facebook tracking Infectious and parasitic diseases with operating room procedures with complications cost in Michigan: 20 hospitals compared (DRG 854)

Infectious and parasitic diseases with operating room procedures with complications in Michigan

What 20 hospitals in Michigan charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854), from 2024 Medicare claims.

DRG 854 Inpatient 2024 Medicare data
Average charge $57,794 Hospital list price billed
Average payment $18,188 Medicare + patient + other payers
Medicare paid $14,053 Average per stay
State rank #26 of 44 1 = lowest average payment

Hospitals in Michigan billed an average of $57,794 for infectious and parasitic diseases with operating room procedures with complications, about 3.2 times the average total payment of $18,188. That payment is 4% below the U.S. average of $19,011.

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 $18,188Billed $57,794

About 31¢ 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: infectious and parasitic diseases with operating room procedures 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
Spectrum Health - Butterworth CampusGrand Rapids 36 $43,661 $17,571 $14,858
Lakeland Hospital, St JosephSt Joseph 25 $46,292 $15,731 $14,078
William Beaumont Hospital-TroyTroy 25 $87,077 $16,655 $11,506
St Mary Mercy HospitalLivonia 23 $83,557 $21,379 $13,978
Covenant Medical Center, INCSaginaw 21 $42,971 $13,994 $12,297
Midmichigan Medical Center-MidlandMidland 20 $28,311 $17,310 $14,688
Henry Ford Macomb HospitalClinton Twp 18 $40,428 $17,144 $13,344
Bronson Methodist HospitalKalamazoo 16 $44,057 $16,826 $12,653
Univ of Michigan HospitalsAnn Arbor 16 $91,364 $30,918 $16,565
Trinity Health Ann Arbor HospitalAnn Arbor 16 $60,117 $18,432 $13,146
William Beaumont HospitalRoyal Oak 15 $68,741 $17,289 $13,327
Genesys Regional Medical Center - Health ParkGrand Blanc 14 $56,486 $17,229 $15,155
Saint Mary's Health CareGrand Rapids 13 $53,053 $17,839 $14,691
Trinity Health Muskegon HospitalMuskegon 13 $64,581 $19,645 $13,733
Munson Medical CenterTraverse City 12 $45,648 $16,226 $14,880
Edward W Sparrow HospitalLansing 12 $81,047 $15,540 $13,114
Henry Ford HospitalDetroit 11 $60,615 $26,365 $17,693
Marquette General Hlth SystemMarquette 11 $81,134 $18,210 $16,970
McLaren Greater LansingLansing 11 $41,318 $17,509 $15,115
Henry Ford West Bloomfield HospitalWest Bloomfield Twp 11 $50,378 $15,671 $12,087
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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

Covenant Medical Center, INCSaginaw, MI$13,994
Edward W Sparrow HospitalLansing, MI$15,540
Henry Ford West Bloomfield HospitalWest Bloomfield Twp, MI$15,671
Lakeland Hospital, St JosephSt Joseph, MI$15,731
Munson Medical CenterTraverse City, MI$16,226

Highest

Univ of Michigan HospitalsAnn Arbor, MI$30,918
Henry Ford HospitalDetroit, MI$26,365
St Mary Mercy HospitalLivonia, MI$21,379
Trinity Health Muskegon HospitalMuskegon, MI$19,645
Trinity Health Ann Arbor HospitalAnn Arbor, MI$18,432

Infectious and parasitic diseases with operating room procedures with complications in other states

Questions

How much does infectious and parasitic diseases with operating room procedures with complications cost in Michigan?

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854) at 20 hospitals in Michigan was billed at $57,794 on average, while the average total payment was $18,188, of which Medicare paid $14,053. 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 3.2 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.