Michigan / Hurley Medical Center
CMS certification 230132 · Flint, MI · 1 entry in CMS's price-transparency list
Hurley Medical Center: charges and Medicare payments
Hurley Medical Center reported 1,080 Medicare inpatient stays across 48 DRGs in 2024. Across them it charged 3.57 times what it was paid — among the higher ratios in Michigan, number 21 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: 95 stays at an average charge of $71,284, 21% below the national average. It also billed 756 outpatient services, charging 5.94 times what Medicare paid.
- 1Medicare inpatient stays 1,080
- 2Charge ÷ paid, inpatient 3.57×
- 3Rank in MI (highest ratio = 1) 21 of 76
- 4CMS price-transparency actions 1
Inpatient stays
For the 48 DRGs that can be compared with the national average, Hurley Medical Center charged more than the national average in 1 (2%). 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 | 95 | $71,284 | -21% | $18,766 |
| 291 Heart Failure and Shock with MCC | 81 | $42,011 | -25% | $12,511 |
| 193 Simple Pneumonia and Pleurisy with MCC | 63 | $55,241 | -8% | $13,240 |
| 177 Respiratory Infections and Inflammations with MCC | 48 | $54,360 | -23% | $14,927 |
| 189 Pulmonary Edema and Respiratory Failure | 48 | $55,146 | -4% | $11,980 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 35 | $48,480 | -36% | $14,367 |
| 683 Renal Failure with CC | 34 | $28,514 | -30% | $9,023 |
| 689 Kidney and Urinary Tract Infections with MCC | 28 | $35,212 | -31% | $11,331 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $23,604 | -41% | $7,969 |
| 603 Cellulitis without MCC | 26 | $19,054 | -49% | $8,401 |
| 312 Syncope and Collapse | 25 | $26,007 | -43% | $8,601 |
| 682 Renal Failure with MCC | 25 | $48,154 | -27% | $14,960 |
| 377 Gastrointestinal Hemorrhage with MCC | 24 | $53,556 | -37% | $16,674 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $20,194 | -47% | $8,148 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $241,650 | +6% | $57,580 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 21 | $92,214 | -32% | $22,751 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $30,380 | -45% | $10,400 |
| 070 Other Cerebrovascular Disorders with MCC | 20 | $46,829 | -38% | $15,915 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $37,795 | -25% | $10,245 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 19 | $21,750 | -40% | $7,577 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $32,997 | -45% | $12,696 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $46,173 | -54% | $17,934 |
| 100 Seizures with MCC | 16 | $40,223 | -57% | $17,384 |
| 101 Seizures without MCC | 16 | $32,847 | -33% | $9,344 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $54,482 | -26% | $13,037 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $33,762 | -12% | $9,112 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $97,263 | -5% | $19,181 |
| 552 Medical Back Problems without MCC | 15 | $35,475 | -27% | $9,751 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 15 | $58,745 | -22% | $15,717 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $81,644 | -50% | $24,199 |
| 330 Major Small and Large Bowel Procedures with CC | 14 | $87,378 | -27% | $23,006 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $26,705 | -45% | $9,712 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $82,098 | -19% | $19,121 |
| 329 Major Small and Large Bowel Procedures with MCC | 13 | $171,716 | -20% | $40,037 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $26,734 | -28% | $8,041 |
| 884 Organic Disturbances and Intellectual Disability | 13 | $26,130 | -58% | $16,160 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 12 | $290,374 | -53% | $89,810 |
| 091 Other Disorders of Nervous System with MCC | 12 | $53,560 | -35% | $17,547 |
| 252 Other Vascular Procedures with MCC | 12 | $135,632 | -21% | $30,050 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 12 | $33,612 | -47% | $10,155 |
| 314 Other Circulatory System Diagnoses with MCC | 12 | $63,247 | -33% | $18,714 |
| 948 Signs and Symptoms without MCC | 12 | $25,120 | -34% | $8,116 |
| 069 Transient Ischemia without Thrombolytic | 11 | $34,131 | -32% | $8,209 |
| 071 Other Cerebrovascular Disorders with CC | 11 | $28,078 | -44% | $10,643 |
| 394 Other Digestive System Diagnoses with CC | 11 | $25,420 | -46% | $9,406 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 11 | $78,038 | -16% | $16,977 |
| 602 Cellulitis with MCC | 11 | $57,189 | -5% | $16,311 |
| 637 Diabetes with MCC | 11 | $44,617 | -33% | $13,789 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 354 | $13,695 | $2,521 |
| Level 1 Endovascular Procedures | 61 | $14,477 | $2,949 |
| Level 1 Laparoscopy and Related Services | 43 | $37,987 | $5,388 |
| Level 5 Musculoskeletal Procedures | 37 | $67,626 | $12,005 |
| Level 3 Vascular Procedures | 37 | $18,464 | $2,978 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 31 | $13,994 | $1,518 |
| Level 5 Urology and Related Services | 25 | $21,182 | $4,560 |
| Level 2 Upper GI Procedures | 24 | $8,738 | $1,774 |
| Level 3 Endovascular Procedures | 21 | $28,153 | $10,287 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 20 | $24,096 | $3,206 |
| Level 4 Musculoskeletal Procedures | 16 | $46,814 | $6,667 |
| Level 2 ICD and Similar Procedures | 15 | $71,001 | $28,813 |
| Level 4 Airway Endoscopy | 13 | $16,855 | $3,504 |
| Level 3 Pacemaker and Similar Procedures | 13 | $29,449 | $10,023 |
| Level 4 Urology and Related Services | 13 | $15,296 | $3,262 |
| Level 2 Musculoskeletal Procedures | 11 | $17,102 | $1,503 |
| Level 3 Musculoskeletal Procedures | 11 | $27,272 | $3,019 |
| Level 4 Pacemaker and Similar Procedures | 11 | $54,826 | $18,219 |
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hurley Medical Center charged $71,284 on average, 31% more than the Michigan average of $54,260, and was paid $18,766 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Hurley Medical Center charged $42,011 on average, 17% more than the Michigan average of $35,827, and was paid $12,511 against a state average of $11,565. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Hurley Medical Center charged $55,241 on average, 54% more than the Michigan average of $35,850, and was paid $13,240 against a state average of $11,562. For Respiratory Infections and Inflammations with MCC (DRG 177), Hurley Medical Center charged $54,360 on average, 24% more than the Michigan average of $44,001, and was paid $14,927 against a state average of $14,283. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,695 was 11% below the state average of $15,355. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $14,477 was 16% below the state average of $17,272. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $37,987 was 22% above the state average of $31,082. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $67,626 was 40% above the state average of $48,446.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Hurley Medical Center in Flint, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-17 (CMS case 3893)
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.