Lower extremity and humerus procedures except hip, foot and femur with complications in Michigan
What 12 hospitals in Michigan charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$71,581
Hospital list price billed
Average payment
$21,093
Medicare + patient + other payers
Medicare paid
$16,011
Average per stay
State rank
#20 of 40
1 = lowest average payment
Hospitals in Michigan billed an average of $71,581 for lower extremity and humerus procedures except hip, foot and femur with complications, about 3.4 times the average total payment of $21,093. That payment is 8% below the U.S. average of $22,820.
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 $21,093Billed $71,581
About 29¢ was paid for every $1 hospitals in Michigan billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Michigan:
Michigan hospitals: lower extremity and humerus procedures except hip, foot and femur 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 |
|---|---|---|---|---|
| William Beaumont HospitalRoyal Oak | 42 | $97,895 | $20,464 | $17,092 |
| Munson Medical CenterTraverse City | 24 | $50,738 | $21,797 | $17,658 |
| William Beaumont Hospital-TroyTroy | 21 | $86,580 | $17,465 | $13,971 |
| Bronson Methodist HospitalKalamazoo | 17 | $51,569 | $21,987 | $15,001 |
| Henry Ford Macomb HospitalClinton Twp | 16 | $57,349 | $19,084 | $16,881 |
| Midmichigan Medical Center-MidlandMidland | 15 | $48,698 | $22,519 | $16,059 |
| Covenant Medical Center, INCSaginaw | 14 | $62,042 | $17,636 | $15,795 |
| Corewell Health Trenton HospitalTrenton | 14 | $98,726 | $22,532 | $12,514 |
| St John Hospital and Medical CenterDetroit | 13 | $73,559 | $24,469 | $17,600 |
| Trinity Health Muskegon HospitalMuskegon | 12 | $60,764 | $21,267 | $16,724 |
| Allegiance HealthJackson | 12 | $81,429 | $28,642 | $13,852 |
| Ascension Providence Rochester HospitalRochester | 11 | $47,099 | $18,638 | $16,831 |
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 | $17,465 |
|---|---|
| Covenant Medical Center, INCSaginaw, MI | $17,636 |
| Ascension Providence Rochester HospitalRochester, MI | $18,638 |
| Henry Ford Macomb HospitalClinton Twp, MI | $19,084 |
| William Beaumont HospitalRoyal Oak, MI | $20,464 |
Highest
| Allegiance HealthJackson, MI | $28,642 |
|---|---|
| St John Hospital and Medical CenterDetroit, MI | $24,469 |
| Corewell Health Trenton HospitalTrenton, MI | $22,532 |
| Midmichigan Medical Center-MidlandMidland, MI | $22,519 |
| Bronson Methodist HospitalKalamazoo, MI | $21,987 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in Michigan?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 12 hospitals in Michigan was billed at $71,581 on average, while the average total payment was $21,093, of which Medicare paid $16,011. 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 3.4 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.