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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Three Rivers Health

Beacon Health System · Three Rivers, MI

701 South Health Parkway, Three Rivers, MI 49093(269) 273-9602

2 of 5

CMS star rating

60

Beds

1,283

Inpatient discharges a year

$73M

Net patient revenue a year

28

In-network payers

About this hospital

Three Rivers Health is a 60-bed government - hospital district or authority hospital in Three Rivers, MI, affiliated with Beacon Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 194 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
230015
NPI
1568739423
Health system
Beacon Health System
Teaching
No Medicare-funded residents
County
St. Joseph County
Metro area
Sturgis, MI MicroSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2020

Prices for common services

The 24 services Three Rivers Health 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

$5,809

negotiated rate

UnitedHealthcare$5,809

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$390 - $3,868

from 3 insurers · median $3,098

Aetna$390
Insurer A*$3,098
Insurer B*$3,868
Medicare $337Nearby hospitals $543470% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$7,679

negotiated rate

UnitedHealthcare$7,679

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 of the abdomen and pelvis, without contrast

CPT 74176

$182 - $2,659

from 3 insurers · median $2,130

Aetna$182
Insurer A*$2,130
Insurer B*$2,659
Medicare $231Nearby hospitals $342523% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Three Rivers Health

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
493%
200
Insurer B*15
444%
140
Insurer C*19
95%
212

How we chose these services: 1 appear in this hospital's own Medicare claims, 17 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 Three Rivers Health, 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
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    2 of 5 stars

    • 146 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.23%)
    See quality ratings
  • Doctors and services

    Accredited by ACHC

    • No Medicare-funded residents
    • 17 services
    • 200 affiliated clinicians
    See doctors and services
  • Finances

    $73M net patient revenue

    • Operating margin on patient care 3.9%
    • $1.7M unreimbursed and uncompensated care
    • $6.5M net income
    See finances
  • Ownership and leadership

    Owned by Three Rivers Health System Inc

    • Hospital district or authority
    • 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 Three Rivers Health in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
45-1257972(multi-state) Three Rivers Health System INC54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 49 more1568739423 Three Rivers Health System Inc1063784247 Three Rivers Health System Inc1467724658 Three Rivers Health System Incand 46 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

701 South Health Parkway, Three Rivers, MI 49093

(269) 273-9602

Get directions

Frequently asked questions

About Three Rivers Health's rates and hospital price transparency.

How much does an MRI cost at Three Rivers Health?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Three Rivers Health range from $410 to $1,974 across 3 insurers. Blue Cross Blue Shield's rate is $1,582. The median at nearby comparable hospitals is $543. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Three Rivers Health?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Three Rivers Health range from $390 to $3,868 across 3 insurers. Aetna's rate is $390. The median at nearby comparable hospitals is $543. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Three Rivers Health?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Three Rivers Health range from $445 to $2,948 across 2 insurers. Aetna's rate is $445. The median at nearby comparable hospitals is $957. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Three Rivers Health?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Three Rivers Health range from $5,809 to $5,809 across 1 insurers. UnitedHealthcare's rate is $5,809. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Three Rivers Health?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Three Rivers Health range from $124 to $385 across 3 insurers. Aetna's rate is $124. The median at nearby comparable hospitals is $169. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Three Rivers Health's CMS star rating?

Three Rivers Health 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 Three Rivers Health a teaching hospital?

CMS reports no Medicare-funded interns or residents at Three Rivers Health for fiscal year 2027.

Does Medicare penalize Three Rivers Health for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Three Rivers Health's base inpatient payments by an estimated 0.23% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Three Rivers Health?

In 2024, the most common were heart failure and shock with mcc (22 discharges), septicemia or severe sepsis without mv >96 hours with mcc (15 discharges).

What is Three Rivers Health's case mix index?

Three Rivers Health'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

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
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Chargemaster analysis

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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.

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
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