Revision of hip or knee replacement with complications in Michigan
What 14 hospitals in Michigan charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.
Average charge
$104,303
Hospital list price billed
Average payment
$28,040
Medicare + patient + other payers
Medicare paid
$23,800
Average per stay
State rank
#21 of 41
1 = lowest average payment
Hospitals in Michigan billed an average of $104,303 for revision of hip or knee replacement with complications, about 3.7 times the average total payment of $28,040. That payment is 9% below the U.S. average of $30,673.
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 $28,040Billed $104,303
About 27¢ 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: revision of hip or knee replacement 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 |
|---|---|---|---|---|
| Univ of Michigan HospitalsAnn Arbor | 37 | $122,725 | $36,921 | $28,447 |
| William Beaumont Hospital-TroyTroy | 37 | $116,708 | $24,066 | $19,066 |
| William Beaumont HospitalRoyal Oak | 32 | $102,550 | $26,850 | $22,922 |
| Munson Medical CenterTraverse City | 27 | $71,600 | $29,978 | $28,846 |
| Providence Hospital and Medical CentersSouthfield | 26 | $78,494 | $28,385 | $25,958 |
| Ascension Providence Rochester HospitalRochester | 20 | $119,513 | $26,738 | $24,853 |
| Spectrum Health - Butterworth CampusGrand Rapids | 19 | $92,354 | $27,338 | $25,438 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 18 | $79,297 | $24,726 | $20,201 |
| Huron Valley-Sinai HospitalCommerce Twp | 18 | $183,786 | $25,726 | $21,368 |
| Bronson Methodist HospitalKalamazoo | 15 | $75,783 | $30,696 | $22,187 |
| Henry Ford Macomb HospitalClinton Twp | 12 | $102,492 | $28,449 | $18,804 |
| Chelsea Community HospitalChelsea | 12 | $83,296 | $20,365 | $18,869 |
| St Joseph Mercy OaklandPontiac | 11 | $96,787 | $29,326 | $27,086 |
| Beaumont Hospital, Grosse PointeGrosse Pointe | 11 | $122,126 | $25,223 | $24,021 |
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
| Chelsea Community HospitalChelsea, MI | $20,365 |
|---|---|
| William Beaumont Hospital-TroyTroy, MI | $24,066 |
| Trinity Health Ann Arbor HospitalAnn Arbor, MI | $24,726 |
| Beaumont Hospital, Grosse PointeGrosse Pointe, MI | $25,223 |
| Huron Valley-Sinai HospitalCommerce Twp, MI | $25,726 |
Highest
| Univ of Michigan HospitalsAnn Arbor, MI | $36,921 |
|---|---|
| Bronson Methodist HospitalKalamazoo, MI | $30,696 |
| Munson Medical CenterTraverse City, MI | $29,978 |
| St Joseph Mercy OaklandPontiac, MI | $29,326 |
| Henry Ford Macomb HospitalClinton Twp, MI | $28,449 |
Revision of hip or knee replacement with complications in other states
Questions
How much does revision of hip or knee replacement with complications cost in Michigan?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 14 hospitals in Michigan was billed at $104,303 on average, while the average total payment was $28,040, of which Medicare paid $23,800. 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 3.7 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.