CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$533 - $635
from 2 insurers · median $584
Common here, based on CMS Medicare volume
Trinity Health · Howell, MI
4 of 5
CMS star rating
46
Beds
3,622
Inpatient discharges a year
$243.5M
Net patient revenue a year
34
In-network payers
St. Joseph Mercy Livingston Hospital is a 46-bed voluntary non-profit - other hospital in Howell, MI, affiliated with Trinity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 306 disclosed rate categories.
The 24 services St. Joseph Mercy Livingston 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.
CT imaging
CPT 74177
$533 - $635
from 2 insurers · median $584
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$7,134
negotiated rate
91 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$149 - $242
from 2 insurers · median $196
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$7,667
negotiated rate
91 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$745 - $3,682
from 2 insurers · median $2,214
193 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 71275
$333 - $475
from 2 insurers · median $404
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$6,104
negotiated rate
91 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$257 - $382
from 2 insurers · median $319
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$420 - $689
from 2 insurers · median $555
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$110 - $151
from 2 insurers · median $131
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$329 - $954
from 2 insurers · median $641
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$9,295
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$456 - $977
from 2 insurers · median $716
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$803 - $899
from 2 insurers · median $851
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$218 - $285
from 2 insurers · median $252
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$12,452 - $27,099
from 3 insurers · median $18,428
Hospital reports inpatient surgical services to CMS
X-ray and bone density
CPT 71046
$37 - $39
from 2 insurers · median $38
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$128 - $191
from 2 insurers · median $159
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$266 - $569
from 2 insurers · median $417
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$597 - $2,882
from 2 insurers · median $1,739
74 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Medicine & Surgery
CPT 55866
$19,872
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 74183
$446 - $577
from 2 insurers · median $512
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$138 - $148
from 2 insurers · median $143
Common here, based on CMS Medicare volume
Urology
CPT 50590
$953 - $3,310
from 2 insurers · median $2,131
44 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 130% | 12 | 10 |
| Insurer B* | 19 | 113% | 4 | 8 |
| Insurer C* | 1 | - | 1 | 0 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 3 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 St. Joseph Mercy Livingston Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.





Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$243.5M net patient revenue
Ownership and leadership
Owned by Trinity Health Corporation
The employer identification numbers (EINs) health plans and networks list for St. Joseph Mercy Livingston Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 38-3176225Saint Joseph Mercy Livingston Hospital | 63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more | 1093748642 Saint Joseph Mercy Livingston Hospital1306059811 Saint Joseph Mercy Livingston Hospital1174038111 Saint Joseph Mercy Livingston Hospitaland 12 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.
620 Byron Road, Howell, MI 48843
(517) 545-6000
How St. Joseph Mercy Livingston Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 3 of 8 measures
3 better, 5 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
70%
Lower than 53% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.92
Lower than 66% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
163 min
Higher than 60% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
64%
Lower than 52% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 4 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Better on 3 of 8 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 70% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.92 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 163 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 64% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts St. Joseph Mercy Livingston Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.83% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for St. Joseph Mercy Livingston Hospital, beside the US median and the average of MI hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 31 cases | 3.5 | 4.1 | 4.186 | Better than 77% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 1,326 cases | 3.1 | 3.9 | 3.903 | Better than 90% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.376 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 101 cases | 8.1 | 8.5 | 8.576 | Better than 59% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 241 cases | 8.8 | 11 | 11.26 | Better than 88% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 198 cases | 11.2 | 15.2 | 15.18 | Better than 95% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 96 cases | 11.1 | 11.6 | 11.95 | Better than 59% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,504 cases | 0.39 | 0.51 | 0.6149 | No Different Than the National Rate | Better than 68% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 178 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,131 