ProMedica Health System · Monroe, MI
1 of 5
CMS star rating
146
Beds
5,395
Inpatient discharges a year
$183.4M
Net patient revenue a year
32
In-network payers
Promedica Monroe Regional Hospital is a 146-bed voluntary non-profit - other hospital in Monroe, MI, affiliated with ProMedica Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 326 disclosed rate categories.
The 24 services Promedica Monroe 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
MS-DRG 807
$5,899 - $9,439
from 3 insurers · median $8,189
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
MS-DRG 788
$8,012 - $16,265
from 3 insurers · median $13,612
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
Gynecology
CPT 58558
$887 - $5,494
from 2 insurers · median $3,190
12 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$5,899 - $9,439
from 3 insurers · median $8,189
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 neonatal nursery services to CMS
CT imaging
CPT 74177
$360 - $3,611
from 3 insurers · median $597
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$151 - $516
from 3 insurers · median $238
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$237 - $1,764
from 3 insurers · median $799
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$8,976
negotiated rate
35 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$129 - $1,253
from 3 insurers · median $180
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$10,549 - $22,067
from 3 insurers · median $14,197
Hospital reports inpatient surgical services to CMS
Cardiology and vascular testing
CPT 93971
$126 - $708
from 3 insurers · median $663
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$6,282
negotiated rate
35 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71260
$167 - $1,806
from 3 insurers · median $345
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$608 - $1,196
from 2 insurers · median $902
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$274 - $2,052
from 3 insurers · median $326
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$11,050
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$40 - $190
from 3 insurers · median $60
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$219 - $1,144
from 3 insurers · median $908
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$329 - $893
from 2 insurers · median $611
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$141 - $629
from 3 insurers · median $261
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$4,465
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 47563
$7,061
negotiated rate
35 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Lung function and sleep
CPT 95811
$765 - $4,599
from 3 insurers · median $3,182
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$355 - $3,773
from 3 insurers · median $382
Common here, based on CMS Medicare volume
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* | 12 | 620% | 12 | 0 |
| Insurer B* | 24 | 167% | 12 | 5 |
| Insurer C* | 19 | 93% | 4 | 11 |
| Insurer D* | 4 | - | 0 | 1 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 14 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 Promedica Monroe Regional Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
1 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$183.4M net patient revenue
Ownership and leadership
Owned by ProMedica Health System Inc
The employer identification numbers (EINs) health plans and networks list for Promedica Monroe Regional 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 |
|---|---|---|
| 38-1984289(multi-state) Mercy Memorial Hospital Corporation | 59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more | 1811097223 Mercy Memorial Hospital Corporatio1659614022 Mercy Memorial Hospital Corporation1972781714 Mercy Memorial Hospital Corporationand 14 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.
718 North Macomb Street, Monroe, MI 48162
(734) 240-8400
How Promedica Monroe Regional Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
1 of 5
The lowest rating, shared by 6% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Mixed on 6 measures
1 better, 4 no different, 1 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 3 of 9 measures
0 better, 6 no different, 3 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
50%
Lower than 97% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.19
Higher than 89% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
172 min
Higher than 65% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
55%
Lower than 72% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 1 of 5 | |
| Death rates | No different on 6 measures | |
| Safety | Mixed on 6 measures | |
| Readmissions | Worse on 3 of 9 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 50% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.19 | 2022-07-01 to 2024-06-30 |
| 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 | 172 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 55% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Promedica Monroe Regional Hospital's inpatient payments for its readmissions, quality and cost results.
