Other cardiothoracic procedures without major complications in Michigan
What 6 hospitals in Michigan charged and were paid for a Medicare hospital stay for other cardiothoracic procedures without major complications (DRG 229), from 2024 Medicare claims.
Average charge
$129,686
Hospital list price billed
Average payment
$32,115
Medicare + patient + other payers
Medicare paid
$25,354
Average per stay
State rank
#21 of 26
1 = lowest average payment
Hospitals in Michigan billed an average of $129,686 for other cardiothoracic procedures without major complications, about 4.0 times the average total payment of $32,115. That payment is 7% above the U.S. average of $29,975.
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 $32,115Billed $129,686
About 25¢ 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: other cardiothoracic procedures 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 |
|---|---|---|---|---|
| St Joseph Mercy OaklandPontiac | 12 | $90,571 | $30,812 | $22,509 |
| Henry Ford HospitalDetroit | 12 | $149,244 | $38,013 | $32,929 |
| William Beaumont HospitalRoyal Oak | 12 | $162,113 | $29,429 | $27,091 |
| McLaren Regional Medical CenterFlint | 12 | $193,217 | $27,895 | $26,467 |
| Providence Hospital and Medical CentersSouthfield | 11 | $84,903 | $30,826 | $23,126 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 11 | $91,124 | $35,924 | $19,314 |
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
| McLaren Regional Medical CenterFlint, MI | $27,895 |
|---|---|
| William Beaumont HospitalRoyal Oak, MI | $29,429 |
| St Joseph Mercy OaklandPontiac, MI | $30,812 |
| Providence Hospital and Medical CentersSouthfield, MI | $30,826 |
| Trinity Health Ann Arbor HospitalAnn Arbor, MI | $35,924 |
Highest
| Henry Ford HospitalDetroit, MI | $38,013 |
|---|---|
| Trinity Health Ann Arbor HospitalAnn Arbor, MI | $35,924 |
| Providence Hospital and Medical CentersSouthfield, MI | $30,826 |
| St Joseph Mercy OaklandPontiac, MI | $30,812 |
| William Beaumont HospitalRoyal Oak, MI | $29,429 |
Other cardiothoracic procedures without major complications in other states
Questions
How much does other cardiothoracic procedures without major complications cost in Michigan?
In 2024 Medicare data, a hospital stay for other cardiothoracic procedures without major complications (DRG 229) at 6 hospitals in Michigan was billed at $129,686 on average, while the average total payment was $32,115, of which Medicare paid $25,354. 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 4.0 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.