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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Hillsdale Hospital

Hillsdale, MI

168 South Howell Street, Hillsdale, MI 49242(517) 437-4451

3 of 5

CMS star rating

93

Beds

1,494

Inpatient discharges a year

$94.1M

Net patient revenue a year

36

In-network payers

About this hospital

Hillsdale Hospital is a 93-bed voluntary non-profit - private hospital in Hillsdale, MI. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 331 disclosed rate categories.

  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
230037
NPI
1730115940
Teaching
No Medicare-funded residents
County
Hillsdale County
Metro area
Hillsdale, MI MicroSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2016

Prices for common services

The 24 services Hillsdale 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

$4,988 - $23,143

from 4 insurers · median $6,781

UnitedHealthcare$7,730
Insurer A*$4,988
Insurer B*$5,833
Insurer C*$23,143

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

$6,651 - $22,561

from 4 insurers · median $10,635

UnitedHealthcare$11,281
Insurer A*$6,651
Insurer B*$9,989
Insurer C*$22,561

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$14,576 - $25,703

from 4 insurers · median $23,028

Blue Cross$25,703
Insurer A*$14,576
Insurer B*$22,995
Insurer C*$23,060
Medicare $13,366Nearby hospitals $23,825In line with nearby hospitals

15 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$323 - $2,301

from 4 insurers · median $583

Aetna$323
Insurer A*$367
Insurer B*$800
Insurer C*$2,301
Medicare $326Nearby hospitals $577In line with nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Hillsdale 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*21
524%
83
Insurer B*21
253%
01
Insurer C*24
117%
514
Insurer D*23
71%
117

How we chose these services: 2 appear in this hospital's own Medicare claims, 16 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 Hillsdale 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 HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    3 of 5 stars

    • 180 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.08%)
    See quality ratings
  • Doctors and services

    Accredited by ACHC

    • No Medicare-funded residents
    • 26 services
    • 184 affiliated clinicians
    See doctors and services
  • Finances

    $94.1M net patient revenue

    • Operating margin on patient care 1.0%
    • $18.1M unreimbursed and uncompensated care
    • $5.9M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • 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 Hillsdale 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
38-6005550(multi-state) Hillsdale Hospital63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more1730115940 Hillsdale Community Health Center1972534360 Hillsdale Community Health Center1659317550 Hillsdale Community Health Centerand 13 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

168 South Howell Street, Hillsdale, MI 49242

(517) 437-4451

Get directions

Frequently asked questions

About Hillsdale Hospital's rates and hospital price transparency.

How much does an MRI cost at Hillsdale Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hillsdale Hospital range from $193 to $2,034 across 4 insurers. Cigna's rate is $900. The median at nearby comparable hospitals is $512. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Hillsdale Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Hillsdale Hospital range from $323 to $2,301 across 4 insurers. Aetna's rate is $323. 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 giving birth cost at Hillsdale Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Hillsdale Hospital range from $4,988 to $23,143 across 4 insurers. UnitedHealthcare's rate is $7,730. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Hillsdale Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hillsdale Hospital range from $100 to $194 across 4 insurers. Blue Cross Blue Shield's rate is $194. The median at nearby comparable hospitals is $209. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Hillsdale Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Hillsdale Hospital range from $14,576 to $25,703 across 4 insurers. Blue Cross Blue Shield's rate is $25,703. The median at nearby comparable hospitals is $23,825. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Hillsdale Hospital's CMS star rating?

Hillsdale 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 Hillsdale Hospital a teaching hospital?

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

Does Medicare penalize Hillsdale Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Hillsdale Hospital's base inpatient payments by an estimated 0.08% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were heart failure and shock with mcc (25 discharges), simple pneumonia and pleurisy with cc (16 discharges), pulmonary edema and respiratory failure (15 discharges).

What is Hillsdale Hospital's case mix index?

Hillsdale Hospital's Medicare case mix index is 1.52 for fiscal year 2027, higher than 30% 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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Chargemaster analysis

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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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  • 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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