-1.15% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-1.47% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Promedica Monroe Regional 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 | This 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 · 1,204 cases | 4.1 | 3.9 | 3.903 | Worse than 57% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 69 cases | 13.3 | 11.8 | 12 | Worse than 90% of US hospitals | |
| 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 · 111 cases | 8.9 | 8.5 | 8.576 | Worse than 60% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 187 cases | 11.6 | 11 | 11.26 | Worse than 62% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 245 cases | 18.3 | 15.2 | 15.18 | Worse than 88% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 113 cases | 15.2 | 11.6 | 11.95 | Worse than 89% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,374 cases | 0.32 | 0.51 | 0.6149 | No Different Than the National Rate | Better than 78% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 178 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,758 cases | 0.19 | 0.2 | 0.2198 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,862 cases | 0.33 | 0.27 | 0.2762 | No Different Than the National Rate | Worse than 91% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 303 cases | 2.5 | 2.29 | 2.378 | No Different Than the National Rate | Worse than 75% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 83 cases | 1.65 | 1.63 | 1.689 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 88 cases | 18.23 | 8.88 | 9.51 | No Different Than the National Rate | Worse than 98% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 315 cases | 3.98 | 3.4 | 3.553 | No Different Than the National Rate | Worse than 81% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 81 cases | 5.76 | 5.105 | 5.252 | No Different Than the National Rate | Worse than 74% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 99 cases | 1.99 | 1.72 | 1.76 | No Different Than the National Rate | Worse than 86% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 391 cases | 1.2 | 1.02 | 1.117 | No Different Than the National Rate | Worse than 81% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 55 cases | 50.8 | 4.2 | 9.875 | Worse than 94% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 221 cases | 47.8 | 1.25 | 2.533 | Worse than 91% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 246 cases | 36.6 | 3.85 | 5.307 | Worse than 87% of US hospitals | |
| 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 · 276 cases | 12.7 | 12.9 | 12.94 | No Different Than the National Rate | Better than 63% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 68 cases | 9.4 | 10.7 | 10.6 | No Different Than the National Rate | Better than 87% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 68 cases | 5.3 | 5.3 | 5.333 | No Different Than the National Rate | Better than 48% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 125 cases | 1 | 1 | 0.9865 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 118 cases | 15.5 | 14.4 | 14.28 | Worse than 90% of US hospitals | |
| 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 · 225 cases | 21.1 | 19.8 | 19.73 | Worse than 89% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 367 cases | 23 | 21.3 | 21.19 | Worse than 90% of US hospitals | |
| 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 · 425 cases | 18.2 | 17.2 | 17.08 | Worse than 81% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This 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 | 0.197 | 0.172 | 0.2592 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.887 | 1.504 | 1.909 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,929 | 1,370 | 4,065 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.7 | 0.9835 | 4.274 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.649 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 1.176 | 0.484 | 0.6721 | No Different than National Benchmark | Worse than 89% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1561 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.519 | 1.392 | 1.389 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,096 | 1,799 | 4,188 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.972 | 1.377 | 5.413 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.168 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.3966 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.832 | 0.2345 | 0.4382 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 5.033 | 2.135 | 2.741 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 81 | 61 | 118 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 2.202 | 1.591 | 3.112 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 5 | 1 | 3.074 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 2.271 | 0.7155 | 1.049 | No Different than National Benchmark | Worse than 97% of US hospitals |
| 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 | 14 | 38 | 75.28 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.147 | 0.328 | 0.6545 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 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 | No Different than National Benchmark | ||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.93 | 1.855 | 2.176 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 30,789 | 14,451 | 42,903 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.552 | 0.567 | 2.796 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.826 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0 | 0.597 | 0.7532 | No Different than National Benchmark | The best result, shared by 18% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.157 | 0.127 | 0.1572 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.712 | 0.747 | 1.134 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 30,120 | 13,646 | 40,305 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 19.46 | 5.683 | 21.05 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 7 | 2 | 6.934 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.36 | 0.279 | 0.3227 | Better than the National Benchmark | Worse than 62% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 471 cases | 57 | 73 | 69.3 | Worse