45/100
#1,414 nationally
Beaumont Hospital, Troy
44201 Dequindre Road, Troy, MI 48085 · (248) 964-8800
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Beaumont Hospital, Troy billed $5.06 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 217
- inpatient and outpatient combined
- Rank in MI
- #69
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 36% of U.S. hospitals.
Better than 44% of U.S. hospitals.
Better than 57% of U.S. hospitals.
Better than 41% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
1,046 | $21,547 | $2,407 | +11% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
557 | $39,340 | $9,127 | -9% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
507 | $68,519 | $13,645 | +5% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
359 | $9,547 | $1,422 | -5% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
300 | $53,752 | $11,648 | -14% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
280 | $27,484 | $5,782 | -15% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
251 | $19,708 | $2,894 | -22% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
207 | $38,609 | $5,073 | +10% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
207 | $22,118 | $3,073 | +7% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
200 | $23,789 | $5,853 | -20% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Non-extensive Operating Room Procedures Unrelated to Principal Diagnosis with
MS-DRG 988 · Inpatient stay |
$225,484 | $46,131 | +198% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$9,135 | $609 | +191% |
|
Level 3 ENT Procedures
APC 5163 · Hospital outpatient visit |
$12,493 | $1,359 | +95% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$15,803 | $2,031 | +34% |
|
Other Vascular Procedures with Complications
MS-DRG 253 · Inpatient stay |
$147,854 | $18,904 | +32% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$194,920 | $29,235 | +31% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$49,402 | $7,349 | +31% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$14,717 | $1,694 | +30% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Inflammatory Bowel Disease with Complications
MS-DRG 386 · Inpatient stay |
$19,118 | $7,571 | -52% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Major
MS-DRG 562 · Inpatient stay |
$26,185 | $9,684 | -51% |
|
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive
MS-DRG 457 · Inpatient stay |
$140,245 | $43,385 | -51% |
|
Respiratory Neoplasms with Complications
MS-DRG 181 · Inpatient stay |
$26,034 | $7,801 | -50% |
|
Signs and Symptoms of Musculoskeletal System and Connective Tissue without Major
MS-DRG 556 · Inpatient stay |
$20,039 | $5,934 | -47% |
|
Respiratory Infection (uncomplicated)
MS-DRG 179 · Inpatient stay |
$18,639 | $5,475 | -45% |
|
Viral Illness without Major Complications
MS-DRG 866 · Inpatient stay |
$24,896 | $6,502 | -44% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
$63,760 | $18,497 | -44% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.