CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$2,536 - $6,386
from 4 insurers · median $2,617
Typical for a hospital with this service line
Upper Peninsula Health Care Solutions · Munising, MI
Not rated by CMS
CMS star rating
11
Beds
91
Inpatient discharges a year
$12.7M
Net patient revenue a year
32
In-network payers
Munising Memorial Hospital is an 11-bed voluntary non-profit - private hospital in Munising, MI, affiliated with Upper Peninsula Health Care Solutions. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 158 disclosed rate categories.
The 24 services Munising Memorial 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.
CT imaging
CPT 74177
$2,536 - $6,386
from 4 insurers · median $2,617
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,167 - $3,372
from 4 insurers · median $2,420
Typical for a hospital with this service line
Mammography
CPT 77067
$535 - $710
from 4 insurers · median $572
Typical for a hospital with this service line
CT imaging
CPT 74176
$927 - $4,739
from 3 insurers · median $1,891
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,536 - $6,315
from 4 insurers · median $3,691
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,516 - $1,907
from 3 insurers · median $1,847
Typical for a hospital with this service line
MRI imaging
CPT 72148
$927 - $4,539
from 4 insurers · median $3,836
Typical for a hospital with this service line
CT imaging
CPT 70450
$482 - $972
from 3 insurers · median $536
Typical for a hospital with this service line
MRI imaging
CPT 70551
$927 - $4,243
from 3 insurers · median $3,179
Typical for a hospital with this service line
MRI imaging
CPT 73721
$927 - $4,746
from 4 insurers · median $3,903
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$115 - $211
from 4 insurers · median $168
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$672 - $3,137
from 4 insurers · median $1,221
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$507 - $2,488
from 4 insurers · median $1,124
Typical for a hospital with this service line
Ultrasound
CPT 76705
$482 - $562
from 4 insurers · median $514
Typical for a hospital with this service line
Ultrasound
CPT 76830
$482 - $901
from 4 insurers · median $708
Typical for a hospital with this service line
Ultrasound
CPT 76642
$115 - $1,387
from 4 insurers · median $563
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$482 - $878
from 4 insurers · median $538
Typical for a hospital with this service line
Mammography
CPT 77065
$339 - $733
from 4 insurers · median $597
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$104 - $139
from 4 insurers · median $119
Typical for a hospital with this service line
Mammography
CPT 77066
$700 - $900
from 4 insurers · median $737
Typical for a hospital with this service line
Ultrasound
CPT 76856
$482 - $657
from 4 insurers · median $551
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$297 - $1,472
from 4 insurers · median $509
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$207
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58571
$9,186
negotiated rate
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 18 | 812% | 5 | 4 |
| Insurer B* | 24 | 762% | 16 | 8 |
| Insurer C* | 22 | 583% | 7 | 12 |
| Insurer D* | 22 | 502% | 7 | 13 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Munising Memorial Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.





Quality
Not rated by CMS
Doctors and services
13 services
Finances
$12.7M net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for Munising Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 38-1507046Munising Memorial Hospital | 47Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 42 more | 1417035536 Munising Memorial Hospital Association1043562762 Munising Memorial Hospital1629120415 Munising Memorial Hospital Associationand 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.
1500 Sand Point Road, Munising, MI 49862
(906) 387-4110
How Munising Memorial Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Readmissions
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Time in the ER before going home
106 min
Lower than 85% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
| Measure | Result | Period |
|---|---|---|
| Readmissions | No different on 2 measures | |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 106 min | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-09-30. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
Each result CMS publishes for Munising Memorial Hospital, beside the US median and the average of MI hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Munising Memorial Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.186 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 | Not Available | 3.903 | |||
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.376 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.576 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 11.26 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 15.18 | |||
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 11.95 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 | Not Available | 0.6149 | |||
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 178 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 | Not Available | 0.2198 | |||
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 | Not Available | 0.2762 | |||
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.378 | |||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.689 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.51 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.553 | |||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.252 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.76 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.117 | |||
| CMS Medicare PSI 90: Patient safety and adverse events composite2022-07-01 to 2024-06-30 | Not Available | 1.007 |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Munising Memorial Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 9.875 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 2.533 | |||
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 | Not Available | 5.307 | |||
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 48 cases | 12.8 | 12.9 | 12.94 | No Different Than the National Rate | Better than 55% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.6 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.333 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 0.9865 | |||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.28 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.41 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 | Not Available | 19.73 | |||
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 21.19 | |||
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.984 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 17.08 |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Munising Memorial Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2592 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.909 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | Not Available | 4,065 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 4.274 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.649 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6721 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1561 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.389 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | Not Available | 4,188 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 5.413 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 2.168 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3966 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4382 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.741 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 118 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 3.112 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 3.074 | |||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 1.049 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.6144 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 4.322 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 75.28 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.6545 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.9634 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.462 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2675 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.176 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | Not Available | 42,903 | |||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 2.796 | |||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.826 | |||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7532 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1572 | |||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.134 | |||
