Pulmonary embolism without major complications in Michigan
What 11 hospitals in Michigan charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.
Average charge
$27,208
Hospital list price billed
Average payment
$7,840
Medicare + patient + other payers
Medicare paid
$5,097
Average per stay
State rank
#23 of 39
1 = lowest average payment
Hospitals in Michigan billed an average of $27,208 for pulmonary embolism without major complications, about 3.5 times the average total payment of $7,840. That payment is 5% below the U.S. average of $8,294.
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 $7,840Billed $27,208
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 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 |
|---|---|---|---|---|
| Henry Ford Macomb HospitalClinton Twp | 31 | $25,387 | $7,365 | $4,739 |
| William Beaumont Hospital-TroyTroy | 25 | $27,396 | $6,166 | $4,398 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 23 | $21,760 | $8,213 | $4,755 |
| William Beaumont HospitalRoyal Oak | 21 | $30,513 | $7,921 | $5,557 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 20 | $32,560 | $7,382 | $4,521 |
| Spectrum Health - Butterworth CampusGrand Rapids | 18 | $17,039 | $8,446 | $5,038 |
| St Mary Mercy HospitalLivonia | 16 | $29,364 | $8,071 | $5,967 |
| Univ of Michigan HospitalsAnn Arbor | 15 | $39,099 | $10,108 | $6,945 |
| Allegiance HealthJackson | 13 | $34,892 | $9,121 | $4,737 |
| Midmichigan Medical Center-MidlandMidland | 13 | $16,439 | $7,075 | $5,254 |
| St Joseph Mercy OaklandPontiac | 11 | $28,199 | $7,849 | $5,124 |
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
| William Beaumont Hospital-TroyTroy, MI | $6,166 |
|---|---|
| Midmichigan Medical Center-MidlandMidland, MI | $7,075 |
| Henry Ford Macomb HospitalClinton Twp, MI | $7,365 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp, MI | $7,382 |
| St Joseph Mercy OaklandPontiac, MI | $7,849 |
Highest
| Univ of Michigan HospitalsAnn Arbor, MI | $10,108 |
|---|---|
| Allegiance HealthJackson, MI | $9,121 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $8,446 |
| Trinity Health Ann Arbor HospitalAnn Arbor, MI | $8,213 |
| St Mary Mercy HospitalLivonia, MI | $8,071 |
Pulmonary embolism without major complications in other states
Questions
How much does pulmonary embolism without major complications cost in Michigan?
In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 11 hospitals in Michigan was billed at $27,208 on average, while the average total payment was $7,840, of which Medicare paid $5,097. 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 3.5 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.