Michigan / Munson Healthcare Otsego Memorial Hospital
CMS certification 230133 · Gaylord, MI
Munson Healthcare Otsego Memorial Hospital: charges and Medicare payments
Munson Healthcare Otsego Memorial Hospital reported 193 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 1.85 times what it was paid — among the lower ratios in Michigan, number 70 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: 40 stays at an average charge of $30,688, 66% below the national average. It also billed 706 outpatient services, charging 3.99 times what Medicare paid.
- 1Medicare inpatient stays 193
- 2Charge ÷ paid, inpatient 1.85×
- 3Rank in MI (highest ratio = 1) 70 of 76
- 4CMS price-transparency actions 0
Inpatient stays
For the 10 DRGs that can be compared with the national average, Munson Healthcare Otsego Memorial 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 | 40 | $30,688 | -66% | $17,466 |
| 291 Heart Failure and Shock with MCC | 32 | $16,131 | -71% | $11,420 |
| 193 Simple Pneumonia and Pleurisy with MCC | 26 | $20,179 | -66% | $11,698 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $21,334 | -56% | $8,710 |
| 177 Respiratory Infections and Inflammations with MCC | 15 | $21,423 | -70% | $14,704 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $16,418 | -59% | $6,958 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $19,035 | -62% | $9,930 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $18,528 | -50% | $6,887 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 12 | $23,961 | -51% | $9,174 |
| 330 Major Small and Large Bowel Procedures with CC | 11 | $41,707 | -65% | $20,907 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 250 | $7,142 | $2,154 |
| Comprehensive Observation Services | 115 | $12,512 | $2,519 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 71 | $4,969 | $1,512 |
| Level 1 Laparoscopy and Related Services | 68 | $15,094 | $5,197 |
| Level 5 Musculoskeletal Procedures | 44 | $27,653 | $12,021 |
| Level 2 Upper GI Procedures | 32 | $5,865 | $1,720 |
| Level 3 Vascular Procedures | 23 | $10,979 | $2,974 |
| Level 4 Musculoskeletal Procedures | 20 | $21,333 | $6,675 |
| Level 4 Urology and Related Services | 20 | $15,466 | $3,253 |
| Level 2 Musculoskeletal Procedures | 19 | $7,985 | $1,500 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 15 | $17,884 | $6,084 |
| Level 2 Laparoscopy and Related Services | 15 | $21,564 | $9,067 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 14 | $8,198 | $2,500 |
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Munson Healthcare Otsego Memorial Hospital charged $30,688 on average, 43% less than the Michigan average of $54,260, and was paid $17,466 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Munson Healthcare Otsego Memorial Hospital charged $16,131 on average, 55% less than the Michigan average of $35,827, and was paid $11,420 against a state average of $11,565. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Munson Healthcare Otsego Memorial Hospital charged $20,179 on average, 44% less than the Michigan average of $35,850, and was paid $11,698 against a state average of $11,562. For Gastrointestinal Hemorrhage with CC (DRG 378), Munson Healthcare Otsego Memorial Hospital charged $21,334 on average, 34% less than the Michigan average of $32,159, and was paid $8,710 against a state average of $9,010. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,142 was 40% below the state average of $11,973. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,512 was 19% below the state average of $15,355. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,969 was 32% below the state average of $7,344. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $15,094 was 51% below the state average of $31,082.
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.