cases | 0.2 | 0.2 | 0.2198 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,075 cases | 0.25 | 0.27 | 0.2762 | No Different Than the National Rate | Better than 71% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 183 cases | 2.27 | 2.29 | 2.378 | No Different Than the National Rate | Better than 53% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 37 cases | 1.66 | 1.63 | 1.689 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 37 cases | 9.14 | 8.88 | 9.51 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 192 cases | 3.71 | 3.4 | 3.553 | No Different Than the National Rate | Worse than 71% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 38 cases | 5.16 | 5.105 | 5.252 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 56 cases | 1.75 | 1.72 | 1.76 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 213 cases | 1.02 | 1.02 | 1.117 | No Different Than the National Rate | Better than 48% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 9.875 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 267 cases | -26.5 | 1.25 | 2.533 | Better than 85% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 204 cases | -30.2 | 3.85 | 5.307 | Better than 89% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 728 cases | 13.7 | 12.9 | 12.94 | No Different Than the National Rate | Worse than 82% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 118 cases | 11.3 | 10.7 | 10.6 | No Different Than the National Rate | Worse than 67% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 118 cases | 5.3 | 5.3 | 5.333 | No Different Than the National Rate | Better than 48% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 381 cases | 0.8 | 1 | 0.9865 | No Different than expected | Better than 92% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.28 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.41 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 252 cases | 18.4 | 19.8 | 19.73 | Better than 96% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 388 cases | 21.7 | 21.3 | 21.19 | Worse than 61% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 31 cases | 5.6 | 5.8 | 5.984 | Better than 58% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 277 cases | 16.2 | 17.2 | 17.08 | Better than 88% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2592 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.909 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 417 | 1,370 | 4,065 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.28 | 0.9835 | 4.274 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.649 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.6721 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1561 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.389 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 882 | 1,799 | 4,188 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.52 | 1.377 | 5.413 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.168 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3966 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4382 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.741 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 16 | 61 | 118 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.379 | 1.591 | 3.112 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 3.074 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 1.049 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.6144 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 4.322 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 8 | 38 | 75.28 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.056 | 0.328 | 0.6545 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.9634 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.462 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2675 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.176 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 14,451 | 14,451 | 42,903 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.385 | 0.567 | 2.796 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.826 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7532 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.017 | 0.127 | 0.1572 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.654 | 0.747 | 1.134 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 14,451 | 13,646 | 40,305 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.982 | 5.683 | 21.05 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 6.934 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.335 | 0.279 | 0.3227 | No Different than National Benchmark | Worse than 58% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 504 cases | 68 | 73 | 69.3 | Worse than 71% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 504 cases | 9 | 8 | 10.85 | Worse than 53% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 504 cases | 23 | 18 | 19.85 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 504 cases | 86 | 87 | 84.11 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 504 cases | 3 | 4 | 2.86 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 504 cases | 81 | 80 | 79.59 | Better than 56% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 504 cases | 93 | 91 | 91.42 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 504 cases | 1 | 4 | 4.111 | Better than 88% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 504 cases | 4 | 3 | 3.5 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 504 cases | 18 | 16 | 16.3 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 504 cases | 80 | 79 | 78.2 | Better than 53% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 504 cases | 92 | 91 | 90.27 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 504 cases | 3 | 5 | 5.521 