Michigan / Mymichigan Medical Center West Branch
CMS certification 230095 · West Branch, MI · 3 entries in CMS's price-transparency list
Mymichigan Medical Center West Branch: charges and Medicare payments
Mymichigan Medical Center West Branch reported 171 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 1.51 times what it was paid — among the lower ratios in Michigan, number 73 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: 52 stays at an average charge of $26,866, 70% below the national average. It also billed 637 outpatient services, charging 3.72 times what Medicare paid.
- 1Medicare inpatient stays 171
- 2Charge ÷ paid, inpatient 1.51×
- 3Rank in MI (highest ratio = 1) 73 of 76
- 4CMS price-transparency actions 3
Inpatient stays
For the 7 DRGs that can be compared with the national average, Mymichigan Medical Center West Branch 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 | 52 | $26,866 | -70% | $17,223 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $16,261 | -73% | $11,254 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $20,034 | -72% | $13,629 |
| 291 Heart Failure and Shock with MCC | 24 | $13,814 | -75% | $11,075 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $16,468 | -71% | $10,538 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $12,983 | -66% | $7,009 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $15,589 | -69% | $9,395 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 193 | $5,471 | $2,156 |
| Comprehensive Observation Services | 167 | $10,405 | $2,530 |
| Level 1 Nerve Procedures | 81 | $6,976 | $1,766 |
| Level 5 Musculoskeletal Procedures | 37 | $28,215 | $11,975 |
| Level 3 Vascular Procedures | 36 | $9,699 | $2,974 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 28 | $5,953 | $1,513 |
| Level 1 Laparoscopy and Related Services | 23 | $12,742 | $5,384 |
| Level 2 Musculoskeletal Procedures | 21 | $4,374 | $1,386 |
| Level 6 Musculoskeletal Procedures | 13 | $52,805 | $17,350 |
| Level 1 Endovascular Procedures | 13 | $13,299 | $3,045 |
| Level 2 Intraocular Procedures | 13 | $6,478 | $3,794 |
| Level 3 Musculoskeletal Procedures | 12 | $7,490 | $3,020 |
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mymichigan Medical Center West Branch charged $26,866 on average, 50% less than the Michigan average of $54,260, and was paid $17,223 against a state average of $17,096. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mymichigan Medical Center West Branch charged $16,261 on average, 55% less than the Michigan average of $35,850, and was paid $11,254 against a state average of $11,562. For Respiratory Infections and Inflammations with MCC (DRG 177), Mymichigan Medical Center West Branch charged $20,034 on average, 54% less than the Michigan average of $44,001, and was paid $13,629 against a state average of $14,283. For Heart Failure and Shock with MCC (DRG 291), Mymichigan Medical Center West Branch charged $13,814 on average, 61% less than the Michigan average of $35,827, and was paid $11,075 against a state average of $11,565. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,471 was 54% below the state average of $11,973. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,405 was 32% below the state average of $15,355. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $6,976 was 32% below the state average of $10,315. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $28,215 was 42% below the state average of $48,446.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mymichigan Medical Center West Branch in West Branch, 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 4142)
- Closure Notice — 2025-05-08 (CMS case 4142)
- Met Requirements — 2026-06-01 (CMS case 7923)
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.