 | -53% | $10,101 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 34 | $24,013 | -40% | $5,924 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 32 | $24,336 | -50% | $7,451 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $20,112 | -47% | $5,830 |
| 603 Cellulitis without MCC | 29 | $15,791 | -58% | $6,453 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 24 | $33,633 | -40% | $7,321 |
| 683 Renal Failure with CC | 22 | $21,096 | -48% | $6,688 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $24,210 | -58% | $9,576 |
| 378 Gastrointestinal Hemorrhage with CC | 20 | $21,527 | -56% | $7,139 |
| 312 Syncope and Collapse | 18 | $20,363 | -55% | $6,902 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 18 | $61,100 | -34% | $16,612 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $31,286 | -16% | $5,624 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $21,247 | -45% | $6,521 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $66,942 | -35% | $14,538 |
| 178 Respiratory Infections and Inflammations with CC | 14 | $24,762 | -45% | $7,392 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $24,630 | -57% | $8,504 |
| 552 Medical Back Problems without MCC | 14 | $29,076 | -40% | $6,865 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $28,655 | -44% | $8,285 |
| 467 Revision of Hip or Knee Replacement with CC | 12 | $83,296 | -47% | $20,365 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $66,283 | -34% | $14,596 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $40,426 | -45% | $12,049 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $18,600 | -63% | $8,516 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 11 | $21,430 | -55% | $8,256 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $20,624 | -57% | $6,753 |
| 812 Red Blood Cell Disorders without MCC | 11 | $21,431 | -52% | $6,532 |
Outpatient services
Against the Michigan average
For Heart Failure and Shock with MCC (DRG 291), Chelsea Hospital charged $25,112 on average, 30% less than the Michigan average of $35,827, and was paid $9,436 against a state average of $11,565. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Chelsea Hospital charged $37,199 on average, 31% less than the Michigan average of $54,260, and was paid $14,267 against a state average of $17,096. For Respiratory Infections and Inflammations with MCC (DRG 177), Chelsea Hospital charged $31,403 on average, 29% less than the Michigan average of $44,001, and was paid $11,841 against a state average of $14,283. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Chelsea Hospital charged $28,115 on average, 22% less than the Michigan average of $35,850, and was paid $10,101 against a state average of $11,562. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,249 was 6% above the state average of $15,355. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $44,051 was 9% below the state average of $48,446. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $30,423 was 34% above the state average of $22,685. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,906 was 4% below the state average of $10,315.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Chelsea Hospital in Chelsea, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-08-18 (CMS case 1659)
- Met Requirements — 2025-04-25 (CMS case 4131)
- Met Requirements — 2025-06-16 (CMS case 5166)
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.