Simple pneumonia and pleurisy with major complications in Michigan
What 69 hospitals in Michigan charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$36,121
Hospital list price billed
Average payment
$11,570
Medicare + patient + other payers
Medicare paid
$9,169
Average per stay
State rank
#30 of 50
1 = lowest average payment
Hospitals in Michigan billed an average of $36,121 for simple pneumonia and pleurisy with major complications, about 3.1 times the average total payment of $11,570. That payment is 4% below the U.S. average of $12,020.
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 $11,570Billed $36,121
About 32¢ 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: simple pneumonia and pleurisy 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 Hospital-TroyTroy | 196 | $40,130 | $9,511 | $7,499 |
| William Beaumont HospitalRoyal Oak | 147 | $42,151 | $12,824 | $9,187 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 147 | $37,226 | $11,512 | $8,960 |
| Allegiance HealthJackson | 143 | $36,876 | $11,902 | $9,511 |
| Henry Ford Macomb HospitalClinton Twp | 135 | $30,314 | $11,294 | $8,730 |
| Covenant Medical Center, INCSaginaw | 116 | $27,982 | $10,004 | $8,426 |
| Providence Hospital and Medical CentersSouthfield | 106 | $38,077 | $12,028 | $9,574 |
| Henry Ford Health Warren HospitalWarren | 106 | $33,374 | $11,341 | $9,483 |
| Edward W Sparrow HospitalLansing | 101 | $47,076 | $12,071 | $8,483 |
| Beaumont Hospital - DearbornDearborn | 94 | $41,189 | $11,321 | $8,860 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 86 | $30,785 | $9,706 | $8,247 |
| Bronson Methodist HospitalKalamazoo | 85 | $37,211 | $11,283 | $8,310 |
| St Joseph Mercy OaklandPontiac | 85 | $37,081 | $12,040 | $9,404 |
| Genesys Regional Medical Center - Health ParkGrand Blanc | 85 | $34,405 | $12,064 | $9,658 |
| Spectrum Health - Butterworth CampusGrand Rapids | 78 | $26,163 | $12,867 | $9,337 |
| Munson Medical CenterTraverse City | 77 | $30,659 | $11,554 | $9,713 |
| St Mary Mercy HospitalLivonia | 75 | $35,243 | $12,216 | $10,007 |
| Midmichigan Medical Center-MidlandMidland | 75 | $29,568 | $11,409 | $9,217 |
| Corewell Health Trenton HospitalTrenton | 68 | $46,274 | $10,348 | $8,201 |
| McLaren MacombMt Clemens | 67 | $27,712 | $11,224 | $9,074 |
| Beaumont Hospital - Farmington HillsFarmington Hls | 66 | $51,528 | $13,323 | $9,859 |
| Battle Creek Health SystemBattle Creek | 63 | $33,657 | $10,621 | $8,351 |
| Hurley Medical CenterFlint | 63 | $55,241 | $13,240 | $10,144 |
| McLaren Regional Medical CenterFlint | 62 | $31,168 | $11,439 | $9,150 |
| Henry Ford Wyandotte HospitalWyandotte | 62 | $40,750 | $10,540 | $8,465 |
| Ascension Providence Rochester HospitalRochester | 62 | $37,213 | $11,012 | $8,733 |
| Univ of Michigan HospitalsAnn Arbor | 59 | $55,514 | $17,929 | $11,304 |
| Bay Regional Medical CenterBay City | 54 | $33,886 | $8,861 | $7,575 |
| St John Hospital and Medical CenterDetroit | 53 | $29,877 | $12,332 | $10,236 |
| Beaumont Hospital, Grosse PointeGrosse Pointe | 52 | $33,231 | $9,921 | $7,934 |
