facebook tracking Major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Michigan: 37 hospitals compared (DRG 470)

Major hip and knee joint replacement or reattachment of lower extremity without major complications in Michigan

What 37 hospitals in Michigan charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.

DRG 470 Inpatient 2024 Medicare data
Average charge $62,892 Hospital list price billed
Average payment $16,186 Medicare + patient + other payers
Medicare paid $13,260 Average per stay
State rank #30 of 48 1 = lowest average payment

Hospitals in Michigan billed an average of $62,892 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 3.9 times the average total payment of $16,186. That payment is 7% below the U.S. average of $17,318.

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 $16,186Billed $62,892

About 26¢ 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 hip and knee joint replacement or reattachment of lower extremity without major 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
Trinity Health Ann Arbor HospitalAnn Arbor 249 $56,681 $16,262 $12,843
William Beaumont HospitalRoyal Oak 57 $72,463 $17,461 $13,281
Beaumont Hospital - DearbornDearborn 54 $80,481 $17,185 $12,210
William Beaumont Hospital-TroyTroy 52 $66,295 $13,080 $11,500
Providence Hospital and Medical CentersSouthfield 50 $53,720 $15,824 $13,969
Ascension Providence Rochester HospitalRochester 46 $56,342 $14,861 $13,192
Battle Creek Health SystemBattle Creek 37 $44,524 $15,278 $12,118
Alpena Regional Medical CenterAlpena 31 $37,490 $16,180 $14,548
Spectrum Health - Butterworth CampusGrand Rapids 30 $51,263 $16,099 $14,013
Univ of Michigan HospitalsAnn Arbor 30 $86,185 $23,498 $16,225
Bay Regional Medical CenterBay City 27 $66,682 $12,711 $11,111
Beaumont Hospital, Grosse PointeGrosse Pointe 26 $72,759 $13,724 $11,927
Munson Medical CenterTraverse City 26 $40,783 $16,226 $14,681
McLaren Greater LansingLansing 24 $64,564 $16,882 $13,718
Saint Mary's Health CareGrand Rapids 22 $47,979 $16,218 $14,096
Covenant Medical Center, INCSaginaw 22 $54,310 $14,114 $12,502
Genesys Regional Medical Center - Health ParkGrand Blanc 22 $60,890 $16,268 $14,269
Port Huron HospitalPort Huron 22 $46,061 $12,795 $11,234
Garden City HospitalGarden City 22 $105,160 $17,254 $13,011
Midmichigan Medical Center-MidlandMidland 21 $33,503 $15,719 $14,011
St Joseph Mercy OaklandPontiac 20 $64,128 $16,077 $14,200
Marquette General Hlth SystemMarquette 20 $114,884 $16,931 $14,324
Trinity Health Muskegon HospitalMuskegon 19 $66,759 $15,950 $14,209
Harper University HospitalDetroit 19 $117,421 $21,882 $18,781
Chelsea Community HospitalChelsea 18 $61,100 $16,612 $10,987
Lakeland Hospital, St JosephSt Joseph 16 $56,045 $15,283 $13,427
Mymichigan Medical Center AlmaAlma 16 $26,998 $15,495 $13,808
Huron Valley-Sinai HospitalCommerce Twp 16 $131,871 $15,163 $13,182
St Mary Mercy HospitalLivonia 15 $68,838 $18,444 $13,601
McLaren Regional Medical CenterFlint 15 $74,213 $15,672 $13,883
Henry Ford Health Warren HospitalWarren 14 $61,443 $15,716 $12,800
Bronson Methodist HospitalKalamazoo 12 $41,095 $16,797 $12,314
Promedica Monroe Regional HospitalMonroe 12 $41,745 $15,712 $13,789
Northern Michigan Regional HospitalPetoskey 12 $39,017 $15,586 $13,954
Borgess Medical CenterKalamazoo 12 $68,308 $17,508 $12,441
Beaumont Hospital - Farmington HillsFarmington Hls 12 $89,184 $19,139 $14,340
Hurley Medical CenterFlint 11 $78,038 $16,977 $14,931
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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

Bay Regional Medical CenterBay City, MI$12,711
Port Huron HospitalPort Huron, MI$12,795
William Beaumont Hospital-TroyTroy, MI$13,080
Beaumont Hospital, Grosse PointeGrosse Pointe, MI$13,724
Covenant Medical Center, INCSaginaw, MI$14,114

Highest

Univ of Michigan HospitalsAnn Arbor, MI$23,498
Harper University HospitalDetroit, MI$21,882
Beaumont Hospital - Farmington HillsFarmington Hls, MI$19,139
St Mary Mercy HospitalLivonia, MI$18,444
Borgess Medical CenterKalamazoo, MI$17,508

Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states

Questions

How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Michigan?

In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 37 hospitals in Michigan was billed at $62,892 on average, while the average total payment was $16,186, of which Medicare paid $13,260. 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 3.9 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.