facebook tracking Level 2 ICD and Similar Procedures cost in Michigan: 47 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Michigan

What 47 hospitals in Michigan charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $152,325 Hospital list price billed
Average allowed $29,030 Medicare's payment + patient's share
Medicare paid $27,394 Average per service
State rank #17 of 47 1 = lowest average payment

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.

Paid $29,030Billed $152,325

About 19¢ was paid for every $1 hospitals in Michigan billed for this service.

Michigan hospitals: level 2 icd and similar procedures

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 – – – –
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Lowest and highest allowed amounts in Michigan

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

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

Highest

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

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Michigan?

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.

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 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.