Hip replacement with principal diagnosis of hip fracture without major complications in Michigan
What 38 hospitals in Michigan charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$68,572
Hospital list price billed
Average payment
$17,615
Medicare + patient + other payers
Medicare paid
$15,233
Average per stay
State rank
#29 of 50
1 = lowest average payment
Hospitals in Michigan billed an average of $68,572 for hip replacement with principal diagnosis of hip fracture without major complications, about 3.9 times the average total payment of $17,615. That payment is 4% below the U.S. average of $18,301.
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 $17,615Billed $68,572
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 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 | 58 | $90,995 | $14,580 | $12,927 |
| Spectrum Health - Butterworth CampusGrand Rapids | 45 | $49,905 | $18,415 | $14,875 |
| Munson Medical CenterTraverse City | 39 | $43,724 | $18,146 | $16,202 |
| William Beaumont HospitalRoyal Oak | 33 | $85,639 | $18,069 | $15,803 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 31 | $78,566 | $17,982 | $14,920 |
| Henry Ford Macomb HospitalClinton Twp | 29 | $63,952 | $17,451 | $15,330 |
| Edward W Sparrow HospitalLansing | 29 | $72,907 | $17,555 | $15,203 |
| Bronson Methodist HospitalKalamazoo | 26 | $40,705 | $16,161 | $14,352 |
| Genesys Regional Medical Center - Health ParkGrand Blanc | 26 | $60,538 | $18,390 | $16,113 |
| St Mary Mercy HospitalLivonia | 25 | $76,426 | $19,596 | $14,836 |
| Providence Hospital and Medical CentersSouthfield | 25 | $65,734 | $18,066 | $16,151 |
| St Joseph Mercy OaklandPontiac | 25 | $89,112 | $18,612 | $16,387 |
| Allegiance HealthJackson | 24 | $76,771 | $17,744 | $15,499 |
| Northern Michigan Regional HospitalPetoskey | 24 | $42,491 | $17,459 | $16,167 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 24 | $57,077 | $15,097 | $13,669 |
| Midmichigan Medical Center-MidlandMidland | 23 | $45,301 | $17,020 | $15,382 |
| McLaren MacombMt Clemens | 21 | $77,744 | $18,932 | $14,730 |
| Covenant Medical Center, INCSaginaw | 20 | $54,533 | $15,923 | $14,202 |
| Henry Ford Health Warren HospitalWarren | 20 | $61,533 | $17,380 | $15,357 |
| Marquette General Hlth SystemMarquette | 19 | $122,761 | $18,781 | $17,180 |
| Univ of Michigan HospitalsAnn Arbor | 18 | $81,280 | $23,795 | $19,713 |
| Battle Creek Health SystemBattle Creek | 17 | $47,603 | $15,388 | $13,948 |
| Corewell Health Trenton HospitalTrenton | 17 | $88,304 | $15,616 | $13,817 |
| Lakeland Hospital, St JosephSt Joseph | 16 | $59,278 | $17,424 | $15,548 |
| Henry Ford HospitalDetroit | 16 | $75,401 | $25,677 | $20,240 |
| Trinity Health Muskegon HospitalMuskegon | 16 | $66,970 | $18,170 | $16,164 |
| Hurley Medical CenterFlint | 15 | $97,263 | $19,181 | $16,929 |
| Chelsea Community HospitalChelsea | 15 | $66,942 | $14,538 | $13,124 |
| Bay Regional Medical CenterBay City | 14 | $65,774 | $14,140 | $12,686 |
| Henry Ford Wyandotte HospitalWyandotte | 14 | $55,681 | $16,590 | $12,992 |
| Beaumont Hospital - Farmington HillsFarmington Hls | 13 | $86,956 | $20,518 | $14,853 |
| Lapeer Regional Medical CenterLapeer | 13 | $60,947 | $18,252 | $16,622 |
| University of Michigan Health - WestWyoming | 13 | $58,732 | $18,002 | $15,900 |
| Beaumont Hospital - DearbornDearborn | 12 | $89,556 | $17,134 | $15,027 |
| Borgess Medical CenterKalamazoo | 12 | $76,821 | $17,166 | $15,034 |
| Port Huron HospitalPort Huron | 12 | $45,909 | $14,190 | $12,693 |
| McLaren Regional Medical CenterFlint | 11 | $68,349 | $17,327 | $15,250 |
| St John Hospital and Medical CenterDetroit | 11 | $64,980 | $18,595 | $15,990 |
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 | $14,140 |
|---|---|
| Port Huron HospitalPort Huron, MI | $14,190 |
| Chelsea Community HospitalChelsea, MI | $14,538 |
| William Beaumont Hospital-TroyTroy, MI | $14,580 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp, MI | $15,097 |
Highest
| Henry Ford HospitalDetroit, MI | $25,677 |
|---|---|
| Univ of Michigan HospitalsAnn Arbor, MI | $23,795 |
| Beaumont Hospital - Farmington HillsFarmington Hls, MI | $20,518 |
| St Mary Mercy HospitalLivonia, MI | $19,596 |
| Hurley Medical CenterFlint, MI | $19,181 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Michigan?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 38 hospitals in Michigan was billed at $68,572 on average, while the average total payment was $17,615, of which Medicare paid $15,233. 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.