Michigan / Hillsdale Hospital
CMS certification 230037 · Hillsdale, MI
Hillsdale Hospital: charges and Medicare payments
Hillsdale Hospital reported 79 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 1.94 times what it was paid. Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 25 stays at an average charge of $15,272, 73% below the national average. It also billed 320 outpatient services, charging 4.14 times what Medicare paid.
- 1Medicare inpatient stays 79
- 2Charge ÷ paid, inpatient 1.94×
- 3Rank in MI (highest ratio = 1) –
- 4CMS price-transparency actions 0
Inpatient stays
For the 5 DRGs that can be compared with the national average, Hillsdale 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 | 25 | $15,272 | -73% | $10,969 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $15,205 | -60% | $7,789 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $26,852 | -53% | $11,560 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $25,845 | -49% | $10,316 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $16,262 | -55% | $7,643 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Nerve Procedures | 87 | $6,054 | $1,682 |
| Comprehensive Observation Services | 73 | $9,293 | $2,319 |
| Level 1 Intraocular Procedures | 47 | $5,716 | $2,030 |
| Level 4 Musculoskeletal Procedures | 31 | $21,001 | $6,233 |
| Level 5 Urology and Related Services | 20 | $10,445 | $4,508 |
| Level 4 Urology and Related Services | 19 | $8,643 | $3,037 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 17 | $9,206 | $1,412 |
| Level 5 Musculoskeletal Procedures | 14 | $33,102 | $11,452 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $9,650 | $2,814 |
Against the Michigan average
For Heart Failure and Shock with MCC (DRG 291), Hillsdale Hospital charged $15,272 on average, 57% less than the Michigan average of $35,827, and was paid $10,969 against a state average of $11,565. For Simple Pneumonia and Pleurisy with CC (DRG 194), Hillsdale Hospital charged $15,205 on average, 36% less than the Michigan average of $23,812, and was paid $7,789 against a state average of $7,603. For Pulmonary Edema and Respiratory Failure (DRG 189), Hillsdale Hospital charged $26,852 on average, 29% less than the Michigan average of $37,617, and was paid $11,560 against a state average of $11,581. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Hillsdale Hospital charged $25,845 on average, 22% less than the Michigan average of $33,310, and was paid $10,316 against a state average of $9,803. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $6,054 was 41% below the state average of $10,315. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,293 was 39% below the state average of $15,355. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,716 was 52% below the state average of $11,973. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $21,001 was 35% below the state average of $32,152.
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.