facebook tracking Endovascular cardiac valve replacement and supplement procedures without major complications cost in Michigan: 26 hospitals compared (DRG 267)

Endovascular cardiac valve replacement and supplement procedures without major complications in Michigan

What 26 hospitals in Michigan charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures without major complications (DRG 267), from 2024 Medicare claims.

DRG 267 Inpatient 2024 Medicare data
Average charge $165,675 Hospital list price billed
Average payment $42,426 Medicare + patient + other payers
Medicare paid $38,842 Average per stay
State rank #29 of 43 1 = lowest average payment

Hospitals in Michigan billed an average of $165,675 for endovascular cardiac valve replacement and supplement procedures without major complications, about 3.9 times the average total payment of $42,426. That payment is 4% below the U.S. average of $44,077.

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 $42,426Billed $165,675

About 26¢ 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: endovascular cardiac valve replacement and supplement procedures 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
Univ of Michigan HospitalsAnn Arbor 121 $168,959 $49,472 $44,161
Henry Ford HospitalDetroit 118 $167,268 $53,381 $45,855
William Beaumont HospitalRoyal Oak 101 $218,514 $43,975 $36,834
Midmichigan Medical Center-MidlandMidland 92 $130,691 $40,336 $39,275
Spectrum Health - Butterworth CampusGrand Rapids 79 $184,568 $41,363 $37,881
Bronson Methodist HospitalKalamazoo 61 $124,775 $39,034 $35,945
Trinity Health Ann Arbor HospitalAnn Arbor 52 $127,595 $40,836 $35,977
Munson Medical CenterTraverse City 46 $178,037 $42,782 $41,439
Bay Regional Medical CenterBay City 35 $179,943 $32,332 $31,103
St Joseph Mercy OaklandPontiac 33 $133,033 $39,944 $38,364
Edward W Sparrow HospitalLansing 31 $183,077 $38,203 $36,831
William Beaumont Hospital-TroyTroy 31 $213,621 $33,018 $31,871
Covenant Medical Center, INCSaginaw 28 $95,985 $35,457 $34,906
Allegiance HealthJackson 25 $184,358 $39,807 $37,943
McLaren Regional Medical CenterFlint 21 $286,077 $41,019 $39,172
St John Hospital and Medical CenterDetroit 20 $111,713 $40,755 $39,177
McLaren Greater LansingLansing 19 $223,497 $40,506 $38,952
Beaumont Hospital - DearbornDearborn 17 $209,819 $37,834 $36,329
Trinity Health Muskegon HospitalMuskegon 17 $96,013 $40,166 $38,797
Mymichigan Medical Center SaginawSaginaw 17 $99,562 $35,259 $33,729
Providence Hospital and Medical CentersSouthfield 16 $101,975 $40,914 $35,893
Henry Ford Macomb HospitalClinton Twp 16 $151,670 $37,861 $36,702
Marquette General Hlth SystemMarquette 15 $184,181 $42,833 $41,325
McLaren MacombMt Clemens 13 $191,716 $38,991 $34,028
Lakeland Hospital, St JosephSt Joseph 11 $116,427 $37,973 $36,408
Port Huron HospitalPort Huron 11 $158,903 $32,291 $31,546
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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

Port Huron HospitalPort Huron, MI$32,291
Bay Regional Medical CenterBay City, MI$32,332
William Beaumont Hospital-TroyTroy, MI$33,018
Mymichigan Medical Center SaginawSaginaw, MI$35,259
Covenant Medical Center, INCSaginaw, MI$35,457

Highest

Henry Ford HospitalDetroit, MI$53,381
Univ of Michigan HospitalsAnn Arbor, MI$49,472
William Beaumont HospitalRoyal Oak, MI$43,975
Marquette General Hlth SystemMarquette, MI$42,833
Munson Medical CenterTraverse City, MI$42,782

Endovascular cardiac valve replacement and supplement procedures without major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures without major complications cost in Michigan?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures without major complications (DRG 267) at 26 hospitals in Michigan was billed at $165,675 on average, while the average total payment was $42,426, of which Medicare paid $38,842. 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 3.9 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.