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Short Term Acute Care HospitalVoluntary Non-Profit - Private

St. Joseph Mercy Hospital - Oakland

Trinity Health · Pontiac, MI

44405 Woodward Avenue, Pontiac, MI 48341(248) 858-3000

2 of 5

CMS star rating

354

Beds

17,845

Inpatient discharges a year

$533.2M

Net patient revenue a year

33

In-network payers

About this hospital

St. Joseph Mercy Hospital - Oakland is a 354-bed voluntary non-profit - private hospital in Pontiac, MI, affiliated with Trinity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 311 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
230029
NPI
1053356352
Health system
Trinity Health
Teaching
Major teaching hospital
County
Oakland County
Metro area
Detroit-Warren-Dearborn, MI MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1976
Last CMS survey
2010

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Negotiated

Average

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Negotiated

Very Low

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Negotiated

Very Low

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)ComPsych

More about this hospital

  • Quality

    2 of 5 stars

    • 200 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.57%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 47 services, including trauma care
    • 933 affiliated clinicians
    See doctors and services
  • Finances

    $533.2M net patient revenue

    • Operating margin on patient care -4.3%
    • $8.5M unreimbursed and uncompensated care
    • $33.5M net income
    See finances
  • Ownership and leadership

    Owned by Trinity Health Corporation

    • Private (not for profit)
    • Shannon Striebich, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for St. Joseph Mercy Hospital - Oakland in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
38-3176536St Joseph Mercy Oakland64Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 59 more1053356352 St Joseph Mercy Hospital-smhc1144735184 St Joseph Mercy Hospital-smhc1679501936 St Joseph Mercy Hospital-smhcand 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

44405 Woodward Avenue, Pontiac, MI 48341

(248) 858-3000

Get directions

Frequently asked questions

About St. Joseph Mercy Hospital - Oakland's rates and hospital price transparency.

What is St. Joseph Mercy Hospital - Oakland's CMS star rating?

St. Joseph Mercy Hospital - Oakland has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is St. Joseph Mercy Hospital - Oakland a teaching hospital?

Yes. CMS counts 0.46 Medicare-funded residents per bed at St. Joseph Mercy Hospital - Oakland for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize St. Joseph Mercy Hospital - Oakland for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St. Joseph Mercy Hospital - Oakland's base inpatient payments by an estimated 0.57% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at St. Joseph Mercy Hospital - Oakland?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (369 discharges), heart failure and shock with mcc (157 discharges), acute myocardial infarction, discharged alive with mcc (91 discharges).

What is St. Joseph Mercy Hospital - Oakland's case mix index?

St. Joseph Mercy Hospital - Oakland's Medicare case mix index is 1.88 for fiscal year 2027, higher than 69% of hospitals paid under the inpatient prospective payment system.

How many patients does St. Joseph Mercy Hospital - Oakland admit?

St. Joseph Mercy Hospital - Oakland reported 17,845 inpatient discharges and 84,492 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does St. Joseph Mercy Hospital - Oakland have?

St. Joseph Mercy Hospital - Oakland reported 325 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does St. Joseph Mercy Hospital - Oakland make?

St. Joseph Mercy Hospital - Oakland reported $533.2M in net patient revenue on $1.9B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -4.3%, and net income of $33.5M.

How much charity and uncompensated care does St. Joseph Mercy Hospital - Oakland provide?

St. Joseph Mercy Hospital - Oakland reported $8.5M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $6.2M of charity care at cost.

Who is the CEO of St. Joseph Mercy Hospital - Oakland?

St. Joseph Mercy Hospital - Oakland's Medicare enrollment lists Shannon Striebich as President & CEO since 2024.

For hospital finance and compliance teams

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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.

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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
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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.

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