than 97% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 471 cases | 22 | 8 | 10.85 | Worse than 99% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 471 cases | 21 | 18 | 19.85 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 471 cases | 76 | 87 | 84.11 | Worse than 98% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 471 cases | 1 | 4 | 2.86 | The lowest rating, shared by 4% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 471 cases | 76 | 80 | 79.59 | Worse than 72% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 471 cases | 90 | 91 | 91.42 | Worse than 66% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 471 cases | 6 | 4 | 4.111 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 471 cases | 3 | 3 | 3.5 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 471 cases | 18 | 16 | 16.3 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 471 cases | 73 | 79 | 78.2 | Worse than 87% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 471 cases | 88 | 91 | 90.27 | Worse than 83% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 471 cases | 8 | 5 | 5.521 | Worse than 84% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 471 cases | 2 | 3 | 3.07 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 471 cases | 19 | 16 | 16.28 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 471 cases | 55 | 61 | 61.03 | Worse than 83% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 471 cases | 73 | 77 | 76.51 | Worse than 78% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 471 cases | 25 | 19 | 19.58 | Worse than 84% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 471 cases | 2 | 3 | 2.63 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 471 cases | 20 | 19 | 19.38 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 471 cases | 83 | 86 | 85.82 | Worse than 74% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 471 cases | 16 | 13 | 13.17 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 471 cases | 3 | 3 | 3.35 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 471 cases | 84 | 87 | 86.83 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 471 cases | 16 | 14 | 14.7 | Worse than 60% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 471 cases | 84 | 86 | 85.3 | Worse than 60% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 471 cases | 69 | 74 | 72.65 | Worse than 81% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 471 cases | 12 | 7 | 7.064 | Worse than 94% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 471 cases | 19 | 19 | 20.28 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 471 cases | 71 | 77 | 75.91 | Worse than 86% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 471 cases | 7 | 6 | 6.191 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 471 cases | 22 | 17 | 17.9 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 471 cases | 80 | 85 | 84.26 | Worse than 85% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 471 cases | 6 | 3 | 3.827 | Worse than 86% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 471 cases | 14 | 11 | 11.91 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 471 cases | 15 | 8 | 9.248 | Worse than 92% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 471 cases | 27 | 20 | 21.47 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 471 cases | 58 | 72 | 69.28 | Worse than 93% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 471 cases | 82 | 88 | 87.04 | Worse than 93% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 471 cases | 2 | 3 | 3.12 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 471 cases | 70 | 74 | 74.28 | Worse than 76% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 471 cases | 12 | 9 | 9.173 | Worse than 73% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 471 cases | 18 | 16 | 16.55 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 471 cases | 71 | 75 | 74.9 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 471 cases | 9 | 5 | 5.573 | Worse than 86% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 471 cases | 20 | 20 | 19.53 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 471 cases | 73 | 77 | 76.58 | Worse than 70% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 471 cases | 6 | 4 | 4.364 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 471 cases | 21 | 19 | 19.05 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 471 cases | 84 | 86 | 85.7 | Worse than 65% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 471 cases | 4 | 3 | 2.773 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 471 cases | 12 | 11 | 11.53 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 471 cases | 50 | 59 | 56.73 | Worse than 80% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 471 cases | 16 | 9 | 11.16 | Worse than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 471 cases | 34 | 31 | 32.11 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 471 cases | 76 | 82 | 80.12 | Worse than 80% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 471 cases | 2 | 3 | 3.12 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 471 cases | 12 | 5 | 6.291 | Worse than 93% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 471 cases | 50 | 71 | 68.51 | Worse than 97% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 471 cases | 78 | 87 | 85.75 | Worse than 95% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 471 cases | 38 | 23 | 25.2 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 471 cases | 2 | 4 | 3.39 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 471 cases | 39 | 47 | 46.3 | Worse than 89% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 471 cases | 38 | 30 | 30.8 | Worse than 87% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 471 cases | 23 | 22 | 22.9 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 471 cases | 2 | 3 | 3.21 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 471 cases | 17 | 12 | 12.2 | Worse than 86% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 471 cases | 83 | 88 | 87.8 | Worse than 86% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| 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 · 1,372 cases | 79 | 79 | 74.71 | Worse than 50% 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 · 397 cases | 176 | 154 | 167 | Worse than 64% 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 · 361 cases | 172 | 148 | 161 | Worse than 65% 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 · 20 cases | 244 | 247 | 300 | Better than 51% 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 · 21 cases | 306 | 293 | 338 | Worse than 56% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 46,990 cases | 2 | 1 | 1.933 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 23 cases | 83 | 74 | 73.42 | Better than 71% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 110 cases | 85 | 97 | 93.2 | Worse than 86% of US hospitals | |
