facebook tracking Cranial and peripheral nerve disorders with major complications cost in Michigan: 3 hospitals compared (DRG 073)

Cranial and peripheral nerve disorders with major complications in Michigan

What 3 hospitals in Michigan charged and were paid for a Medicare hospital stay for cranial and peripheral nerve disorders with major complications (DRG 073), from 2024 Medicare claims.

DRG 073 Inpatient 2024 Medicare data
Average charge $34,149 Hospital list price billed
Average payment $11,839 Medicare + patient + other payers
Medicare paid $9,600 Average per stay
State rank #1 of 7 1 = lowest average payment

Hospitals in Michigan billed an average of $34,149 for cranial and peripheral nerve disorders with major complications, about 2.9 times the average total payment of $11,839. That payment is 36% below the U.S. average of $18,465.

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 $11,839Billed $34,149

About 35¢ 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: cranial and peripheral nerve disorders with 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
St Joseph Mercy Port HuronPort Huron 26 $34,015 $10,470 $8,304
Garden City HospitalGarden City 19 $32,293 $13,783 $11,894
William Beaumont Hospital-TroyTroy 11 $37,671 $11,717 $8,699
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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

St Joseph Mercy Port HuronPort Huron, MI$10,470
William Beaumont Hospital-TroyTroy, MI$11,717
Garden City HospitalGarden City, MI$13,783

Highest

Garden City HospitalGarden City, MI$13,783
William Beaumont Hospital-TroyTroy, MI$11,717
St Joseph Mercy Port HuronPort Huron, MI$10,470

Cranial and peripheral nerve disorders with major complications in other states

Questions

How much does cranial and peripheral nerve disorders with major complications cost in Michigan?

In 2024 Medicare data, a hospital stay for cranial and peripheral nerve disorders with major complications (DRG 073) at 3 hospitals in Michigan was billed at $34,149 on average, while the average total payment was $11,839, of which Medicare paid $9,600. 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 2.9 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.