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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Franciscan Health Michigan City

Franciscan Health · Michigan City, IN

301 West Homer Street, Michigan City, IN 46360(219) 879-8511

3 of 5

CMS star rating

142

Beds

7,113

Inpatient discharges a year

$415.2M

Net patient revenue a year

38

In-network payers

About this hospital

Franciscan Health Michigan City is a 142-bed voluntary non-profit - church hospital in Michigan City, IN, affiliated with Franciscan Health. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 359 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
150015
NPI
1710051941
Health system
Franciscan Health
Teaching
No Medicare-funded residents
County
LaPorte County
Metro area
Michigan City-La Porte, IN MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2003

Prices for common services

The 24 services Franciscan Health Michigan City 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

$7,207 - $16,855

from 4 insurers · median $9,504

Cigna$7,207
Insurer A*$8,868
Insurer B*$10,139
Insurer C*$16,855

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

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$3,364 - $12,287

from 4 insurers · median $6,026

Blue Cross$3,927
Insurer A*$3,364
Insurer B*$8,126
Insurer C*est.$12,287
Medicare $3,082Nearby hospitals $1,228391% above nearby hospitals

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

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$10,250 - $23,970

from 4 insurers · median $12,718

Cigna$10,250
Insurer A*$12,284
Insurer B*$13,152
Insurer C*$23,970

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$552 - $3,414

from 4 insurers · median $1,381

Aetna$846
Insurer A*$552
Insurer B*$1,916
Insurer C*$3,414
Medicare $332Nearby hospitals $515168% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Franciscan Health Michigan City

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*24
463%
150
Insurer B*24
290%
160
Insurer C*24
222%
180
Insurer D*24
176%
139

How we chose these services: 9 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 4 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 Franciscan Health Michigan City, 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 HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    3 of 5 stars

    • 140 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.99%)
    See quality ratings
  • Doctors and services

    Accredited by ACHC

    • No Medicare-funded residents
    • 40 services
    • 597 affiliated clinicians
    See doctors and services
  • Finances

    $415.2M net patient revenue

    • Operating margin on patient care 9.4%
    • $7.9M unreimbursed and uncompensated care
    • $63.9M net income
    See finances
  • Ownership and leadership

    Owned by Franciscan Alliance Inc

    • Church
    • Stacey Colleen Leva, 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 Franciscan Health Michigan City in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-0876394Franciscan Health Michigan City63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more1710051941 Franciscan Health Michigan City1679336747 Franciscan Health Michigan City1033284666 Franciscan Health Michigan Cityand 3 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

301 West Homer Street, Michigan City, IN 46360

(219) 879-8511

Get directions

Frequently asked questions

About Franciscan Health Michigan City's rates and hospital price transparency.

How much does a CT scan cost at Franciscan Health Michigan City?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Franciscan Health Michigan City range from $552 to $3,414 across 4 insurers. Aetna's rate is $846. The median at nearby comparable hospitals is $515. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Franciscan Health Michigan City?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Franciscan Health Michigan City range from $2,588 to $4,987 across 4 insurers. UnitedHealthcare's rate is $2,588. The median at nearby comparable hospitals is $1,021. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Franciscan Health Michigan City?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Franciscan Health Michigan City range from $7,207 to $16,855 across 4 insurers. Cigna's rate is $7,207. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Franciscan Health Michigan City?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Franciscan Health Michigan City range from $215 to $289 across 4 insurers. UnitedHealthcare's rate is $273. The median at nearby comparable hospitals is $121. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Franciscan Health Michigan City?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Franciscan Health Michigan City range from $20,620 to $48,849 across 4 insurers. Blue Cross Blue Shield's rate is $25,928. The median at nearby comparable hospitals is $21,165. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Franciscan Health Michigan City's CMS star rating?

Franciscan Health Michigan City 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 Franciscan Health Michigan City a teaching hospital?

CMS reports no Medicare-funded interns or residents at Franciscan Health Michigan City for fiscal year 2027.

Does Medicare penalize Franciscan Health Michigan City for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Franciscan Health Michigan City's base inpatient payments by an estimated 0.99% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Franciscan Health Michigan City?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (185 discharges), heart failure and shock with mcc (97 discharges), simple pneumonia and pleurisy with mcc (88 discharges).

What is Franciscan Health Michigan City's case mix index?

Franciscan Health Michigan City's Medicare case mix index is 1.67 for fiscal year 2027, higher than 48% 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
      }
    ]
  }]
}
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  • 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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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
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