Michigan / Trinity Health Oakland Hospital
CMS certification 230029 · Pontiac, MI · 6 entries in CMS's price-transparency list
Trinity Health Oakland Hospital: charges and Medicare payments
Trinity Health Oakland Hospital reported 2,949 Medicare inpatient stays across 93 DRGs in 2024. Across them it charged 3.09 times what it was paid — mid-range in Michigan, number 40 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: 369 stays at an average charge of $52,398, 42% below the national average. It also billed 2,348 outpatient services, charging 6.19 times what Medicare paid.
- 1Medicare inpatient stays 2,949
- 2Charge ÷ paid, inpatient 3.09×
- 3Rank in MI (highest ratio = 1) 40 of 76
- 4CMS price-transparency actions 6
Inpatient stays
For the 93 DRGs that can be compared with the national average, Trinity Health Oakland 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 | 369 | $52,398 | -42% | $18,232 |
| 291 Heart Failure and Shock with MCC | 157 | $33,114 | -41% | $11,831 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 91 | $42,479 | -44% | $14,267 |
| 193 Simple Pneumonia and Pleurisy with MCC | 85 | $37,081 | -38% | $12,040 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 80 | $109,191 | -52% | $42,359 |
| 690 Kidney and Urinary Tract Infections without MCC | 75 | $24,508 | -35% | $7,436 |
| 689 Kidney and Urinary Tract Infections with MCC | 68 | $32,680 | -36% | $11,005 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 66 | $33,197 | -32% | $10,122 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 65 | $41,247 | -44% | $15,753 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 64 | $28,822 | -28% | $7,494 |
| 177 Respiratory Infections and Inflammations with MCC | 61 | $43,357 | -39% | $14,740 |
| 552 Medical Back Problems without MCC | 51 | $34,781 | -29% | $9,574 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 48 | $74,281 | -26% | $18,601 |
| 378 Gastrointestinal Hemorrhage with CC | 47 | $32,065 | -34% | $8,974 |
| 603 Cellulitis without MCC | 46 | $23,676 | -37% | $8,318 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 44 | $38,993 | -30% | $10,113 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 43 | $30,808 | -39% | $8,461 |
| 189 Pulmonary Edema and Respiratory Failure | 42 | $29,320 | -49% | $11,201 |
| 481 Hip and Femur Procedures except Major Joint with CC | 41 | $82,388 | -18% | $17,950 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 41 | $20,857 | -44% | $7,324 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $29,471 | -51% | $11,970 |
| 682 Renal Failure with MCC | 39 | $34,388 | -48% | $13,286 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 38 | $30,866 | -39% | $10,108 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 33 | $133,033 | -40% | $39,944 |
| 377 Gastrointestinal Hemorrhage with MCC | 33 | $43,246 | -49% | $15,579 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 32 | $20,444 | -43% | $7,188 |
| 312 Syncope and Collapse | 32 | $31,988 | -30% | $8,338 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $29,593 | -52% | $11,276 |
| 683 Renal Failure with CC | 30 | $22,132 | -46% | $8,208 |
| 313 Chest Pain | 29 | $25,050 | -37% | $6,743 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 29 | $90,027 | -45% | $24,023 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 28 | $71,496 | -54% | $26,683 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 28 | $65,794 | -43% | $15,615 |
| 069 Transient Ischemia without Thrombolytic | 27 | $31,629 | -37% | $8,134 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 27 | $35,480 | -44% | $10,135 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 26 | $23,333 | -41% | $7,790 |
| 300 Peripheral Vascular Disorders with CC | 26 | $29,512 | -40% | $9,632 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 25 | $16,881 | -41% | $5,550 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 25 | $89,112 | -13% | $18,612 |
| 638 Diabetes with CC | 25 | $21,173 | -49% | $8,586 |
| 330 Major Small and Large Bowel Procedures with CC | 24 | $64,915 | -45% | $22,048 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 22 | $31,018 | -45% | $11,400 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 21 | $68,814 | -39% | $20,713 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 20 | $39,360 | -59% | $16,626 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 20 | $64,128 | -31% | $16,077 |
| 178 Respiratory Infections and Inflammations with CC | 19 | $31,376 | -31% | $8,834 |
| 194 Simple Pneumonia and Pleurisy with CC | 19 | $26,309 | -31% | $8,191 |
| 101 Seizures without MCC | 18 | $30,533 | -37% | $8,932 |
| 100 Seizures with MCC | 17 | $70,603 | -25% | $18,052 |
| 202 Bronchitis and Asthma with CC/MCC | 17 | $21,284 | -54% | $8,607 |
| 394 Other Digestive System Diagnoses with CC | 17 | $25,134 | -47% | $9,224 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 17 | $101,609 | -53% | $37,557 |
| 057 Degenerative Nervous System Disorders without MCC | 16 | $35,743 | -37% | $12,629 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 16 | $54,172 | -37% | $15,317 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 16 | $51,356 | -24% | $12,274 |
| 812 Red Blood Cell Disorders without MCC | 16 | $37,377 | -16% | $9,218 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $40,414 | -38% | $12,934 |
| 389 Gastrointestinal Obstruction with CC | 15 | $22,148 | -43% | $7,993 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 15 | $106,872 | -23% | $28,139 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 15 | $74,100 | -41% | $21,193 |
Showing the 60 most frequent of 93 DRGs.
Outpatient services
Against the Michigan average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Trinity Health Oakland Hospital charged $52,398 on average, 3% less than the Michigan average of $54,260, and was paid $18,232 against a state average of $17,096. For Heart Failure and Shock with MCC (DRG 291), Trinity Health Oakland Hospital charged $33,114 on average, 8% less than the Michigan average of $35,827, and was paid $11,831 against a state average of $11,565. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Trinity Health Oakland Hospital charged $42,479 on average, 11% less than the Michigan average of $47,816, and was paid $14,267 against a state average of $13,931. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Trinity Health Oakland Hospital charged $37,081 on average, 3% more than the Michigan average of $35,850, and was paid $12,040 against a state average of $11,562. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,877 was 3% below the state average of $15,355. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $49,924 was 3% above the state average of $48,446. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,396 was 1% above the state average of $7,344. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $20,288 was 17% above the state average of $17,272.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Trinity Health Oakland Hospital in Pontiac, 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 1698)
- Warning Notice — 2025-03-28 (CMS case 3460)
- Closure Notice — 2025-05-02 (CMS case 3460)
- Met Requirements — 2025-05-28 (CMS case 4743)
- Met Requirements — 2025-06-05 (CMS case 4923)
- Met Requirements — 2025-06-18 (CMS case 5172)
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.