75/100
#502 nationally
Trinity Health Livingston Hospital
620 Byron Rd, Howell, MI 48843 · (517) 545-6000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Trinity Health Livingston Hospital billed $3.24 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
- 3.2x
- volume-weighted across all its priced work
- Procedures priced
- 34
- inpatient and outpatient combined
- Rank in MI
- #35
- 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 86% of U.S. hospitals.
Better than 68% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 64% 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 |
241 | $14,053 | $2,467 | -28% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
193 | $13,079 | $2,093 | +11% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
161 | $44,837 | $11,811 | -28% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
145 | $36,575 | $19,301 | -44% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
120 | $31,091 | $13,696 | -28% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
91 | $35,541 | $5,270 | about average |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
74 | $8,006 | $1,763 | -29% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
59 | $36,054 | $13,865 | -26% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
58 | $5,547 | $1,452 | -45% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
55 | $26,498 | $4,589 | -4% |
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 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$24,089 | $2,876 | +18% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$12,740 | $1,468 | +13% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$13,079 | $2,093 | +11% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$35,541 | $5,270 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$20,872 | $3,138 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$39,403 | $6,412 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$26,498 | $4,589 | -4% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$3,006 | $605 | -4% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$7,530 | $2,789 | -61% |
|
Other Cerebrovascular Disorders with Major Complications
MS-DRG 070 · Inpatient stay |
$30,801 | $16,843 | -53% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$15,836 | $9,598 | -48% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$20,624 | $10,808 | -47% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$29,848 | $15,892 | -46% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$5,547 | $1,452 | -45% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$36,575 | $19,301 | -44% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$31,036 | $13,843 | -41% |
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.