PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

Promedica Charles And Virginia Hickman Hospital

ProMedica Health System · Adrian, MI

818 Riverside Avenue, Adrian, MI 49221(517) 265-0900

3 of 5

CMS star rating

58

Beds

3,031

Inpatient discharges a year

$153.6M

Net patient revenue a year

22

In-network payers

About this hospital

Promedica Charles And Virginia Hickman Hospital is a 58-bed voluntary non-profit - private hospital in Adrian, MI, affiliated with ProMedica Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 22 in-network payers and 284 disclosed rate categories.

  • Medicare-dependent hospital
  • Disproportionate share hospital
CCN
230005
NPI
1972564730
Health system
ProMedica Health System
Teaching
No Medicare-funded residents
County
Lenawee County
Metro area
Adrian, MI MicroSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2012

Prices for common services

The 24 services Promedica Charles And Virginia Hickman 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

$5,899 - $9,439

from 3 insurers · median $7,352

Cigna$9,439
Insurer A*$5,899
Insurer B*$7,352

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

$8,012 - $16,265

from 3 insurers · median $13,611

Cigna$16,265
Insurer A*$8,012
Insurer B*$13,611

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

$360 - $3,900

from 3 insurers · median $597

Aetna$360
Insurer A*$597
Insurer B*$3,900
Medicare $340Nearby hospitals $47326% above nearby hospitals

Common here, based on CMS Medicare volume

Mammography

Screening mammography, bilateral

CPT 77067

$151 - $610

from 3 insurers · median $238

UnitedHealthcare$610
Insurer A*$151
Insurer B*$238
Medicare $88Nearby hospitals $14762% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Promedica Charles And Virginia Hickman 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*12
773%
120
Insurer B*24
166%
140
Insurer C*20
101%
58
Insurer D*5
-
01

How we chose these services: 3 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 7 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 Promedica Charles And Virginia Hickman 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)
Aspirus Health PlanAvera Health PlansBanner HealthEMI HealthGroup Health Cooperative of South Central WisconsinHarvard Pilgrim Health Care (Point32Health)

More about this hospital

  • Quality

    3 of 5 stars

    • 172 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by ACHC

    • No Medicare-funded residents
    • 34 services
    • 553 affiliated clinicians
    See doctors and services
  • Finances

    $153.6M net patient revenue

    • Operating margin on patient care 20.2%
    • $2.9M unreimbursed and uncompensated care
    • $2.9M net income
    See finances
  • Ownership and leadership

    Owned by ProMedica Health System Inc

    • Private (not for profit)
    • Arturo Polizzi, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Promedica Charles And Virginia Hickman 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
38-2796005(multi-state) Emma L Bixby Medical Center38Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 33 more1972564730 Emma L. Bixby Medical Center1871800722 Emma L Bixby Medical Center1114354081 Emma L Bixby Medical Centerand 2 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

818 Riverside Avenue, Adrian, MI 49221

(517) 265-0900

Get directions

Frequently asked questions

About Promedica Charles And Virginia Hickman Hospital's rates and hospital price transparency.

How much does an MRI cost at Promedica Charles And Virginia Hickman Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Promedica Charles And Virginia Hickman Hospital range from $355 to $3,044 across 3 insurers. Aetna's rate is $382. The median at nearby comparable hospitals is $402. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Promedica Charles And Virginia Hickman Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Promedica Charles And Virginia Hickman Hospital range from $360 to $3,900 across 3 insurers. Aetna's rate is $360. The median at nearby comparable hospitals is $473. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Promedica Charles And Virginia Hickman Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Promedica Charles And Virginia Hickman Hospital range from $608 to $1,196 across 2 insurers. Blue Cross Blue Shield's rate is $1,196. The median at nearby comparable hospitals is $1,023. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Promedica Charles And Virginia Hickman Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Promedica Charles And Virginia Hickman Hospital range from $5,899 to $9,439 across 3 insurers. Cigna's rate is $9,439. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Promedica Charles And Virginia Hickman Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Promedica Charles And Virginia Hickman Hospital range from $151 to $610 across 3 insurers. UnitedHealthcare's rate is $610. The median at nearby comparable hospitals is $147. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Promedica Charles And Virginia Hickman Hospital's CMS star rating?

Promedica Charles And Virginia Hickman 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 Promedica Charles And Virginia Hickman Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Promedica Charles And Virginia Hickman Hospital for fiscal year 2027.

Does Medicare penalize Promedica Charles And Virginia Hickman Hospital for readmissions?

No. Promedica Charles And Virginia Hickman Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Promedica Charles And Virginia Hickman Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (124 discharges), heart failure and shock with mcc (89 discharges), pulmonary edema and respiratory failure (47 discharges).

What is Promedica Charles And Virginia Hickman Hospital's case mix index?

Promedica Charles And Virginia Hickman Hospital's Medicare case mix index is 1.59 for fiscal year 2027, higher than 38% 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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster