Michigan / Sinai-Grace Hospital
CMS certification 230024 · Detroit, MI · 2 entries in CMS's price-transparency list
Sinai-Grace Hospital: charges and Medicare payments
Sinai-Grace Hospital reported 1,045 Medicare inpatient stays across 43 DRGs in 2024. Across them it charged 4.67 times what it was paid — among the higher ratios in Michigan, number 5 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: 147 stays at an average charge of $96,525, 7% above the national average. It also billed 352 outpatient services, charging 12.55 times what Medicare paid.
- 1Medicare inpatient stays 1,045
- 2Charge ÷ paid, inpatient 4.67×
- 3Rank in MI (highest ratio = 1) 5 of 76
- 4CMS price-transparency actions 2
Inpatient stays
For the 43 DRGs that can be compared with the national average, Sinai-Grace Hospital charged more than the national average in 23 (53%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 147 | $96,525 | +7% | $20,182 |
| 291 Heart Failure and Shock with MCC | 62 | $62,301 | +11% | $13,681 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 61 | $74,693 | -1% | $15,909 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 47 | $249,269 | +9% | $45,337 |
| 189 Pulmonary Edema and Respiratory Failure | 38 | $52,678 | -8% | $13,385 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 38 | $62,668 | +4% | $13,258 |
| 884 Organic Disturbances and Intellectual Disability | 33 | $59,452 | -5% | $18,593 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 31 | $132,686 | +33% | $20,888 |
| 682 Renal Failure with MCC | 31 | $67,430 | +2% | $15,951 |
| 101 Seizures without MCC | 26 | $42,750 | -12% | $10,509 |
| 100 Seizures with MCC | 23 | $70,055 | -26% | $19,082 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $90,673 | +28% | $16,192 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 22 | $146,951 | +8% | $27,953 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 21 | $80,654 | +45% | $11,212 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 21 | $94,554 | +29% | $18,125 |
| 193 Simple Pneumonia and Pleurisy with MCC | 20 | $63,765 | +7% | $14,219 |
| 312 Syncope and Collapse | 20 | $47,780 | +5% | $9,831 |
| 394 Other Digestive System Diagnoses with CC | 20 | $46,554 | -1% | $10,228 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 20 | $54,202 | -28% | $15,747 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 19 | $288,562 | -11% | $66,427 |
| 377 Gastrointestinal Hemorrhage with MCC | 18 | $71,041 | -17% | $17,647 |
| 689 Kidney and Urinary Tract Infections with MCC | 18 | $58,465 | +14% | $12,338 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 17 | $405,867 | -34% | $101,909 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $33,817 | -16% | $8,537 |
| 552 Medical Back Problems without MCC | 17 | $65,402 | +34% | $10,528 |
| 637 Diabetes with MCC | 17 | $62,678 | -6% | $16,043 |
| 393 Other Digestive System Diagnoses with MCC | 16 | $63,619 | -17% | $17,212 |
| 683 Renal Failure with CC | 16 | $32,674 | -20% | $10,507 |
| 603 Cellulitis without MCC | 15 | $36,980 | -1% | $9,862 |
| 885 Psychoses | 15 | $58,601 | +33% | $14,725 |
| 057 Degenerative Nervous System Disorders without MCC | 14 | $49,330 | -13% | $12,908 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $51,169 | +1% | $9,678 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $67,596 | +11% | $13,920 |
| 069 Transient Ischemia without Thrombolytic | 12 | $58,702 | +16% | $8,926 |
| 202 Bronchitis and Asthma with CC/MCC | 12 | $44,901 | -3% | $10,051 |
| 314 Other Circulatory System Diagnoses with MCC | 12 | $72,180 | -24% | $20,698 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $41,374 | +12% | $8,746 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 12 | $243,212 | +12% | $40,478 |
| 300 Peripheral Vascular Disorders with CC | 11 | $69,724 | +41% | $12,589 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $57,927 | +19% | $9,930 |
| 638 Diabetes with CC | 11 | $41,166 | -1% | $8,964 |
| 811 Red Blood Cell Disorders with MCC | 11 | $53,225 | -22% | $14,694 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 11 | $50,569 | +3% | $11,284 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 200 | $20,840 | $2,438 |
| Level 3 Urology and Related Services | 29 | $28,104 | $1,819 |
| Level 3 Musculoskeletal Procedures | 23 | $34,932 | $2,695 |
| Level 4 Gynecologic Procedures | 20 | $33,575 | $2,792 |
| Level 2 Intraocular Procedures | 20 | $25,946 | $3,631 |
| Level 4 Musculoskeletal Procedures | 18 | $62,776 | $6,388 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 17 | $19,165 | $1,448 |
| Level 2 Musculoskeletal Procedures | 14 | $25,809 | $1,435 |
| Level 1 Endovascular Procedures | 11 | $33,111 | $2,914 |
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sinai-Grace Hospital charged $96,525 on average, 78% more than the Michigan average of $54,260, and was paid $20,182 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Sinai-Grace Hospital charged $62,301 on average, 74% more than the Michigan average of $35,827, and was paid $13,681 against a state average of $11,565. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Sinai-Grace Hospital charged $74,693 on average, 56% more than the Michigan average of $47,816, and was paid $15,909 against a state average of $13,931. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Sinai-Grace Hospital charged $249,269 on average, 84% more than the Michigan average of $135,217, and was paid $45,337 against a state average of $42,176. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,840 was 36% above the state average of $15,355. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $28,104 was 178% above the state average of $10,114. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $34,932 was 100% above the state average of $17,487. For Level 4 Gynecologic Procedures (outpatient APC 5414), its average charge of $33,575 was 106% above the state average of $16,338.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sinai-Grace Hospital in Detroit, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-03-04 (CMS case 3190)
- Closure Notice — 2025-06-05 (CMS case 3190)
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.