Ascension Providence Rochester Hospital
Ascension Providence Rochester Hospital in Rochester, MI charges 3.9x the Medicare reimbursement rate across 64 analyzed procedures, reflecting significant pricing variations in Michigan's nonprofit hospital sector.
Rochester, MI 48307 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
C
Average
Avg markup vs Medicare
3.85x
Charge / Medicare rate
Max markup
6.31x
Worst procedure
Procedures analyzed
64
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $16,010 | $8,005 | — | 6.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $78,243 | $39,122 | — | 6.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $33,332 | $16,666 | — | 5.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $37,484 | $18,742 | — | 5.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $35,727 | $17,864 | — | 5.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $65,506 | $32,753 | — | 5.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $28,999 | $14,499 | — | 5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $20,968 | $10,484 | — | 4.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $36,918 | $18,459 | — | 4.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $62,240 | $31,120 | — | 4.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $20,658 | $10,329 | — | 4.5x |
| CHEST PAIN | 313 | $15,603 | $7,802 | — | 4.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $20,820 | $10,410 | — | 4.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $97,893 | $48,946 | — | 4.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $25,239 | $12,620 | — | 4.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $54,149 | $27,074 | — | 4.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $98,508 | $49,254 | — | 4.3x |
| HYPERTENSION WITHOUT MCC | 305 | $19,135 | $9,567 | — | 4.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $18,079 | $9,039 | — | 4.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $31,013 | $15,506 | — | 4.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $19,964 | $9,982 | — | 4.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $35,516 | $17,758 | — | 4.2x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $24,306 | $12,153 | — | 4.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $19,016 | $9,508 | — | 4.1x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $46,029 | $23,015 | — | 4.1x |
| SYNCOPE AND COLLAPSE | 312 | $21,963 | $10,982 | — | 4.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $58,043 | $29,022 | — | 4x |
| DYSEQUILIBRIUM | 149 | $17,383 | $8,692 | — | 4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $77,004 | $38,502 | — | 4x |
| RENAL FAILURE WITH MCC | 682 | $38,609 | $19,304 | — | 3.8x |
| CELLULITIS WITHOUT MCC | 603 | $18,967 | $9,483 | — | 3.8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $131,735 | $65,867 | — | 3.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $31,956 | $15,978 | — | 3.8x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $19,094 | $9,547 | — | 3.7x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $23,973 | $11,986 | — | 3.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $32,337 | $16,168 | — | 3.7x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $23,551 | $11,775 | — | 3.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $20,599 | $10,300 | — | 3.6x |
| RENAL FAILURE WITH CC | 683 | $18,369 | $9,184 | — | 3.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $21,301 | $10,651 | — | 3.6x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $34,472 | $17,236 | — | 3.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $23,230 | $11,615 | — | 3.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $46,170 | $23,085 | — | 3.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $121,248 | $60,624 | — | 3.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $36,702 | $18,351 | — | 3.4x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $80,333 | $40,167 | — | 3.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $23,972 | $11,986 | — | 3.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $37,394 | $18,697 | — | 3.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $27,665 | $13,832 | — | 3.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $41,875 | $20,937 | — | 3.3x |
Showing 50 of 64 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use