Michigan / Trinity Health Muskegon Hospital

CMS certification 230066 · Muskegon, MI · 4 entries in CMS's price-transparency list

Trinity Health Muskegon Hospital: charges and Medicare payments

Trinity Health Muskegon Hospital reported 1,614 Medicare inpatient stays across 59 DRGs in 2024. Across them it charged 2.94 times what it was paid — mid-range in Michigan, number 45 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: 238 stays at an average charge of $43,186, 52% below the national average. It also billed 1,843 outpatient services, charging 4.9 times what Medicare paid.

1Medicare inpatient stays 1,614
2Charge ÷ paid, inpatient 2.94×
3Rank in MI (highest ratio = 1) 45 of 76
4CMS price-transparency actions 4

Average charge per stay at Trinity Health Muskegon Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 59 DRGs that can be compared with the national average, Trinity Health Muskegon Hospital charged more than the national average in 1 (2%). 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	238	$43,186	-52%	$17,035
291 Heart Failure and Shock with MCC	127	$36,924	-35%	$11,226
853 Infectious and Parasitic Diseases with O.R. Procedures with...	58	$115,025	-50%	$40,245
378 Gastrointestinal Hemorrhage with CC	51	$30,716	-37%	$8,416
189 Pulmonary Edema and Respiratory Failure	47	$34,081	-41%	$10,265
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	47	$22,778	-54%	$9,016
683 Renal Failure with CC	46	$26,140	-36%	$8,566
177 Respiratory Infections and Inflammations with MCC	42	$47,283	-33%	$13,932
481 Hip and Femur Procedures except Major Joint with CC	41	$61,978	-38%	$17,767
274 Percutaneous and Other Intracardiac Procedures without MCC	40	$59,356	-62%	$26,711
377 Gastrointestinal Hemorrhage with MCC	38	$42,662	-50%	$15,260
698 Other Kidney and Urinary Tract Diagnoses with MCC	38	$50,653	-31%	$15,449
193 Simple Pneumonia and Pleurisy with MCC	33	$40,280	-33%	$12,572
280 Acute Myocardial Infarction, Discharged Alive with MCC	33	$47,485	-37%	$14,612
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	33	$24,782	-33%	$6,810
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	32	$49,176	-51%	$17,222
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	32	$31,119	-44%	$8,836
682 Renal Failure with MCC	30	$38,489	-42%	$13,948
091 Other Disorders of Nervous System with MCC	25	$42,020	-49%	$14,210
460 Spinal Fusion except Cervical without MCC	21	$103,045	-40%	$31,454
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	21	$34,640	-43%	$11,475
309 Cardiac Arrhythmia and Conduction Disorders with CC	19	$19,787	-45%	$6,780
470 Major Hip and Knee Joint Replacement or Reattachment of...	19	$66,759	-28%	$15,950
308 Cardiac Arrhythmia and Conduction Disorders with MCC	18	$40,498	-28%	$11,585
322 Percutaneous Cardiovascular Procedures with Intraluminal...	18	$60,787	-47%	$20,192
454 Combined Anterior and Posterior Spinal Fusion with CC	18	$130,997	-53%	$51,610
267 Endovascular Cardiac Valve Replacement and Supplement...	17	$96,013	-57%	$40,166
472 Cervical Spinal Fusion with CC	17	$74,100	-48%	$24,686
092 Other Disorders of Nervous System with CC	16	$51,933	+1%	$12,086
389 Gastrointestinal Obstruction with CC	16	$20,278	-48%	$6,921
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	16	$21,534	-46%	$7,399
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	16	$66,970	-35%	$18,170
178 Respiratory Infections and Inflammations with CC	15	$31,353	-31%	$8,641
252 Other Vascular Procedures with MCC	15	$91,115	-47%	$30,591
286 Circulatory Disorders except AMI, with Cardiac...	15	$53,586	-52%	$17,277
305 Hypertension without MCC	15	$20,716	-48%	$6,511
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	15	$114,097	-47%	$49,399
190 Chronic Obstructive Pulmonary Disease with MCC	14	$23,619	-53%	$9,503
281 Acute Myocardial Infarction, Discharged Alive with CC	14	$30,328	-40%	$7,886
312 Syncope and Collapse	14	$22,464	-51%	$7,463
603 Cellulitis without MCC	14	$20,031	-46%	$7,183
069 Transient Ischemia without Thrombolytic	13	$25,679	-49%	$7,457
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	13	$32,080	-51%	$12,091
313 Chest Pain	13	$18,597	-53%	$6,422
321 Percutaneous Cardiovascular Procedures with Intraluminal...	13	$63,634	-61%	$26,931
330 Major Small and Large Bowel Procedures with CC	13	$68,300	-43%	$20,985
659 Kidney and Ureter Procedures for Non-Neoplasm with MCC	13	$61,622	-49%	$18,823
854 Infectious and Parasitic Diseases with O.R. Procedures with...	13	$64,581	-34%	$19,645
062 Ischemic Stroke, Precerebral Occlusion or Transient Ischemia...	12	$54,676	-46%	$15,685
100 Seizures with MCC	12	$43,448	-54%	$17,036
194 Simple Pneumonia and Pleurisy with CC	12	$19,016	-50%	$7,121
287 Circulatory Disorders except AMI, with Cardiac...	12	$37,591	-41%	$11,872
480 Hip and Femur Procedures except Major Joint with MCC	12	$70,334	-49%	$25,172
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	12	$60,764	-49%	$21,267
638 Diabetes with CC	12	$24,224	-42%	$7,922
690 Kidney and Urinary Tract Infections without MCC	12	$21,655	-43%	$7,087
483 Major Joint or Limb Reattachment Procedures of Upper...	11	$69,188	-45%	$21,412
699 Other Kidney and Urinary Tract Diagnoses with CC	11	$24,314	-49%	$9,018
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	11	$25,716	-31%	$7,553

