Michigan / Munson Healthcare Cadillac Hospital
CMS certification 230081 · Cadillac, MI
Munson Healthcare Cadillac Hospital: charges and Medicare payments
Munson Healthcare Cadillac Hospital reported 291 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 2.2 times what it was paid — among the lower ratios in Michigan, number 62 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: 80 stays at an average charge of $33,419, 63% below the national average. It also billed 859 outpatient services, charging 4.23 times what Medicare paid.
- 1Medicare inpatient stays 291
- 2Charge ÷ paid, inpatient 2.2×
- 3Rank in MI (highest ratio = 1) 62 of 76
- 4CMS price-transparency actions 0
Inpatient stays
For the 11 DRGs that can be compared with the national average, Munson Healthcare Cadillac 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 80 | $33,419 | -63% | $16,133 |
| 291 Heart Failure and Shock with MCC | 56 | $24,799 | -56% | $10,591 |
| 177 Respiratory Infections and Inflammations with MCC | 30 | $28,876 | -59% | $13,668 |
| 683 Renal Failure with CC | 23 | $20,086 | -51% | $7,399 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $22,680 | -62% | $11,697 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $22,890 | -53% | $8,416 |
| 682 Renal Failure with MCC | 15 | $23,005 | -65% | $12,266 |
| 189 Pulmonary Edema and Respiratory Failure | 14 | $21,078 | -63% | $10,102 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 13 | $23,885 | -67% | $13,557 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $25,867 | -49% | $9,222 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $26,384 | -53% | $8,396 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 177 | $9,378 | $2,165 |
| Comprehensive Observation Services | 122 | $13,558 | $2,537 |
| Level 5 Musculoskeletal Procedures | 97 | $31,834 | $12,153 |
| Level 2 Urology and Related Services | 87 | $1,503 | $243 |
| Level 4 Urology and Related Services | 45 | $11,639 | $3,253 |
| Level 1 Nerve Procedures | 39 | $6,750 | $1,802 |
| Level 2 Upper GI Procedures | 38 | $7,858 | $1,738 |
| Level 1 Laparoscopy and Related Services | 34 | $13,994 | $5,384 |
| Level 3 Musculoskeletal Procedures | 33 | $11,279 | $2,857 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 30 | $6,625 | $1,441 |
| Level 2 Musculoskeletal Procedures | 25 | $5,571 | $1,461 |
| Level 4 Musculoskeletal Procedures | 21 | $22,155 | $6,675 |
| Level 5 Urology and Related Services | 21 | $12,417 | $4,828 |
| Level 3 Urology and Related Services | 20 | $8,009 | $1,662 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 18 | $15,090 | $3,085 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $6,489 | $1,613 |
| Level 3 Vascular Procedures | 12 | $13,386 | $2,850 |
| Level 4 Gynecologic Procedures | 12 | $8,471 | $2,917 |
| Level 2 Intraocular Procedures | 12 | $10,195 | $3,794 |
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Munson Healthcare Cadillac Hospital charged $33,419 on average, 38% less than the Michigan average of $54,260, and was paid $16,133 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Munson Healthcare Cadillac Hospital charged $24,799 on average, 31% less than the Michigan average of $35,827, and was paid $10,591 against a state average of $11,565. For Respiratory Infections and Inflammations with MCC (DRG 177), Munson Healthcare Cadillac Hospital charged $28,876 on average, 34% less than the Michigan average of $44,001, and was paid $13,668 against a state average of $14,283. For Renal Failure with CC (DRG 683), Munson Healthcare Cadillac Hospital charged $20,086 on average, 21% less than the Michigan average of $25,294, and was paid $7,399 against a state average of $8,142. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,378 was 22% below the state average of $11,973. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,558 was 12% below the state average of $15,355. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $31,834 was 34% below the state average of $48,446. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,503 was 33% below the state average of $2,258.
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.