Borgess Medical Center
BORGESS MEDICAL CENTER in Kalamazoo, MI charges 4.7x the Medicare reimbursement rate across 53 analyzed procedures, reflecting pricing patterns at this nonprofit-private hospital.
Kalamazoo, MI 49048 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
4.7x
Charge / Medicare rate
Max markup
7.51x
Worst procedure
Procedures analyzed
53
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 |
|---|---|---|---|---|---|
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $62,941 | $31,470 | — | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $37,389 | $18,694 | — | 7.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $44,268 | $22,134 | — | 6.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $97,215 | $48,607 | — | 5.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $35,950 | $17,975 | — | 5.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $27,331 | $13,665 | — | 5.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $49,489 | $24,744 | — | 5.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $35,515 | $17,757 | — | 5.7x |
| RENAL FAILURE WITH MCC | 682 | $56,873 | $28,436 | — | 5.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $69,639 | $34,819 | — | 5.5x |
| SYNCOPE AND COLLAPSE | 312 | $30,750 | $15,375 | — | 5.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $42,763 | $21,382 | — | 5.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $31,726 | $15,863 | — | 5.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $39,030 | $19,515 | — | 5.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $64,490 | $32,245 | — | 5.3x |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $67,011 | $33,506 | — | 5.2x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $172,807 | $86,404 | — | 5.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $83,181 | $41,591 | — | 5.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $72,254 | $36,127 | — | 5.1x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $186,721 | $93,361 | — | 5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $66,375 | $33,187 | — | 5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $41,332 | $20,666 | — | 4.9x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $132,933 | $66,467 | — | 4.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $43,315 | $21,658 | — | 4.9x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $142,881 | $71,441 | — | 4.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $21,033 | $10,517 | — | 4.7x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $237,167 | $118,584 | — | 4.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $61,644 | $30,822 | — | 4.6x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $60,482 | $30,241 | — | 4.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $56,520 | $28,260 | — | 4.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $48,102 | $24,051 | — | 4.4x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $62,277 | $31,139 | — | 4.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $85,748 | $42,874 | — | 4.3x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $213,118 | $106,559 | — | 4.2x |
| RENAL FAILURE WITH CC | 683 | $24,116 | $12,058 | — | 4.2x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $100,135 | $50,068 | — | 4.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $35,611 | $17,806 | — | 4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $26,388 | $13,194 | — | 4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $50,325 | $25,162 | — | 4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $83,017 | $41,508 | — | 3.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $65,362 | $32,681 | — | 3.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $119,785 | $59,892 | — | 3.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $41,330 | $20,665 | — | 3.8x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $94,552 | $47,276 | — | 3.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $130,892 | $65,446 | — | 3.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $140,263 | $70,131 | — | 3.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $54,605 | $27,302 | — | 3.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $43,612 | $21,806 | — | 3.5x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $103,727 | $51,864 | — | 3.4x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $126,314 | $63,157 | — | 3.4x |
Showing 50 of 53 procedures
How BORGESS MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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