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	151	$10,142	$2,520
Level 5 Musculoskeletal Procedures	137	$48,741	$12,079
Level 3 Vascular Procedures	131	$14,235	$3,006
Level 2 Excision/ Biopsy/ Incision and Drainage	109	$6,990	$1,487
Level 2 Endovascular Procedures	105	$13,643	$5,329
Level 4 Musculoskeletal Procedures	103	$31,740	$6,570
Level 3 Urology and Related Services	98	$10,596	$1,856
Level 2 Upper GI Procedures	97	$7,054	$1,779
Level 5 Urology and Related Services	70	$27,722	$4,823
Level 4 Urology and Related Services	65	$19,156	$3,256
Level 1 Laparoscopy and Related Services	57	$30,466	$5,293
Level 1 Endovascular Procedures	55	$16,696	$3,037
Level 3 Endovascular Procedures	52	$24,208	$10,196
Level 4 Vascular Procedures	47	$26,945	$5,182
Level 6 Musculoskeletal Procedures	45	$57,333	$17,180
Level 4 Airway Endoscopy	44	$24,451	$3,271
Level 2 Vascular Procedures	44	$4,966	$1,483
Level 3 Musculoskeletal Procedures	43	$19,131	$3,000
Level 3 Lower GI Procedures	43	$12,839	$2,605
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	34	$23,268	$3,186
Level 2 Musculoskeletal Procedures	29	$12,541	$1,432
Level 4 Gynecologic Procedures	29	$18,322	$2,682
Level 3 Electrophysiologic Procedures	27	$64,346	$20,810
Level 2 ICD and Similar Procedures	27	$82,534	$30,927
Level 3 Excision/ Biopsy/ Incision and Drainage	22	$17,357	$2,557

Against the Michigan average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Trinity Health Muskegon Hospital charged $43,186 on average, 20% less than the Michigan average of $54,260, and was paid $17,035 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Trinity Health Muskegon Hospital charged $36,924 on average, 3% more than the Michigan average of $35,827, and was paid $11,226 against a state average of $11,565. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Trinity Health Muskegon Hospital charged $115,025 on average, 15% less than the Michigan average of $135,217, and was paid $40,245 against a state average of $42,176. For Gastrointestinal Hemorrhage with CC (DRG 378), Trinity Health Muskegon Hospital charged $30,716 on average, 4% less than the Michigan average of $32,159, and was paid $8,416 against a state average of $9,010. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,142 was 34% below the state average of $15,355. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $48,741 was 1% above the state average of $48,446. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $14,235 was 9% below the state average of $15,679. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,990 was 5% below the state average of $7,344.

Price-transparency record

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

Met Requirements — 2023-07-05 (CMS case 1641)
Met Requirements — 2025-04-03 (CMS case 3548)
Met Requirements — 2025-05-21 (CMS case 4647)
Met Requirements — 2025-06-18 (CMS case 5174)

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.