49/100
#1,295 nationally
Promedica Charles And Virginia Hickman Hospital
5640 N Adrian Highway, Adrian, MI 49221 · (517) 265-0900
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Promedica Charles And Virginia Hickman Hospital billed $4.86 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
- 4.9x
- volume-weighted across all its priced work
- Procedures priced
- 31
- inpatient and outpatient combined
- Rank in MI
- #66
- 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 61% of U.S. hospitals.
Better than 39% of U.S. hospitals.
Better than 45% of U.S. hospitals.
Better than 49% 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 |
301 | $14,096 | $2,147 | +20% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
179 | $24,001 | $2,465 | +24% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
124 | $55,880 | $16,268 | -14% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
90 | $72,441 | $11,923 | +16% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
89 | $32,510 | $11,016 | -25% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
48 | $10,009 | $1,475 | about average |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
47 | $39,889 | $10,547 | -18% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
46 | $10,438 | $1,786 | -8% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
45 | $45,838 | $11,126 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
34 | $41,000 | $5,934 | about average |
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 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$20,086 | $1,742 | +55% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$38,935 | $4,786 | +42% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$27,066 | $2,783 | +42% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$29,110 | $3,138 | +41% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$48,124 | $5,075 | +37% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$25,799 | $2,912 | +27% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$24,001 | $2,465 | +24% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$14,096 | $2,147 | +20% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$32,325 | $12,513 | -47% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$29,264 | $9,990 | -38% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$39,115 | $12,305 | -26% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$32,510 | $11,016 | -25% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$8,737 | $1,487 | -22% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$66,617 | $17,200 | -20% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$39,889 | $10,547 | -18% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$46,305 | $13,835 | -16% |
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.