Other digestive system diagnoses with complications in Michigan
What 31 hospitals in Michigan charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.
Average charge
$29,530
Hospital list price billed
Average payment
$9,081
Medicare + patient + other payers
Medicare paid
$6,691
Average per stay
State rank
#28 of 46
1 = lowest average payment
Hospitals in Michigan billed an average of $29,530 for other digestive system diagnoses with complications, about 3.3 times the average total payment of $9,081. That payment is 5% below the U.S. average of $9,547.
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 $9,081Billed $29,530
About 31¢ was paid for every $1 hospitals in Michigan billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Michigan:
Michigan hospitals: other digestive system diagnoses 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 |
|---|---|---|---|---|
| William Beaumont HospitalRoyal Oak | 73 | $34,691 | $9,392 | $6,482 |
| William Beaumont Hospital-TroyTroy | 62 | $27,858 | $7,007 | $5,064 |
| Univ of Michigan HospitalsAnn Arbor | 51 | $53,860 | $15,487 | $11,030 |
| Spectrum Health - Butterworth CampusGrand Rapids | 40 | $22,917 | $9,818 | $6,666 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 39 | $28,264 | $9,001 | $6,100 |
| Providence Hospital and Medical CentersSouthfield | 31 | $28,359 | $8,445 | $6,694 |
| St Mary Mercy HospitalLivonia | 26 | $31,911 | $9,125 | $7,536 |
| Munson Medical CenterTraverse City | 26 | $17,838 | $8,341 | $6,581 |
| Beaumont Hospital - DearbornDearborn | 25 | $31,873 | $8,153 | $6,520 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 25 | $23,480 | $7,236 | $5,596 |
| Bronson Methodist HospitalKalamazoo | 22 | $28,495 | $8,704 | $5,971 |
| Beaumont Hospital, Grosse PointeGrosse Pointe | 22 | $27,934 | $7,179 | $5,637 |
| McLaren Regional Medical CenterFlint | 21 | $20,643 | $8,287 | $6,702 |
| Sinai-Grace HospitalDetroit | 20 | $46,554 | $10,228 | $8,045 |
| Henry Ford Macomb HospitalClinton Twp | 19 | $20,733 | $8,257 | $5,964 |
| Covenant Medical Center, INCSaginaw | 19 | $25,547 | $7,352 | $5,907 |
| McLaren MacombMt Clemens | 19 | $19,837 | $8,653 | $6,359 |
| Henry Ford HospitalDetroit | 18 | $21,855 | $13,340 | $8,745 |
| Edward W Sparrow HospitalLansing | 18 | $38,404 | $9,000 | $6,845 |
| St Joseph Mercy OaklandPontiac | 17 | $25,134 | $9,224 | $6,618 |
| Allegiance HealthJackson | 16 | $32,434 | $8,195 | $6,246 |
| Henry Ford Wyandotte HospitalWyandotte | 15 | $34,688 | $7,847 | $6,271 |
| Lakeland Hospital, St JosephSt Joseph | 14 | $25,196 | $8,264 | $6,138 |
| St John Hospital and Medical CenterDetroit | 13 | $23,965 | $9,225 | $7,017 |
| Ascension Providence Rochester HospitalRochester | 13 | $19,877 | $7,750 | $6,317 |
| Bay Regional Medical CenterBay City | 12 | $22,213 | $6,494 | $5,353 |
| Battle Creek Health SystemBattle Creek | 11 | $22,315 | $7,098 | $6,059 |
| Hurley Medical CenterFlint | 11 | $25,420 | $9,406 | $7,550 |
| Henry Ford Health Warren HospitalWarren | 11 | $28,756 | $8,659 | $6,383 |
| Genesys Regional Medical Center - Health ParkGrand Blanc | 11 | $29,509 | $9,165 | $6,227 |
| Midmichigan Medical Center-MidlandMidland | 11 | $21,414 | $8,670 | $5,211 |
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 | $6,494 |
|---|---|
| William Beaumont Hospital-TroyTroy, MI | $7,007 |
| Battle Creek Health SystemBattle Creek, MI | $7,098 |
| Beaumont Hospital, Grosse PointeGrosse Pointe, MI | $7,179 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp, MI | $7,236 |
Highest
| Univ of Michigan HospitalsAnn Arbor, MI | $15,487 |
|---|---|
| Henry Ford HospitalDetroit, MI | $13,340 |
| Sinai-Grace HospitalDetroit, MI | $10,228 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $9,818 |
| Hurley Medical CenterFlint, MI | $9,406 |
Other digestive system diagnoses with complications in other states
Questions
How much does other digestive system diagnoses with complications cost in Michigan?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 31 hospitals in Michigan was billed at $29,530 on average, while the average total payment was $9,081, of which Medicare paid $6,691. 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 3.3 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.