Cardiac defibrillator implant with major complications or carotid sinus neurostimulator in Michigan
What 1 hospital in Michigan charged and were paid for a Medicare hospital stay for cardiac defibrillator implant with major complications or carotid sinus neurostimulator (DRG 276), from 2024 Medicare claims.
Average charge
$157,524
Hospital list price billed
Average payment
$63,759
Medicare + patient + other payers
Medicare paid
$43,409
Average per stay
Volume
14
Medicare hospital stays
Hospitals in Michigan billed an average of $157,524 for cardiac defibrillator implant with major complications or carotid sinus neurostimulator, about 2.5 times the average total payment of $63,759. That payment is 3% below the U.S. average of $65,922.
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 $63,759Billed $157,524
About 40¢ 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: cardiac defibrillator implant with major complications or carotid sinus neurostimulator
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 |
|---|---|---|---|---|
| Spectrum Health - Butterworth CampusGrand Rapids | 14 | $157,524 | $63,759 | $43,409 |
Cardiac defibrillator implant with major complications or carotid sinus neurostimulator in other states
Questions
How much does cardiac defibrillator implant with major complications or carotid sinus neurostimulator cost in Michigan?
In 2024 Medicare data, a hospital stay for cardiac defibrillator implant with major complications or carotid sinus neurostimulator (DRG 276) at 1 hospital in Michigan was billed at $157,524 on average, while the average total payment was $63,759, of which Medicare paid $43,409. 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 2.5 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.