facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in Michigan: 29 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in Michigan

What 29 hospitals in Michigan charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $43,892 Hospital list price billed
Average payment $12,904 Medicare + patient + other payers
Medicare paid $10,068 Average per stay
State rank #25 of 48 1 = lowest average payment

Hospitals in Michigan billed an average of $43,892 for pulmonary embolism with major complications or acute cor pulmonale, about 3.4 times the average total payment of $12,904. That payment is 4% below the U.S. average of $13,466.

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 $12,904Billed $43,892

About 29¢ 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: pulmonary embolism with major complications or acute cor pulmonale

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 41 $77,804 $13,640 $10,531
Univ of Michigan HospitalsAnn Arbor 35 $49,872 $17,406 $12,598
Henry Ford Macomb HospitalClinton Twp 33 $41,313 $11,398 $9,469
Edward W Sparrow HospitalLansing 33 $37,712 $12,288 $8,578
Trinity Health Ann Arbor HospitalAnn Arbor 32 $34,351 $13,330 $8,957
Covenant Medical Center, INCSaginaw 26 $27,046 $10,401 $9,017
Allegiance HealthJackson 23 $54,657 $12,931 $9,874
William Beaumont Hospital-TroyTroy 22 $55,330 $9,986 $8,134
Spectrum Health - Butterworth CampusGrand Rapids 21 $30,788 $14,641 $8,981
Beaumont Hospital - DearbornDearborn 20 $50,692 $11,930 $10,074
Bronson Methodist HospitalKalamazoo 19 $53,977 $14,274 $12,057
Henry Ford HospitalDetroit 19 $58,290 $21,162 $12,810
Ascension Providence Rochester HospitalRochester 19 $31,468 $10,971 $9,659
McLaren Regional Medical CenterFlint 18 $33,377 $11,391 $9,756
Beaumont Hospital - Farmington HillsFarmington Hls 18 $58,955 $14,428 $11,986
Providence Hospital and Medical CentersSouthfield 16 $44,303 $12,608 $10,749
Munson Medical CenterTraverse City 16 $29,129 $12,204 $10,996
Henry Ford Health Warren HospitalWarren 16 $41,591 $12,390 $10,440
St Joseph Mercy OaklandPontiac 15 $40,414 $12,934 $9,949
Henry Ford West Bloomfield HospitalWest Bloomfield Twp 15 $47,296 $11,162 $8,322
Bay Regional Medical CenterBay City 14 $31,873 $9,871 $7,701
St John Hospital and Medical CenterDetroit 14 $38,305 $14,294 $10,322
Lakeland Hospital, St JosephSt Joseph 13 $30,803 $10,809 $9,706
Trinity Health Muskegon HospitalMuskegon 13 $32,080 $12,091 $10,648
Corewell Health Trenton HospitalTrenton 13 $40,829 $11,233 $9,627
Borgess Medical CenterKalamazoo 12 $35,657 $12,160 $10,341
Genesys Regional Medical Center - Health ParkGrand Blanc 12 $43,032 $12,610 $10,318
McLaren MacombMt Clemens 12 $28,088 $11,936 $10,254
Midmichigan Medical Center-MidlandMidland 11 $38,264 $12,010 $10,368
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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

Henry Ford HospitalDetroit, MI$21,162
Univ of Michigan HospitalsAnn Arbor, MI$17,406
Spectrum Health - Butterworth CampusGrand Rapids, MI$14,641
Beaumont Hospital - Farmington HillsFarmington Hls, MI$14,428
St John Hospital and Medical CenterDetroit, MI$14,294

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Michigan?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 29 hospitals in Michigan was billed at $43,892 on average, while the average total payment was $12,904, of which Medicare paid $10,068. 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 3.4 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.