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Dental and oral diseases with complications in Michigan

What 2 hospitals in Michigan charged and were paid for a Medicare hospital stay for dental and oral diseases with complications (DRG 158), from 2024 Medicare claims.

DRG 158 Inpatient 2024 Medicare data
Average charge $36,818 Hospital list price billed
Average payment $10,277 Medicare + patient + other payers
Medicare paid $7,743 Average per stay
Volume 25 Medicare hospital stays

Hospitals in Michigan billed an average of $36,818 for dental and oral diseases with complications, about 3.6 times the average total payment of $10,277. That payment is 4% below the U.S. average of $10,651.

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 $10,277Billed $36,818

About 28¢ 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: dental and oral diseases with 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
Univ of Michigan HospitalsAnn Arbor 13 $33,778 $11,218 $8,764
William Beaumont HospitalRoyal Oak 12 $40,112 $9,258 $6,636
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Dental and oral diseases with complications in other states

Questions

How much does dental and oral diseases with complications cost in Michigan?

In 2024 Medicare data, a hospital stay for dental and oral diseases with complications (DRG 158) at 2 hospitals in Michigan was billed at $36,818 on average, while the average total payment was $10,277, of which Medicare paid $7,743. 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 3.6 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.