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Short Term Acute Care HospitalGovernment - Local

Promedica Coldwater Regional Hospital

ProMedica Health System · Coldwater, MI

274 East Chicago Street, Coldwater, MI 49036(517) 279-5400

2 of 5

CMS star rating

75

Beds

1,577

Inpatient discharges a year

$73.5M

Net patient revenue a year

33

In-network payers

About this hospital

Promedica Coldwater Regional Hospital is a 75-bed government - local hospital in Coldwater, MI, affiliated with ProMedica Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 380 disclosed rate categories.

  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
230022
NPI
1063471639
Health system
ProMedica Health System
Teaching
No Medicare-funded residents
County
Branch County
Metro area
Coldwater, MI MicroSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2016

Prices for common services

The 24 services Promedica Coldwater Regional 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

$4,085 - $6,679

from 3 insurers · median $6,405

Aetna$6,405
Insurer A*$4,085
Insurer B*$6,679

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

$5,532 - $11,669

from 3 insurers · median $9,109

Aetna$9,109
Insurer A*$5,532
Insurer B*$11,669

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

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$4,085 - $6,679

from 3 insurers · median $6,405

Aetna$6,405
Insurer A*$4,085
Insurer B*$6,679

CMS lists this service as CPT 59610, 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

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$24,016 - $41,935

from 2 insurers · median $32,976

Blue Cross$41,935
Insurer A*$24,016
Medicare $27,950Nearby hospitals $41,97221% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

How the insurers pay at Promedica Coldwater Regional 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*24
97%
28
Insurer B*16
96%
81
Insurer C*24
78%
010

How we chose these services: 2 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 11 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 Coldwater Regional 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)Centene

More about this hospital

  • Quality

    2 of 5 stars

    • 150 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.61%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

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

    $73.5M net patient revenue

    • Operating margin on patient care -19.3%
    • $4.3M unreimbursed and uncompensated care
    • -$11.4M net income
    See finances
  • Ownership and leadership

    Owned by Firdaus Foundation

    • Local
    • Atif Bawahab, 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 Promedica Coldwater Regional 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
38-6108110Community Health Center Of Branch County61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 56 more1063471639 Community Health Center Of Branch County1548205586 Community Health Center Of Branch County1124055009 Community Health Center Of Branch Countyand 28 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

274 East Chicago Street, Coldwater, MI 49036

(517) 279-5400

Get directions

Frequently asked questions

About Promedica Coldwater Regional Hospital's rates and hospital price transparency.

How much does a CT scan cost at Promedica Coldwater Regional Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Promedica Coldwater Regional Hospital range from $277 to $515 across 3 insurers. Aetna's rate is $390. The median at nearby comparable hospitals is $601. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Promedica Coldwater Regional Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Promedica Coldwater Regional Hospital range from $857 to $949 across 2 insurers. UnitedHealthcare's rate is $949. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Promedica Coldwater Regional Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Promedica Coldwater Regional Hospital range from $4,085 to $6,679 across 3 insurers. Aetna's rate is $6,405. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Promedica Coldwater Regional Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Promedica Coldwater Regional Hospital range from $83 to $209 across 3 insurers. Aetna's rate is $146. The median at nearby comparable hospitals is $206. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Promedica Coldwater Regional Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Promedica Coldwater Regional Hospital range from $12,480 to $30,026 across 3 insurers. Blue Cross Blue Shield's rate is $30,026. The median at nearby comparable hospitals is $23,931. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Promedica Coldwater Regional Hospital's CMS star rating?

Promedica Coldwater Regional Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Promedica Coldwater Regional Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Promedica Coldwater Regional Hospital for fiscal year 2027.

Does Medicare penalize Promedica Coldwater Regional Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Promedica Coldwater Regional Hospital's base inpatient payments by an estimated 0.61% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Promedica Coldwater Regional Hospital?

In 2024, the most common were heart failure and shock with mcc (38 discharges), kidney and urinary tract infections without mcc (33 discharges), simple pneumonia and pleurisy with mcc (30 discharges).

What is Promedica Coldwater Regional Hospital's case mix index?

Promedica Coldwater Regional Hospital's Medicare case mix index is 1.27 for fiscal year 2027, higher than 9% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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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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