facebook tracking Coronary bypass with cardiac catheterization or open ablation without major complications cost in Michigan: 5 hospitals compared (DRG 234)

Coronary bypass with cardiac catheterization or open ablation without major complications in Michigan

What 5 hospitals in Michigan charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234), from 2024 Medicare claims.

DRG 234 Inpatient 2024 Medicare data
Average charge $151,326 Hospital list price billed
Average payment $45,816 Medicare + patient + other payers
Medicare paid $35,044 Average per stay
State rank #20 of 36 1 = lowest average payment

Hospitals in Michigan billed an average of $151,326 for coronary bypass with cardiac catheterization or open ablation without major complications, about 3.3 times the average total payment of $45,816. That payment is about the same as the U.S. average of $45,866.

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 $45,816Billed $151,326

About 30¢ 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: coronary bypass with cardiac catheterization or open ablation 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
Spectrum Health - Butterworth CampusGrand Rapids 28 $158,067 $51,553 $36,516
Trinity Health Ann Arbor HospitalAnn Arbor 17 $171,421 $50,835 $30,444
Bay Regional Medical CenterBay City 16 $120,920 $34,316 $29,379
Henry Ford Macomb HospitalClinton Twp 12 $165,708 $41,192 $37,989
Munson Medical CenterTraverse City 11 $131,649 $45,232 $43,437
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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$34,316
Henry Ford Macomb HospitalClinton Twp, MI$41,192
Munson Medical CenterTraverse City, MI$45,232
Trinity Health Ann Arbor HospitalAnn Arbor, MI$50,835
Spectrum Health - Butterworth CampusGrand Rapids, MI$51,553

Highest

Spectrum Health - Butterworth CampusGrand Rapids, MI$51,553
Trinity Health Ann Arbor HospitalAnn Arbor, MI$50,835
Munson Medical CenterTraverse City, MI$45,232
Henry Ford Macomb HospitalClinton Twp, MI$41,192
Bay Regional Medical CenterBay City, MI$34,316

Coronary bypass with cardiac catheterization or open ablation without major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation without major complications cost in Michigan?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation without major complications (DRG 234) at 5 hospitals in Michigan was billed at $151,326 on average, while the average total payment was $45,816, of which Medicare paid $35,044. 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.