| 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 · 1,233 cases | 14 | 15 | 15.67 | Better than 52% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 100 cases | 55 | 65 | 59.69 | Worse than 72% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 20 cases | 80 | 73 | 69.54 | Better than 65% of US hospitals | |
| 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 · 100 cases | 69 | 82 | 77.12 | Worse than 87% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 41 cases | 78 | 94 | 90.36 | Worse than 93% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 51 cases | 98 | 98 | 94.44 | Better than 49% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | 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 · 1,548 cases | 94 | 90 | 82.06 | Better than 65% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 600 cases | 99 | 97 | 91 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3.3 | 5 | 6.103 | Better than 71% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6 | 6.6 | 7.033 | Better than 58% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This 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 | 1.02 | 0.99 | 0.9406 | Worse than 64% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 19.22 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 4.872 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 42.06 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 11.12 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 24 | 34 | 38.03 | Worse than 70% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 6 | 8.75 | 9.925 | Worse than 71% of US hospitals | |
| VBP safety domain scoreFY 2026 | 6.667 | 40 | 33.39 | Worse than 97% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 1.667 | 10 | 8.389 | Worse than 97% of US hospitals | |
| VBP total performance scoreFY 2026 | 7.667 | 29.5 | 33.57 | Worse than 99% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 44 | 52 | 32.5 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 11 | 13 | 8.125 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 20 | Not Available | 40 | 20 | 0 |
| VBP efficiency and cost reduction weighted domain score | 5 | Not Available | 10 | 5 | 0 |
| VBP person and community engagement domain score | 11 | Not Available | Not Available | 22 | 24 |
| VBP person and community engagement weighted domain score | 2.75 | Not Available | Not Available | 5.5 | 6 |
| VBP safety domain score | 44 | Not Available | Not Available | 30 | 6.667 |
| VBP safety weighted domain score | 11 | Not Available | Not Available | 7.5 | 1.667 |
| VBP total performance score | 29.75 | Not Available | Not Available | 18 | 7.667 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.004 | 0.9995 | 0.995 | Worse than 53% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9907 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 117 cases | 1.056 | 0.9969 | 0.9989 | Worse than 89% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 218 cases | 1.145 | 0.9983 | 1.002 | Worse than 98% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.061 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 203 cases | 1.101 | 0.9955 | 0.9984 | Worse than 93% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.055 | 0.9985 | 0.9895 | 0.9702 | 1.005 | 1.004 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.08 | 1.059 | 1.036 | 1.026 | 1.068 | 1.056 |
| READM-30-HF-HRRP | 1.038 | 0.9966 | 0.977 | 1.01 | 1.078 | 1.145 |
| READM-30-HIP-KNEE-HRRP | 1.122 | 1.074 | 1.047 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.023 | 1.027 | 1.041 | 1.069 | 1.121 | 1.101 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.756 | 0.489 | 0.5894 | Worse than 75% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.585 | 0.346 | 0.3948 | Worse than 80% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.87 | 0.559 | 0.7747 | Worse than 98% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.288 | 0.6405 | 0.8034 | Better than 80% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.195 | 0.9628 | 1.007 | Worse than 89% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 2.926 | 0.7945 | 1.234 | Worse than 99% of US hospitals | |
| Total HAC scoreFY 2026 | 1.05 | -0.0453 | 0.1353 | Worse than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | Yes | Yes |
| Total HAC score | -0.0124 | 0.0072 | 0 | 0.3216 | 0.468 | 1.05 |
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.
The Joint Commission (since 2018)
Accreditation
None
Medical school affiliation
Other
Ownership type
217
Medicare-certified beds
137
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Promedica Monroe Regional Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
5,395
Inpatient discharges
Medicare 25%, Medicaid 5%
25,190
Inpatient days
47% of available bed days used
669
Employees (full-time equivalent)
25
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 836885). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Promedica Monroe Regional Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 5,788 | 1,337 | 18,065 | 25,190 |
| Discharges | 1,337 | 261 | 3,797 | 5,395 |
| Average length of stay | 4.3 days | 5.1 days | 4.8 days | 4.7 days |
| Average daily census | 15.9 | 3.7 | 49.5 | 69.0 |
8,994
Medicare Advantage days
1,699 discharges
5,150
Medicaid managed care days
895 discharges
5,518
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 133 | 21,809 | 5,146 | 45% |
| Intensive care unit | 13 | 2,716 | 642 | 57% |
| Nursery | 665 |
