Hip and femur procedures except major joint with major complications in Michigan
What 28 hospitals in Michigan charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.
Average charge
$93,375
Hospital list price billed
Average payment
$24,873
Medicare + patient + other payers
Medicare paid
$21,530
Average per stay
State rank
#26 of 46
1 = lowest average payment
Hospitals in Michigan billed an average of $93,375 for hip and femur procedures except major joint with major complications, about 3.8 times the average total payment of $24,873. That payment is 5% below the U.S. average of $26,284.
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 $24,873Billed $93,375
About 27¢ 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:
Michigan hospitals: hip and femur procedures except major joint 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 | 34 | $128,672 | $26,579 | $22,393 |
| Munson Medical CenterTraverse City | 28 | $66,224 | $25,542 | $24,240 |
| Spectrum Health - Butterworth CampusGrand Rapids | 27 | $66,352 | $24,713 | $21,587 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 26 | $95,279 | $25,175 | $20,520 |
| Marquette General Hlth SystemMarquette | 22 | $132,284 | $26,384 | $24,812 |
| St Mary Mercy HospitalLivonia | 17 | $95,868 | $25,804 | $23,282 |
| Bronson Methodist HospitalKalamazoo | 17 | $56,812 | $29,285 | $18,085 |
| Henry Ford Health Warren HospitalWarren | 17 | $84,685 | $24,062 | $22,305 |
| William Beaumont Hospital-TroyTroy | 17 | $149,621 | $21,704 | $19,226 |
| Allegiance HealthJackson | 16 | $83,257 | $23,436 | $21,276 |
| St John Hospital and Medical CenterDetroit | 16 | $91,377 | $24,803 | $22,400 |
| Edward W Sparrow HospitalLansing | 16 | $90,325 | $24,226 | $22,089 |
| St Joseph Mercy OaklandPontiac | 15 | $106,872 | $28,139 | $18,201 |
| Lakeland Hospital, St JosephSt Joseph | 14 | $54,505 | $23,674 | $19,010 |
| Covenant Medical Center, INCSaginaw | 14 | $73,436 | $20,902 | $19,353 |
| Mymichigan Medical Center SaginawSaginaw | 14 | $79,710 | $21,849 | $19,935 |
| McLaren Regional Medical CenterFlint | 14 | $83,542 | $23,443 | $21,204 |
| Midmichigan Medical Center-MidlandMidland | 14 | $61,345 | $24,815 | $23,351 |
| Beaumont Hospital - DearbornDearborn | 13 | $157,515 | $24,755 | $21,311 |
| Henry Ford Macomb HospitalClinton Twp | 13 | $74,623 | $24,437 | $18,957 |
| McLaren MacombMt Clemens | 13 | $96,260 | $23,698 | $21,532 |
| Ascension Providence Rochester HospitalRochester | 13 | $78,199 | $22,407 | $20,618 |
| Providence Hospital and Medical CentersSouthfield | 12 | $105,183 | $25,223 | $23,247 |
| Univ of Michigan HospitalsAnn Arbor | 12 | $95,199 | $31,452 | $26,504 |
| Trinity Health Muskegon HospitalMuskegon | 12 | $70,334 | $25,172 | $23,269 |
| Huron Valley-Sinai HospitalCommerce Twp | 12 | $163,614 | $22,193 | $19,690 |
| Genesys Regional Medical Center - Health ParkGrand Blanc | 11 | $83,001 | $24,354 | $21,784 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 11 | $70,631 | $23,976 | $18,476 |
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
| Covenant Medical Center, INCSaginaw, MI | $20,902 |
|---|---|
| William Beaumont Hospital-TroyTroy, MI | $21,704 |
| Mymichigan Medical Center SaginawSaginaw, MI | $21,849 |
| Huron Valley-Sinai HospitalCommerce Twp, MI | $22,193 |
| Ascension Providence Rochester HospitalRochester, MI | $22,407 |
Highest
| Univ of Michigan HospitalsAnn Arbor, MI | $31,452 |
|---|---|
| Bronson Methodist HospitalKalamazoo, MI | $29,285 |
| St Joseph Mercy OaklandPontiac, MI | $28,139 |
| William Beaumont HospitalRoyal Oak, MI | $26,579 |
| Marquette General Hlth SystemMarquette, MI | $26,384 |
Hip and femur procedures except major joint with major complications in other states
Questions
How much does hip and femur procedures except major joint with major complications cost in Michigan?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 28 hospitals in Michigan was billed at $93,375 on average, while the average total payment was $24,873, of which Medicare paid $21,530. 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.