80/100
#353 nationally
Promedica Monroe Regional Hospital
718 N Macomb St, Monroe, MI 48162 · (734) 240-8400
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Promedica Monroe Regional Hospital billed $2.85 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
- 2.8x
- volume-weighted across all its priced work
- Procedures priced
- 46
- inpatient and outpatient combined
- Rank in MI
- #22
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 81% of U.S. hospitals.
Better than 83% of U.S. hospitals.
Better than 81% of U.S. hospitals.
Better than 71% 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 |
265 | $14,460 | $2,350 | -26% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
137 | $37,419 | $15,928 | -43% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
84 | $31,138 | $11,080 | -28% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
83 | $21,382 | $12,998 | -41% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
58 | $30,950 | $10,583 | -36% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
52 | $5,342 | $1,426 | -47% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
49 | $33,182 | $10,706 | -47% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
48 | $19,527 | $5,858 | -51% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
47 | $6,796 | $1,581 | -47% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
44 | $9,344 | $2,491 | -47% |
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 |
$12,333 | $1,335 | +44% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$3,512 | $610 | +12% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$12,946 | $1,699 | +10% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$26,063 | $8,127 | -21% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$40,363 | $12,530 | -24% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$14,460 | $2,350 | -26% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$31,138 | $11,080 | -28% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$34,175 | $11,590 | -30% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$34,380 | $16,606 | -59% |
|
Sepsis
MS-DRG 870 · Inpatient stay |
$115,215 | $54,041 | -57% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$83,159 | $38,535 | -53% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$8,669 | $2,792 | -52% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
$32,289 | $13,835 | -51% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$19,527 | $5,858 | -51% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$41,745 | $15,712 | -48% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$6,796 | $1,581 | -47% |
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.