Source: CMS cost report (HCRIS, Form 2552-10), report 836885, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Promedica Monroe Regional Hospital treats Medicare patients for most often, in 2024. 760 Medicare discharges in 27 published DRGs; 5% surgical; 67% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 137 | $37,419 | $13,702 | $10,926 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 84 | $31,138 | $9,403 | $9,092 | 1.28 |
| PsychosesMS-DRG 885, medical | 83 | $21,382 | $9,421 | $6,243 | 1.37 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 58 | $30,950 | $8,554 | $9,037 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 40 | $35,624 | $11,737 | $10,402 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 33 | $30,612 | $8,815 | $8,939 | 1.33 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 29 | $38,874 | $11,048 | $11,351 | 1.59 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $24,799 | $6,453 | $7,241 | 1.03 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 20 | $20,550 | $4,780 | $6,001 | 0.79 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 19 | $34,200 | $11,465 | $9,986 | 1.65 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $26,360 | $7,475 | $7,697 | 1.10 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $17,980 | $5,389 | $5,250 | 0.78 |
| Renal failure with MCCMS-DRG 682, medical | 17 | $40,363 | $10,609 | $11,786 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 17 | $26,063 | $5,592 | $7,610 | 0.90 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 16 | $83,159 | $33,215 | $24,282 | 5.00 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $30,561 | $6,269 | $8,924 | 0.91 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 14 | $19,857 | $5,550 | $5,798 | 0.81 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $31,085 | $7,952 | $9,077 | 1.20 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $101,812 | $34,895 | $29,729 | 4.52 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 13 | $34,175 | $9,868 | $9,979 | 1.32 |
See all 27 Medicare inpatient DRGs at Promedica Monroe Regional Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Promedica Monroe Regional Hospital billed Medicare for most in 2024: 829 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 265 | 234 | $14,460 | $1,851 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 52 | 52 | $5,342 | $1,131 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 49 | 41 | $33,182 | $9,074 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 48 | 47 | $19,527 | $4,560 | $5,339 |
| Level 3 Urology and Related ServicesAPC 5373 | 47 | 34 | $6,796 | $1,245 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 44 | 44 | $9,344 | $1,976 | $2,141 |
| Level 1 Endovascular ProceduresAPC 5191 | 44 | 44 | $17,326 | $1,997 | $2,208 |
| Level 4 Urology and Related ServicesAPC 5374 | 40 | 33 | $11,357 | $2,357 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 37 | 36 | $10,216 | $2,201 | $2,405 |
| Level 1 Nerve ProceduresAPC 5431 | 36 | 29 | $6,933 | $1,335 | $1,407 |
See all 19 Medicare outpatient services at Promedica Monroe Regional Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Promedica Monroe Regional 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 2,668 in 2020 to 2,896 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 48161 | 1,078 | 37% | 5,352 | $40.9M | 63% | 64% |
| 48162 | 1,007 | 35% | 4,630 | $37.5M | 60% | 58% |
| 48166 | 222 | 8% | 1,059 | $8.3M | 37% | 39% |
| 48117 | 135 | 5% | 685 | $5.2M | 22% | 30% |
| 48145 | 99 | 3% | 429 | $3.6M | 61% | 54% |
| 48131 | 57 | 2% | 272 | $2.3M | 16% | 19% |
| 48133 | 42 | 1% | 227 | $1.7M | 14% | 12% |
| 48159 | 42 | 1% | 190 | $1.6M | 32% | 26% |
| 48182 | 40 | 1% | 274 | $1.7M | 3% | 1% |
| 48140 | 39 | 1% | 171 | $1.4M | 36% | 28% |
| 49270 | 29 | 1% | 111 | $893,302 | 10% | 10% |
| 49221 | 22 | 1% | 151 | $693,470 | 1% | 1% |
| 48134 | 18 | 1% | 90 | $569,761 | 1% | |
| 48164 | 18 | 1% | 71 | $590,065 | 3% | |
| 48160 | 13 | 0% | 75 | $602,266 | 2% | |
| 48180 | 12 | 0% | 72 | $447,239 | 0% | |
| 48183 | 12 | 0% | 56 | $429,955 | 0% | |
| 49286 | 11 | 0% | 53 | $254,784 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 2,896 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 Promedica Monroe Regional Hospital reported at its latest Medicare certification survey (1988). Counts are people, not full-time equivalents.
22
Psychiatric unit beds
137
Registered nurses
58
Licensed practical nurses
1
Physicians
6
Pharmacists
5
Respiratory therapists
8
Physical therapists
5
Occupational therapists
1
Speech pathologists and audiologists
2
Dietitians
2
Social workers
452
Other personnel
Source: CMS Provider of Services file.
572 clinicians who bill Medicare list Promedica Monroe Regional Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Timothy Kasunic, MD
Hematology & Oncology Physician
NPI 1013975903
See commercial rates for Timothy Kasunic, MDKristie Jones, PA
Physician Assistant
NPI 1891848719
See commercial rates for Kristie Jones, PAAnthony Frogameni, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1073535191
See commercial rates for Anthony Frogameni, M.D.Zuhair Peracha, M.D.
Retina Specialist (Ophthalmology) Physician
NPI 1790075620
See commercial rates for Zuhair Peracha, M.D.Charu Trivedi, MD
Hematology & Oncology Physician
NPI 1386641397
See commercial rates for Charu Trivedi, MDMansur Pathan, D.O
Nephrology Physician
NPI 1144615220
See commercial rates for Mansur Pathan, D.OMichael Walsh, MD
Diagnostic Radiology Physician
NPI 1275658353
See commercial rates for Michael Walsh, MDJariatul Karim, M.D.
Nephrology Physician
NPI 1306973482
See commercial rates for Jariatul Karim, M.D.David Ervin, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1306856042
See commercial rates for David Ervin, M.D.Tyler Vovos
Orthopaedic Surgery Physician
NPI 1124413372
See commercial rates for Tyler VovosVincent Keiser, MD
Diagnostic Radiology Physician
NPI 1376536771
See commercial rates for Vincent Keiser, MDPaulette Moulton, M.D.
Dermatology Physician
NPI 1396893137
See commercial rates for Paulette Moulton, M.D.Sushma Pandrangi, M.D.
Nephrology Physician
NPI 1306981014
See commercial rates for Sushma Pandrangi, M.D.Lindsay Dillon, PA
Physician Assistant
NPI 1053552919
See commercial rates for Lindsay Dillon, PAStanley Tao, M.D.
