facebook tracking Coronary intravascular lithotripsy with intraluminal device without major complications cost in Michigan: 2 hospitals compared (DRG 324)

Coronary intravascular lithotripsy with intraluminal device without major complications in Michigan

What 2 hospitals in Michigan charged and were paid for a Medicare hospital stay for coronary intravascular lithotripsy with intraluminal device without major complications (DRG 324), from 2024 Medicare claims.

DRG 324 Inpatient 2024 Medicare data
Average charge $134,965 Hospital list price billed
Average payment $28,202 Medicare + patient + other payers
Medicare paid $20,054 Average per stay
Volume 28 Medicare hospital stays

Hospitals in Michigan billed an average of $134,965 for coronary intravascular lithotripsy with intraluminal device without major complications, about 4.8 times the average total payment of $28,202. That payment is about the same as the U.S. average of $28,401.

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 $28,202Billed $134,965

About 21¢ 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 intravascular lithotripsy with intraluminal device 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 14 $100,580 $28,854 $18,684
William Beaumont HospitalRoyal Oak 14 $169,349 $27,550 $21,423
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Coronary intravascular lithotripsy with intraluminal device without major complications in other states

Questions

How much does coronary intravascular lithotripsy with intraluminal device without major complications cost in Michigan?

In 2024 Medicare data, a hospital stay for coronary intravascular lithotripsy with intraluminal device without major complications (DRG 324) at 2 hospitals in Michigan was billed at $134,965 on average, while the average total payment was $28,202, of which Medicare paid $20,054. 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 4.8 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.