Hospital · CCN 230100

Ascension St Joseph Hospital

200 Hemlock, Tawas City, MI 48764
Part of Ascension Health · 47 beds · 1
Unknown

7 admission types 21 outpatient services 1 Medicare-file findings

Billed per dollar paid, all admissions

1.11×

$2.5M billed against $2.3M paid across 175 Medicare discharges; the national figure is 5.03×.

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

871

Septicemia or severe sepsis without mv >96 hours with mcc

$17,857

$17,172

1.0× st 3.2×

291

Heart failure and shock with mcc

$13,457

$11,306

1.2× st 3.1×

193

Simple pneumonia and pleurisy with mcc

$14,594

$11,619

1.3× st 3.1×

682

Renal failure with mcc

$10,779

$12,949

0.8× st 3.1×

189

Pulmonary edema and respiratory failure

$14,636

$10,649

1.4× st 3.3×

683

Renal failure with cc

$9,587

$7,766

1.2× st 3.2×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$11,856

$9,002

1.3× st 3.2×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

5491

Level 1 Intraocular Procedures

196

$5,914

$2,179

2.7×

8011

Comprehensive Observation Services

$8,082

$2,570

3.1×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$3,299

$1,522

2.2×

5115

Level 5 Musculoskeletal Procedures

$16,813

$12,341

1.4×

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5431

Level 1 Nerve Procedures

—

5415

Level 5 Gynecologic Procedures

—

5414

Level 4 Gynecologic Procedures

—

5361

Level 1 Laparoscopy and Related Services

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5313

Level 3 Lower GI Procedures

—

5183

Level 3 Vascular Procedures

—

5182

Level 2 Vascular Procedures

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5163

Level 3 ENT Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5114

Level 4 Musculoskeletal Procedures

—

5113

Level 3 Musculoskeletal Procedures

—

5112

Level 2 Musculoskeletal Procedures

—

5164

Level 4 ENT Procedures

—

03 · Checks

Where the Medicare rows do not agree with themselves

Service

Severity

Rule

Detail

MS-DRG 682

info

inp_payment_exceeds_charge

total payment $12,949 exceeds the average charge $10,779

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.