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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Munson Medical Center

Munson Healthcare · Traverse City, MI

1105 Sixth Street, Traverse City, MI 49684(231) 935-5000

4 of 5

CMS star rating

442

Beds

21,968

Inpatient discharges a year

$765.7M

Net patient revenue a year

33

In-network payers

About this hospital

Munson Medical Center is a 442-bed voluntary non-profit - other hospital in Traverse City, MI, affiliated with Munson Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 337 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
CCN
230097
NPI
1952307852
Health system
Munson Healthcare
Teaching
Teaching hospital
County
Grand Traverse County
Metro area
Traverse City, MI MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2012

Prices for common services

The 24 services Munson Medical Center 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

$4,029 - $6,385

from 2 insurers · median $5,207

Cigna$4,029
Insurer A*$6,385

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 neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$8,541 - $10,613

from 2 insurers · median $9,577

Cigna$8,541
Insurer A*$10,613

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 neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$390 - $3,242

from 4 insurers · median $647

Aetna$390
Insurer A*$501
Insurer B*$794
Insurer C*$3,242
Medicare $346Nearby hospitals $1,34452% below nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$17,183 - $27,308

from 2 insurers · median $22,246

Blue Cross$27,308
Insurer A*$17,183
Medicare $13,524Nearby hospitals $33,42733% below nearby hospitals

44 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Munson Medical Center

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*12
417%
91
Insurer B*23
136%
18
Insurer C*24
101%
019
Insurer D*11
97%
011

How we chose these services: 7 appear in this hospital's own Medicare claims, 11 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 Munson Medical Center, 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 HealthCenteneEMI Health

More about this hospital

  • Quality

    4 of 5 stars

    • 259 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.06%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 48 services, including trauma care
    • 968 affiliated clinicians
    See doctors and services
  • Finances

    $765.7M net patient revenue

    • Operating margin on patient care -0.1%
    • $15M unreimbursed and uncompensated care
    • $41.7M net income
    See finances
  • Ownership and leadership

    Owned by Munson Healthcare

    • Other
    • Joe Hurshe, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Munson Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
38-1362830(multi-state) Munson Medical Center64Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 59 more1952307852 Munson Medical Center1922030162 Munson Medical Center1205864220 Munson Medical Centerand 54 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

1105 Sixth Street, Traverse City, MI 49684

(231) 935-5000

Get directions

Frequently asked questions

About Munson Medical Center's rates and hospital price transparency.

How much does an MRI cost at Munson Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Munson Medical Center range from $355 to $3,829 across 4 insurers. Aetna's rate is $410. The median at nearby comparable hospitals is $1,389. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Munson Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Munson Medical Center range from $390 to $3,242 across 4 insurers. Aetna's rate is $390. The median at nearby comparable hospitals is $1,344. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Munson Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Munson Medical Center range from $4,029 to $6,385 across 2 insurers. Cigna's rate is $4,029. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Munson Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Munson Medical Center range from $146 to $330 across 4 insurers. Aetna's rate is $146. The median at nearby comparable hospitals is $283. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Munson Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Munson Medical Center range from $17,183 to $27,308 across 2 insurers. Blue Cross Blue Shield's rate is $27,308. The median at nearby comparable hospitals is $33,427. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Munson Medical Center's CMS star rating?

Munson Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Munson Medical Center a teaching hospital?

Yes. CMS counts 0.04 Medicare-funded residents per bed at Munson Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Munson Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Munson Medical Center's base inpatient payments by an estimated 0.06% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Munson Medical Center?

In 2024, the most common were heart failure and shock with mcc (215 discharges), septicemia or severe sepsis without mv >96 hours with mcc (211 discharges), circulatory disorders except ami, with cardiac catheterization with mcc (136 discharges).

What is Munson Medical Center's case mix index?

Munson Medical Center's Medicare case mix index is 2.07 for fiscal year 2027, higher than 82% 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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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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  • Missing, duplicate and outdated charge lines identified
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  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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