facebook tracking Major bladder procedures with complications cost in Michigan: 2 hospitals compared (DRG 654)

Major bladder procedures with complications in Michigan

What 2 hospitals in Michigan charged and were paid for a Medicare hospital stay for major bladder procedures with complications (DRG 654), from 2024 Medicare claims.

DRG 654 Inpatient 2024 Medicare data
Average charge $130,869 Hospital list price billed
Average payment $31,832 Medicare + patient + other payers
Medicare paid $25,627 Average per stay
Volume 51 Medicare hospital stays

Hospitals in Michigan billed an average of $130,869 for major bladder procedures with complications, about 4.1 times the average total payment of $31,832. That payment is 5% below the U.S. average of $33,454.

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 $31,832Billed $130,869

About 24¢ was paid for every $1 hospitals in Michigan billed for this stay.

Michigan hospitals: major bladder 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
Univ of Michigan HospitalsAnn Arbor 39 $133,221 $31,763 $25,328
Henry Ford HospitalDetroit 12 $123,223 $32,058 $26,601
Advertisement

Major bladder procedures with complications in other states

Questions

How much does major bladder procedures with complications cost in Michigan?

In 2024 Medicare data, a hospital stay for major bladder procedures with complications (DRG 654) at 2 hospitals in Michigan was billed at $130,869 on average, while the average total payment was $31,832, of which Medicare paid $25,627. 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 4.1 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.