Ophthalmology Physician
NPI 1811934805
See commercial rates for Stanley Tao, M.D.Nathan Egbert, MD
Diagnostic Radiology Physician
NPI 1740446814
See commercial rates for Nathan Egbert, MDJudith Mayer, M.D.
Nephrology Physician
NPI 1215997309
See commercial rates for Judith Mayer, M.D.Felix Boucher, MD
Diagnostic Radiology Physician
NPI 1669852869
See commercial rates for Felix Boucher, MDMurray Howe, MD
Diagnostic Radiology Physician
NPI 1811980212
See commercial rates for Murray Howe, MDAhmad Masood, MD
Internal Medicine Physician
NPI 1679765986
See commercial rates for Ahmad Masood, MDMustafa Mawih, M.D.
Nephrology Physician
NPI 1245641307
See commercial rates for Mustafa Mawih, M.D.George Behrend, M.D.
Nephrology Physician
NPI 1659331783
See commercial rates for George Behrend, M.D.Andrew Oliff, M.D.
Anatomic Pathology Physician
NPI 1255485611
See commercial rates for Andrew Oliff, M.D.James Miller, D.O.
Family Medicine Physician
NPI 1841297256
See commercial rates for James Miller, D.O.Source: 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 Promedica Monroe Regional Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $598.3M | 326.2% |
| Inpatient | $183.3M | 99.9% |
| Outpatient | $415M | 226.3% |
| Contractual allowances and discounts | -$414.9M | -226.2% |
| Net patient revenue | $183.4M | 100.0% |
| Operating expenses | -$160.1M | -87.3% |
| Operating income from patient care | $23.3M | 12.7% |
| Other income | $4.9M | 2.7% |
| Other expenses | -$31.4M | -17.1% |
| Net income | -$3.2M | -1.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $81.3M | 13.8% |
| Medicaid (including managed care) | $109.5M | 18.6% |
| Other payers and self-pay | $398.7M | 67.6% |
| Total charges | $589.4M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 836885, amended. 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 Promedica Monroe Regional Hospital's latest cost report.
12.7%
Operating margin
Operating income from patient care / net patient revenue
-1.7%
Total margin
Net income / net patient revenue plus other income
1.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
39% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$38.01
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-4.2%
Return on assets
Net income for a year / total assets
-5.8%
Return on equity
Net income for a year / fund balance
1.55
Current ratio
Current assets / current liabilities
1.31
Quick ratio
Cash, temporary investments and net receivables / current liabilities
3 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
38 days
Days in patient receivables
Net patient receivables / daily net patient revenue
36 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.48
Asset turnover
Total revenue for a year / total assets
11.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 836885, amended. Hospitals report these figures themselves; they are not audited financial statements.
What Promedica Monroe Regional Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $75.9M in total assets and a $54.9M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1.2M | 1.6% |
| Patient receivables, net | $18.9M | 24.8% |
| Inventory | $3.2M | 4.3% |
| Total current assets | $23.6M | 31.2% |
| Property and equipment, net of depreciation | $47.2M | 62.1% |
| Investments and other assets | $5.1M | 6.7% |
| Total assets | $75.9M | 100.0% |
| Current liabilities | $15.3M | 20.1% |
| Total liabilities | $21M | 27.7% |
| Fund balance (net assets) | $54.9M | 72.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 836885, amended. Hospitals report these figures themselves; they are not audited financial statements.
Care Promedica Monroe Regional Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.6M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$8.6M
Bad debt
Patient bills written off as uncollectible, at charges
$8M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$3.6M
Total unreimbursed and uncompensated care
2.3% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$1,031
Grants for charity care
Private grants, donations and endowment income restricted to charity care
Source: CMS cost report (HCRIS, Form 2552-10), report 836885, amended. Hospitals report these figures themselves; they are not audited financial statements.
