Michigan / Promedica Monroe Regional Hospital
CMS certification 230099 · Monroe, MI
Promedica Monroe Regional Hospital: charges and Medicare payments
Promedica Monroe Regional Hospital reported 760 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 2.5 times what it was paid — among the lower ratios in Michigan, number 58 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: 137 stays at an average charge of $37,419, 59% below the national average. It also billed 829 outpatient services, charging 5.02 times what Medicare paid.
- 1Medicare inpatient stays 760
- 2Charge ÷ paid, inpatient 2.5×
- 3Rank in MI (highest ratio = 1) 58 of 76
- 4CMS price-transparency actions 0
Inpatient stays
For the 27 DRGs that can be compared with the national average, Promedica Monroe 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 137 | $37,419 | -59% | $15,928 |
| 291 Heart Failure and Shock with MCC | 84 | $31,138 | -45% | $11,080 |
| 885 Psychoses | 83 | $21,382 | -51% | $12,998 |
| 189 Pulmonary Edema and Respiratory Failure | 58 | $30,950 | -46% | $10,583 |
| 177 Respiratory Infections and Inflammations with MCC | 40 | $35,624 | -50% | $13,836 |
| 193 Simple Pneumonia and Pleurisy with MCC | 33 | $30,612 | -49% | $11,292 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $38,874 | -49% | $13,557 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 21 | $24,799 | -49% | $9,236 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $20,550 | -49% | $6,976 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $34,200 | -53% | $13,075 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 18 | $26,360 | -48% | $9,162 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $17,980 | -51% | $7,014 |
| 682 Renal Failure with MCC | 17 | $40,363 | -39% | $12,530 |
| 683 Renal Failure with CC | 17 | $26,063 | -36% | $8,127 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $83,159 | -64% | $38,535 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $30,561 | -39% | $7,697 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $19,857 | -47% | $7,081 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $31,085 | -45% | $9,205 |
| 329 Major Small and Large Bowel Procedures with MCC | 13 | $101,812 | -53% | $38,142 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $34,175 | -43% | $11,590 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 13 | $115,215 | -64% | $54,041 |
| 070 Other Cerebrovascular Disorders with MCC | 12 | $32,289 | -58% | $13,835 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 12 | $41,745 | -55% | $15,712 |
| 603 Cellulitis without MCC | 12 | $18,790 | -50% | $8,337 |
| 637 Diabetes with MCC | 12 | $35,454 | -47% | $12,936 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $25,145 | -51% | $9,612 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $19,097 | -47% | $6,542 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 265 | $14,460 | $2,350 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 52 | $5,342 | $1,426 |
| Level 5 Musculoskeletal Procedures | 49 | $33,182 | $10,706 |
| Level 4 Musculoskeletal Procedures | 48 | $19,527 | $5,858 |
| Level 3 Urology and Related Services | 47 | $6,796 | $1,581 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 44 | $9,344 | $2,491 |
| Level 1 Endovascular Procedures | 44 | $17,326 | $2,819 |
| Level 4 Urology and Related Services | 40 | $11,357 | $2,994 |
| Level 3 Vascular Procedures | 37 | $10,216 | $2,769 |
| Level 1 Nerve Procedures | 36 | $6,933 | $1,686 |
| Level 1 Laparoscopy and Related Services | 35 | $18,784 | $5,152 |
| Level 2 Urology and Related Services | 26 | $3,512 | $610 |
| Level 6 Musculoskeletal Procedures | 24 | $34,380 | $16,606 |
| Level 5 Urology and Related Services | 23 | $17,061 | $4,492 |
| Level 2 Upper GI Procedures | 13 | $12,946 | $1,699 |
| Level 2 Vascular Procedures | 12 | $12,333 | $1,335 |
| Level 4 Gynecologic Procedures | 12 | $8,669 | $2,792 |
| Level 2 Musculoskeletal Procedures | 11 | $6,926 | $1,435 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $14,522 | $3,089 |
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Promedica Monroe Regional Hospital charged $37,419 on average, 31% less than the Michigan average of $54,260, and was paid $15,928 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Promedica Monroe Regional Hospital charged $31,138 on average, 13% less than the Michigan average of $35,827, and was paid $11,080 against a state average of $11,565. For Psychoses (DRG 885), Promedica Monroe Regional Hospital charged $21,382 on average, 36% less than the Michigan average of $33,198, and was paid $12,998 against a state average of $12,533. For Pulmonary Edema and Respiratory Failure (DRG 189), Promedica Monroe Regional Hospital charged $30,950 on average, 18% less than the Michigan average of $37,617, and was paid $10,583 against a state average of $11,581. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,460 was 6% below the state average of $15,355. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,342 was 27% below the state average of $7,344. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $33,182 was 32% below the state average of $48,446. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $19,527 was 39% below the state average of $32,152.
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.