29/100
#1,918 nationally
Sinai-Grace Hospital
6071 W Outer Drive, Detroit, MI 48235 · (313) 966-3300
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Sinai-Grace Hospital billed $4.90 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
- 4.9x
- volume-weighted across all its priced work
- Procedures priced
- 52
- inpatient and outpatient combined
- Rank in MI
- #75
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 37% of U.S. hospitals.
Better than 18% of U.S. hospitals.
Better than 27% of U.S. hospitals.
Better than 32% 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 |
200 | $20,840 | $2,438 | +7% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
147 | $96,525 | $20,182 | +48% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
62 | $62,301 | $13,681 | +44% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
61 | $74,693 | $15,909 | +22% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
47 | $249,269 | $45,337 | +40% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
38 | $52,678 | $13,385 | +9% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
38 | $62,668 | $13,258 | +29% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
33 | $59,452 | $18,593 | +19% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
31 | $132,686 | $20,888 | +74% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
31 | $67,430 | $15,951 | +27% |
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 |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$25,809 | $1,435 | +130% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$28,104 | $1,819 | +118% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$19,165 | $1,448 | +90% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$33,575 | $2,792 | +85% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$80,654 | $11,212 | +77% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$132,686 | $20,888 | +74% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$34,932 | $2,695 | +71% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$65,402 | $10,528 | +67% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face
MS-DRG 004 · Inpatient stay |
$405,867 | $101,909 | -25% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$54,202 | $15,747 | -20% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$70,055 | $19,082 | -13% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$72,180 | $20,698 | -8% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$53,225 | $14,694 | -5% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$32,674 | $10,507 | about average |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$63,619 | $17,212 | about average |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$71,041 | $17,647 | about average |
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.