Other digestive system diagnoses with major complications in Michigan
What 21 hospitals in Michigan charged and were paid for a Medicare hospital stay for other digestive system diagnoses with major complications (DRG 393), from 2024 Medicare claims.
Average charge
$46,501
Hospital list price billed
Average payment
$15,675
Medicare + patient + other payers
Medicare paid
$12,222
Average per stay
State rank
#23 of 44
1 = lowest average payment
Hospitals in Michigan billed an average of $46,501 for other digestive system diagnoses with major complications, about 3.0 times the average total payment of $15,675. That payment is 8% below the U.S. average of $17,117.
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 $15,675Billed $46,501
About 34¢ 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 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 |
|---|---|---|---|---|
| William Beaumont HospitalRoyal Oak | 48 | $54,348 | $15,240 | $12,022 |
| Univ of Michigan HospitalsAnn Arbor | 40 | $71,200 | $23,221 | $13,670 |
| Spectrum Health - Butterworth CampusGrand Rapids | 33 | $39,025 | $16,934 | $11,439 |
| William Beaumont Hospital-TroyTroy | 32 | $60,589 | $13,126 | $11,987 |
| Providence Hospital and Medical CentersSouthfield | 29 | $36,796 | $14,046 | $12,325 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 26 | $37,689 | $13,526 | $11,451 |
| St John Hospital and Medical CenterDetroit | 24 | $43,190 | $15,192 | $11,781 |
| Covenant Medical Center, INCSaginaw | 22 | $39,182 | $12,513 | $11,208 |
| Henry Ford Health Warren HospitalWarren | 20 | $42,897 | $14,419 | $12,254 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 20 | $31,733 | $12,757 | $10,371 |
| Munson Medical CenterTraverse City | 19 | $36,792 | $14,201 | $13,141 |
| Henry Ford HospitalDetroit | 18 | $36,442 | $18,546 | $14,775 |
| Henry Ford Macomb HospitalClinton Twp | 17 | $36,914 | $13,831 | $12,413 |
| Sinai-Grace HospitalDetroit | 16 | $63,619 | $17,212 | $14,571 |
| Allegiance HealthJackson | 16 | $63,971 | $17,265 | $12,751 |
| Edward W Sparrow HospitalLansing | 15 | $56,267 | $14,023 | $10,851 |
| Bronson Methodist HospitalKalamazoo | 14 | $30,283 | $14,361 | $10,897 |
| McLaren Regional Medical CenterFlint | 13 | $24,781 | $14,007 | $12,755 |
| St Joseph Mercy OaklandPontiac | 12 | $38,740 | $15,004 | $10,684 |
| Beaumont Hospital - Farmington HillsFarmington Hls | 12 | $53,061 | $21,396 | $12,385 |
| St Mary Mercy HospitalLivonia | 11 | $37,601 | $14,669 | $12,904 |
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
| Covenant Medical Center, INCSaginaw, MI | $12,513 |
|---|---|
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp, MI | $12,757 |
| William Beaumont Hospital-TroyTroy, MI | $13,126 |
| Trinity Health Ann Arbor HospitalAnn Arbor, MI | $13,526 |
| Henry Ford Macomb HospitalClinton Twp, MI | $13,831 |
Highest
| Univ of Michigan HospitalsAnn Arbor, MI | $23,221 |
|---|---|
| Beaumont Hospital - Farmington HillsFarmington Hls, MI | $21,396 |
| Henry Ford HospitalDetroit, MI | $18,546 |
| Allegiance HealthJackson, MI | $17,265 |
| Sinai-Grace HospitalDetroit, MI | $17,212 |
Other digestive system diagnoses with major complications in other states
Questions
How much does other digestive system diagnoses with major complications cost in Michigan?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with major complications (DRG 393) at 21 hospitals in Michigan was billed at $46,501 on average, while the average total payment was $15,675, of which Medicare paid $12,222. 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.