facebook tracking Digestive malignancy with complications cost in Michigan: 5 hospitals compared (DRG 375)

Digestive malignancy with complications in Michigan

What 5 hospitals in Michigan charged and were paid for a Medicare hospital stay for digestive malignancy with complications (DRG 375), from 2024 Medicare claims.

DRG 375 Inpatient 2024 Medicare data
Average charge $38,961 Hospital list price billed
Average payment $12,541 Medicare + patient + other payers
Medicare paid $8,856 Average per stay
State rank #14 of 20 1 = lowest average payment

Hospitals in Michigan billed an average of $38,961 for digestive malignancy with complications, about 3.1 times the average total payment of $12,541. That payment is 4% below the U.S. average of $13,131.

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 $12,541Billed $38,961

About 32¢ 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: digestive malignancy 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
Trinity Health Ann Arbor HospitalAnn Arbor 24 $40,089 $11,723 $7,050
Univ of Michigan HospitalsAnn Arbor 21 $40,971 $14,060 $10,988
Henry Ford HospitalDetroit 18 $37,640 $16,430 $11,106
William Beaumont Hospital-TroyTroy 13 $39,300 $9,778 $6,800
Henry Ford West Bloomfield HospitalWest Bloomfield Twp 12 $34,803 $8,677 $7,589
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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 West Bloomfield HospitalWest Bloomfield Twp, MI$8,677
William Beaumont Hospital-TroyTroy, MI$9,778
Trinity Health Ann Arbor HospitalAnn Arbor, MI$11,723
Univ of Michigan HospitalsAnn Arbor, MI$14,060
Henry Ford HospitalDetroit, MI$16,430

Highest

Henry Ford HospitalDetroit, MI$16,430
Univ of Michigan HospitalsAnn Arbor, MI$14,060
Trinity Health Ann Arbor HospitalAnn Arbor, MI$11,723
William Beaumont Hospital-TroyTroy, MI$9,778
Henry Ford West Bloomfield HospitalWest Bloomfield Twp, MI$8,677

Digestive malignancy with complications in other states

Questions

How much does digestive malignancy with complications cost in Michigan?

In 2024 Medicare data, a hospital stay for digestive malignancy with complications (DRG 375) at 5 hospitals in Michigan was billed at $38,961 on average, while the average total payment was $12,541, of which Medicare paid $8,856. 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 3.1 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.