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | Not Available | 40,305 | |||
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 21.05 | |||
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | Not Available | 6.934 | |||
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | Not Available | 0.3227 |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Munising Memorial Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 | Not Available | 69.3 | |||
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 | Not Available | 10.85 | |||
| Room was "usually" clean2024-10-01 to 2025-09-30 | Not Available | 19.85 | |||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 84.11 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.86 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 79.59 | |||
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 91.42 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 4.111 | |||
| Nurse communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.5 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 16.3 | |||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 | Not Available | 78.2 | |||
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 90.27 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 | Not Available | 5.521 | |||
| Doctor communication - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.07 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 | Not Available | 16.28 | |||
| Staff "always" explained2024-10-01 to 2025-09-30 | Not Available | 61.03 | |||
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 76.51 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 | Not Available | 19.58 | |||
| Communication about medicines - star rating2024-10-01 to 2025-09-30 | Not Applicable | 2.63 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 | Not Available | 19.38 | |||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 85.82 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 | Not Available | 13.17 | |||
| Discharge information - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.35 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 | Not Available | 86.83 | |||
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 14.7 | |||
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 | Not Available | 85.3 | |||
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 72.65 | |||
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 7.064 | |||
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 20.28 | |||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 75.91 | |||
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 6.191 | |||
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 17.9 | |||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 84.26 | |||
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 3.827 | |||
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 11.91 | |||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 | Not Available | 9.248 | |||
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 | Not Available | 21.47 | |||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 | Not Available | 69.28 | |||
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 87.04 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.12 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 | Not Available | 74.28 | |||
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 | Not Available | 9.173 | |||
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 | Not Available | 16.55 | |||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 74.9 | |||
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 5.573 | |||
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 | Not Available | 19.53 | |||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 | Not Available | 76.58 | |||
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 | Not Available | 4.364 | |||
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 | Not Available | 19.05 | |||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 85.7 | |||
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 2.773 | |||
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 | Not Available | 11.53 | |||
| "Always" quiet at night2024-10-01 to 2025-09-30 | Not Available | 56.73 | |||
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 | Not Available | 11.16 | |||
| "Usually" quiet at night2024-10-01 to 2025-09-30 | Not Available | 32.11 | |||
| Quietness - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 80.12 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.12 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 | Not Available | 6.291 | |||
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 68.51 | |||
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 | Not Applicable | 85.75 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 | Not Available | 25.2 | |||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.39 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 46.3 | |||
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 30.8 | |||
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 | Not Available | 22.9 | |||
| Summary star rating2024-10-01 to 2025-09-30 | Not Applicable | 3.21 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 12.2 | |||
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 | Not Available | 87.8 |
How often the hospital gave recommended care, and how fast.
| Measure | Munising Memorial Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.08 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 0.9722 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.4118 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 106 cases | 94 | 79 | 74.71 | Better than 83% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 310 cases | 122 | 154 | 167 | Better than 77% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 263 cases | 106 | 148 | 161 | Better than 85% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 15 cases | 143 | 247 | 300 | Better than 90% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 35 cases | 277 | 293 | 338 | Better than 57% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 2,364 cases | 0 | 1 | 1.933 | The best result, shared by 23% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 73.42 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 | Not Available | 93.2 | |||
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 39.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 | Not Available | 15.67 | |||
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 | Not Available | 59.69 | |||
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 69.54 | |||
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 83.94 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 77.12 | |||
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 90.36 | |||
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 0 cases | Not Available | 94.44 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 · 0 cases | Not Available | 69.44 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 91.64 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 56 cases | 73 | 90 | 82.06 | Worse than 78% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 91 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Munising Memorial Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3.8 | 5 | 6.103 | Better than 64% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 1.1 | 6.6 | 7.033 | Better than 99% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Munising Memorial Hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | Not Available | 0.9406 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
Not accredited
Accreditation
Limited
Medical school affiliation
Private (not for profit)
Ownership type
25
Medicare-certified beds
14
Registered nurses (full-time equivalent)
2000
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Munising Memorial Hospital reported to Medicare in its latest cost report, covering Apr 1, 2025 to Mar 31, 2026.
