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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Cadillac Hospital

Munson Healthcare · Cadillac, MI

400 Hobart Street, Cadillac, MI 49601(231) 876-7200

4 of 5

CMS star rating

49

Beds

2,603

Inpatient discharges a year

$224.2M

Net patient revenue a year

18

In-network payers

About this hospital

Cadillac Hospital is a 49-bed voluntary non-profit - church hospital in Cadillac, MI, affiliated with Munson Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 18 in-network payers and 329 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
230081
NPI
1841696754
Health system
Munson Healthcare
Teaching
No Medicare-funded residents
County
Wexford County
Metro area
Cadillac, MI MicroSA
Medicare contractor
Jurisdiction 6, National Government Services (06001)
In Medicare since
1966
Last CMS survey
1988

Prices for common services

The 24 services Cadillac 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

$5,866 - $12,455

from 3 insurers · median $7,886

UnitedHealthcare$5,866
Insurer A*$7,886
Insurer B*$12,455

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 obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$8,232 - $14,620

from 3 insurers · median $12,651

UnitedHealthcare$8,232
Insurer A*$12,651
Insurer B*$14,620

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 obstetrics / child birth services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$2,679 - $6,370

from 4 insurers · median $2,990

Aetna$6,370
Insurer A*$2,679
Insurer B*$2,750
Insurer C*$3,230
Medicare $3,171Nearby hospitals $6,38953% below nearby hospitals

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$296 - $1,693

from 4 insurers · median $663

Aetna$1,693
Insurer A*$296
Insurer B*$532
Insurer C*$794
Medicare $342Nearby hospitals $1,63359% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Cadillac 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*18
267%
96
Insurer B*24
108%
00
Insurer C*24
101%
55
Insurer D*24
83%
00

How we chose these services: 7 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 6 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 Cadillac 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)
Aspirus Health PlanAvera Health PlansBanner HealthGroup Health Cooperative of South Central WisconsinHarvard Pilgrim Health Care (Point32Health)Health Alliance

More about this hospital

  • Quality

    4 of 5 stars

    • 156 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.03%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 24 services
    • 523 affiliated clinicians
    See doctors and services
  • Finances

    $224.2M net patient revenue

    • Operating margin on patient care 9.0%
    • $2.1M unreimbursed and uncompensated care
    • $30.6M net income
    See finances
  • Ownership and leadership

    Owned by Munson Healthcare

    • Church
    • Edwin A Ness, 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 Cadillac 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
47-1156297(multi-state) Munson Healthcare Cadillac49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more1841696754 Munson Healthcare Cadillac1487051611 Munson Healthcare Cadillac1871991596 Munson Healthcare Cadillacand 12 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

400 Hobart Street, Cadillac, MI 49601

(231) 876-7200

Get directions

Frequently asked questions

About Cadillac Hospital's rates and hospital price transparency.

How much does an MRI cost at Cadillac Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Cadillac Hospital range from $296 to $2,611 across 4 insurers. Aetna's rate is $2,611. The median at nearby comparable hospitals is $1,625. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Cadillac Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Cadillac Hospital range from $296 to $1,693 across 4 insurers. Aetna's rate is $1,693. The median at nearby comparable hospitals is $1,633. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Cadillac Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Cadillac Hospital range from $627 to $3,731 across 4 insurers. Cigna's rate is $627. The median at nearby comparable hospitals is $1,057. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Cadillac Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Cadillac Hospital range from $5,866 to $12,455 across 3 insurers. UnitedHealthcare's rate is $5,866. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Cadillac Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Cadillac Hospital range from $83 to $311 across 4 insurers. Blue Cross Blue Shield's rate is $227. The median at nearby comparable hospitals is $303. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Cadillac Hospital's CMS star rating?

Cadillac Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Cadillac Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Cadillac Hospital for fiscal year 2027.

Does Medicare penalize Cadillac Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Cadillac Hospital's base inpatient payments by an estimated 0.03% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Cadillac Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (80 discharges), heart failure and shock with mcc (56 discharges), respiratory infections and inflammations with mcc (30 discharges).

What is Cadillac Hospital's case mix index?

Cadillac Hospital's Medicare case mix index is 1.53 for fiscal year 2027, higher than 31% of hospitals paid under the inpatient prospective payment system.

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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