facebook tracking Medical back problems with major complications cost in Michigan: 15 hospitals compared (DRG 551)

Medical back problems with major complications in Michigan

What 15 hospitals in Michigan charged and were paid for a Medicare hospital stay for medical back problems with major complications (DRG 551), from 2024 Medicare claims.

DRG 551 Inpatient 2024 Medicare data
Average charge $43,079 Hospital list price billed
Average payment $14,472 Medicare + patient + other payers
Medicare paid $12,001 Average per stay
State rank #11 of 33 1 = lowest average payment

Hospitals in Michigan billed an average of $43,079 for medical back problems with major complications, about 3.0 times the average total payment of $14,472. That payment is 11% below the U.S. average of $16,215.

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 $14,472Billed $43,079

About 34¢ 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: medical back problems with 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
Providence Hospital and Medical CentersSouthfield 27 $37,723 $14,253 $12,594
William Beaumont Hospital-TroyTroy 26 $46,953 $11,517 $9,184
Midmichigan Medical Center-MidlandMidland 23 $37,588 $13,817 $12,236
William Beaumont HospitalRoyal Oak 20 $47,685 $14,996 $12,509
Allegiance HealthJackson 17 $48,496 $14,826 $13,037
Spectrum Health - Butterworth CampusGrand Rapids 16 $32,842 $14,367 $11,946
Trinity Health Ann Arbor HospitalAnn Arbor 16 $53,064 $14,938 $10,372
Univ of Michigan HospitalsAnn Arbor 15 $68,107 $21,402 $17,063
Ascension Providence Rochester HospitalRochester 14 $33,132 $12,941 $11,080
St Mary Mercy HospitalLivonia 12 $52,684 $15,385 $13,002
St Joseph Mercy OaklandPontiac 11 $35,646 $13,630 $10,703
Covenant Medical Center, INCSaginaw 11 $49,718 $12,214 $10,302
Munson Medical CenterTraverse City 11 $38,942 $15,297 $11,128
St John Hospital and Medical CenterDetroit 11 $26,373 $15,363 $13,497
Henry Ford Health Warren HospitalWarren 11 $31,862 $14,225 $12,180
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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.

Highest

Univ of Michigan HospitalsAnn Arbor, MI$21,402
St Mary Mercy HospitalLivonia, MI$15,385
St John Hospital and Medical CenterDetroit, MI$15,363
Munson Medical CenterTraverse City, MI$15,297
William Beaumont HospitalRoyal Oak, MI$14,996

Medical back problems with major complications in other states

Questions

How much does medical back problems with major complications cost in Michigan?

In 2024 Medicare data, a hospital stay for medical back problems with major complications (DRG 551) at 15 hospitals in Michigan was billed at $43,079 on average, while the average total payment was $14,472, of which Medicare paid $12,001. 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 3.0 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.