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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Ascension Borgess Hospital

Ascension Health · Kalamazoo, MI

1521 Gull Road, Kalamazoo, MI 49048(269) 226-7000

3 of 5

CMS star rating

226

Beds

5,062

Inpatient discharges a year

$222.7M

Net patient revenue a year

39

In-network payers

About this hospital

Ascension Borgess Hospital is a 226-bed voluntary non-profit - other hospital in Kalamazoo, MI, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 316 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
230117
NPI
1568416311
Health system
Ascension Health
Teaching
Major teaching hospital
County
Kalamazoo County
Metro area
Kalamazoo-Portage, MI MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
1988

Prices for common services

The 24 services Ascension Borgess Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$9,338 - $22,555

from 3 insurers · median $9,355

UnitedHealthcare$9,338
Insurer A*$9,355
Insurer B*$22,555

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$12,450 - $22,994

from 3 insurers · median $13,847

UnitedHealthcare$12,450
Insurer A*$13,847
Insurer B*$22,994

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$2,119 - $9,689

from 4 insurers · median $7,697

Aetna$8,380
Insurer A*$2,119
Insurer B*$7,014
Insurer C*$9,689
Medicare $2,962Nearby hospitals $5,77233% above nearby hospitals

19 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$52,202 - $85,723

from 2 insurers · median $68,962

Blue Cross$85,723
Insurer A*$52,202
Medicare $24,186Nearby hospitals $56,80121% above nearby hospitals

14 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Ascension Borgess Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
299%
00
Insurer B*23
212%
125
Insurer C*16
144%
411
Insurer D*23
95%
116

How we chose these services: 8 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ascension Borgess Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 212 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.13%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 31 services, including trauma care
    • 643 affiliated clinicians
    See doctors and services
  • Finances

    $222.7M net patient revenue

    • Operating margin on patient care -13.7%
    • $1.6M unreimbursed and uncompensated care
    • -$22M net income
    See finances
  • Ownership and leadership

    Owned by Beacon Health System Inc

    • Other
    • Joseph G Cacchione MD Facc, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Ascension Borgess Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
38-1360526(multi-state) Ascension Borgess Hospital63Aetna, BCBS Michigan, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems and 58 more1568416311 Ascension Borgess Hospital1154504892 Ascension Borgess Hospital1336282151 Ascension Borgess Hospitaland 31 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1521 Gull Road, Kalamazoo, MI 49048

(269) 226-7000

Get directions

Frequently asked questions

About Ascension Borgess Hospital's rates and hospital price transparency.

How much does a CT scan cost at Ascension Borgess Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ascension Borgess Hospital range from $351 to $1,192 across 4 insurers. Aetna's rate is $592. The median at nearby comparable hospitals is $1,007. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Ascension Borgess Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ascension Borgess Hospital range from $882 to $3,657 across 4 insurers. Cigna's rate is $3,657. The median at nearby comparable hospitals is $2,016. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Ascension Borgess Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ascension Borgess Hospital range from $9,338 to $22,555 across 3 insurers. UnitedHealthcare's rate is $9,338. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Ascension Borgess Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ascension Borgess Hospital range from $100 to $217 across 4 insurers. Blue Cross Blue Shield's rate is $195. The median at nearby comparable hospitals is $203. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Ascension Borgess Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Ascension Borgess Hospital range from $22,590 to $38,776 across 3 insurers. Blue Cross Blue Shield's rate is $38,776. The median at nearby comparable hospitals is $27,820. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Ascension Borgess Hospital's CMS star rating?

Ascension Borgess Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Ascension Borgess Hospital a teaching hospital?

Yes. CMS counts 0.34 Medicare-funded residents per bed at Ascension Borgess Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Ascension Borgess Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Ascension Borgess Hospital's base inpatient payments by an estimated 0.13% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Ascension Borgess Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (249 discharges), percutaneous and other intracardiac procedures without mcc (101 discharges), acute myocardial infarction, discharged alive with mcc (93 discharges).

What is Ascension Borgess Hospital's case mix index?

Ascension Borgess Hospital's Medicare case mix index is 2.43 for fiscal year 2027, higher than 92% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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