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Short Term Acute Care HospitalProprietary

Orthopaedics - Dmc Sinai-Grace Hospital

Tenet Healthcare Corporation · Detroit, MI

6071 West Outer Drive, Detroit, MI 48235(313) 966-3300

1 of 5

CMS star rating

275

Beds

12,251

Inpatient discharges a year

$379.5M

Net patient revenue a year

35

In-network payers

About this hospital

Orthopaedics - Dmc Sinai-Grace Hospital is a 275-bed proprietary hospital in Detroit, MI, affiliated with Tenet Healthcare Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 455 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • Helipad
CCN
230024
NPI
1760794044
Website
dmc.org
Health system
Tenet Healthcare Corporation
Teaching
Major teaching hospital
County
Wayne County
Metro area
Detroit-Warren-Dearborn, MI MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2018

Prices for common services

The 24 services Orthopaedics - Dmc Sinai-Grace Hospital 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

$5,745 - $13,396

from 3 insurers · median $9,155

Cigna$13,396
Insurer A*$5,745
Insurer B*$9,155

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

$9,678 - $22,068

from 3 insurers · median $15,217

Cigna$22,068
Insurer A*$9,678
Insurer B*$15,217

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

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$3,382 - $9,205

from 3 insurers · median $5,806

UnitedHealthcare$5,806
Insurer A*$3,382
Insurer B*$9,205
Medicare $3,076Nearby hospitals $3,83052% above nearby hospitals

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

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$5,745 - $13,396

from 3 insurers · median $9,155

Cigna$13,396
Insurer A*$5,745
Insurer B*$9,155

CMS lists this service as CPT 59610, 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

How the insurers pay at Orthopaedics - Dmc Sinai-Grace Hospital

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*14
677%
03
Insurer B*15
249%
110
Insurer C*24
168%
1010
Insurer D*24
93%
412

How we chose these services: 2 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 12 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 Orthopaedics - Dmc Sinai-Grace Hospital, 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 HealthCentene

More about this hospital

  • Quality

    1 of 5 stars

    • 143 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.19%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 45 services, including trauma care
    • 366 affiliated clinicians
    See doctors and services
  • Finances

    $379.5M net patient revenue

    • Operating margin on patient care 11.0%
    • $8.9M unreimbursed and uncompensated care
    • $45.2M net income
    See finances
  • Ownership and leadership

    Owned by Tenet Healthcare Corporation

    • Private (for profit)
    • Angelo P Pagano, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Orthopaedics - Dmc Sinai-Grace Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
27-2844632Vhs Sinai-Grace Hospital INC59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1760794044 Vhs Sinai-Grace Hospital Inc1023327509 Vhs Sinai Grace Hospital1588976260 Vhs Sinai-Grace Hospital Incand 7 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

6071 West Outer Drive, Detroit, MI 48235

(313) 966-3300

Get directions

Frequently asked questions

About Orthopaedics - Dmc Sinai-Grace Hospital's rates and hospital price transparency.

How much does an MRI cost at Orthopaedics - Dmc Sinai-Grace Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Orthopaedics - Dmc Sinai-Grace Hospital range from $355 to $6,174 across 4 insurers. UnitedHealthcare's rate is $368. The median at nearby comparable hospitals is $430. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Orthopaedics - Dmc Sinai-Grace Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Orthopaedics - Dmc Sinai-Grace Hospital range from $368 to $4,523 across 4 insurers. Aetna's rate is $1,747. The median at nearby comparable hospitals is $432. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Orthopaedics - Dmc Sinai-Grace Hospital?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Orthopaedics - Dmc Sinai-Grace Hospital range from $831 to $5,081 across 3 insurers. Aetna's rate is $4,934. The median at nearby comparable hospitals is $1,063. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Orthopaedics - Dmc Sinai-Grace Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Orthopaedics - Dmc Sinai-Grace Hospital range from $5,745 to $13,396 across 3 insurers. Cigna's rate is $13,396. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Orthopaedics - Dmc Sinai-Grace Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Orthopaedics - Dmc Sinai-Grace Hospital range from $97 to $566 across 4 insurers. Blue Cross Blue Shield's rate is $146. 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 Orthopaedics - Dmc Sinai-Grace Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Orthopaedics - Dmc Sinai-Grace Hospital range from $21,814 to $39,154 across 3 insurers. Blue Cross Blue Shield's rate is $39,154. The median at nearby comparable hospitals is $27,614. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Orthopaedics - Dmc Sinai-Grace Hospital's CMS star rating?

Orthopaedics - Dmc Sinai-Grace Hospital has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Orthopaedics - Dmc Sinai-Grace Hospital a teaching hospital?

Yes. CMS counts 0.77 Medicare-funded residents per bed at Orthopaedics - Dmc Sinai-Grace Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Orthopaedics - Dmc Sinai-Grace Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Orthopaedics - Dmc Sinai-Grace Hospital's base inpatient payments by an estimated 0.19% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Orthopaedics - Dmc Sinai-Grace Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (147 discharges), heart failure and shock with mcc (62 discharges), acute myocardial infarction, discharged alive with mcc (61 discharges).

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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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