91
Inpatient discharges
Medicare 42%, Medicaid 3%
810
Inpatient days
20% of available bed days used
65
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 842584). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Munising Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 414 | 2 | 394 | 810 |
| Discharges | 38 | 3 | 50 | 91 |
| Average length of stay | 10.9 days | 0.7 days | 7.9 days | 8.9 days |
| Average daily census | 1.1 | 0.0 | 1.1 | 2.2 |
14
Medicaid managed care days
8 discharges
165
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 11 | 268 | 110 | 7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842584, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
ZIP codes with the most Medicare inpatient stays at Munising Memorial Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 19 in 2020 to 17 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 49862 | 17 | 100% | 45 | $141,052 | 12% | 13% |
Source: CMS Hospital Service Area file. Shares are of the 17 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Munising Memorial Hospital reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
1
Endoscopy rooms
1
Off-site locations
1
Off-site emergency departments
14
Registered nurses
2
Licensed practical nurses
3
Physicians
1
Nurse practitioners
3
Physician assistants
1
Pharmacists
5
Radiology technicians
3
Laboratory technicians
2
Medical technologists
2
Dietitians
34
Other personnel
Source: CMS Provider of Services file.
22 clinicians who bill Medicare list Munising Memorial Hospital as a hospital affiliation. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Zachary Smith, MD
Diagnostic Radiology Physician
NPI 1750720629
See commercial rates for Zachary Smith, MDNiksa Vlasic, M.D.
Diagnostic Radiology Physician
NPI 1669449625
See commercial rates for Niksa Vlasic, M.D.Erich Smith, MD
Diagnostic Radiology Physician
NPI 1023577392
See commercial rates for Erich Smith, MDRoy Meland, D.O.
Psychiatry Physician
NPI 1376500330
See commercial rates for Roy Meland, D.O.Christopher Steele, MD
Internal Medicine Physician
NPI 1366949299
See commercial rates for Christopher Steele, MDJake Eisenschink, DPM
Foot & Ankle Surgery Podiatrist
NPI 1194286997
See commercial rates for Jake Eisenschink, DPMJerry Jurecic, CRNA
Certified Registered Nurse Anesthetist
NPI 1821335902
See commercial rates for Jerry Jurecic, CRNAPatrick Bulinski, M.D.
Surgery Physician
NPI 1003813668
See commercial rates for Patrick Bulinski, M.D.Timothy Benac, PA-C
Physician Assistant
NPI 1790758076
See commercial rates for Timothy Benac, PA-CJamie Hill, DNP, ACNP-BC
Acute Care Nurse Practitioner
NPI 1134487796
See commercial rates for Jamie Hill, DNP, ACNP-BCCindy Boudreaux, MD
Psychiatry Physician
NPI 1356801302
See commercial rates for Cindy Boudreaux, MDJeffrey Shipkey, D.O.
General Practice Physician
NPI 1659354256
See commercial rates for Jeffrey Shipkey, D.O.Bonnie Kilpela, P.A.
Physician Assistant
NPI 1326022286
See commercial rates for Bonnie Kilpela, P.A.Rodney Riesland, NP
Primary Care Nurse Practitioner
NPI 1013998574
See commercial rates for Rodney Riesland, NPMark Cecilio, MD
Student in an Organized Health Care Education/Training Program
NPI 1487889903
See commercial rates for Mark Cecilio, MDDylan Koenig, PA
Physician Assistant
NPI 1780156232
See commercial rates for Dylan Koenig, PAChristopher Faber, MD
Family Medicine Physician
NPI 1417243973
See commercial rates for Christopher Faber, MDJacob Mackenzie, PA-C
Physician Assistant
NPI 1447287305
See commercial rates for Jacob Mackenzie, PA-CPaul Haduck, DO
Family Medicine Physician
NPI 1679587174
See commercial rates for Paul Haduck, DOSara Carter, FNP-C
Family Nurse Practitioner
NPI 1841694734
See commercial rates for Sara Carter, FNP-CStephanie Wuest, MD
Family Medicine Physician
NPI 1932330818
See commercial rates for Stephanie Wuest, MDBridget Stoetzer
Physician Assistant
NPI 1952013575
See commercial rates for Bridget StoetzerSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Munising Memorial Hospital reported to Medicare for Apr 1, 2025 to Mar 31, 2026. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $23.5M | 185.7% |
| Inpatient | $2.6M | 20.1% |
| Outpatient | $21M | 165.6% |
| Contractual allowances and discounts | -$10.9M | -85.7% |
| Net patient revenue | $12.7M | 100.0% |
| Operating expenses | -$15.7M | -123.7% |
| Operating income from patient care | -$3M | -23.7% |
| Other income | $4.2M | 33.2% |
| Contributions and donations | $1.3M | 10.4% |
| Investment income | $306,071 | 2.4% |
| Other | $2.6M | 20.5% |
| Net income | $1.2M | 9.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $5.5M | 24.4% |
| Medicaid (including managed care) | $2.4M | 10.5% |
| Other payers and self-pay | $14.7M | 65.2% |
| Total charges | $22.6M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842584, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Munising Memorial Hospital's latest cost report.
