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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Memorial Healthcare

Memorial Healthcare · Owosso, MI

826 West King Street, Owosso, MI 48867(989) 723-5211

3 of 5

CMS star rating

145

Beds

5,044

Inpatient discharges a year

$365.7M

Net patient revenue a year

35

In-network payers

About this hospital

Memorial Healthcare is a 145-bed voluntary non-profit - other hospital in Owosso, MI, affiliated with Memorial Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 373 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
CCN
230121
NPI
1063414233
Health system
Memorial Healthcare
Teaching
No Medicare-funded residents
County
Shiawassee County
Metro area
Owosso, MI MicroSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2015

Prices for common services

The 24 services Memorial Healthcare 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

$5,663 - $11,271

from 4 insurers · median $7,462

UnitedHealthcare$7,920
Insurer A*$5,663
Insurer B*$7,005
Insurer C*$11,271

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

$8,054 - $11,566

from 4 insurers · median $10,760

UnitedHealthcare$11,566
Insurer A*$8,054
Insurer B*$10,685
Insurer C*$10,834

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

$10,217 - $29,959

from 4 insurers · median $19,610

Blue Cross$29,959
Insurer A*$10,217
Insurer B*$16,131
Insurer C*$23,089
Medicare $12,031Nearby hospitals $32,65040% below nearby hospitals

26 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$7,385 - $27,999

from 3 insurers · median $8,162

Blue Cross$8,162
Insurer A*$7,385
Insurer B*$27,999
Medicare $5,655Nearby hospitals $7,05116% above nearby hospitals

34 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Memorial Healthcare

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*20
477%
01
Insurer B*24
138%
114
Insurer C*24
120%
35
Insurer D*15
89%
011

How we chose these services: 6 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 8 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 Memorial Healthcare, 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneComPsych

More about this hospital

  • Quality

    3 of 5 stars

    • 181 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.89%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 25 services
    • 360 affiliated clinicians
    See doctors and services
  • Finances

    $365.7M net patient revenue

    • Operating margin on patient care -2.0%
    • $21.4M unreimbursed and uncompensated care
    • $11.2M net income
    See finances
  • Ownership and leadership

    Other

    • 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 Memorial Healthcare in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
38-1358208Memorial Medical Associates57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1063414233 Memorial Hospital1396832507 Memorial Hospital1609073709 Memorial Hospitaland 20 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

826 West King Street, Owosso, MI 48867

(989) 723-5211

Get directions

Frequently asked questions

About Memorial Healthcare's rates and hospital price transparency.

How much does a CT scan cost at Memorial Healthcare?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Memorial Healthcare range from $277 to $3,383 across 4 insurers. Aetna's rate is $390. The median at nearby comparable hospitals is $532. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Memorial Healthcare?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Memorial Healthcare range from $321 to $4,930 across 4 insurers. Cigna's rate is $4,930. The median at nearby comparable hospitals is $999. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Memorial Healthcare?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Memorial Healthcare range from $5,663 to $11,271 across 4 insurers. UnitedHealthcare's rate is $7,920. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Memorial Healthcare?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Memorial Healthcare range from $83 to $198 across 3 insurers. UnitedHealthcare's rate is $83. The median at nearby comparable hospitals is $187. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Memorial Healthcare?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Memorial Healthcare range from $10,217 to $29,959 across 4 insurers. Blue Cross Blue Shield's rate is $29,959. The median at nearby comparable hospitals is $32,650. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Memorial Healthcare's CMS star rating?

Memorial Healthcare 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 Memorial Healthcare a teaching hospital?

CMS reports no Medicare-funded interns or residents at Memorial Healthcare for fiscal year 2027.

Does Medicare penalize Memorial Healthcare for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Memorial Healthcare's base inpatient payments by an estimated 0.89% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Memorial Healthcare?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (92 discharges), heart failure and shock with mcc (52 discharges), psychoses (49 discharges).

What is Memorial Healthcare's case mix index?

Memorial Healthcare's Medicare case mix index is 1.55 for fiscal year 2027, higher than 33% 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.

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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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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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