How many shoppable procedure prices are published for Trinity Health Oakland Hospital?

Trinity Health Oakland Hospital in Pontiac, MI currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Trinity Health Oakland Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Trinity Health Oakland Hospital's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Trinity Health Oakland Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Trinity Health Oakland Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 310 Beds · rural Updated: 2026-03-31

Trinity Health Oakland Hospital

44405 Woodward Ave, Pontiac, MI 48341 · 120 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.26×vs. Fair Market Price

Typical commercial prices here are +26% above the fair benchmark (1.26×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 46% of the Time

File Completeness85

Price Logic48

Peer Alignment68

Clean Billing85

Real Cash Discount100

High-Markup Tier

2-Star CMS clinical quality rating paired with 1.26× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Trinity Health Oakland Hospital maintains elevated commercial insurance contracts (1.26× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 46% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#83 of 91 in MI · 90th State Percentile#2,161 of 3,385 in U.S. · 63rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.81× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 46% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 66% patient recommendation (56/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (44.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Captive ER (1.3×) & laboratory (1.2×) services average 1.08× higher multiples than routine shoppable care (1.2×)
Upper-quartile procedures (Q75 1.37×) jump +36% above the median procedure ratio (Q50 1.01×)
Unnegotiated chargemaster list prices average 7.3× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.2× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.08× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+36% Upper Tail

Q25 0.81× · Q50 1.01× · Q75 1.37×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.2× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

46% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 56/100Elevated

Procedure Prices at Trinity Health Oakland Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$57,865	$57,865	$30,775	1.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$31,301	$31,785	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$38,757	$31,563	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$46,410	$28,848	$17,936	unverified
Total hip replacement CPT Code: `27130`	$41,062	$18,811	$13,413	unverified
Total knee replacement CPT Code: `27447`	$33,575	$18,344	$13,523	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$15,269	$12,757	$8,223	1.6×
Rabies immune globulin HCPCS Code: `90375`	$6,267	$6,267	$322	unverified
Breast lump removal CPT Code: `19120`	—	—	$3,875	—
Knee arthroscopy with meniscus repair CPT Code: `29881`	$20,629	$3,334	$3,372	unverified
Bunion correction surgery CPT Code: `28296`	$24,459	$2,775	$3,446	0.8×
Trauma team activation HCPCS Code: `G0390`	$5,631	$1,890	$1,453	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$3,247	$1,315	$1,021	unverified
C-section delivery (full package) CPT Code: `59510`	$938	$1,238	$2,975	0.4×
Colonoscopy with biopsy CPT Code: `45380`	—	—	$1,256	—
Vaginal delivery (full package) CPT Code: `59400`	—	$1,192	$2,680	0.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	—	$987	—
Colonoscopy (diagnostic) CPT Code: `45378`	—	—	$981	—
Gallbladder removal (laparoscopic) CPT Code: `47562`	$842	$842	$6,109	0.1×
Injection procedure for pain management HCPCS Code: `G0260`	—	$689	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	—	$583	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,178	$545	$272	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,193	$352	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$5,097	$345	$511	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$346	$318	$151	unverified
Inguinal hernia repair CPT Code: `49505`	$278	$278	$3,629	0.1×
MRI, lower back (no contrast) CPT Code: `72148`	$2,970	$233	$338	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$2,970	$252	$369	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$2,800	$233	$343	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,399	$233	$303	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$548	$234	$148	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,943	$186	$258	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$153	$200	$166	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,775	$171	$242	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$546	$184	$132	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$320	$185	$123	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$185	$185	$181	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$868	$124	$134	0.9×
CT scan, sinuses CPT Code: `70486`	$1,801	$143	$166	0.9×
CT scan, pelvis CPT Code: `72192`	$1,314	$134	$163	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,677	$136	$169	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,687	$135	$168	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$203	$142	$185	0.8×
Blood transfusion CPT Code: `36430`	—	$152	$498	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,760	$161	$160	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,581	$135	$167	0.8×
Family therapy session CPT Code: `90847`	$132	$132	$173	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$143	$123	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$158	$158	$86	unverified
Group therapy session CPT Code: `90853`	$120	$94	$100	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$623	$102	$126	0.8×
X-ray, chest (two views) CPT Code: `71046`	—	—	$93	—
X-ray, neck (cervical spine) CPT Code: `72040`	—	—	$93	—
X-ray, lower back CPT Code: `72110`	—	—	$112	—
X-ray, shoulder CPT Code: `73030`	—	—	$92	—
X-ray, hand CPT Code: `73130`	—	—	$93	—
X-ray, hip CPT Code: `73502`	—	—	$93	—
X-ray, ankle CPT Code: `73610`	—	—	$93	—
X-ray, foot CPT Code: `73630`	—	—	$92	—
Speech therapy (language evaluation) CPT Code: `92507`	$300	$110	$86	unverified
New patient office visit (30-44 min) CPT Code: `99203`	—	$117	$110	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$81	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	—	$80	$38	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$103	$87	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,299	$1,299	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$192	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$688	$120	$116	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$303	$105	$111	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$92	$60	$39	1.5×
Prosthetic fitting and training CPT Code: `97761`	$118	$57	$45	1.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	$83	$75	$35	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$104	$19	$14	1.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$68	$28	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$66	$20	$20	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$31	$34	$48	0.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$38	$34	$49	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$32	$34	$49	0.7×
X-ray, pelvis CPT Code: `72170`	$164	$59	$110	0.5×
X-ray, chest (single view) CPT Code: `71045`	—	$73	$92	unverified
Ultrasound, pelvis CPT Code: `76856`	—	$45	$130	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	$177	$43	$201	0.2×
Hepatitis B vaccine HCPCS Code: `90744`	$90	$59	$37	unverified
Speech therapy (group session) CPT Code: `92508`	$75	$37	$27	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$61	$64	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$143	$45	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$114	$50	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	—	$66	$33	unverified
Orthotic fitting and training CPT Code: `97760`	$133	$70	$51	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	—	$8	$5	1.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$6	$4	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$23	$6	$4	1.5×
Blood test, potassium CPT Code: `84132`	$41	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	—	$7	$5	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$68	$12	$9	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$25	$16	$14	1.1×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$44	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$40	$31	$31	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$48	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$71	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$33	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$25	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$5	$7	$7	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$39	$19	$19	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$34	$18	$18	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$39	$56	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$148	$42	$34	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$49	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$49	$15	$15	1.0×
Culture, blood CPT Code: `87040`	—	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$73	$9	$9	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$42	$23	$25	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$28	$33	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$17	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	—	$2	$3	0.7×
Blood antibody screen CPT Code: `86850`	$62	$20	$46	0.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$83	$19	$11	unverified
Blood test, liver function panel CPT Code: `80076`	$64	$11	$9	unverified
Blood test, calcium CPT Code: `82310`	—	$8	$5	unverified

