Saint Mary S – Grand Rapids Hospital
Trinity Health









Hospital Overview
Facility Details
CCN
230059
NPI
1639111057
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
275
Contact Information
Address
200 Jefferson Avenue Southeast
Grand Rapids, MI 49503
Phone
(616) 685-5000
Insurance Accepted






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Important Notice
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
Price Transparency Contract Information
The data below comes from CMS-mandated price transparency data. Learn more.
NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
| Payer | Category | Code Type & Group | Contract Type | Rate Compared to State Average |
|---|---|---|---|---|
Aetna | Outpatient | CPT Medicine Services and Procedures Range: 90281 - 99607 | Percentage of Bill Charged | |
Aetna | Outpatient | CPT Category III Codes Range: 0042T - 0810T | Negotiated | Very Low |
Aetna | Facility | RC Laboratory Range: 0300 - 0309 | Percentage of Bill Charged | |
Aetna | Facility | RC Pharmacy - Extension of 025X Range: 0630 - 0639 | Percentage of Bill Charged | |
Aetna | Facility | RC CT Scan Range: 0350 - 0359 | Percentage of Bill Charged | |
Aetna | Inpatient | MS-DRG Diseases & Disorders of the Hepatobiliary System & Pancreas Range: 402 - 446 | Negotiated | Average |
Aetna | Inpatient | MS-DRG Diseases & Disorders of the Musculoskeletal System & Connective Tissue Range: 447 - 566 | Negotiated | Average |
Aetna | Facility | RC Respiratory Services Range: 0410 - 0419 | Percentage of Bill Charged | |
Aetna | Inpatient | MS-DRG Diseases & Disorders of the Circulatory System Range: 212 - 320 | Negotiated | Average |
Aetna | Facility | RC Speech Therapy Language Pathology Range: 0440 - 0449 | Percentage of Bill Charged |
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