Trinity Health Oakland Hospital
Trinity Health Oakland Hospital in Pontiac, MI charges 4.2x the Medicare reimbursement rate across 89 analyzed procedures, reflecting typical pricing patterns for nonprofit private hospitals in Michigan.
Pontiac, MI 48341 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
C
Average
Avg markup vs Medicare
4.15x
Charge / Medicare rate
Max markup
6.73x
Worst procedure
Procedures analyzed
89
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $27,756 | $13,878 | — | 6.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $137,487 | $68,744 | — | 6x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $61,594 | $30,797 | — | 6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $71,941 | $35,971 | — | 5.7x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $91,655 | $45,828 | — | 5.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $70,531 | $35,266 | — | 5.5x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $28,873 | $14,437 | — | 5.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $17,744 | $8,872 | — | 5.5x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $32,022 | $16,011 | — | 5.4x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $21,785 | $10,893 | — | 5.4x |
| DYSEQUILIBRIUM | 149 | $25,979 | $12,990 | — | 5.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $34,789 | $17,394 | — | 5.4x |
| HYPERTENSION WITHOUT MCC | 305 | $23,720 | $11,860 | — | 5.2x |
| CHEST PAIN | 313 | $22,025 | $11,012 | — | 5.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $35,310 | $17,655 | — | 5.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $76,155 | $38,077 | — | 5.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $57,426 | $28,713 | — | 5.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $25,049 | $12,525 | — | 5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $71,216 | $35,608 | — | 4.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,126 | $12,063 | — | 4.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $21,459 | $10,729 | — | 4.8x |
| HEADACHES WITHOUT MCC | 103 | $23,338 | $11,669 | — | 4.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $29,444 | $14,722 | — | 4.8x |
| DIABETES WITH CC | 638 | $26,186 | $13,093 | — | 4.7x |
| RENAL FAILURE WITH CC | 683 | $26,485 | $13,242 | — | 4.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $28,412 | $14,206 | — | 4.7x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $21,748 | $10,874 | — | 4.6x |
| SYNCOPE AND COLLAPSE | 312 | $26,450 | $13,225 | — | 4.6x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $29,629 | $14,814 | — | 4.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $22,837 | $11,419 | — | 4.4x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $72,809 | $36,405 | — | 4.4x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $177,967 | $88,983 | — | 4.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $24,773 | $12,387 | — | 4.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $42,127 | $21,064 | — | 4.3x |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $58,281 | $29,141 | — | 4.3x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $30,643 | $15,322 | — | 4.3x |
| CELLULITIS WITHOUT MCC | 603 | $23,569 | $11,784 | — | 4.3x |
| SEIZURES WITHOUT MCC | 101 | $25,595 | $12,797 | — | 4.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $91,624 | $45,812 | — | 4.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $33,693 | $16,847 | — | 4.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $22,742 | $11,371 | — | 4.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $34,019 | $17,009 | — | 4.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $54,983 | $27,491 | — | 4.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $25,543 | $12,771 | — | 4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $36,055 | $18,027 | — | 4x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $46,838 | $23,419 | — | 4x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $59,441 | $29,721 | — | 4x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $143,812 | $71,906 | — | 4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $68,254 | $34,127 | — | 4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $88,469 | $44,234 | — | 3.9x |
Showing 50 of 89 procedures
How TRINITY HEALTH OAKLAND HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use