Michigan / Mymichigan Medical Center Alpena
CMS certification 230036 · Alpena, MI · 3 entries in CMS's price-transparency list
Mymichigan Medical Center Alpena: charges and Medicare payments
Mymichigan Medical Center Alpena reported 674 Medicare inpatient stays across 23 DRGs in 2024. Across them it charged 2.1 times what it was paid — among the lower ratios in Michigan, number 66 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: 167 stays at an average charge of $33,613, 63% below the national average. It also billed 1,314 outpatient services, charging 4.11 times what Medicare paid.
- 1Medicare inpatient stays 674
- 2Charge ÷ paid, inpatient 2.1×
- 3Rank in MI (highest ratio = 1) 66 of 76
- 4CMS price-transparency actions 3
Inpatient stays
For the 23 DRGs that can be compared with the national average, Mymichigan Medical Center Alpena 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 | 167 | $33,613 | -63% | $17,008 |
| 291 Heart Failure and Shock with MCC | 78 | $21,654 | -62% | $11,165 |
| 885 Psychoses | 54 | $20,169 | -54% | $11,791 |
| 189 Pulmonary Edema and Respiratory Failure | 43 | $25,041 | -57% | $10,870 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 40 | $24,490 | -50% | $9,453 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 31 | $37,490 | -60% | $16,180 |
| 193 Simple Pneumonia and Pleurisy with MCC | 26 | $22,215 | -63% | $11,349 |
| 682 Renal Failure with MCC | 20 | $23,457 | -64% | $13,258 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 19 | $21,294 | -62% | $8,722 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 17 | $30,061 | -60% | $14,325 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $28,865 | -59% | $14,319 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $29,251 | -48% | $10,449 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $16,347 | -55% | $6,448 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $44,872 | -55% | $17,835 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $27,489 | -68% | $16,081 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $25,910 | -47% | $8,486 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 14 | $33,895 | -66% | $17,079 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $86,306 | -62% | $42,706 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $28,418 | -29% | $6,936 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $20,179 | -67% | $11,343 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $20,563 | -59% | $9,430 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $14,270 | -50% | $4,808 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $18,281 | -52% | $6,906 |
Outpatient services
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mymichigan Medical Center Alpena charged $33,613 on average, 38% less than the Michigan average of $54,260, and was paid $17,008 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Mymichigan Medical Center Alpena charged $21,654 on average, 40% less than the Michigan average of $35,827, and was paid $11,165 against a state average of $11,565. For Psychoses (DRG 885), Mymichigan Medical Center Alpena charged $20,169 on average, 39% less than the Michigan average of $33,198, and was paid $11,791 against a state average of $12,533. For Pulmonary Edema and Respiratory Failure (DRG 189), Mymichigan Medical Center Alpena charged $25,041 on average, 33% less than the Michigan average of $37,617, and was paid $10,870 against a state average of $11,581. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,913 was 42% below the state average of $11,973. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,232 was 7% below the state average of $15,355. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,474 was 18% below the state average of $10,315. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,831 was 21% below the state average of $7,344.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mymichigan Medical Center Alpena in Alpena, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-04-25 (CMS case 4133)
- Closure Notice — 2025-05-09 (CMS case 4133)
- Met Requirements — 2026-06-12 (CMS case 8093)
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.