facebook tracking Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Michigan: 23 hospitals compared (DRG 563)

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in Michigan

What 23 hospitals in Michigan charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.

DRG 563 Inpatient 2024 Medicare data
Average charge $26,571 Hospital list price billed
Average payment $7,875 Medicare + patient + other payers
Medicare paid $5,982 Average per stay
State rank #20 of 39 1 = lowest average payment

Hospitals in Michigan billed an average of $26,571 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 3.4 times the average total payment of $7,875. That payment is 10% below the U.S. average of $8,749.

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 $7,875Billed $26,571

About 30¢ 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: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh 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
Providence Hospital and Medical CentersSouthfield 42 $24,364 $8,144 $6,261
William Beaumont Hospital-TroyTroy 41 $32,015 $6,279 $4,955
Trinity Health Ann Arbor HospitalAnn Arbor 38 $28,342 $7,685 $5,973
St Mary Mercy HospitalLivonia 35 $27,197 $8,330 $6,154
William Beaumont HospitalRoyal Oak 33 $30,196 $8,283 $6,124
Ascension Providence Rochester HospitalRochester 19 $19,186 $7,175 $5,402
Univ of Michigan HospitalsAnn Arbor 18 $32,835 $11,169 $7,751
Henry Ford Macomb HospitalClinton Twp 17 $23,704 $7,476 $5,720
St John Hospital and Medical CenterDetroit 16 $19,071 $8,638 $6,531
Henry Ford Wyandotte HospitalWyandotte 15 $22,799 $6,595 $5,443
Beaumont Hospital - DearbornDearborn 14 $28,592 $7,706 $5,937
Bay Regional Medical CenterBay City 14 $14,693 $5,938 $4,626
Lakeland Hospital, St JosephSt Joseph 13 $19,805 $7,957 $5,863
St Joseph Mercy OaklandPontiac 13 $27,526 $8,202 $6,102
Spectrum Health - Butterworth CampusGrand Rapids 13 $20,959 $8,397 $6,010
Corewell Health Trenton HospitalTrenton 13 $42,172 $7,041 $5,483
Genesys Regional Medical Center - Health ParkGrand Blanc 13 $24,818 $8,329 $6,537
McLaren Greater LansingLansing 12 $26,712 $8,463 $6,610
McLaren MacombMt Clemens 12 $28,096 $8,279 $6,315
Bronson Methodist HospitalKalamazoo 11 $20,278 $7,404 $5,657
Allegiance HealthJackson 11 $33,591 $8,117 $6,386
Beaumont Hospital - Farmington HillsFarmington Hls 11 $28,572 $8,942 $6,548
Henry Ford Health Warren HospitalWarren 11 $23,853 $7,977 $6,242
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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.

Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states

Questions

How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Michigan?

In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 23 hospitals in Michigan was billed at $26,571 on average, while the average total payment was $7,875, of which Medicare paid $5,982. 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.