Michigan / Covenant Medical Center

CMS certification 230070 · Saginaw, MI · 5 entries in CMS's price-transparency list

Covenant Medical Center: charges and Medicare payments

Covenant Medical Center reported 3,357 Medicare inpatient stays across 96 DRGs in 2024. Across them it charged 3.17 times what it was paid — mid-range in Michigan, number 34 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: 346 stays at an average charge of $49,106, 46% below the national average. It also billed 2,187 outpatient services, charging 5.56 times what Medicare paid.

1Medicare inpatient stays 3,357
2Charge ÷ paid, inpatient 3.17×
3Rank in MI (highest ratio = 1) 34 of 76
4CMS price-transparency actions 5

Average charge per stay at Covenant Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 96 DRGs that can be compared with the national average, Covenant Medical Center 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	346	$49,106	-46%	$14,705
291 Heart Failure and Shock with MCC	223	$27,542	-51%	$9,795
177 Respiratory Infections and Inflammations with MCC	121	$33,862	-52%	$12,141
193 Simple Pneumonia and Pleurisy with MCC	116	$27,982	-53%	$10,004
189 Pulmonary Edema and Respiratory Failure	103	$24,830	-57%	$9,570
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	83	$28,463	-42%	$7,896
378 Gastrointestinal Hemorrhage with CC	78	$30,268	-38%	$7,616
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	67	$25,687	-57%	$9,916
689 Kidney and Urinary Tract Infections with MCC	67	$24,967	-51%	$8,847
682 Renal Failure with MCC	66	$33,644	-49%	$11,268
377 Gastrointestinal Hemorrhage with MCC	62	$48,657	-43%	$13,506
690 Kidney and Urinary Tract Infections without MCC	62	$20,590	-46%	$6,188
853 Infectious and Parasitic Diseases with O.R. Procedures with...	62	$104,595	-54%	$33,661
309 Cardiac Arrhythmia and Conduction Disorders with CC	60	$20,220	-44%	$5,945
698 Other Kidney and Urinary Tract Diagnoses with MCC	56	$33,388	-55%	$12,019
312 Syncope and Collapse	55	$23,136	-49%	$6,761
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	51	$20,373	-45%	$5,999
683 Renal Failure with CC	51	$24,957	-39%	$6,952
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	43	$26,524	-52%	$7,371
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	42	$22,345	-44%	$6,263
603 Cellulitis without MCC	40	$22,928	-39%	$6,742
812 Red Blood Cell Disorders without MCC	39	$22,503	-49%	$7,023
322 Percutaneous Cardiovascular Procedures with Intraluminal...	37	$52,494	-54%	$13,997
638 Diabetes with CC	37	$23,646	-43%	$6,972
481 Hip and Femur Procedures except Major Joint with CC	35	$53,273	-47%	$15,318
286 Circulatory Disorders except AMI, with Cardiac...	34	$46,977	-58%	$16,746
543 Pathological Fractures and Musculoskeletal and Connective...	34	$26,686	-46%	$8,316
069 Transient Ischemia without Thrombolytic	33	$29,684	-41%	$6,312
637 Diabetes with MCC	33	$28,862	-57%	$10,936
552 Medical Back Problems without MCC	32	$23,645	-52%	$7,222
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	30	$53,067	-47%	$14,466
389 Gastrointestinal Obstruction with CC	30	$20,108	-48%	$6,319
699 Other Kidney and Urinary Tract Diagnoses with CC	30	$22,811	-52%	$7,721
280 Acute Myocardial Infarction, Discharged Alive with MCC	29	$38,372	-49%	$11,977
308 Cardiac Arrhythmia and Conduction Disorders with MCC	29	$32,082	-43%	$9,256
267 Endovascular Cardiac Valve Replacement and Supplement...	28	$95,985	-57%	$35,457
287 Circulatory Disorders except AMI, with Cardiac...	27	$36,984	-42%	$8,187
057 Degenerative Nervous System Disorders without MCC	26	$29,026	-49%	$9,696
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	26	$27,046	-58%	$10,401
314 Other Circulatory System Diagnoses with MCC	26	$39,547	-58%	$15,806
811 Red Blood Cell Disorders with MCC	26	$36,463	-47%	$10,791
194 Simple Pneumonia and Pleurisy with CC	25	$21,645	-44%	$6,410
330 Major Small and Large Bowel Procedures with CC	25	$59,164	-50%	$17,651
243 Permanent Cardiac Pacemaker Implant with CC	24	$52,975	-52%	$17,890
274 Percutaneous and Other Intracardiac Procedures without MCC	24	$80,326	-49%	$23,675
305 Hypertension without MCC	24	$21,707	-46%	$5,897
178 Respiratory Infections and Inflammations with CC	22	$24,402	-46%	$7,223
208 Respiratory System Diagnosis with Ventilator Support <=96...	22	$83,208	-39%	$22,048
393 Other Digestive System Diagnoses with MCC	22	$39,182	-49%	$12,513
470 Major Hip and Knee Joint Replacement or Reattachment of...	22	$54,310	-42%	$14,114
884 Organic Disturbances and Intellectual Disability	22	$23,457	-62%	$12,308
854 Infectious and Parasitic Diseases with O.R. Procedures with...	21	$42,971	-56%	$13,994
101 Seizures without MCC	20	$26,841	-45%	$6,843
149 Dysequilibrium	20	$24,930	-44%	$5,746
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	20	$19,409	-32%	$4,420
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	20	$54,533	-47%	$15,923
100 Seizures with MCC	19	$36,947	-61%	$14,509
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$31,611	-48%	$9,963
394 Other Digestive System Diagnoses with CC	19	$25,547	-46%	$7,352
074 Cranial and Peripheral Nerve Disorders without MCC	18	$29,312	-45%	$7,995

