What 47 hospitals in Michigan charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Hospitals in Michigan billed an average of $152,325 for level 2 icd and similar procedures, about 5.2 times the average medicare-allowed amount of $29,030. That payment is 6% below the U.S. average of $31,009.
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.
About 19¢ was paid for every $1 hospitals in Michigan billed for this service.
Every Michigan hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Univ of Michigan HospitalsAnn Arbor | 70 | $173,756 | $29,932 | $28,300 |
| William Beaumont HospitalRoyal Oak | 39 | $207,974 | $27,819 | $26,187 |
| Spectrum Health - Butterworth CampusGrand Rapids | 38 | $97,485 | $28,162 | $26,530 |
| Providence Hospital and Medical CentersSouthfield | 36 | $109,684 | $29,290 | $27,653 |
| Munson Medical CenterTraverse City | 34 | $168,355 | $30,603 | $28,971 |
| Borgess Medical CenterKalamazoo | 34 | $131,008 | $26,994 | $25,360 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 32 | $91,784 | $30,343 | $28,710 |
| Beaumont Hospital - DearbornDearborn | 31 | $213,408 | $29,290 | $27,651 |
| McLaren Regional Medical CenterFlint | 31 | $318,849 | $29,869 | $28,237 |
| Trinity Health Muskegon HospitalMuskegon | 27 | $82,534 | $30,927 | $29,282 |
| William Beaumont Hospital-TroyTroy | 27 | $194,920 | $29,235 | $27,595 |
| Bronson Methodist HospitalKalamazoo | 26 | $61,547 | $26,718 | $25,079 |
| Edward W Sparrow HospitalLansing | 26 | $221,957 | $26,504 | $24,872 |
| Bay Regional Medical CenterBay City | 24 | $162,170 | $28,085 | $26,453 |
| Northern Michigan Regional HospitalPetoskey | 22 | $161,100 | $29,473 | $27,839 |
| Henry Ford Macomb HospitalClinton Twp | 17 | $113,867 | $28,890 | $27,258 |
| Midmichigan Medical Center-MidlandMidland | 16 | $151,456 | $30,799 | $29,167 |
| St Joseph Mercy OaklandPontiac | 15 | $85,606 | $29,235 | $27,603 |
| Hurley Medical CenterFlint | 15 | $71,001 | $28,813 | $27,181 |
| Saint Mary's Health CareGrand Rapids | 14 | $81,359 | $28,577 | $26,911 |
| Mymichigan Medical Center SaginawSaginaw | 14 | $98,573 | $29,235 | $27,593 |
| Henry Ford Health Warren HospitalWarren | 14 | $131,088 | $28,577 | $26,945 |
| Henry Ford HospitalDetroit | 13 | $122,683 | $29,290 | $27,658 |
| Marquette General Hlth SystemMarquette | 13 | $222,005 | $31,368 | $29,717 |
| Port Huron HospitalPort Huron | 13 | $151,648 | $28,890 | $27,248 |
| Allegiance HealthJackson | 12 | $112,911 | $29,290 | $27,658 |
| St John Hospital and Medical CenterDetroit | 12 | $144,106 | $29,290 | $27,658 |
| Ascension Providence Rochester HospitalRochester | 12 | $223,649 | $26,935 | $25,283 |
| St Mary Mercy HospitalLivonia | – | – | – | – |
| Lakeland Hospital, St JosephSt Joseph | – | – | – | – |
| Mymichigan Medical Center AlmaAlma | – | – | – | – |
| Dickinson County Memorial HospitalIron Mountain | – | – | – | – |
| Covenant Medical Center, INCSaginaw | – | – | – | – |
| Holland Community HospitalHolland | – | – | – | – |
| Central Michigan Community HospitalMt Pleasant | – | – | – | – |
| Beaumont Hospital, Grosse PointeGrosse Pointe | – | – | – | – |
| West Branch Regional Medical CenterWest Branch | – | – | – | – |
| Harper University HospitalDetroit | – | – | – | – |
| Corewell Health Wayne HospitalWayne | – | – | – | – |
| Henry Ford Wyandotte HospitalWyandotte | – | – | – | – |
| McLaren Greater LansingLansing | – | – | – | – |
| Genesys Regional Medical Center - Health ParkGrand Blanc | – | – | – | – |
| McLaren OaklandPontiac | – | – | – | – |
| McLaren MacombMt Clemens | – | – | – | – |
| University of Michigan Health - WestWyoming | – | – | – | – |
| Huron Valley-Sinai HospitalCommerce Twp | – | – | – | – |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Edward W Sparrow HospitalLansing, MI | $26,504 |
|---|---|
| Bronson Methodist HospitalKalamazoo, MI | $26,718 |
| Ascension Providence Rochester HospitalRochester, MI | $26,935 |
| Borgess Medical CenterKalamazoo, MI | $26,994 |
| William Beaumont HospitalRoyal Oak, MI | $27,819 |
| Marquette General Hlth SystemMarquette, MI | $31,368 |
|---|---|
| Trinity Health Muskegon HospitalMuskegon, MI | $30,927 |
| Midmichigan Medical Center-MidlandMidland, MI | $30,799 |
| Munson Medical CenterTraverse City, MI | $30,603 |
| Trinity Health Ann Arbor HospitalAnn Arbor, MI | $30,343 |
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 47 hospitals in Michigan was billed at $152,325 on average, while the average medicare-allowed amount was $29,030, of which Medicare paid $27,394. Your own cost depends on your insurance, deductible and the hospital.
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 service in Michigan, average charges were 5.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.