Indiana / Franciscan Health Michigan City

CMS certification 150015 · Michigan City, IN

Franciscan Health Michigan City: charges and Medicare payments

Franciscan Health Michigan City reported 1,628 Medicare inpatient stays across 55 DRGs in 2024. Across them it charged 5.02 times what it was paid — among the higher ratios in Indiana, number 18 of 70 hospitals with at least 100 stays (state median 4.08×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 185 stays at an average charge of $76,439, 15% below the national average. It also billed 1,995 outpatient services, charging 8.24 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,628
  2. 2Charge ÷ paid, inpatient 5.02×
  3. 3Rank in IN (highest ratio = 1) 18 of 70
  4. 4CMS price-transparency actions 0
DRG 871$76,439DRG 291$44,618DRG 193$55,194DRG 177$62,400DRG 280$66,806DRG 189$50,449DRG 682$49,863DRG 640$42,817DRG 641$27,747DRG 683$39,970
Average charge per stay at Franciscan Health Michigan City, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 55 DRGs that can be compared with the national average, Franciscan Health Michigan City charged more than the national average in 2 (4%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC185$76,439-15%$15,059
291 Heart Failure and Shock with MCC97$44,618-21%$11,381
193 Simple Pneumonia and Pleurisy with MCC88$55,194-8%$10,588
177 Respiratory Infections and Inflammations with MCC76$62,400-12%$12,345
280 Acute Myocardial Infarction, Discharged Alive with MCC66$66,806-12%$12,190
189 Pulmonary Edema and Respiratory Failure46$50,449-12%$9,216
682 Renal Failure with MCC40$49,863-24%$11,196
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...38$42,817-29%$10,039
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...38$27,747-25%$6,141
683 Renal Failure with CC37$39,970-2%$7,192
698 Other Kidney and Urinary Tract Diagnoses with MCC37$48,645-34%$11,880
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC37$38,612-21%$8,051
885 Psychoses36$51,455+17%$10,842
690 Kidney and Urinary Tract Infections without MCC34$29,350-22%$6,657
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...32$48,360-13%$8,019
274 Percutaneous and Other Intracardiac Procedures without MCC32$83,760-47%$23,218
378 Gastrointestinal Hemorrhage with CC32$44,982-7%$7,830
853 Infectious and Parasitic Diseases with O.R. Procedures with...28$148,230-35%$32,454
689 Kidney and Urinary Tract Infections with MCC27$39,697-23%$8,658
281 Acute Myocardial Infarction, Discharged Alive with CC26$50,3180%$7,792
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...26$38,050-5%$6,621
322 Percutaneous Cardiovascular Procedures with Intraluminal...25$108,356-5%$15,008
194 Simple Pneumonia and Pleurisy with CC24$35,919-6%$7,015
309 Cardiac Arrhythmia and Conduction Disorders with CC24$35,324-2%$6,275
308 Cardiac Arrhythmia and Conduction Disorders with MCC23$45,240-20%$9,109
321 Percutaneous Cardiovascular Procedures with Intraluminal...23$156,738-4%$28,007
377 Gastrointestinal Hemorrhage with MCC23$67,936-20%$12,443
064 Intracranial Hemorrhage or Cerebral Infarction with MCC22$73,631-26%$14,970
312 Syncope and Collapse22$36,994-19%$7,090
481 Hip and Femur Procedures except Major Joint with CC22$82,713-18%$14,921
470 Major Hip and Knee Joint Replacement or Reattachment of...19$92,506-1%$14,499
389 Gastrointestinal Obstruction with CC18$31,233-20%$6,205
287 Circulatory Disorders except AMI, with Cardiac...17$63,352-1%$8,619
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC17$25,907-10%$4,985
330 Major Small and Large Bowel Procedures with CC17$121,091+2%$20,391
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...17$34,834-18%$7,313
699 Other Kidney and Urinary Tract Diagnoses with CC17$30,083-37%$8,096
603 Cellulitis without MCC16$25,196-32%$7,274
638 Diabetes with CC16$36,447-13%$7,530
854 Infectious and Parasitic Diseases with O.R. Procedures with...16$69,894-29%$16,058
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...15$50,924-17%$9,786
394 Other Digestive System Diagnoses with CC15$37,437-20%$7,506
439 Disorders of Pancreas except Malignancy with CC15$35,281-19%$6,568
522 Hip Replacement with Principal Diagnosis of Hip Fracture...15$100,537-2%$15,170
552 Medical Back Problems without MCC15$35,864-27%$7,114
637 Diabetes with MCC13$42,265-36%$11,523
101 Seizures without MCC12$40,040-18%$7,046
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale12$64,8350%$10,828
178 Respiratory Infections and Inflammations with CC12$39,442-13%$7,626
286 Circulatory Disorders except AMI, with Cardiac...12$90,881-19%$15,718
300 Peripheral Vascular Disorders with CC12$31,104-37%$8,040
057 Degenerative Nervous System Disorders without MCC11$43,551-23%$9,777
208 Respiratory System Diagnosis with Ventilator Support <=96...11$116,723-14%$24,736
314 Other Circulatory System Diagnoses with MCC11$59,552-37%$14,811
602 Cellulitis with MCC11$50,005-17%$10,855

Outpatient services

Against the Indiana average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Franciscan Health Michigan City charged $76,439 on average, 21% more than the Indiana average of $63,232, and was paid $15,059 against a state average of $15,368. For Heart Failure and Shock with MCC (DRG 291), Franciscan Health Michigan City charged $44,618 on average, 9% more than the Indiana average of $40,842, and was paid $11,381 against a state average of $10,315. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Franciscan Health Michigan City charged $55,194 on average, 26% more than the Indiana average of $43,683, and was paid $10,588 against a state average of $10,631. For Respiratory Infections and Inflammations with MCC (DRG 177), Franciscan Health Michigan City charged $62,400 on average, 21% more than the Indiana average of $51,549, and was paid $12,345 against a state average of $12,977. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,828 was 24% above the state average of $18,399. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $14,657 was 4% above the state average of $14,051. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,283 was 14% below the state average of $13,048. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $20,313 was 9% below the state average of $22,260.

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.