Michigan / Promedica Coldwater Regional Hospital
CMS certification 230022 · Coldwater, MI
Promedica Coldwater Regional Hospital: charges and Medicare payments
Promedica Coldwater Regional Hospital reported 189 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 2.73 times what it was paid — among the lower ratios in Michigan, number 54 of 76 hospitals with at least 100 stays (state median 3.09×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 38 stays at an average charge of $23,975, 57% below the national average. It also billed 258 outpatient services, charging 6.35 times what Medicare paid.
- 1Medicare inpatient stays 189
- 2Charge ÷ paid, inpatient 2.73×
- 3Rank in MI (highest ratio = 1) 54 of 76
- 4CMS price-transparency actions 0
Inpatient stays
For the 8 DRGs that can be compared with the national average, Promedica Coldwater Regional 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 38 | $23,975 | -57% | $10,259 |
| 690 Kidney and Urinary Tract Infections without MCC | 33 | $18,248 | -52% | $6,780 |
| 193 Simple Pneumonia and Pleurisy with MCC | 30 | $35,509 | -41% | $10,765 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 25 | $44,147 | -51% | $15,125 |
| 885 Psychoses | 18 | $24,304 | -45% | $11,147 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $38,214 | -46% | $12,917 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $27,248 | -53% | $10,477 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $18,041 | -53% | $6,840 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 90 | $13,783 | $2,352 |
| Level 1 Intraocular Procedures | 50 | $8,898 | $1,993 |
| Level 4 Urology and Related Services | 35 | $13,344 | $2,864 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 27 | $5,558 | $1,418 |
| Level 3 Vascular Procedures | 15 | $15,305 | $2,640 |
| Level 4 Musculoskeletal Procedures | 14 | $30,956 | $6,257 |
| Level 1 Nerve Procedures | 14 | $4,379 | $1,689 |
| Level 3 Musculoskeletal Procedures | 13 | $12,608 | $2,658 |
Against the Michigan average
For Heart Failure and Shock with MCC (DRG 291), Promedica Coldwater Regional Hospital charged $23,975 on average, 33% less than the Michigan average of $35,827, and was paid $10,259 against a state average of $11,565. For Kidney and Urinary Tract Infections without MCC (DRG 690), Promedica Coldwater Regional Hospital charged $18,248 on average, 22% less than the Michigan average of $23,384, and was paid $6,780 against a state average of $7,203. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Promedica Coldwater Regional Hospital charged $35,509 on average, 1% less than the Michigan average of $35,850, and was paid $10,765 against a state average of $11,562. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Promedica Coldwater Regional Hospital charged $44,147 on average, 19% less than the Michigan average of $54,260, and was paid $15,125 against a state average of $17,096. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,783 was 10% below the state average of $15,355. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,898 was 26% below the state average of $11,973. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $13,344 was 21% below the state average of $16,877. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,558 was 24% below the state average of $7,344.
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.