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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Ascension Providence Rochester Hospital

Ascension Health · Rochester, MI

1101 West University Drive, Rochester, MI 48307(248) 652-5000

3 of 5

CMS star rating

218

Beds

12,130

Inpatient discharges a year

$294.5M

Net patient revenue a year

34

In-network payers

About this hospital

Ascension Providence Rochester Hospital is a 218-bed voluntary non-profit - private hospital in Rochester, MI, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 305 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
CCN
230254
NPI
1437176203
Health system
Ascension Health
Teaching
Major teaching hospital
County
Oakland County
Metro area
Detroit-Warren-Dearborn, MI MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1967
Last CMS survey
2000

Prices for common services

The 24 services Ascension Providence Rochester 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

$3,000 - $9,562

from 3 insurers · median $5,726

UnitedHealthcare$3,000
Insurer A*$5,726
Insurer B*$9,562

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

$4,000 - $15,894

from 3 insurers · median $7,955

UnitedHealthcare$4,000
Insurer A*$7,955
Insurer B*$15,894

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$16,771 - $36,261

from 2 insurers · median $26,516

Blue Cross$36,261
Insurer A*$16,771
Medicare $12,238Nearby hospitals $30,60213% below nearby hospitals

40 Medicare discharges for this DRG in CMS hospital data

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,583 - $4,142

from 2 insurers · median $2,863

Blue Cross$4,142
Insurer A*$1,583
Medicare $3,035Nearby hospitals $4,17931% below nearby hospitals

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

How the insurers pay at Ascension Providence Rochester 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*13
239%
73
Insurer B*24
125%
86
Insurer C*18
50%
015

How we chose these services: 7 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 5 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 Providence Rochester 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

    • 187 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.28%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 25 services
    • 537 affiliated clinicians
    See doctors and services
  • Finances

    $294.5M net patient revenue

    • Operating margin on patient care -2.2%
    • $5M unreimbursed and uncompensated care
    • -$3.2M net income
    See finances
  • Ownership and leadership

    Owned by Henry Ford Health System

    • Private (not for profit)
    • Joseph G Cacchione MD Facc, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Ascension Providence Rochester 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
38-1359247Ascension Providence Rochester Hospital55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more1437176203 Henry Ford Health Rochester Hospital1376697581 Henry Ford Health Rochester Hospital1235252321 Henry Ford Health Rochester Hospitaland 16 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

1101 West University Drive, Rochester, MI 48307

(248) 652-5000

Get directions

Frequently asked questions

About Ascension Providence Rochester Hospital's rates and hospital price transparency.

How much does an MRI cost at Ascension Providence Rochester Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ascension Providence Rochester Hospital range from $340 to $514 across 3 insurers. Aetna's rate is $340. The median at nearby comparable hospitals is $577. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Ascension Providence Rochester Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ascension Providence Rochester Hospital range from $446 to $1,618 across 3 insurers. Aetna's rate is $475. The median at nearby comparable hospitals is $640. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Ascension Providence Rochester Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ascension Providence Rochester Hospital range from $445 to $1,127 across 2 insurers. Blue Cross Blue Shield's rate is $1,127. The median at nearby comparable hospitals is $1,950. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Ascension Providence Rochester Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ascension Providence Rochester Hospital range from $3,000 to $9,562 across 3 insurers. UnitedHealthcare's rate is $3,000. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Ascension Providence Rochester Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ascension Providence Rochester Hospital range from $135 to $248 across 3 insurers. Aetna's rate is $135. The median at nearby comparable hospitals is $170. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Ascension Providence Rochester Hospital range from $16,771 to $36,261 across 2 insurers. Blue Cross Blue Shield's rate is $36,261. The median at nearby comparable hospitals is $30,602. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Ascension Providence Rochester Hospital's CMS star rating?

Ascension Providence Rochester 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 Providence Rochester Hospital a teaching hospital?

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

Does Medicare penalize Ascension Providence Rochester Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Ascension Providence Rochester Hospital's base inpatient payments by an estimated 0.28% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (208 discharges), heart failure and shock with mcc (82 discharges), acute myocardial infarction, discharged alive with mcc (75 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

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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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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  • Missing, duplicate and outdated charge lines identified
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