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 504 cases | 4 | 3 | 3.07 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 504 cases | 17 | 16 | 16.28 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 504 cases | 64 | 61 | 61.03 | Better than 64% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 504 cases | 78 | 77 | 76.51 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 504 cases | 18 | 19 | 19.58 | Better than 57% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 504 cases | 3 | 3 | 2.63 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 504 cases | 18 | 19 | 19.38 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 504 cases | 89 | 86 | 85.82 | Better than 78% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 504 cases | 11 | 13 | 13.17 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 504 cases | 4 | 3 | 3.35 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 504 cases | 89 | 87 | 86.83 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 504 cases | 10 | 14 | 14.7 | Better than 83% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 504 cases | 90 | 86 | 85.3 | Better than 83% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 504 cases | 76 | 74 | 72.65 | Better than 61% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 504 cases | 4 | 7 | 7.064 | Better than 81% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 504 cases | 20 | 19 | 20.28 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 504 cases | 77 | 77 | 75.91 | Worse than 49% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 504 cases | 4 | 6 | 6.191 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 504 cases | 19 | 17 | 17.9 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 504 cases | 87 | 85 | 84.26 | Better than 62% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 504 cases | 2 | 3 | 3.827 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 504 cases | 11 | 11 | 11.91 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 504 cases | 7 | 8 | 9.248 | Better than 52% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 504 cases | 20 | 20 | 21.47 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 504 cases | 73 | 72 | 69.28 | Better than 54% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 504 cases | 89 | 88 | 87.04 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 504 cases | 4 | 3 | 3.12 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 504 cases | 77 | 74 | 74.28 | Better than 66% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 504 cases | 7 | 9 | 9.173 | Better than 71% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 504 cases | 16 | 16 | 16.55 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 504 cases | 76 | 75 | 74.9 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 504 cases | 1 | 5 | 5.573 | Better than 96% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 504 cases | 23 | 20 | 19.53 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 504 cases | 80 | 77 | 76.58 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 504 cases | 2 | 4 | 4.364 | Better than 80% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 504 cases | 18 | 19 | 19.05 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 504 cases | 88 | 86 | 85.7 | Better than 62% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 504 cases | 1 | 3 | 2.773 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 504 cases | 11 | 11 | 11.53 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 504 cases | 54 | 59 | 56.73 | Worse than 67% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 504 cases | 10 | 9 | 11.16 | Worse than 54% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 504 cases | 36 | 31 | 32.11 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 504 cases | 81 | 82 | 80.12 | Worse than 52% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 504 cases | 3 | 3 | 3.12 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 504 cases | 6 | 5 | 6.291 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 504 cases | 70 | 71 | 68.51 | Worse than 53% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 504 cases | 87 | 87 | 85.75 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 504 cases | 24 | 23 | 25.2 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 504 cases | 4 | 4 | 3.39 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 504 cases | 51 | 47 | 46.3 | Better than 67% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 504 cases | 30 | 30 | 30.8 | Better than 49% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 504 cases | 19 | 22 | 22.9 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 504 cases | 4 | 3 | 3.21 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 504 cases | 13 | 12 | 12.2 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 504 cases | 87 | 88 | 87.8 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 3,253 cases | 9 | 8 | 8.08 | Worse than 53% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 768 cases | 1 | 1 | 0.9722 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.4118 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,249 cases | 67 | 79 | 74.71 | Worse than 68% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 421 cases | 166 | 154 | 167 | Worse than 58% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 385 cases | 163 | 148 | 161 | Worse than 60% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 14 cases | 167 | 247 | 300 | Better than 81% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 22 cases | 273 | 293 | 338 | Better than 59% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 46,795 cases | 1 | 1 | 1.933 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 32 cases | 41 | 74 | 73.42 | Worse than 92% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 106 cases | 96 | 97 | 93.2 | Worse than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 39.