-23.7%
Operating margin
Operating income from patient care / net patient revenue
7.2%
Total margin
Net income / net patient revenue plus other income
11.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
6.7%
Return on assets
Net income for a year / total assets
15.2%
Return on equity
Net income for a year / fund balance
0.86
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
4.32
Current ratio
Current assets / current liabilities
4.10
Quick ratio
Cash, temporary investments and net receivables / current liabilities
152 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
67 days
Days in patient receivables
Net patient receivables / daily net patient revenue
51 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.93
Asset turnover
Total revenue for a year / total assets
21.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 842584, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Munising Memorial Hospital owned and owed at the end of its reporting period (Mar 2026), across all fund types: $18.2M in total assets and a $8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $6.2M | 34.2% |
| Patient receivables, net | $2.3M | 12.8% |
| Inventory | $90,297 | 0.5% |
| Total current assets | $9M | 49.5% |
| Property and equipment, net of depreciation | $4.6M | 25.4% |
| Investments and other assets | $4.6M | 25.0% |
| Total assets | $18.2M | 100.0% |
| Current liabilities | $2.1M | 11.5% |
| Long-term debt | $6.9M | 37.9% |
| Total liabilities | $10.2M | 56.1% |
| Fund balance (net assets) | $8M | 43.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 842584, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Munising Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$51,019
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$474,851
Bad debt
Patient bills written off as uncollectible, at charges
$636,673
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$351
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$976,839
Total unreimbursed and uncompensated care
6.2% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 842584, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Munising Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Mar 2021 | Mar 2022 | Mar 2023 | Mar 2024 | Mar 2025 | Mar 2026 |
|---|---|---|---|---|---|---|
| Net patient revenue | $11.3M | $12.1M | $11.2M | $12M | $12.8M | $12.7M |
| Operating expenses | $11.8M | $12.8M | $13.1M | $13.3M | $14.6M | $15.7M |
| Operating margin | -4.3% | -5.5% | -17.7% | -11.1% | -14.5% | -23.7% |
| Net income | $2.3M | $1.1M | $261,376 | $520,851 | $1.7M | $1.2M |
| Total assets | $16M | $13.8M | $13.5M | $15.4M | $17.3M | $18.2M |
| Discharges | 81 | 118 | 99 | 97 | 87 | 91 |
| Inpatient days | 835 | 1,308 | 1,134 | 980 | 896 | 810 |
| Beds | 11 | 11 | 11 | 11 | 11 | 11 |
| Employees (FTE) | 54 | 60 | 59 | 60 | 58 | 65 |
Source: CMS cost report (HCRIS, Form 2552-10), report 842584, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Munising Memorial Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Rural health clinic | $1.3M | $2.8M | $2.7M | 1.04 | 5,938 |
| Emergency | $1.9M | $2.7M | $1.7M | 1.60 | 5,492 |
| Laboratory | $439,509 | $1.6M | $4.2M | 0.37 | 2,775 |
| Radiology-diagnostic | $454,154 | $1.4M | $6.4M | 0.21 | 4,937 |
| Physical therapy | $868,653 | $1.8M | 0.47 | 3,170 | |
| Senior life solutions | $738,810 | $2.1M | 0.35 | 1,068 | |
| Drugs charged to patients | $686,681 | $1.1M | 0.60 | 163 | |
| Observation beds (non-distinct part | $551,442 | $389,572 | 1.42 | ||
| Occupational therapy | $90,605 | $56,303 | 1.61 | 104 | |
| Clinic | $8,900 | $77,270 | $110,916 | 0.70 | |
| Medical supplies charged to patient | $23,156 | $20,611 | 1.12 | ||
| Other outpatient services | $7,114 | $91,419 | 0.08 | ||
| Electrocardiology | $3,737 | $78,979 | 0.05 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.3M | $3.2M | $1.7M | 1.85 | 5,251 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $619,633 | $2.4M | 14,195 | ||
| Operation of plant | $73,716 | $583,989 | 5,041 | ||
| Cap rel costs-bldg & fixt | $366,363 | 54,636 | |||
| Cap rel costs-mvble equip | $361,067 | ||||
| Housekeeping | $200,004 | $342,048 | 1,290 | ||
| Employee benefits department | $80,943 | $290,933 | 312 | ||
| Medical records & library | $194,620 | $286,275 | 1,083 | ||
| Nursing administration | $220,616 | $265,842 | 151 | ||
| Laundry & linen service | $158,396 | 631 | |||
| Pharmacy | $102,289 | $134,615 | |||
| Central services & supply | $45,824 | $75,212 | |||
| Dietary | $31,231 | $59,532 | 653 | ||
| Cafeteria | $21,945 | 2,382 |
Source: CMS cost report (HCRIS, Form 2552-10), report 842584, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The officers and board members on Munising Memorial Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 2 of 3 are shown.
