Michigan / Trinity Health Livingston Hospital
CMS certification 230069 · Howell, MI · 3 entries in CMS's price-transparency list
Trinity Health Livingston Hospital: charges and Medicare payments
Trinity Health Livingston Hospital reported 579 Medicare inpatient stays across 16 DRGs in 2024. Across them it charged 2.18 times what it was paid — among the lower ratios in Michigan, number 63 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: 145 stays at an average charge of $36,575, 59% below the national average. It also billed 1,170 outpatient services, charging 5.98 times what Medicare paid.
- 1Medicare inpatient stays 579
- 2Charge ÷ paid, inpatient 2.18×
- 3Rank in MI (highest ratio = 1) 63 of 76
- 4CMS price-transparency actions 3
Inpatient stays
For the 16 DRGs that can be compared with the national average, Trinity Health Livingston Hospital charged more than the national average in 0 (0%). 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 | 145 | $36,575 | -59% | $19,301 |
| 291 Heart Failure and Shock with MCC | 120 | $31,091 | -45% | $13,696 |
| 189 Pulmonary Edema and Respiratory Failure | 59 | $36,054 | -37% | $13,865 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $26,323 | -34% | $8,564 |
| 177 Respiratory Infections and Inflammations with MCC | 29 | $29,848 | -58% | $15,892 |
| 193 Simple Pneumonia and Pleurisy with MCC | 26 | $32,293 | -46% | $13,762 |
| 683 Renal Failure with CC | 26 | $22,315 | -45% | $10,203 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 23 | $29,328 | -42% | $11,668 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $20,624 | -58% | $10,808 |
| 603 Cellulitis without MCC | 19 | $15,836 | -58% | $9,598 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $31,948 | -43% | $10,420 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $20,754 | -45% | $8,437 |
| 682 Renal Failure with MCC | 13 | $31,036 | -53% | $13,843 |
| 312 Syncope and Collapse | 12 | $23,554 | -48% | $9,495 |
| 070 Other Cerebrovascular Disorders with MCC | 11 | $30,801 | -59% | $16,843 |
| 389 Gastrointestinal Obstruction with CC | 11 | $19,684 | -49% | $9,011 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 241 | $14,053 | $2,467 |
| Level 1 Intraocular Procedures | 193 | $13,079 | $2,093 |
| Level 5 Musculoskeletal Procedures | 161 | $44,837 | $11,811 |
| Level 1 Laparoscopy and Related Services | 91 | $35,541 | $5,270 |
| Level 1 Nerve Procedures | 74 | $8,006 | $1,763 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 58 | $5,547 | $1,452 |
| Level 5 Urology and Related Services | 55 | $26,498 | $4,589 |
| Level 4 Urology and Related Services | 44 | $20,872 | $3,138 |
| Level 4 Musculoskeletal Procedures | 41 | $39,403 | $6,412 |
| Level 2 Musculoskeletal Procedures | 39 | $12,740 | $1,468 |
| Level 3 Musculoskeletal Procedures | 28 | $24,089 | $2,876 |
| Level 6 Musculoskeletal Procedures | 27 | $53,044 | $16,415 |
| Level 2 Upper GI Procedures | 26 | $8,086 | $1,738 |
| Level 2 Urology and Related Services | 26 | $3,006 | $605 |
| Level 3 Vascular Procedures | 19 | $7,530 | $2,789 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 17 | $22,707 | $3,481 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 16 | $13,693 | $2,471 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 14 | $33,043 | $5,956 |
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Trinity Health Livingston Hospital charged $36,575 on average, 33% less than the Michigan average of $54,260, and was paid $19,301 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Trinity Health Livingston Hospital charged $31,091 on average, 13% less than the Michigan average of $35,827, and was paid $13,696 against a state average of $11,565. For Pulmonary Edema and Respiratory Failure (DRG 189), Trinity Health Livingston Hospital charged $36,054 on average, 4% less than the Michigan average of $37,617, and was paid $13,865 against a state average of $11,581. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Trinity Health Livingston Hospital charged $26,323 on average, 3% more than the Michigan average of $25,495, and was paid $8,564 against a state average of $7,358. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,053 was 8% below the state average of $15,355. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,079 was 9% above the state average of $11,973. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $44,837 was 7% below the state average of $48,446. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $35,541 was 14% above the state average of $31,082.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Trinity Health Livingston Hospital in Howell, MI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-07-10 (CMS case 1674)
- Met Requirements — 2025-05-21 (CMS case 4649)
- Met Requirements — 2025-06-18 (CMS case 5170)
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.