facebook tracking Respiratory signs and symptoms cost in Michigan: 3 hospitals compared (DRG 204)

Respiratory signs and symptoms in Michigan

What 3 hospitals in Michigan charged and were paid for a Medicare hospital stay for respiratory signs and symptoms (DRG 204), from 2024 Medicare claims.

DRG 204 Inpatient 2024 Medicare data
Average charge $28,081 Hospital list price billed
Average payment $6,965 Medicare + patient + other payers
Medicare paid $5,193 Average per stay
State rank #1 of 4 1 = lowest average payment

Hospitals in Michigan billed an average of $28,081 for respiratory signs and symptoms, about 4.0 times the average total payment of $6,965. That payment is 18% below the U.S. average of $8,497.

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 $6,965Billed $28,081

About 25¢ was paid for every $1 hospitals in Michigan billed for this stay.

Michigan hospitals: respiratory signs and symptoms

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 Hospital-TroyTroy 19 $28,503 $5,881 $4,307
Providence Hospital and Medical CentersSouthfield 14 $20,954 $7,380 $6,023
William Beaumont HospitalRoyal Oak 14 $34,636 $8,021 $5,566
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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.

Respiratory signs and symptoms in other states

Questions

How much does respiratory signs and symptoms cost in Michigan?

In 2024 Medicare data, a hospital stay for respiratory signs and symptoms (DRG 204) at 3 hospitals in Michigan was billed at $28,081 on average, while the average total payment was $6,965, of which Medicare paid $5,193. 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.