facebook tracking Bone diseases and arthropathies without major complications cost in Michigan: 8 hospitals compared (DRG 554)

Bone diseases and arthropathies without major complications in Michigan

What 8 hospitals in Michigan charged and were paid for a Medicare hospital stay for bone diseases and arthropathies without major complications (DRG 554), from 2024 Medicare claims.

DRG 554 Inpatient 2024 Medicare data
Average charge $22,450 Hospital list price billed
Average payment $7,455 Medicare + patient + other payers
Medicare paid $5,440 Average per stay
State rank #7 of 19 1 = lowest average payment

Hospitals in Michigan billed an average of $22,450 for bone diseases and arthropathies without major complications, about 3.0 times the average total payment of $7,455. That payment is 15% below the U.S. average of $8,815.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $7,455Billed $22,450

About 33¢ was paid for every $1 hospitals in Michigan billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Michigan:

Michigan hospitals: bone diseases and arthropathies without major complications

Every Michigan hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
William Beaumont Hospital-TroyTroy 36 $24,112 $5,858 $4,553
William Beaumont HospitalRoyal Oak 27 $24,098 $7,881 $5,658
Trinity Health Ann Arbor HospitalAnn Arbor 22 $19,476 $7,071 $5,752
Providence Hospital and Medical CentersSouthfield 20 $15,676 $7,349 $5,859
St Mary Mercy HospitalLivonia 17 $22,131 $7,679 $5,757
Univ of Michigan HospitalsAnn Arbor 17 $31,920 $10,712 $5,707
Henry Ford Health Warren HospitalWarren 12 $19,226 $7,329 $5,570
St John Hospital and Medical CenterDetroit 11 $20,608 $7,361 $5,376
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Lowest and highest payments in Michigan

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Bone diseases and arthropathies without major complications in other states

Questions

How much does bone diseases and arthropathies without major complications cost in Michigan?

In 2024 Medicare data, a hospital stay for bone diseases and arthropathies without major complications (DRG 554) at 8 hospitals in Michigan was billed at $22,450 on average, while the average total payment was $7,455, of which Medicare paid $5,440. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Michigan, average charges were 3.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.