facebook tracking Major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Michigan: 5 hospitals compared (DRG 809)

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in Michigan

What 5 hospitals in Michigan charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 809), from 2024 Medicare claims.

DRG 809 Inpatient 2024 Medicare data
Average charge $42,756 Hospital list price billed
Average payment $13,721 Medicare + patient + other payers
Medicare paid $10,126 Average per stay
State rank #11 of 25 1 = lowest average payment

Hospitals in Michigan billed an average of $42,756 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 3.1 times the average total payment of $13,721. That payment is 10% below the U.S. average of $15,246.

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 $13,721Billed $42,756

About 32¢ 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: major hematological and immunological diagnoses except sickle cell crisis and coagulatio

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 22 $60,466 $18,631 $13,074
William Beaumont HospitalRoyal Oak 17 $37,375 $11,441 $8,807
Midmichigan Medical Center-MidlandMidland 15 $27,116 $10,280 $9,081
William Beaumont Hospital-TroyTroy 15 $35,790 $9,409 $6,831
Henry Ford HospitalDetroit 13 $45,908 $17,341 $11,872
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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

William Beaumont Hospital-TroyTroy, MI$9,409
Midmichigan Medical Center-MidlandMidland, MI$10,280
William Beaumont HospitalRoyal Oak, MI$11,441
Henry Ford HospitalDetroit, MI$17,341
Univ of Michigan HospitalsAnn Arbor, MI$18,631

Highest

Univ of Michigan HospitalsAnn Arbor, MI$18,631
Henry Ford HospitalDetroit, MI$17,341
William Beaumont HospitalRoyal Oak, MI$11,441
Midmichigan Medical Center-MidlandMidland, MI$10,280
William Beaumont Hospital-TroyTroy, MI$9,409

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states

Questions

How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Michigan?

In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 809) at 5 hospitals in Michigan was billed at $42,756 on average, while the average total payment was $13,721, of which Medicare paid $10,126. 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 3.1 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.