facebook tracking Extracranial procedures with complications cost in Michigan: 4 hospitals compared (DRG 038)

Extracranial procedures with complications in Michigan

What 4 hospitals in Michigan charged and were paid for a Medicare hospital stay for extracranial procedures with complications (DRG 038), from 2024 Medicare claims.

DRG 038 Inpatient 2024 Medicare data
Average charge $53,428 Hospital list price billed
Average payment $14,171 Medicare + patient + other payers
Medicare paid $11,101 Average per stay
State rank #18 of 29 1 = lowest average payment

Hospitals in Michigan billed an average of $53,428 for extracranial procedures with complications, about 3.8 times the average total payment of $14,171. That payment is 5% below the U.S. average of $14,903.

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 $14,171Billed $53,428

About 27¢ was paid for every $1 hospitals in Michigan billed for this stay.

Michigan hospitals: extracranial procedures 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 $54,771 $15,041 $11,103
Munson Medical CenterTraverse City 19 $41,581 $13,166 $11,671
McLaren Regional Medical CenterFlint 12 $64,012 $13,631 $12,367
Henry Ford Macomb HospitalClinton Twp 11 $59,415 $14,598 $8,732
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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

Munson Medical CenterTraverse City, MI$13,166
McLaren Regional Medical CenterFlint, MI$13,631
Henry Ford Macomb HospitalClinton Twp, MI$14,598
Trinity Health Ann Arbor HospitalAnn Arbor, MI$15,041

Highest

Trinity Health Ann Arbor HospitalAnn Arbor, MI$15,041
Henry Ford Macomb HospitalClinton Twp, MI$14,598
McLaren Regional Medical CenterFlint, MI$13,631
Munson Medical CenterTraverse City, MI$13,166

Extracranial procedures with complications in other states

Questions

How much does extracranial procedures with complications cost in Michigan?

In 2024 Medicare data, a hospital stay for extracranial procedures with complications (DRG 038) at 4 hospitals in Michigan was billed at $53,428 on average, while the average total payment was $14,171, of which Medicare paid $11,101. 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 3.8 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.