Showing the 60 most frequent of 96 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	450	$13,980	$2,399
Level 2 Excision/ Biopsy/ Incision and Drainage	172	$7,615	$1,406
Level 1 Endovascular Procedures	170	$23,887	$2,885
Level 5 Musculoskeletal Procedures	167	$43,101	$11,301
Level 3 Urology and Related Services	107	$12,297	$1,793
Level 5 Urology and Related Services	104	$17,489	$4,541
Level 1 Laparoscopy and Related Services	101	$23,600	$4,956
Level 4 Urology and Related Services	77	$15,492	$3,047
Level 4 Musculoskeletal Procedures	68	$25,189	$6,092
Level 3 Excision/ Biopsy/ Incision and Drainage	61	$10,229	$2,437
Level 2 Upper GI Procedures	60	$8,420	$1,696
Level 3 Vascular Procedures	56	$13,514	$2,841
Level 3 Musculoskeletal Procedures	47	$15,653	$2,787
Level 6 Musculoskeletal Procedures	47	$45,404	$15,939
Level 2 Vascular Procedures	46	$4,178	$1,392
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	43	$16,733	$3,083
Level 2 Laparoscopy and Related Services	43	$35,409	$9,170
Level 3 Endovascular Procedures	42	$46,961	$9,798
Level 3 Electrophysiologic Procedures	42	$80,422	$20,811
Level 2 Pacemaker and Similar Procedures	34	$21,660	$7,572
Level 4 Gynecologic Procedures	30	$12,674	$2,758
Level 3 Pacemaker and Similar Procedures	26	$38,928	$9,511
Level 2 Urology and Related Services	23	$3,443	$609
Level 2 Endovascular Procedures	22	$35,146	$5,094
Level 4 Airway Endoscopy	21	$15,308	$3,338

Against the Michigan average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Covenant Medical Center charged $49,106 on average, 9% less than the Michigan average of $54,260, and was paid $14,705 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Covenant Medical Center charged $27,542 on average, 23% less than the Michigan average of $35,827, and was paid $9,795 against a state average of $11,565. For Respiratory Infections and Inflammations with MCC (DRG 177), Covenant Medical Center charged $33,862 on average, 23% less than the Michigan average of $44,001, and was paid $12,141 against a state average of $14,283. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Covenant Medical Center charged $27,982 on average, 22% less than the Michigan average of $35,850, and was paid $10,004 against a state average of $11,562. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,980 was 9% below the state average of $15,355. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,615 was 4% above the state average of $7,344. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,887 was 38% above the state average of $17,272. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $43,101 was 11% below the state average of $48,446.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Covenant Medical Center in Saginaw, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2024-10-31 (CMS case 2861)
CAP Request — 2025-02-12 (CMS case 2861)
Closure Notice — 2025-04-07 (CMS case 2861)
Warning Notice — 2026-04-16 (CMS case 7480)
Closure Notice — 2026-06-15 (CMS case 7480)

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.