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Saint Mary S – Grand Rapids Hospital

Trinity Health
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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
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

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.

PayerCategoryCode Type & GroupContract TypeRate 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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