facebook tracking Carotid artery stent procedures without complications cost in Michigan: 6 hospitals compared (DRG 036)

Carotid artery stent procedures without complications in Michigan

What 6 hospitals in Michigan charged and were paid for a Medicare hospital stay for carotid artery stent procedures without complications (DRG 036), from 2024 Medicare claims.

DRG 036 Inpatient 2024 Medicare data
Average charge $49,113 Hospital list price billed
Average payment $15,002 Medicare + patient + other payers
Medicare paid $13,002 Average per stay
State rank #15 of 33 1 = lowest average payment

Hospitals in Michigan billed an average of $49,113 for carotid artery stent procedures without complications, about 3.3 times the average total payment of $15,002. That payment is 5% below the U.S. average of $15,778.

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 $15,002Billed $49,113

About 31¢ was paid for every $1 hospitals in Michigan billed for this stay.

Michigan hospitals: carotid artery stent procedures without 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
Midmichigan Medical Center-MidlandMidland 27 $41,625 $15,153 $14,592
St John Hospital and Medical CenterDetroit 18 $58,283 $18,216 $12,519
Bay Regional Medical CenterBay City 13 $48,616 $12,252 $10,979
Covenant Medical Center, INCSaginaw 13 $40,071 $13,471 $12,000
Borgess Medical CenterKalamazoo 13 $61,564 $14,955 $13,396
Bronson Methodist HospitalKalamazoo 11 $49,048 $14,489 $12,998
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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.

Lowest

Bay Regional Medical CenterBay City, MI$12,252
Covenant Medical Center, INCSaginaw, MI$13,471
Bronson Methodist HospitalKalamazoo, MI$14,489
Borgess Medical CenterKalamazoo, MI$14,955
Midmichigan Medical Center-MidlandMidland, MI$15,153

Highest

Carotid artery stent procedures without complications in other states

Questions

How much does carotid artery stent procedures without complications cost in Michigan?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures without complications (DRG 036) at 6 hospitals in Michigan was billed at $49,113 on average, while the average total payment was $15,002, of which Medicare paid $13,002. 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 3.3 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.