facebook tracking ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Michigan: 6 hospitals compared (DRG 003)

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in Michigan

What 6 hospitals in Michigan charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.

DRG 003 Inpatient 2024 Medicare data
Average charge $844,530 Hospital list price billed
Average payment $245,960 Medicare + patient + other payers
Medicare paid $214,512 Average per stay
State rank #19 of 29 1 = lowest average payment

Hospitals in Michigan billed an average of $844,530 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 3.4 times the average total payment of $245,960. That payment is about the same as the U.S. average of $246,178.

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 $245,960Billed $844,530

About 29¢ was paid for every $1 hospitals in Michigan billed for this stay.

Michigan hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec

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
Henry Ford HospitalDetroit 38 $553,036 $229,391 $186,962
Univ of Michigan HospitalsAnn Arbor 28 $1,095,670 $312,638 $287,460
Spectrum Health - Butterworth CampusGrand Rapids 25 $608,285 $214,847 $177,197
William Beaumont HospitalRoyal Oak 15 $614,895 $150,058 $127,163
Harper University HospitalDetroit 13 $1,910,874 $371,256 $341,009
Detroit Receiving Hospital & Univ Health CenterDetroit 11 $802,073 $186,881 $178,417
Advertisement

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

William Beaumont HospitalRoyal Oak, MI$150,058
Detroit Receiving Hospital & Univ Health CenterDetroit, MI$186,881
Spectrum Health - Butterworth CampusGrand Rapids, MI$214,847
Henry Ford HospitalDetroit, MI$229,391
Univ of Michigan HospitalsAnn Arbor, MI$312,638

Highest

Harper University HospitalDetroit, MI$371,256
Univ of Michigan HospitalsAnn Arbor, MI$312,638
Henry Ford HospitalDetroit, MI$229,391
Spectrum Health - Butterworth CampusGrand Rapids, MI$214,847
Detroit Receiving Hospital & Univ Health CenterDetroit, MI$186,881

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states

Questions

How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Michigan?

In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 6 hospitals in Michigan was billed at $844,530 on average, while the average total payment was $245,960, of which Medicare paid $214,512. 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.