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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Corewell Health Troy

Corewell Health · Troy, MI

44201 Dequindre Road, Troy, MI 48085(248) 964-8800

4 of 5

CMS star rating

546

Beds

31,287

Inpatient discharges a year

$876.8M

Net patient revenue a year

36

In-network payers

About this hospital

Corewell Health Troy is a 546-bed voluntary non-profit - private hospital in Troy, MI, affiliated with Corewell Health. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 418 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
CCN
230269
NPI
1306825997
Health system
Corewell Health
Teaching
Teaching hospital
County
Oakland County
Metro area
Detroit-Warren-Dearborn, MI MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1977
Last CMS survey
2004

Prices for common services

The 24 services Corewell Health Troy most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,201 - $9,169

from 3 insurers · median $8,349

Aetna$9,169
Insurer A*$5,201
Insurer B*$8,349

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$7,396 - $13,776

from 3 insurers · median $13,040

Aetna$13,040
Insurer A*$7,396
Insurer B*$13,776

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$29,051 - $48,533

from 3 insurers · median $38,749

Blue Cross$48,533
Insurer A*$29,051
Insurer B*$38,749
Medicare $21,506Nearby hospitals $50,29423% below nearby hospitals

156 Medicare discharges for this DRG in CMS hospital data

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$1,663 - $7,797

from 3 insurers · median $3,788

UnitedHealthcare$7,797
Insurer A*$1,663
Insurer B*$3,788
Medicare $3,065Nearby hospitals $4,18710% below nearby hospitals

81 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at Corewell Health Troy

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
243%
144
Insurer B*24
106%
212
Insurer C*14
83%
34

How we chose these services: 11 appear in this hospital's own Medicare claims, 7 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Corewell Health Troy, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    4 of 5 stars

    • 203 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.10%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 32 services
    • 2,496 affiliated clinicians
    See doctors and services
  • Finances

    $876.8M net patient revenue

    • Operating margin on patient care 7.0%
    • $12M unreimbursed and uncompensated care
    • $77.5M net income
    See finances
  • Ownership and leadership

    Owned by Beaumont Health

    • Private (not for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Corewell Health Troy in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
38-1459362Beaumont Professional Services59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1689653305 William Beaumont Hospital1306825997 William Beaumont Hospital1932396017 William Beaumont Hospitaland 63 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

44201 Dequindre Road, Troy, MI 48085

(248) 964-8800

Get directions

Frequently asked questions

About Corewell Health Troy's rates and hospital price transparency.

How much does a CT scan cost at Corewell Health Troy?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Corewell Health Troy range from $367 to $920 across 3 insurers. Aetna's rate is $410. The median at nearby comparable hospitals is $411. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Corewell Health Troy?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Corewell Health Troy range from $597 to $2,986 across 3 insurers. Blue Cross Blue Shield's rate is $1,031. The median at nearby comparable hospitals is $1,127. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Corewell Health Troy?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Corewell Health Troy range from $5,201 to $9,169 across 3 insurers. Aetna's rate is $9,169. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Corewell Health Troy?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Corewell Health Troy range from $91 to $178 across 3 insurers. UnitedHealthcare's rate is $91. The median at nearby comparable hospitals is $146. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Corewell Health Troy?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Corewell Health Troy range from $14,880 to $35,304 across 3 insurers. Blue Cross Blue Shield's rate is $35,304. The median at nearby comparable hospitals is $21,530. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Corewell Health Troy's CMS star rating?

Corewell Health Troy has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Corewell Health Troy a teaching hospital?

Yes. CMS counts 0.07 Medicare-funded residents per bed at Corewell Health Troy for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Corewell Health Troy for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Corewell Health Troy's base inpatient payments by an estimated 1.10% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Corewell Health Troy?

In 2024, the most common were heart failure and shock with mcc (557 discharges), septicemia or severe sepsis without mv >96 hours with mcc (507 discharges), esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc (280 discharges).

What is Corewell Health Troy's case mix index?

Corewell Health Troy's Medicare case mix index is 1.67 for fiscal year 2027, higher than 49% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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