89/100
#105 nationally
Mymichigan Medical Center Alma
300 E Warwick Dr, Alma, MI 48801 · (989) 463-1101
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Mymichigan Medical Center Alma billed $2.45 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
- 35
- inpatient and outpatient combined
- Rank in MI
- #9
- 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 89% of U.S. hospitals.
Better than 87% of U.S. hospitals.
Better than 92% of U.S. hospitals.
Better than 89% 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 |
141 | $13,503 | $2,370 | -31% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
94 | $31,460 | $15,764 | -52% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
67 | $18,856 | $10,768 | -57% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
62 | $7,574 | $2,040 | -36% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
51 | $6,052 | $1,356 | -40% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
49 | $897 | $598 | -71% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
43 | $24,742 | $11,273 | -47% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
38 | $26,916 | $11,509 | -57% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
36 | $9,167 | $1,616 | -19% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
30 | $10,543 | $2,791 | -45% |
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 |
|---|---|---|---|
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$33,552 | $8,631 | -19% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$9,167 | $1,616 | -19% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$14,525 | $3,052 | -30% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$13,503 | $2,370 | -31% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$7,574 | $2,040 | -36% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$17,688 | $4,530 | -36% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,052 | $1,356 | -40% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$10,802 | $2,737 | -41% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$897 | $598 | -71% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$3,861 | $1,783 | -70% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$3,607 | $1,666 | -69% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$26,998 | $15,495 | -66% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$18,611 | $10,635 | -62% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$19,184 | $10,988 | -60% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$13,995 | $4,855 | -60% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$18,711 | $8,655 | -59% |
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.