Promedica Monroe Regional Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $124.3M | $148.6M | $150.7M | $153.9M | $180.1M | $183.4M |
| Operating expenses | $147.3M | $167.2M | $172.7M | $166.3M | $162.4M | $160.1M |
| Operating margin | -18.5% | -12.5% | -14.6% | -8.1% | 9.8% | 12.7% |
| Net income | $18.4M | -$6.5M | $16.4M | -$116.1M | -$5.8M | -$3.2M |
| Total assets | $252.7M | $246.7M | $242.7M | $92.5M | $76.6M | $75.9M |
| Discharges | 4,831 | 6,414 | 5,635 | 5,192 | 5,231 | 5,395 |
| Inpatient days | 19,210 | 28,925 | 26,556 | 24,734 | 24,796 | 25,190 |
| Medicare Advantage days | 5,206 | 8,215 | 7,993 | 8,041 | 8,809 | 8,994 |
| Beds | 147 | 147 | 147 | 147 | 147 | 146 |
| Employees (FTE) | 721 | 831 | 762 | 741 | 703 | 669 |
Source: CMS cost report (HCRIS, Form 2552-10), report 836885, amended. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Promedica Monroe Regional 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 |
|---|---|---|---|---|---|
| Drugs charged to patients | $2.4M | $16.8M | $62.7M | 0.27 | |
| Operating room | $4M | $16.3M | $55.8M | 0.29 | 43,576 |
| Laboratory | $2.5M | $12M | $70.1M | 0.17 | 10,473 |
| Emergency | $4.9M | $10.9M | $75.6M | 0.14 | 22,447 |
| Observation beds (non-distinct part | $6.1M | $20.3M | 0.30 | ||
| Impl. dev. charged to patients | $5.4M | $9.3M | 0.59 | ||
| Radiology-diagnostic | $1.9M | $5.3M | $32.9M | 0.16 | 12,292 |
| Electrocardiology | $2M | $4.2M | $33.2M | 0.13 | 3,745 |
| Physical therapy | $2.5M | $3.8M | $12.8M | 0.29 | 323 |
| Delivery room & labor room | $3.3M | $6.6M | 0.51 | 11,809 | |
| Medical supplies charged to patient | $3.3M | $4.9M | 0.67 | ||
| Respiratory therapy | $1.8M | $3.1M | $19.9M | 0.16 | 2,100 |
| Oncology | $1.3M | $2.7M | $17.9M | 0.15 | |
| Ct scan | $561,786 | $1.8M | $72M | 0.03 | 1,000 |
| Mri | $571,828 | $1.2M | $24.8M | 0.05 | 1,000 |
| Gastroenterology clinic | $1M | $452,120 | 2.25 | ||
| Occupational therapy | $497,846 | $786,407 | $2.7M | 0.29 | 255 |
| Occupational health | $266,860 | $610,306 | $410,012 | 1.49 | |
| Speech pathology | $318,502 | $467,900 | $1.7M | 0.27 | 250 |
| Wound care clinic | $244,858 | $339,634 | $1.2M | 0.28 | |
| Electroencephalography | $69,782 | $221,020 | $1.3M | 0.17 | 1,655 |
| Diabetes management | $139,727 | $200,733 | $252,955 | 0.79 | |
| Heart failure clinic | $103,807 | $93,817 | $65,856 | 1.42 | |
| Hickman oncology | $13,557 | $78,708 | 0.17 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $14.8M | $30M | $49.3M | 0.61 | 63,837 |
| Intensive care unit | $2M | $5.4M | $11.4M | 0.47 | 6,085 |
| Nursery | $712,817 | $1.7M | 0.42 | 919 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.2M | $20M | 14,894 | ||
| Employee benefits department | $8 | $9.6M | 245 | ||
| Operation of plant | $1.5M | $4.2M | 37,891 | ||
| Cap rel costs-bldg & fixt | $3M | 309,539 | |||
| Cap rel costs-mvble equip | $3M | ||||
| I&r services-other prgm costs apprv | $19,679 | $2.5M | 13,362 | ||
| Housekeeping | $308,493 | $2.1M | 1,556 | ||
| Nursing administration | $1.8M | $1.9M | 1,587 | ||
| I&r services-salary & fringes apprv | $1.8M | $1.8M | |||
| Cafeteria | $952,784 | 5,500 | |||
| Medical records & library | $951,996 | 3,071 | |||
| Laundry & linen service | $681,432 | 1,185 | |||
| Dietary | $259,990 | $607,622 | 6,237 | ||
| Central services & supply | $192,844 | 3,080 | |||
| Social service | $1,240 |
Source: CMS cost report (HCRIS, Form 2552-10), report 836885, amended. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Promedica Monroe Regional Hospital for an inpatient stay.
1.58
Case mix index
Higher than 37% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.27 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
34.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,291
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.50 | 1.50 | 1.60 | 1.57 | 1.56 | 1.60 | 1.58 |
| Wage index | 0.905 | 0.938 | 0.934 | 0.921 | 1.029 | 0.977 | 0.956 |
| Readmissions adjustment | -1.43% | -1.01% | -0.69% | -0.21% | -0.36% | -0.85% | -1.15% |
| Value-based purchasing adjustment | +0.25% | -0.09% | -0.09% | +0.67% | 0.00% | -0.39% | -1.47% |
| Medicare inpatient stays | 1,963 | 1,963 | 1,546 | 1,572 | 1,429 | 1,388 | 1,291 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Promedica Monroe Regional Hospital reports to Medicare as owners or with operational control. 1 individuals also hold ownership interests; they are not listed here.
