facebook tracking Coronary bypass without cardiac catheterization without major complications cost in Michigan: 8 hospitals compared (DRG 236)

Coronary bypass without cardiac catheterization without major complications in Michigan

What 8 hospitals in Michigan charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236), from 2024 Medicare claims.

DRG 236 Inpatient 2024 Medicare data
Average charge $142,011 Hospital list price billed
Average payment $42,040 Medicare + patient + other payers
Medicare paid $29,781 Average per stay
State rank #35 of 42 1 = lowest average payment

Hospitals in Michigan billed an average of $142,011 for coronary bypass without cardiac catheterization without major complications, about 3.4 times the average total payment of $42,040. That payment is 11% above the U.S. average of $37,830.

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 $42,040Billed $142,011

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 without cardiac catheterization 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 HospitalRoyal Oak 28 $154,907 $37,921 $28,510
Henry Ford HospitalDetroit 26 $171,488 $51,255 $36,337
Univ of Michigan HospitalsAnn Arbor 25 $174,538 $49,191 $37,692
Henry Ford Macomb HospitalClinton Twp 24 $112,632 $33,422 $26,244
Spectrum Health - Butterworth CampusGrand Rapids 23 $127,208 $51,410 $23,174
Trinity Health Ann Arbor HospitalAnn Arbor 22 $123,806 $35,302 $26,049
McLaren Regional Medical CenterFlint 17 $119,838 $34,101 $31,691
St Joseph Mercy OaklandPontiac 14 $133,603 $40,009 $26,480
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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

Henry Ford Macomb HospitalClinton Twp, MI$33,422
McLaren Regional Medical CenterFlint, MI$34,101
Trinity Health Ann Arbor HospitalAnn Arbor, MI$35,302
William Beaumont HospitalRoyal Oak, MI$37,921
St Joseph Mercy OaklandPontiac, MI$40,009

Highest

Spectrum Health - Butterworth CampusGrand Rapids, MI$51,410
Henry Ford HospitalDetroit, MI$51,255
Univ of Michigan HospitalsAnn Arbor, MI$49,191
St Joseph Mercy OaklandPontiac, MI$40,009
William Beaumont HospitalRoyal Oak, MI$37,921

Coronary bypass without cardiac catheterization without major complications in other states

Questions

How much does coronary bypass without cardiac catheterization without major complications cost in Michigan?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236) at 8 hospitals in Michigan was billed at $142,011 on average, while the average total payment was $42,040, of which Medicare paid $29,781. 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 3.4 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.