facebook tracking Extensive operating room procedures unrelated to principal diagnosis with major complications cost in Michigan: 25 hospitals compared (DRG 981)

Extensive operating room procedures unrelated to principal diagnosis with major complications in Michigan

What 25 hospitals in Michigan charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.

DRG 981 Inpatient 2024 Medicare data
Average charge $141,628 Hospital list price billed
Average payment $42,161 Medicare + patient + other payers
Medicare paid $35,606 Average per stay
State rank #21 of 42 1 = lowest average payment

Hospitals in Michigan billed an average of $141,628 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 3.4 times the average total payment of $42,161. That payment is 10% below the U.S. average of $47,051.

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 $42,161Billed $141,628

About 30¢ was paid for every $1 hospitals in Michigan billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Michigan:

Major complications $42,161 DRG 981 · this page Complications $24,742 DRG 982 · U.S. average No complications $20,340 DRG 983 · U.S. average

Michigan hospitals: extensive operating room procedures unrelated to principal diagnosis 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
William Beaumont HospitalRoyal Oak 43 $182,555 $45,139 $35,632
Spectrum Health - Butterworth CampusGrand Rapids 33 $118,302 $43,309 $28,890
Trinity Health Ann Arbor HospitalAnn Arbor 25 $108,555 $41,608 $29,344
Univ of Michigan HospitalsAnn Arbor 24 $195,787 $55,842 $49,339
William Beaumont Hospital-TroyTroy 20 $190,170 $40,264 $27,122
Midmichigan Medical Center-MidlandMidland 19 $104,011 $40,649 $38,973
Providence Hospital and Medical CentersSouthfield 18 $157,078 $42,537 $38,128
Henry Ford Health Warren HospitalWarren 18 $131,996 $36,584 $32,066
St Joseph Mercy OaklandPontiac 17 $101,609 $37,557 $34,896
Henry Ford Macomb HospitalClinton Twp 17 $109,676 $38,051 $35,165
McLaren Regional Medical CenterFlint 17 $162,341 $40,380 $37,513
Henry Ford HospitalDetroit 16 $141,275 $55,754 $45,551
Trinity Health Muskegon HospitalMuskegon 15 $114,097 $49,399 $42,817
Bronson Methodist HospitalKalamazoo 14 $97,396 $37,884 $35,233
Beaumont Hospital - DearbornDearborn 14 $158,191 $35,481 $33,186
Beaumont Hospital - Farmington HillsFarmington Hls 14 $163,427 $46,342 $41,600
St Mary Mercy HospitalLivonia 13 $86,366 $43,129 $34,965
Covenant Medical Center, INCSaginaw 13 $93,459 $34,038 $32,740
Sinai-Grace HospitalDetroit 12 $243,212 $40,478 $36,467
Munson Medical CenterTraverse City 12 $109,277 $40,960 $40,043
St John Hospital and Medical CenterDetroit 12 $141,372 $37,009 $34,156
Genesys Regional Medical Center - Health ParkGrand Blanc 12 $148,504 $41,092 $38,565
Port Huron HospitalPort Huron 12 $89,645 $30,832 $29,732
Henry Ford Wyandotte HospitalWyandotte 11 $112,568 $36,482 $26,745
Edward W Sparrow HospitalLansing 11 $225,809 $44,683 $33,635
Extensive operating room procedures unrelated to principal diagnosis with major complications: all states All Michigan hospitals Michigan hospital finances
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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$30,832
Covenant Medical Center, INCSaginaw, MI$34,038
Beaumont Hospital - DearbornDearborn, MI$35,481
Henry Ford Wyandotte HospitalWyandotte, MI$36,482
Henry Ford Health Warren HospitalWarren, MI$36,584

Highest

Univ of Michigan HospitalsAnn Arbor, MI$55,842
Henry Ford HospitalDetroit, MI$55,754
Trinity Health Muskegon HospitalMuskegon, MI$49,399
Beaumont Hospital - Farmington HillsFarmington Hls, MI$46,342
William Beaumont HospitalRoyal Oak, MI$45,139

Extensive operating room procedures unrelated to principal diagnosis with major complications in other states

Kansas · $43,021 Maine · $42,712 Missouri · $42,510 Nevada · $41,352 Ohio · $42,631 South Dakota · $42,026 Utah · $40,918 Virginia · $42,032

Questions

How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Michigan?

In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 25 hospitals in Michigan was billed at $141,628 on average, while the average total payment was $42,161, of which Medicare paid $35,606. 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.