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 939 cases | 16 | 15 | 15.67 | Worse than 57% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 97 cases | 64 | 65 | 59.69 | Worse than 52% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 21 cases | 86 | 73 | 69.54 | Better than 79% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 12 cases | 75 | 88 | 83.94 | Worse than 81% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 97 cases | 73 | 82 | 77.12 | Worse than 78% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 39 cases | 92 | 94 | 90.36 | Worse than 61% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 94.44 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.44 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 91.64 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,950 cases | 92 | 90 | 82.06 | Better than 56% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 91 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3.3 | 5 | 6.103 | Better than 71% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 7 | 6.6 | 7.033 | Worse than 55% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.88 | 0.99 | 0.9406 | Better than 91% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 23.33 | 20 | 19.22 | Better than 56% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 5.833 | 5 | 4.872 | Better than 55% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 60 | 10 | 42.06 | Better than 89% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 15 | 2.5 | 11.12 | Better than 88% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 61 | 34 | 38.03 | Better than 86% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 15.25 | 8.75 | 9.925 | Better than 85% of US hospitals | |
| VBP safety domain scoreFY 2026 | 20 | 40 | 33.39 | Worse than 85% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 5 | 10 | 8.389 | Worse than 85% of US hospitals | |
| VBP total performance scoreFY 2026 | 41.08 | 29.5 | 33.57 | Better than 82% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 55 | 30 | 20 | 22.5 | 33.33 | 23.33 |
| VBP clinical outcomes weighted domain score | 18.33 | 7.5 | 5 | 7.5 | 11.11 | 5.833 |
| VBP efficiency and cost reduction domain score | 60 | Not Available | 60 | 50 | 80 | 60 |
| VBP efficiency and cost reduction weighted domain score | 20 | Not Available | 15 | 16.67 | 26.67 | 15 |
| VBP person and community engagement domain score | 36 | Not Available | Not Available | 28 | 54 | 61 |
| VBP person and community engagement weighted domain score | 12 | Not Available | Not Available | 9.333 | 18 | 15.25 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 20 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 5 |
| VBP total performance score | 50.33 | Not Available | Not Available | 33.5 | 55.78 | 41.08 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 0.995 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9907 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 103 cases | 0.9411 | 0.9969 | 0.9989 | Better than 93% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 236 cases | 0.9256 | 0.9983 | 1.002 | Better than 90% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.061 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 214 cases | 0.9011 | 0.9955 | 0.9984 | Better than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9289 | 0.9444 | 0.9758 | 0.9377 | 0.9378 | 0.9411 |
| READM-30-HF-HRRP | 0.9895 | 0.9904 | 0.9974 | 0.9846 | 0.9706 | 0.9256 |
| READM-30-HIP-KNEE-HRRP | 0.862 | 0.9288 | 1.039 | 1.104 | N/A | N/A |
| READM-30-PN-HRRP | 1.008 | 0.9508 | 0.9247 | 0.9068 | 0.8712 | 0.9011 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | MI average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5894 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.897 | 0.346 | 0.3948 | Worse than 94% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7747 | |||
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8034 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9227 | 0.9628 | 1.007 | Better than 66% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 1.234 | |||
| Total HAC scoreFY 2026 | 0.7758 | -0.0453 | 0.1353 | Worse than 89% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | Yes |
| Total HAC score | -0.8621 | -0.5028 | 0 | -0.9205 | -0.6759 | 0.7758 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2022)
Accreditation
None
Medical school affiliation
Other
Ownership type
136
Medicare-certified beds
101
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What St. Joseph Mercy Livingston Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
3,622
Inpatient discharges
Medicare 29%, Medicaid 3%
12,618
Inpatient days
75% of available bed days used
689
Employees (full-time equivalent)
32
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 824980). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges St. Joseph Mercy Livingston Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,118 | 394 | 8,106 | 12,618 |
| Discharges | 1,037 | 116 | 2,469 | 3,622 |
| Average length of stay | 4.0 days | 3.4 days | 3.3 days | 3.5 days |
| Average daily census | 11.3 | 1.1 | 22.2 | 34.6 |
5,824
Medicare Advantage days
1,439 discharges
717
Medicaid managed care days
233 discharges
1,592
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 38 | 10,642 | 3,608 | 77% |