Showing top 25 high-impact procedures of 120 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 44.0%

Audit a Bill or Quote at Trinity Health Oakland Hospital (Zero PHI Required)

CMS CCN: 230029

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $57,865

Insurer Median $57,865

1. Amount on Your Bill or Quote ($) Pre-filled with Trinity Health Oakland Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $61,105 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $61,105

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (44.0% of gross = $61,105).

Step 2 · Cash vs. Insurance Arbitrage Save $81,011 Paying Cash

Self-Pay Cash Rate ($57,865) Beats Your Bill

Trinity Health Oakland Hospital's published 45 CFR § 180 self-pay cash rate is $57,865 (vs. $57,865 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$108,101 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($138,876) is $108,101 above the denoised Fair BaseRate ($30,775) and 5.9× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 383176225

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (44.0% 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite56/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait195 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.7%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

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 Oakland Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-18·administrative_or_closure
Met Requirements
Recorded
2025-06-05·administrative_or_closure
Met Requirements
Recorded
2025-05-28·administrative_or_closure
Met Requirements
Recorded
2025-05-02·administrative_or_closure
Closure Notice
Recorded
2025-03-28·warning_notice
Warning Notice
Recorded
2023-07-10·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (683 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Trinity Health Oakland Hospital.

Price Index: 1.74× regional baseline

Quality: 47/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Kaiser Permanente

-42.0%

Median Household Income$95,296U.S. Census ACS

Local Uninsured Share3.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 75/100 · Corroborated CMS CCN 230029 EIN 383176225

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 230029) ↗ Verify IRS Form 990 (EIN 383176225) ↗ CMS HCRIS Cost Reports ↗

Published MRF File383176225_st-joseph-mercy-livingston-hospital_standardcharges.zip!383176225_St-Joseph-Mercy-Livingston-Hospital_standardcharges.csv

Publication / Vintage2026-03-31 · 254.75 MB

Validated Rate Rows33,730 (CMS v3.0.0)

File Integrity Digest45c2492da4db2f0ef5c8…

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.

Submit MRF Update Correction Policy