Trinity Health Grand Haven Hospital
1309 Sheldon Rd, Grand Haven, MI 49417 · 84 Priced Procedures · 66% Patient Recommendation
Typical commercial prices here are 11% below the fair benchmark (0.89×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.89× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Trinity Health Grand Haven Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.2× Medicare, p50 0.92× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 11% below peer Fair BaseRate (0.89×)
- Self-pay cash beats commercial insurance on 5% of shoppable procedures (25/100 Cash Honesty)
- 4-Star CMS clinical rating with 66% patient recommendation (66/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (21.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
- Commercial insurance median sits at 0.92× Fair BaseRate (1.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (0.89× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Consolidated metro market (HHI 3,149) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Trinity Health Grand Haven Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 84 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $12,838 | 0.7× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $10,917 | 0.6× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $5,277 | 0.6× |
| Rabies immune globulin HCPCS Code: 90375 | $2,139 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,423 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $913 | 0.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $721 | 1.4× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $530 | 0.9× |
| CT scan, head (with contrast) CPT Code: 70460 | $516 | unverified |
| Blood transfusion CPT Code: 36430 | $377 | 0.8× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $350 | 0.8× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $268 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $216 | 1.4× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $233 | 0.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $237 | 0.7× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $210 | 1.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $235 | 0.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $235 | 0.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $233 | 0.6× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $249 | unverified |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $171 | 2.0× |
| X-ray, pelvis CPT Code: 72170 | $123 | 1.1× |
| CT scan, sinuses CPT Code: 70486 | $142 | 0.9× |
| X-ray, shoulder CPT Code: 73030 | $86 | 0.9× |
| X-ray, foot CPT Code: 73630 | $86 | 0.9× |
Audit a Bill or Quote at Trinity Health Grand Haven Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $12,820
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (21.2% of gross = $12,820).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Trinity Health Grand Haven Hospital's published 45 CFR § 180 self-pay cash rate is $60,414 (vs. $12,838 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($60,414) is $40,982 above the denoised Fair BaseRate ($19,432) and 4.3× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (21.2% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Trinity Health Grand Haven Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-06-12·administrative_or_closure
Closure Notice
Recorded - 2025-05-19·cap_corrective_action
CAP Request
Recorded - 2025-04-16·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (189 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Trinity Health Grand Haven Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.