| Intensive care unit | 8 | 1,976 | 510 | 68% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824980, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What St. Joseph Mercy Livingston Hospital treats Medicare patients for most often, in 2024. 579 Medicare discharges in 16 published DRGs; 0% surgical; 73% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 145 | $36,575 | $15,627 | $9,180 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 120 | $31,091 | $10,886 | $7,804 | 1.28 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 59 | $36,054 | $9,938 | $9,049 | 1.23 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 32 | $26,323 | $6,043 | $6,607 | 0.79 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 29 | $29,848 | $13,246 | $7,492 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 26 | $32,293 | $11,337 | $8,106 | 1.33 |
| Renal failure with CCMS-DRG 683, medical | 26 | $22,315 | $6,508 | $5,601 | 0.90 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 23 | $29,328 | $8,888 | $7,361 | 1.10 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 22 | $20,624 | $7,381 | $5,177 | 1.03 |
| Cellulitis without MCCMS-DRG 603, medical | 19 | $15,836 | $6,760 | $3,975 | 0.88 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 17 | $31,948 | $8,220 | $8,019 | 1.02 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 14 | $20,754 | $6,441 | $5,209 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 13 | $31,036 | $11,612 | $7,790 | 1.50 |
| Syncope and collapseMS-DRG 312, medical | 12 | $23,554 | $6,407 | $5,912 | 0.86 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $30,801 | $14,552 | $7,731 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $19,684 | $5,811 | $4,941 | 0.80 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) St. Joseph Mercy Livingston Hospital billed Medicare for most in 2024: 1,170 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 241 | 220 | $14,053 | $1,954 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 193 | 109 | $13,079 | $1,661 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 161 | 154 | $44,837 | $10,178 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 91 | 91 | $35,541 | $4,199 | $4,358 |
| Level 1 Nerve ProceduresAPC 5431 | 74 | 62 | $8,006 | $1,402 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 58 | 53 | $5,547 | $1,148 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 55 | 49 | $26,498 | $3,628 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 44 | 40 | $20,872 | $2,488 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 41 | 41 | $39,403 | $5,079 | $5,339 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 39 | 38 | $12,740 | $1,170 | $1,196 |
See all 18 Medicare outpatient services at St. Joseph Mercy Livingston Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at St. Joseph Mercy Livingston Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,408 in 2020 to 2,342 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 48843 | 804 | 34% | 2,898 | $28.2M | 34% | 31% |
| 48116 | 325 | 14% | 1,166 | $10.5M | 22% | 18% |
| 48855 | 253 | 11% | 910 | $8.6M | 37% | 35% |
| 48836 | 246 | 11% | 968 | $9.6M | 41% | 35% |
| 48114 | 237 | 10% | 965 | $8.2M | 23% | 19% |
| 48169 | 117 | 5% | 395 | $3.9M | 11% | 9% |
| 48430 | 69 | 3% | 268 | $2.4M | 4% | 2% |
| 48353 | 67 | 3% | 311 | $2.6M | 21% | 16% |
| 48178 | 54 | 2% | 218 | $1.9M | 3% | 2% |
| 48189 | 47 | 2% | 203 | $1.8M | 7% | 6% |
| 48892 | 25 | 1% | 122 | $886,265 | 13% | 16% |
| 48137 | 24 | 1% | 93 | $1.1M | 10% | 9% |
| 48357 | 16 | 1% | 50 | $512,086 | 4% | |
| 48380 | 16 | 1% | 45 | $524,393 | 5% | |
| 48451 | 16 | 1% | 65 | $614,293 | 2% | |
| 48844 | 15 | 1% | 62 | $552,100 | 33% | 44% |
| 48139 | 11 | 0% | 42 | $290,650 | 30% |
Source: CMS Hospital Service Area file. Shares are of the 2,342 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units St. Joseph Mercy Livingston Hospital reported at its latest Medicare certification survey (1989). Counts are people, not full-time equivalents.
101
Registered nurses
37
Licensed practical nurses
3
Nurse anesthetists (CRNAs)
4
Pharmacists
11
Respiratory therapists
4
Physical therapists
1
Speech pathologists and audiologists
2
Dietitians
2
Social workers
237
Other personnel
Source: CMS Provider of Services file.
910 clinicians who bill Medicare list St. Joseph Mercy Livingston Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
James Dowd, MD
Rheumatology Physician
NPI 1750482162
See commercial rates for James Dowd, MDVictor Hakim, M.D.
Orthopaedic Surgery Physician
NPI 1154531622
See commercial rates for Victor Hakim, M.D.Edward Washabaugh, MD
Interventional Pain Medicine Physician
NPI 1952409344
See commercial rates for Edward Washabaugh, MDMatthew Hodrosky, PA
Surgical Physician Assistant
NPI 1538166616
See commercial rates for Matthew Hodrosky, PAPaul Berkowitz, M.D.
Nephrology Physician
NPI 1053371286
See commercial rates for Paul Berkowitz, M.D.Eric Kovan, DO
Physical Medicine & Rehabilitation Physician
NPI 1619965159
See commercial rates for Eric Kovan, DOMansur Pathan, D.O
Nephrology Physician
NPI 1144615220
See commercial rates for Mansur Pathan, D.OKarl Schultz, MD
Orthopaedic Surgery Physician
NPI 1013004290
See commercial rates for Karl Schultz, MDGregory Piro, D.O
Specialist
NPI 1912054115
See commercial rates for Gregory Piro, D.OGregory Oldford, MD
Urology Physician
NPI 1376508762
See commercial rates for Gregory Oldford, MDS. Gimenez, MD
Urology Physician
NPI 1841457447
See commercial rates for S. Gimenez, MDJariatul Karim, M.D.
Nephrology Physician
NPI 1306973482
See commercial rates for Jariatul Karim, M.D.Mark Kachadurian, DO
Neurology Physician
NPI 1376540286
See commercial rates for Mark Kachadurian, DOAri Kriswari, MD
Physical Medicine & Rehabilitation Physician
NPI 1164657870
See commercial rates for Ari Kriswari, MDJenny Michaels, MD MPH
Physical Medicine & Rehabilitation Physician
NPI 1629017157
See commercial rates for Jenny Michaels, MD MPHShad Siddiqi, DO
Interventional Pain Medicine Physician
NPI 1154733285
See commercial rates for Shad Siddiqi, DOFadi Eliya, MD
Urology Physician
NPI 1669686119
See commercial rates for Fadi Eliya, MDSushma Pandrangi, M.D.
