facebook tracking Fractures of hip and pelvis without major complications cost in Michigan: 10 hospitals compared (DRG 536)

Fractures of hip and pelvis without major complications in Michigan

What 10 hospitals in Michigan charged and were paid for a Medicare hospital stay for fractures of hip and pelvis without major complications (DRG 536), from 2024 Medicare claims.

DRG 536 Inpatient 2024 Medicare data
Average charge $26,677 Hospital list price billed
Average payment $7,024 Medicare + patient + other payers
Medicare paid $4,985 Average per stay
State rank #22 of 37 1 = lowest average payment

Hospitals in Michigan billed an average of $26,677 for fractures of hip and pelvis without major complications, about 3.8 times the average total payment of $7,024. That payment is 8% below the U.S. average of $7,596.

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 $7,024Billed $26,677

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: fractures of hip and pelvis 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
William Beaumont Hospital-TroyTroy 26 $32,147 $5,573 $3,998
Trinity Health Ann Arbor HospitalAnn Arbor 21 $24,518 $6,912 $5,386
St Mary Mercy HospitalLivonia 20 $29,617 $8,220 $4,839
Bronson Methodist HospitalKalamazoo 19 $22,038 $7,008 $5,070
William Beaumont HospitalRoyal Oak 19 $32,361 $7,801 $5,291
Munson Medical CenterTraverse City 17 $16,197 $6,914 $5,225
Henry Ford Macomb HospitalClinton Twp 15 $23,346 $6,737 $4,965
Spectrum Health - Butterworth CampusGrand Rapids 14 $17,004 $7,568 $5,659
Allegiance HealthJackson 13 $28,565 $7,232 $5,169
Corewell Health Trenton HospitalTrenton 11 $41,534 $6,797 $4,728
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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

William Beaumont Hospital-TroyTroy, MI$5,573
Henry Ford Macomb HospitalClinton Twp, MI$6,737
Corewell Health Trenton HospitalTrenton, MI$6,797
Trinity Health Ann Arbor HospitalAnn Arbor, MI$6,912
Munson Medical CenterTraverse City, MI$6,914

Highest

St Mary Mercy HospitalLivonia, MI$8,220
William Beaumont HospitalRoyal Oak, MI$7,801
Spectrum Health - Butterworth CampusGrand Rapids, MI$7,568
Allegiance HealthJackson, MI$7,232
Bronson Methodist HospitalKalamazoo, MI$7,008

Fractures of hip and pelvis without major complications in other states

Questions

How much does fractures of hip and pelvis without major complications cost in Michigan?

In 2024 Medicare data, a hospital stay for fractures of hip and pelvis without major complications (DRG 536) at 10 hospitals in Michigan was billed at $26,677 on average, while the average total payment was $7,024, of which Medicare paid $4,985. 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.