facebook tracking Hip and femur procedures except major joint with complications cost in Michigan: 49 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Michigan

What 49 hospitals in Michigan charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $68,984 Hospital list price billed
Average payment $17,554 Medicare + patient + other payers
Medicare paid $14,946 Average per stay
State rank #28 of 50 1 = lowest average payment

Hospitals in Michigan billed an average of $68,984 for hip and femur procedures except major joint with complications, about 3.9 times the average total payment of $17,554. That payment is 5% below the U.S. average of $18,473.

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 $17,554Billed $68,984

About 25¢ was paid for every $1 hospitals in Michigan billed for this stay.

Michigan hospitals: hip and femur procedures except major joint 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
William Beaumont Hospital-TroyTroy 88 $91,523 $14,573 $12,615
Spectrum Health - Butterworth CampusGrand Rapids 84 $50,285 $17,514 $15,132
William Beaumont HospitalRoyal Oak 82 $84,692 $18,754 $15,488
Munson Medical CenterTraverse City 58 $43,743 $18,374 $15,788
Bronson Methodist HospitalKalamazoo 54 $46,889 $17,555 $13,937
Henry Ford Macomb HospitalClinton Twp 52 $62,475 $17,326 $14,124
Trinity Health Ann Arbor HospitalAnn Arbor 52 $74,778 $16,852 $15,032
St Mary Mercy HospitalLivonia 47 $75,997 $18,298 $15,884
Edward W Sparrow HospitalLansing 47 $70,212 $17,771 $14,943
Providence Hospital and Medical CentersSouthfield 43 $68,658 $17,654 $16,005
Beaumont Hospital - DearbornDearborn 43 $116,613 $17,486 $14,506
Univ of Michigan HospitalsAnn Arbor 42 $90,447 $24,023 $17,466
Lakeland Hospital, St JosephSt Joseph 41 $51,217 $16,680 $14,611
St Joseph Mercy OaklandPontiac 41 $82,388 $17,950 $15,614
Trinity Health Muskegon HospitalMuskegon 41 $61,978 $17,767 $15,737
St John Hospital and Medical CenterDetroit 41 $62,606 $18,341 $15,601
Marquette General Hlth SystemMarquette 38 $100,368 $18,676 $16,406
Covenant Medical Center, INCSaginaw 35 $53,273 $15,318 $13,587
Henry Ford Health Warren HospitalWarren 35 $65,406 $18,148 $14,586
Henry Ford West Bloomfield HospitalWest Bloomfield Twp 35 $62,264 $15,114 $13,669
Corewell Health Trenton HospitalTrenton 31 $89,874 $15,638 $13,758
McLaren MacombMt Clemens 31 $77,984 $16,480 $14,659
Midmichigan Medical Center-MidlandMidland 29 $41,153 $17,536 $15,965
Genesys Regional Medical Center - Health ParkGrand Blanc 27 $62,995 $17,682 $15,597
Ascension Providence Rochester HospitalRochester 27 $57,928 $15,861 $14,091
Northern Michigan Regional HospitalPetoskey 25 $36,359 $17,728 $14,987
McLaren Regional Medical CenterFlint 25 $74,672 $16,218 $14,393
Mymichigan Medical Center SaginawSaginaw 23 $67,500 $15,685 $13,805
Borgess Medical CenterKalamazoo 20 $76,597 $18,657 $14,206
Battle Creek Health SystemBattle Creek 19 $48,222 $15,416 $13,870
Beaumont Hospital - Farmington HillsFarmington Hls 19 $91,667 $20,032 $15,852
Henry Ford HospitalDetroit 18 $66,800 $26,983 $18,469
Promedica Charles and Virginia Hickman HospitalAdrian 17 $73,494 $16,924 $15,388
Bay Regional Medical CenterBay City 17 $55,503 $13,437 $12,041
Alpena Regional Medical CenterAlpena 16 $44,872 $17,835 $16,203
Allegiance HealthJackson 16 $73,885 $19,386 $14,412
Huron Valley-Sinai HospitalCommerce Twp 15 $123,283 $16,281 $13,981
Saint Mary's Health CareGrand Rapids 14 $57,042 $18,442 $16,200
Holland Community HospitalHolland 14 $53,736 $14,736 $13,220
Hurley Medical CenterFlint 14 $82,098 $19,121 $16,718
Henry Ford Wyandotte HospitalWyandotte 14 $53,015 $15,278 $13,283
University of Michigan Health - WestWyoming 14 $58,181 $17,789 $15,528
McLaren OaklandPontiac 13 $61,310 $22,781 $16,592
McLaren Greater LansingLansing 12 $59,644 $18,480 $15,770
Lapeer Regional Medical CenterLapeer 12 $64,428 $18,023 $16,663
Chelsea Community HospitalChelsea 12 $66,283 $14,596 $13,100
Mymichigan Medical Center AlmaAlma 11 $36,353 $17,033 $15,340
Mercy Hospital - GraylingGrayling 11 $36,671 $19,376 $17,895
Beaumont Hospital, Grosse PointeGrosse Pointe 11 $91,314 $15,123 $13,149
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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

Bay Regional Medical CenterBay City, MI$13,437
William Beaumont Hospital-TroyTroy, MI$14,573
Chelsea Community HospitalChelsea, MI$14,596
Holland Community HospitalHolland, MI$14,736
Henry Ford West Bloomfield HospitalWest Bloomfield Twp, MI$15,114

Highest

Henry Ford HospitalDetroit, MI$26,983
Univ of Michigan HospitalsAnn Arbor, MI$24,023
McLaren OaklandPontiac, MI$22,781
Beaumont Hospital - Farmington HillsFarmington Hls, MI$20,032
Allegiance HealthJackson, MI$19,386

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Michigan?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 49 hospitals in Michigan was billed at $68,984 on average, while the average total payment was $17,554, of which Medicare paid $14,946. 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.