Nephrology Physician
NPI 1306981014
See commercial rates for Sushma Pandrangi, M.D.Judith Mayer, M.D.
Nephrology Physician
NPI 1215997309
See commercial rates for Judith Mayer, M.D.Stephen Tait, MD PHD
Ophthalmology Physician
NPI 1376534164
See commercial rates for Stephen Tait, MD PHDKathleen Knapp, D.O.
Family Medicine Physician
NPI 1891776100
See commercial rates for Kathleen Knapp, D.O.Ahmad Masood, MD
Internal Medicine Physician
NPI 1679765986
See commercial rates for Ahmad Masood, MDMichael Fine, MD
Gastroenterology Physician
NPI 1679690549
See commercial rates for Michael Fine, MDTimothy Mcglaston, MD
Orthopaedic Surgery Physician
NPI 1679829352
See commercial rates for Timothy Mcglaston, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income St. Joseph Mercy Livingston Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $946.6M | 388.7% |
| Inpatient | $130.2M | 53.4% |
| Outpatient | $816.5M | 335.2% |
| Contractual allowances and discounts | -$703.1M | -288.7% |
| Net patient revenue | $243.5M | 100.0% |
| Operating expenses | -$202.5M | -83.1% |
| Operating income from patient care | $41.1M | 16.9% |
| Other income | $6.8M | 2.8% |
| Contributions and donations | $41,750 | 0.0% |
| COVID-19 relief funding | $997,794 | 0.4% |
| Other | $5.7M | 2.4% |
| Other expenses | $110,899 | 0.0% |
| Net income | $47.9M | 19.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $153.8M | 17.1% |
| Medicaid (including managed care) | $73.2M | 8.1% |
| Other payers and self-pay | $671.5M | 74.7% |
| Total charges | $898.5M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824980, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from St. Joseph Mercy Livingston Hospital's latest cost report.
16.9%
Operating margin
Operating income from patient care / net patient revenue
19.2%
Total margin
Net income / net patient revenue plus other income
19.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
39% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$44.27
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
3.8%
Return on assets
Net income for a year / total assets
21.4%
Return on equity
Net income for a year / fund balance
1.05
Current ratio
Current assets / current liabilities
0.03
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
43 days
Days in patient receivables
Net patient receivables / daily net patient revenue
1849 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.20
Asset turnover
Total revenue for a year / total assets
27.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 824980, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What St. Joseph Mercy Livingston Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $1.3B in total assets and a $224.4M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $104,338 | 0.0% |
| Patient receivables, net | $28.5M | 2.3% |
| Inventory | $4.3M | 0.3% |
| Total current assets | $1.1B | 84.4% |
| Property and equipment, net of depreciation | $54.8M | 4.3% |
| Investments and other assets | $141.6M | 11.2% |
| Total assets | $1.3B | 100.0% |
| Current liabilities | $1B | 80.2% |
| Total liabilities | $1B | 82.2% |
| Fund balance (net assets) | $224.4M | 17.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824980, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care St. Joseph Mercy Livingston Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$7.1M
Bad debt
Patient bills written off as uncollectible, at charges
$170,024
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$3.1M
Total unreimbursed and uncompensated care
1.5% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$2,489
Grants for charity care
Private grants, donations and endowment income restricted to charity care