ProMedica Health System Inc
5% or greater direct ownership interest, 100%, since 2015
Sources: CMS Hospital All Owners.
The officers and board members on Promedica Monroe Regional 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.
Mercy Memorial Hospital Corporation files the Form 990 for the tax ID insurers list for Promedica Monroe Regional Hospital, so these people may lead the wider organization rather than Promedica Monroe Regional Hospital alone.
| Name | Title |
|---|---|
| Arturo Polizzi | CEO |
| Terrence Metzger | Treasurer/cfo |
| Stephen Sadowski | Secretary/chief Legal Officer |
| Darrin Arquette | President |
| Kristine Brenner | Chairperson |
Board members: Angela Brandt, Kevin Sharp, Christi Ansberg, Celeste Batchev, Dee Bialecki-Haase, Florence Buchanan, Timothy C Lake, Julie Everly, Kristin Irwin, Kenneth J Mcnamee, Molly Luempert-Coy, Tom Myers, Keith P Masserant, James Peace, Kojo Quartey, Gregory Reinhold, Sue Vanisacker.
Source: IRS Form 990 Part VII filed by Mercy Memorial Hospital Corporation (EIN 38-1984289), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2022
340B ID DSH230099, registered as a disproportionate share hospital; 3 registered outpatient sites; 1 active contract pharmacies. Authorizing official: Joseph Raj Jr., Director Finance.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Promedica Monroe Rgnl Hospital
FAA location ID 58MI, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
About Promedica Monroe Regional Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Promedica Monroe Regional Hospital range from $355 to $3,773 across 3 insurers. Aetna's rate is $382. The median at nearby comparable hospitals is $421. 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 Promedica Monroe Regional Hospital range from $360 to $3,611 across 3 insurers. Aetna's rate is $360. The median at nearby comparable hospitals is $454. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Promedica Monroe Regional 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 $1,642. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Promedica Monroe Regional 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.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Promedica Monroe Regional Hospital range from $151 to $516 across 3 insurers. Aetna's rate is $151. The median at nearby comparable hospitals is $130. What a patient pays depends on their plan's deductible, coinsurance and network status.
Promedica Monroe Regional Hospital has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.
Yes. CMS counts 0.27 Medicare-funded residents per bed at Promedica Monroe Regional Hospital for fiscal year 2027, so it is a major teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Promedica Monroe Regional Hospital's base inpatient payments by an estimated 1.15% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (137 discharges), heart failure and shock with mcc (84 discharges), psychoses (83 discharges).
Promedica Monroe Regional Hospital's Medicare case mix index is 1.58 for fiscal year 2027, higher than 37% of hospitals paid under the inpatient prospective payment system.
Promedica Monroe Regional Hospital reported 5,395 inpatient discharges and 25,190 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Promedica Monroe Regional Hospital reported 669 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Promedica Monroe Regional Hospital reported $183.4M in net patient revenue on $598.3M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 12.7%, and net income of -$3.2M.
Promedica Monroe Regional Hospital reported $3.6M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $1.6M of charity care at cost.
Promedica Monroe Regional Hospital's Medicare enrollment lists Arturo Polizzi as CEO since 2021.
Insurers' price transparency files list Promedica Monroe Regional Hospital under employer identification number 38-1984289 ((multi-state) Mercy Memorial Hospital Corporation). 59 health plans and networks list 38-1984289 for it.
Yes. HRSA's 340B database lists Promedica Monroe Regional Hospital (340B ID DSH230099) as a participating disproportionate share hospital since 2022, with 1 active contract pharmacies.
572 clinicians who bill Medicare list Promedica Monroe Regional Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (60), internal medicine physician (49), diagnostic radiology physician (41).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Promedica Monroe Regional Hospital, effective 2018.
In its Medicare enrollment, Promedica Monroe Regional Hospital reports ProMedica Health System Inc as 5% or greater direct ownership interest (100%).
CMS lists 24 services at Promedica Monroe Regional Hospital, including Adult Inpatient Psychiatric Care, Anesthesia, Clinical Laboratory, Coronary Care Unit, Dental Care, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Promedica Monroe Regional Hospital came from ZIP codes 48161 (1,078), 48162 (1,007), 48166 (222).
Promedica Monroe Regional Hospital has 146 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 217 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Promedica Monroe Regional Hospital is located at 718 North Macomb Street, Monroe, MI 48162. Its main phone number is (734) 240-8400.
Promedica Monroe Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 230099.
The National Provider Identifier (NPI) on file for Promedica Monroe Regional Hospital is 1811097223.
Promedica Monroe Regional Hospital is affiliated with ProMedica Health System.
Promedica Monroe Regional Hospital lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
326 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