38/100
#1,643 nationally
Franciscan Health Michigan City
3500 Franciscan Way, Michigan City, IN 46360 · (219) 879-8511
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Franciscan Health Michigan City billed $5.62 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
- 5.6x
- volume-weighted across all its priced work
- Procedures priced
- 90
- inpatient and outpatient combined
- Rank in IN
- #47
- 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 30% of U.S. hospitals.
Better than 41% of U.S. hospitals.
Better than 41% of U.S. hospitals.
Better than 47% 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 |
227 | $22,828 | $2,423 | +17% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
205 | $14,657 | $1,725 | +13% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
185 | $76,439 | $15,059 | +17% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
153 | $11,283 | $1,652 | -4% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
115 | $20,313 | $2,822 | +6% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
112 | $6,881 | $569 | +119% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
108 | $78,600 | $11,623 | +26% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
97 | $44,618 | $11,381 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
95 | $21,120 | $3,081 | about average |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
88 | $55,194 | $10,588 | +18% |
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 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$20,887 | $1,355 | +144% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$6,881 | $569 | +119% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$36,562 | $3,338 | +61% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$51,455 | $10,842 | +43% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$49,674 | $5,088 | +41% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$14,861 | $1,649 | +31% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$105,509 | $16,577 | +27% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$78,600 | $11,623 | +26% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$17,600 | $5,220 | -49% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$83,760 | $23,218 | -33% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
$31,104 | $8,040 | -27% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$10,713 | $2,083 | -26% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$42,265 | $11,523 | -25% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$59,552 | $14,811 | -24% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$30,083 | $8,096 | -20% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$64,627 | $19,452 | -20% |
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.