Munising Memorial Hospital Association files the Form 990 for the tax ID insurers list for Munising Memorial Hospital, so these people may lead the wider organization rather than Munising Memorial Hospital alone.
| Name | Title |
|---|---|
| Jim Parker | CEO (until Mar 2025) |
| Christi Salo | CNO |
| Barbara Cromell | CFO |
| Dennis Smith | Interim CEO (beg Mar 2025) |
| Marilyn Beverly | President |
| Kathy Reynolds | Vice President |
| John Madigan | Treasurer |
| Ruth Ann Pokela | Secretary |
Board members: Wade Cross, Larry Bauer, Andy Reichert.
Source: IRS Form 990 Part VII filed by Munising Memorial Hospital Association (EIN 38-1507046), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2012
340B ID CAH231308-00, registered as a critical access hospital; 1 active contract pharmacies. Authorizing official: Andrew Gaunt, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
AdvantagePoint Health Alliance - Great Lakes, LLC
ACO A4652, current agreement since 2024. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Munising Memorial Hospital's legal name.
Munising memorial hospital
CCN 23Z308, certified 2016, Medicare cost reimbursed
Munising memorial hospital
CCN 238650, certified 2012, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Munising Memorial Hospital's latest Medicare cost report (HCRIS).
About Munising Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Munising Memorial Hospital range from $2,536 to $6,315 across 4 insurers. Blue Cross Blue Shield's rate is $2,536. The median at nearby comparable hospitals is $4,012. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Munising Memorial Hospital range from $2,536 to $6,386 across 4 insurers. Aetna's rate is $2,669. The median at nearby comparable hospitals is $3,401. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Munising Memorial Hospital range from $672 to $3,137 across 4 insurers. Aetna's rate is $3,137. The median at nearby comparable hospitals is $3,871. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Munising Memorial Hospital range from $535 to $710 across 4 insurers. Aetna's rate is $535. The median at nearby comparable hospitals is $313. What a patient pays depends on their plan's deductible, coinsurance and network status.
Munising Memorial Hospital reported 91 inpatient discharges and 810 inpatient days from Apr 1, 2025 to Mar 31, 2026.
Munising Memorial Hospital reported 65 full-time-equivalent employees on payroll from Apr 1, 2025 to Mar 31, 2026.
Munising Memorial Hospital reported $12.7M in net patient revenue on $23.5M of gross charges for Apr 1, 2025 to Mar 31, 2026, an operating margin of -23.7%, and net income of $1.2M.
Munising Memorial Hospital reported $976,839 of unreimbursed and uncompensated care for Apr 1, 2025 to Mar 31, 2026, including $51,019 of charity care at cost.
Insurers' price transparency files list Munising Memorial Hospital under employer identification number 38-1507046 (Munising Memorial Hospital). 47 health plans and networks list 38-1507046 for it.
Yes. HRSA's 340B database lists Munising Memorial Hospital (340B ID CAH231308-00) as a participating critical access hospital since 2012, with 1 active contract pharmacies.
22 clinicians who bill Medicare list Munising Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are physician assistant (5), diagnostic radiology physician (3), family medicine physician (3).
CMS's Provider of Services file lists no accrediting organization for Munising Memorial Hospital; it is certified for Medicare through state survey.
CMS lists 13 services at Munising Memorial Hospital, including Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care, Emergency Department, OT (Occupational Therapy).
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Munising Memorial Hospital came from ZIP codes 49862 (17).
Munising Memorial Hospital has 11 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 25 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Critical Access Hospital.
Munising Memorial Hospital is located at 1500 Sand Point Road, Munising, MI 49862. Its main phone number is (906) 387-4110.
Munising Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 231308.
The National Provider Identifier (NPI) on file for Munising Memorial Hospital is 1417035536.
Munising Memorial Hospital is affiliated with Upper Peninsula Health Care Solutions.
Munising Memorial Hospital lists 32 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
158 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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