Source: CMS cost report (HCRIS, Form 2552-10), report 824980, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
St. Joseph Mercy Livingston Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $133.3M | $168.6M | $201.4M | $200.4M | $213M | $243.5M |
| Operating expenses | $163M | $156.6M | $168.5M | $169.9M | $184.6M | $202.5M |
| Operating margin | -22.3% | 7.1% | 16.3% | 15.2% | 13.3% | 16.9% |
| Net income | -$22.4M | $29.3M | $38.4M | $36.3M | $34.7M | $47.9M |
| Total assets | $139.9M | $268.9M | $477.8M | $691.5M | $954.4M | $1.3B |
| Discharges | 2,654 | 2,950 | 3,278 | 3,397 | 3,283 | 3,622 |
| Inpatient days | 8,475 | 10,459 | 11,611 | 11,649 | 11,059 | 12,618 |
| Medicare Advantage days | 2,403 | 2,916 | 4,024 | 4,499 | 4,957 | 5,824 |
| Beds | 42 | 42 | 42 | 42 | 42 | 46 |
| Employees (FTE) | 579 | 598 | 633 | 645 | 718 | 689 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824980, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center St. Joseph Mercy Livingston Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $45.3M | $126.6M | 0.36 | ||
| Emergency | $9.3M | $19.4M | $111.7M | 0.17 | 38,088 |
| Operating room | $4.8M | $12.5M | $81.1M | 0.15 | 22,287 |
| Laboratory | $2.4M | $10.2M | $71.2M | 0.14 | 5,784 |
| Asc (non-distinct part) | $2.8M | $10.1M | $81.6M | 0.12 | 19,454 |
| Impl. dev. charged to patients | $10.1M | $18.7M | 0.54 | ||
| Radiology-diagnostic | $3.3M | $8M | $47.4M | 0.17 | 31,518 |
| Medical supplies charged to patient | $5.2M | $4.2M | 1.26 | ||
| Electrocardiology | $3.1M | $3.4M | $27.5M | 0.12 | 1,010 |
| Ct scan | $1.3M | $3.1M | $127.4M | 0.02 | |
| Mri | $879,937 | $3M | $51.9M | 0.06 | 1,903 |
| Infusion services | $1.2M | $2.8M | $9.7M | 0.29 | 9,883 |
| Radiation oncology | $843,780 | $2.4M | $27.1M | 0.09 | 6,787 |
| Anesthesiology | $2.9M | $2.3M | $34.7M | 0.07 | 716 |
| Respiratory therapy | $1.1M | $1.9M | $8.6M | 0.22 | 771 |
| Observation beds (non-distinct part | $1.6M | $8.3M | 0.19 | ||
| Cardiac rehabilitation | $435,590 | $1.2M | $3.3M | 0.38 | 4,800 |
| Pain block | $634,584 | $1.2M | $9.1M | 0.13 | 296 |
| Physical therapy | $509,156 | $1.1M | $2.3M | 0.49 | 6,029 |
| Clinic | $432,417 | $861,906 | $6.9M | 0.13 | 2,061 |
| Nutricare | $106,182 | $170,125 | $35,883 | 4.74 | |
| Acupuncture | $110,221 | $83,241 | 1.32 | ||
| Outpatient behavioral medicine | $26,096 | $49,236 | $45,491 | 1.08 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.1M | $11.8M | $25.8M | 0.46 | 17,835 |
| Intensive care unit | $5M | $5.3M | $13.6M | 0.39 | 16,085 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $6.6M | $36.8M | 101,674 | $50.59 | 30,874 |
| Operation of plant | $1.3M | $3.8M | 37,650 | $34.02 | 23,599 |
| I&r services-other prgm costs apprv | $3.3M | ||||
| Housekeeping | $1.6M | $2.9M | 81,038 | $19.92 | 2,178 |
| I&r services-salary & fringes apprv | $2.7M | $2.7M | 1,009 | ||
| Maintenance & repairs | $2.2M | 1,052 | |||
| Pharmacy | $2.2M | $2.1M | 39,602 | $55.61 | 4,534 |
| Nursing administration | $1.4M | $1.7M | 35,321 | $40.25 | 222 |
| Employee benefits department | $1.6M | 1,839 | |||
| Medical records & library | $1M | $1.4M | 20,106 | $50.70 | 1,057 |
| Central services & supply | $252,204 | $479,779 | 4,537 | ||
| Cafeteria | $387,370 | 8,177 | $22.34 | ||
| Laundry & linen service | $40,021 | $329,873 | 2,143 | $18.68 | 3,546 |
| Dietary | $317,317 | $283,252 | 6,029 | $22.34 | 10,808 |
| Social service | $128,518 | $140,281 | 4,123 | $31.17 | 595 |
| Cap rel costs-bldg & fixt | $1,780 | 281,892 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824980, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays St. Joseph Mercy Livingston Hospital for an inpatient stay.
