Mymichigan Medical Center Alma: charges and Medicare payments

Mymichigan Medical Center Alma reported 441 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 2.04 times what it was paid — among the lower ratios in Michigan, number 67 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: 94 stays at an average charge of $31,460, 65% below the national average. It also billed 573 outpatient services, charging 4.67 times what Medicare paid.

1Medicare inpatient stays 441
2Charge ÷ paid, inpatient 2.04×
3Rank in MI (highest ratio = 1) 67 of 76
4CMS price-transparency actions 1

Average charge per stay at Mymichigan Medical Center Alma, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 19 DRGs that can be compared with the national average, Mymichigan Medical Center Alma 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	94	$31,460	-65%	$15,764
291 Heart Failure and Shock with MCC	67	$18,856	-67%	$10,768
193 Simple Pneumonia and Pleurisy with MCC	43	$24,742	-59%	$11,273
189 Pulmonary Edema and Respiratory Failure	25	$18,611	-68%	$10,635
177 Respiratory Infections and Inflammations with MCC	23	$30,022	-57%	$13,236
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	19	$18,788	-62%	$8,698
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	17	$19,184	-68%	$10,988
470 Major Hip and Knee Joint Replacement or Reattachment of...	16	$26,998	-71%	$15,495
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	15	$13,720	-66%	$6,695
194 Simple Pneumonia and Pleurisy with CC	14	$15,636	-59%	$7,147
689 Kidney and Urinary Tract Infections with MCC	14	$22,160	-57%	$9,089
190 Chronic Obstructive Pulmonary Disease with MCC	13	$20,747	-59%	$9,496
682 Renal Failure with MCC	13	$24,028	-64%	$11,655
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	12	$18,711	-66%	$8,655
683 Renal Failure with CC	12	$14,977	-63%	$7,999
378 Gastrointestinal Hemorrhage with CC	11	$33,552	-31%	$8,631
389 Gastrointestinal Obstruction with CC	11	$17,296	-56%	$7,430
481 Hip and Femur Procedures except Major Joint with CC	11	$36,353	-64%	$17,033
698 Other Kidney and Urinary Tract Diagnoses with MCC	11	$27,761	-62%	$13,786

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	141	$13,503	$2,369
Level 1 Intraocular Procedures	62	$7,574	$2,040
Level 2 Excision/ Biopsy/ Incision and Drainage	51	$6,052	$1,356
Level 2 Urology and Related Services	49	$897	$598
Level 5 Musculoskeletal Procedures	38	$26,916	$11,509
Level 1 Nerve Procedures	36	$9,167	$1,616
Level 3 Vascular Procedures	30	$10,543	$2,791
Level 2 Upper GI Procedures	24	$3,607	$1,666
Level 3 Urology and Related Services	23	$3,861	$1,783
Level 4 Urology and Related Services	22	$14,525	$3,052
Level 5 Urology and Related Services	21	$17,688	$4,530
Level 1 Endovascular Procedures	20	$12,935	$2,858
Level 1 Laparoscopy and Related Services	18	$13,995	$4,855
Level 3 Musculoskeletal Procedures	14	$8,591	$2,834
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	12	$12,405	$3,029
Level 4 Gynecologic Procedures	12	$10,802	$2,737

Against the Michigan average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mymichigan Medical Center Alma charged $31,460 on average, 42% less than the Michigan average of $54,260, and was paid $15,764 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Mymichigan Medical Center Alma charged $18,856 on average, 47% less than the Michigan average of $35,827, and was paid $10,768 against a state average of $11,565. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mymichigan Medical Center Alma charged $24,742 on average, 31% less than the Michigan average of $35,850, and was paid $11,273 against a state average of $11,562. For Pulmonary Edema and Respiratory Failure (DRG 189), Mymichigan Medical Center Alma charged $18,611 on average, 51% less than the Michigan average of $37,617, and was paid $10,635 against a state average of $11,581. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,503 was 12% below the state average of $15,355. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,574 was 37% below the state average of $11,973. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,052 was 18% below the state average of $7,344. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $897 was 60% below the state average of $2,258.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Mymichigan Medical Center Alma in Alma, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Met Requirements — 2025-04-25 (CMS case 4148)

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.