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Short Term Acute Care HospitalProprietary

Midmichigan Medical Center – Alpena

MidMichigan Health · Alpena, MI

1501 West Chisholm Street, Alpena, MI 49707(989) 356-7390

3 of 5

CMS star rating

139

Beds

4,221

Inpatient discharges a year

$335.3M

Net patient revenue a year

33

In-network payers

About this hospital

Midmichigan Medical Center – Alpena is a 139-bed proprietary hospital in Alpena, MI, affiliated with MidMichigan Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 201 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
230036
NPI
1619914652
Health system
MidMichigan Health
Teaching
No Medicare-funded residents
County
Alpena County
Metro area
Alpena, MI MicroSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1973
Last CMS survey
2008

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)Centene

More about this hospital

  • Quality

    3 of 5 stars

    • 229 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.04%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 31 services
    • 381 affiliated clinicians
    See doctors and services
  • Finances

    $335.3M net patient revenue

    • Operating margin on patient care 4.2%
    • $10.4M unreimbursed and uncompensated care
    • $41.5M net income
    See finances
  • Ownership and leadership

    Owned by Mymichigan Health

    • Private (for profit)
    • Lydia Watson, 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 Midmichigan Medical Center – Alpena in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
38-6000029Mymichigan Medical Center Alpena43Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Asuris Northwest Health and 38 more1619914652 Mymichigan Medical Center Alpena1508332792 Mymichigan Medical Center Alpena1922048065 Mymichigan Medical Center Alpenaand 29 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

1501 West Chisholm Street, Alpena, MI 49707

(989) 356-7390

Get directions

Frequently asked questions

About Midmichigan Medical Center – Alpena's rates and hospital price transparency.

What is Midmichigan Medical Center – Alpena's CMS star rating?

Midmichigan Medical Center – Alpena 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 Midmichigan Medical Center – Alpena a teaching hospital?

CMS reports no Medicare-funded interns or residents at Midmichigan Medical Center – Alpena for fiscal year 2027.

Does Medicare penalize Midmichigan Medical Center – Alpena for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Midmichigan Medical Center – Alpena's base inpatient payments by an estimated 0.04% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Midmichigan Medical Center – Alpena?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (167 discharges), heart failure and shock with mcc (78 discharges), psychoses (54 discharges).

What is Midmichigan Medical Center – Alpena's case mix index?

Midmichigan Medical Center – Alpena's Medicare case mix index is 1.50 for fiscal year 2027, higher than 28% of hospitals paid under the inpatient prospective payment system.

How many patients does Midmichigan Medical Center – Alpena admit?

Midmichigan Medical Center – Alpena reported 4,221 inpatient discharges and 16,840 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Midmichigan Medical Center – Alpena have?

Midmichigan Medical Center – Alpena reported 746 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Midmichigan Medical Center – Alpena make?

Midmichigan Medical Center – Alpena reported $335.3M in net patient revenue on $943.3M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 4.2%, and net income of $41.5M.

How much charity and uncompensated care does Midmichigan Medical Center – Alpena provide?

Midmichigan Medical Center – Alpena reported $10.4M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $6.9M of charity care at cost.

Who is the CEO of Midmichigan Medical Center – Alpena?

Midmichigan Medical Center – Alpena's Medicare enrollment lists Lydia Watson as President/ceo since 2023.

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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  • 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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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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