92/100
#54 nationally
Munson Healthcare Otsego Memorial Hospital
825 N Center Ave, Gaylord, MI 49735 · (989) 731-2100
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Munson Healthcare Otsego Memorial Hospital billed $2.54 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
- 2.5x
- volume-weighted across all its priced work
- Procedures priced
- 23
- inpatient and outpatient combined
- Rank in MI
- #4
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 91% of U.S. hospitals.
Better than 93% of U.S. hospitals.
Better than 91% of U.S. hospitals.
Better than 95% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
250 | $7,142 | $2,154 | -39% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
115 | $12,512 | $2,519 | -36% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
71 | $4,969 | $1,512 | -51% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
68 | $15,094 | $5,197 | -57% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
44 | $27,653 | $12,021 | -56% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
40 | $30,688 | $17,466 | -53% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
32 | $16,131 | $11,420 | -63% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
32 | $5,865 | $1,720 | -50% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
26 | $20,179 | $11,698 | -57% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
23 | $10,979 | $2,974 | -43% |
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 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$15,466 | $3,253 | -25% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$7,985 | $1,500 | -29% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$12,512 | $2,519 | -36% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$23,961 | $9,174 | -39% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$7,142 | $2,154 | -39% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$18,528 | $6,887 | -39% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$10,979 | $2,974 | -43% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$21,333 | $6,675 | -46% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$21,564 | $9,067 | -64% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$16,131 | $11,420 | -63% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$21,423 | $14,704 | -61% |
|
Major Small and Large Bowel Procedures with Complications
MS-DRG 330 · Inpatient stay |
$41,707 | $20,907 | -59% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$15,094 | $5,197 | -57% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$20,179 | $11,698 | -57% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$27,653 | $12,021 | -56% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$17,884 | $6,084 | -55% |
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.