Promedica Monroe Regional Hospital
ProMedica Monroe Regional Hospital in Monroe, Michigan charges 3.4x the Medicare reimbursement rate across 28 analyzed procedures, reflecting pricing patterns common among nonprofit healthcare facilities.
Monroe, MI 48162 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
C
Average
Avg markup vs Medicare
3.38x
Charge / Medicare rate
Max markup
4.61x
Worst procedure
Procedures analyzed
28
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 |
|---|---|---|---|---|---|
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $30,742 | $15,371 | — | 4.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $34,254 | $17,127 | — | 4.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $21,998 | $10,999 | — | 4.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $21,034 | $10,517 | — | 4.2x |
| DIABETES WITH CC | 638 | $20,820 | $10,410 | — | 4.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $27,443 | $13,721 | — | 4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $26,950 | $13,475 | — | 3.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $30,080 | $15,040 | — | 3.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $19,456 | $9,728 | — | 3.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $19,156 | $9,578 | — | 3.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $17,830 | $8,915 | — | 3.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $26,043 | $13,022 | — | 3.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $30,191 | $15,096 | — | 3.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $30,852 | $15,426 | — | 3.4x |
| CELLULITIS WITHOUT MCC | 603 | $17,556 | $8,778 | — | 3.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $42,521 | $21,261 | — | 3.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $25,029 | $12,514 | — | 3.1x |
| RENAL FAILURE WITH CC | 683 | $17,236 | $8,618 | — | 3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $35,642 | $17,821 | — | 3x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $16,483 | $8,242 | — | 2.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $38,236 | $19,118 | — | 2.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $90,032 | $45,016 | — | 2.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $23,845 | $11,922 | — | 2.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $32,385 | $16,193 | — | 2.8x |
| RENAL FAILURE WITH MCC | 682 | $27,888 | $13,944 | — | 2.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $29,645 | $14,823 | — | 2.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $24,070 | $12,035 | — | 2.7x |
| PSYCHOSES | 885 | $20,374 | $10,187 | — | 2.3x |
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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