The Bill Rate Index What the hour costs, and who keeps it
Garden City, MI · Medicare provider 230244

Garden City Hospital Osteopathic paid $76.12 an hour for contract staff.

Its own employees cost it $32.70 an hour that year, a premium of 133%. Wider than the typical Michigan hospital that year, which sat at 70%; against a national median of 85%.

The hospital reported both figures itself, on the same line of the same federal form.

FY2025, as filed
$76.12 an hour, contract
$32.70 an hour, employed · 8,448 contract hours in the year
The wageThe premium

Year by year

Fiscal yearEmployed hourContract hourPremium
FY2021$29.72$44.74
FY2023$32.54$95.86
FY2024$31.77$70.61
FY2025$32.70$76.12

No usable filing for FY2022, either because the hospital reported no contract labour that year or because the figures it filed did not survive a plausibility check.

The wage it pays its own staffEverything it pays above that for an agency hour

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Where this comes from

Garden City Hospital Osteopathic files Form CMS-2552-10 with Medicare every year. Worksheet S-3 Part II, line 1, reports salaries paid to its own employees with the hours behind them. Line 11 reports what it paid for direct patient care furnished under contract, which the instructions define as nursing, diagnostic, therapeutic and rehabilitative services. Both lines carry an hourly rate the facility calculates itself, and the premium here is one measured against the other.

The premium is the gap in hourly cost to the facility. It is not an agency profit margin, because the contract rate also carries the agency’s payroll taxes, insurance, credentialing and overhead, and the employed rate excludes the facility’s own benefits.