61/100
#910 nationally
Borgess Medical Center
1521 Gull Road, Kalamazoo, MI 49048 · (269) 226-7000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Borgess Medical Center billed $4.28 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.3x
- volume-weighted across all its priced work
- Procedures priced
- 73
- inpatient and outpatient combined
- Rank in MI
- #55
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 57% of U.S. hospitals.
Better than 57% of U.S. hospitals.
Better than 61% of U.S. hospitals.
Better than 87% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
278 | $17,163 | $2,351 | -12% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
249 | $59,766 | $16,214 | -8% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
230 | $18,611 | $2,808 | -26% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
120 | $55,410 | $11,206 | -11% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
119 | $48,440 | $9,377 | -28% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
106 | $9,357 | $1,405 | -7% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
101 | $102,210 | $26,420 | -18% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
93 | $46,416 | $13,561 | -24% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
91 | $36,589 | $11,476 | -16% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
69 | $128,393 | $20,144 | -3% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$44,879 | $4,699 | +24% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$25,663 | $3,321 | +8% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$12,025 | $1,586 | +6% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$21,419 | $2,690 | +5% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$21,459 | $2,752 | +4% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$24,033 | $3,014 | +3% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$32,935 | $7,407 | about average |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$57,939 | $14,553 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Endovascular Cardiac Valve Replacement and Supplement Procedures with Major Complications
MS-DRG 266 · Inpatient stay |
$134,208 | $49,549 | -44% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$12,808 | $3,262 | -44% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$88,667 | $24,811 | -38% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$7,445 | $1,634 | -37% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$65,862 | $15,210 | -35% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$46,107 | $16,051 | -35% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$23,778 | $7,666 | -35% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
$114,706 | $38,493 | -35% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.