Hip replacement with principal diagnosis of hip fracture with major complications in Michigan
What 8 hospitals in Michigan charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$94,435
Hospital list price billed
Average payment
$24,918
Medicare + patient + other payers
Medicare paid
$21,495
Average per stay
State rank
#24 of 40
1 = lowest average payment
Hospitals in Michigan billed an average of $94,435 for hip replacement with principal diagnosis of hip fracture with major complications, about 3.8 times the average total payment of $24,918. That payment is 3% below the U.S. average of $25,727.
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 $24,918Billed $94,435
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: hip replacement with principal diagnosis of hip fracture 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 | 17 | $144,726 | $33,345 | $21,757 |
| William Beaumont Hospital-TroyTroy | 16 | $104,358 | $19,950 | $18,494 |
| Bronson Methodist HospitalKalamazoo | 13 | $51,644 | $21,602 | $19,671 |
| Genesys Regional Medical Center - Health ParkGrand Blanc | 13 | $82,391 | $24,880 | $22,369 |
| Marquette General Hlth SystemMarquette | 12 | $132,507 | $22,274 | $20,839 |
| Henry Ford Health Warren HospitalWarren | 12 | $91,910 | $24,950 | $22,417 |
| Munson Medical CenterTraverse City | 11 | $48,325 | $25,618 | $24,356 |
| Midmichigan Medical Center-MidlandMidland | 11 | $74,418 | $25,231 | $23,428 |
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 | $19,950 |
|---|---|
| Bronson Methodist HospitalKalamazoo, MI | $21,602 |
| Marquette General Hlth SystemMarquette, MI | $22,274 |
| Genesys Regional Medical Center - Health ParkGrand Blanc, MI | $24,880 |
| Henry Ford Health Warren HospitalWarren, MI | $24,950 |
Highest
| William Beaumont HospitalRoyal Oak, MI | $33,345 |
|---|---|
| Munson Medical CenterTraverse City, MI | $25,618 |
| Midmichigan Medical Center-MidlandMidland, MI | $25,231 |
| Henry Ford Health Warren HospitalWarren, MI | $24,950 |
| Genesys Regional Medical Center - Health ParkGrand Blanc, MI | $24,880 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in Michigan?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 8 hospitals in Michigan was billed at $94,435 on average, while the average total payment was $24,918, of which Medicare paid $21,495. 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.