1.46
Case mix index
Higher than 23% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.71 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
10.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,038
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.49 | 1.48 | 1.49 | 1.51 | 1.40 | 1.38 | 1.46 |
| Wage index | 0.959 | 0.981 | 0.969 | 0.957 | 0.970 | 0.962 | 0.959 |
| Readmissions adjustment | -0.55% | -0.14% | -0.01% | -0.34% | -0.24% | 0.00% | 0.00% |
| Value-based purchasing adjustment | +1.19% | +1.23% | +1.23% | +1.61% | +1.18% | +2.99% | +0.83% |
| Medicare inpatient stays | 1,101 | 1,101 | 938 | 1,068 | 1,054 | 1,067 | 1,038 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations St. Joseph Mercy Livingston Hospital reports to Medicare as owners or with operational control. 1 individuals also hold ownership interests; they are not listed here.
Trinity Health Corporation
5% or greater indirect ownership interest, 100%, since 2013
Trinity Health-michigan
5% or greater direct ownership interest, 100%, since 2000
Sources: CMS Hospital All Owners.
The officers and board members on St. Joseph Mercy Livingston Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 18 of 21 are shown.
About St. Joseph Mercy Livingston Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Joseph Mercy Livingston Hospital range from $420 to $689 across 2 insurers. Aetna's rate is $420. The median at nearby comparable hospitals is $391. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Joseph Mercy Livingston Hospital range from $533 to $635 across 2 insurers. Aetna's rate is $635. The median at nearby comparable hospitals is $481. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St. Joseph Mercy Livingston Hospital range from $456 to $977 across 2 insurers. Blue Cross Blue Shield's rate is $977. The median at nearby comparable hospitals is $848. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Joseph Mercy Livingston Hospital range from $149 to $242 across 2 insurers. Blue Cross Blue Shield's rate is $242. The median at nearby comparable hospitals is $169. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Joseph Mercy Livingston Hospital 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.
Yes. CMS counts 0.71 Medicare-funded residents per bed at St. Joseph Mercy Livingston Hospital for fiscal year 2027, so it is a major teaching hospital.
No. St. Joseph Mercy Livingston Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (145 discharges), heart failure and shock with mcc (120 discharges), pulmonary edema and respiratory failure (59 discharges).
St. Joseph Mercy Livingston Hospital's Medicare case mix index is 1.46 for fiscal year 2027, higher than 23% of hospitals paid under the inpatient prospective payment system.
St. Joseph Mercy Livingston Hospital reported 3,622 inpatient discharges and 12,618 inpatient days from Jul 1, 2024 to Jun 30, 2025.
St. Joseph Mercy Livingston Hospital reported 689 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
St. Joseph Mercy Livingston Hospital reported $243.5M in net patient revenue on $946.6M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 16.9%, and net income of $47.9M.
St. Joseph Mercy Livingston Hospital reported $3.1M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $1.5M of charity care at cost.
St. Joseph Mercy Livingston Hospital's Medicare enrollment lists Shannon Striebich as President since 2024.
Insurers' price transparency files list St. Joseph Mercy Livingston Hospital under employer identification number 38-3176225 (Saint Joseph Mercy Livingston Hospital). 63 health plans and networks list 38-3176225 for it.
910 clinicians who bill Medicare list St. Joseph Mercy Livingston Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (132), family medicine physician (111), physician assistant (85).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for St. Joseph Mercy Livingston Hospital, effective 2022.
In its Medicare enrollment, St. Joseph Mercy Livingston Hospital reports Trinity Health Corporation as 5% or greater indirect ownership interest (100%).
CMS lists 19 services at St. Joseph Mercy Livingston Hospital, including Alcohol and/or Drug Service, Anesthesia, Clinical Laboratory, Diagnostic Radiology, Dietary Care, Emergency Department.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at St. Joseph Mercy Livingston Hospital came from ZIP codes 48843 (804), 48116 (325), 48855 (253).
St. Joseph Mercy Livingston Hospital has 46 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 136 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
St. Joseph Mercy Livingston Hospital is located at 620 Byron Road, Howell, MI 48843. Its main phone number is (517) 545-6000.
St. Joseph Mercy Livingston Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 230069.
The National Provider Identifier (NPI) on file for St. Joseph Mercy Livingston Hospital is 1093748642.
St. Joseph Mercy Livingston Hospital is affiliated with Trinity Health.
St. Joseph Mercy Livingston Hospital lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
306 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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