Healthcare Pricing Data: KALAMAZOO, MI
2 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
2
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
4.1x
Across all procedures
vs National Average
-43%
Chargemaster rates
About This Data
KALAMAZOO, MI has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 4.1x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in KALAMAZOO is ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC (DRG 266), with an average chargemaster rate of $161,043 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $161,043 | 2 | 3.4x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $128,551 | 2 | 4.1x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $125,534 | 2 | 3.3x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $123,885 | 2 | 3.3x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $120,451 | 2 | 4.0x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $112,112 | 2 | 3.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $108,519 | 2 | 3.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $99,115 | 2 | 5.3x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $97,918 | 2 | 3.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $97,380 | 2 | 5.3x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $93,274 | 2 | 3.0x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $78,896 | 2 | 3.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $73,307 | 2 | 5.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $66,862 | 2 | 4.2x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $58,831 | 2 | 3.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $58,616 | 2 | 4.0x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $58,520 | 2 | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $55,968 | 2 | 4.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $53,902 | 2 | 3.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $53,439 | 2 | 4.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $48,907 | 2 | 3.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $46,884 | 2 | 5.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $45,483 | 2 | 3.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $45,442 | 2 | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $45,239 | 2 | 3.7x |
| RENAL FAILURE WITH MCC | 682 | $44,997 | 2 | 4.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $40,921 | 2 | 5.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $39,979 | 2 | 3.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $39,490 | 2 | 4.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $38,418 | 2 | 5.0x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in KALAMAZOO With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error