Michigan / Huron Valley-Sinai Hospital

CMS certification 230277 · Commerce Township, MI · 2 entries in CMS's price-transparency list

Huron Valley-Sinai Hospital: charges and Medicare payments

Huron Valley-Sinai Hospital reported 763 Medicare inpatient stays across 32 DRGs in 2024. Across them it charged 6.27 times what it was paid — among the higher ratios in Michigan, number 1 of 76 hospitals with at least 100 stays (state median 3.09×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 104 stays at an average charge of $107,738, 19% above the national average. It also billed 998 outpatient services, charging 13.83 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 763
  2. 2Charge ÷ paid, inpatient 6.27×
  3. 3Rank in MI (highest ratio = 1) 1 of 76
  4. 4CMS price-transparency actions 2
DRG 871$107,738DRG 291$60,140DRG 280$89,199DRG 177$76,572DRG 853$293,409DRG 683$43,245DRG 193$54,664DRG 682$54,081DRG 690$34,357DRG 689$53,090
Average charge per stay at Huron Valley-Sinai Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 32 DRGs that can be compared with the national average, Huron Valley-Sinai Hospital charged more than the national average in 19 (59%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC104$107,738+19%$16,346
291 Heart Failure and Shock with MCC69$60,140+7%$10,647
280 Acute Myocardial Infarction, Discharged Alive with MCC57$89,199+18%$13,181
177 Respiratory Infections and Inflammations with MCC40$76,572+8%$13,339
853 Infectious and Parasitic Diseases with O.R. Procedures with...32$293,409+28%$44,335
683 Renal Failure with CC30$43,245+6%$7,331
193 Simple Pneumonia and Pleurisy with MCC29$54,664-9%$10,768
682 Renal Failure with MCC26$54,081-18%$12,881
690 Kidney and Urinary Tract Infections without MCC25$34,357-9%$7,126
689 Kidney and Urinary Tract Infections with MCC23$53,090+3%$9,943
189 Pulmonary Edema and Respiratory Failure22$61,893+8%$9,940
064 Intracranial Hemorrhage or Cerebral Infarction with MCC20$90,122-10%$13,767
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...20$28,499-23%$6,371
467 Revision of Hip or Knee Replacement with CC18$183,786+16%$25,726
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC18$41,971-14%$8,535
378 Gastrointestinal Hemorrhage with CC17$50,825+5%$8,247
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...17$58,298-3%$10,558
377 Gastrointestinal Hemorrhage with MCC16$85,1180%$15,678
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...16$43,130+7%$6,857
470 Major Hip and Knee Joint Replacement or Reattachment of...16$131,871+42%$15,163
698 Other Kidney and Urinary Tract Diagnoses with MCC16$66,186-10%$12,980
481 Hip and Femur Procedures except Major Joint with CC15$123,283+22%$16,281
552 Medical Back Problems without MCC14$54,210+11%$8,116
389 Gastrointestinal Obstruction with CC12$31,283-20%$6,933
480 Hip and Femur Procedures except Major Joint with MCC12$163,614+18%$22,193
638 Diabetes with CC12$36,429-13%$7,627
811 Red Blood Cell Disorders with MCC12$68,606+1%$11,660
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...11$70,152+26%$8,431
281 Acute Myocardial Infarction, Discharged Alive with CC11$59,204+17%$8,833
300 Peripheral Vascular Disorders with CC11$47,051-5%$8,598
321 Percutaneous Cardiovascular Procedures with Intraluminal...11$228,788+40%$26,772
603 Cellulitis without MCC11$27,729-26%$7,295

Outpatient services

Against the Michigan average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Huron Valley-Sinai Hospital charged $107,738 on average, 99% more than the Michigan average of $54,260, and was paid $16,346 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Huron Valley-Sinai Hospital charged $60,140 on average, 68% more than the Michigan average of $35,827, and was paid $10,647 against a state average of $11,565. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Huron Valley-Sinai Hospital charged $89,199 on average, 87% more than the Michigan average of $47,816, and was paid $13,181 against a state average of $13,931. For Respiratory Infections and Inflammations with MCC (DRG 177), Huron Valley-Sinai Hospital charged $76,572 on average, 74% more than the Michigan average of $44,001, and was paid $13,339 against a state average of $14,283. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,709 was 48% above the state average of $15,355. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $112,640 was 133% above the state average of $48,446. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $32,082 was 90% above the state average of $16,877. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $47,683 was 176% above the state average of $17,272.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Huron Valley-Sinai Hospital in Commerce Township, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.