| McLaren Greater LansingLansing | 52 | $39,312 | $12,506 | $9,972 |
| Beaumont Hospital - TaylorTaylor | 48 | $38,271 | $10,653 | $8,284 |
| Henry Ford HospitalDetroit | 47 | $26,877 | $16,567 | $12,416 |
| Promedica Charles and Virginia Hickman HospitalAdrian | 45 | $45,838 | $11,126 | $9,151 |
| Borgess Medical CenterKalamazoo | 45 | $40,694 | $11,239 | $9,141 |
| Mymichigan Medical Center AlmaAlma | 43 | $24,742 | $11,273 | $10,126 |
| Memorial HealthcareOwosso | 42 | $39,833 | $9,415 | $8,171 |
| Lapeer Regional Medical CenterLapeer | 41 | $31,981 | $11,503 | $9,850 |
| Marquette General Hlth SystemMarquette | 40 | $46,250 | $11,950 | $10,195 |
| Chelsea Community HospitalChelsea | 38 | $28,115 | $10,101 | $6,895 |
| Northern Michigan Regional HospitalPetoskey | 37 | $25,773 | $10,809 | $9,644 |
| Mercy Hospital - GraylingGrayling | 33 | $30,029 | $12,350 | $10,916 |
| Trinity Health Muskegon HospitalMuskegon | 33 | $40,280 | $12,572 | $10,271 |
| Promedica Monroe Regional HospitalMonroe | 33 | $30,612 | $11,292 | $8,815 |
| Corewell Health Wayne HospitalWayne | 32 | $54,850 | $12,091 | $8,858 |
| Insight Hospital and Medical Center ColdwaterColdwater | 30 | $35,509 | $10,765 | $9,353 |
| Port Huron HospitalPort Huron | 30 | $23,975 | $8,837 | $7,635 |
| Huron Valley-Sinai HospitalCommerce Twp | 29 | $54,664 | $10,768 | $8,932 |
| Lakeland Hospital, St JosephSt Joseph | 28 | $26,395 | $10,391 | $8,674 |
| West Branch Regional Medical CenterWest Branch | 28 | $16,261 | $11,254 | $9,914 |
| Mymichigan Medical Center SaginawSaginaw | 27 | $39,098 | $9,421 | $8,125 |
| Oaklawn HospitalMarshall | 27 | $33,438 | $9,494 | $8,092 |
| Alpena Regional Medical CenterAlpena | 26 | $22,215 | $11,349 | $10,219 |
| Saint Joseph Mercy Livingston HospitalHowell | 26 | $32,293 | $13,762 | $11,337 |
| Otsego Memorial HospitalGaylord | 26 | $20,179 | $11,698 | $10,317 |
| Saint Mary's Health CareGrand Rapids | 22 | $28,073 | $12,314 | $9,092 |
| Midmichigan Medical Center-ClareClare | 21 | $21,385 | $10,884 | $9,563 |
| Sinai-Grace HospitalDetroit | 20 | $63,765 | $14,219 | $11,135 |
| St Joseph Health SystemTawas City | 20 | $14,594 | $11,618 | $10,394 |
| Mercy Hospital - CadillacCadillac | 19 | $22,680 | $11,697 | $8,519 |
| Spectrum Health United Memorial - United CampusGreenville | 18 | $23,295 | $11,494 | $10,071 |
| McLaren OaklandPontiac | 18 | $22,435 | $14,124 | $10,772 |
| Garden City HospitalGarden City | 17 | $39,429 | $11,938 | $8,676 |
| Detroit Receiving Hospital & Univ Health CenterDetroit | 17 | $56,950 | $14,586 | $12,206 |
| Chippewa County War Memorial HospitalSault Sainte Marie | 16 | $20,147 | $14,799 | $12,322 |
| Harper University HospitalDetroit | 14 | $53,254 | $16,729 | $13,071 |
| University of Michigan Health - WestWyoming | 12 | $40,120 | $12,668 | $8,212 |
| Corewell Health Ludington HospitalLudington | 11 | $34,253 | $13,333 | $10,447 |
| Carson City HospitalCarson City | 11 | $23,264 | $11,589 | $9,856 |
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
| Port Huron HospitalPort Huron, MI | $8,837 |
|---|---|
| Bay Regional Medical CenterBay City, MI | $8,861 |
| Memorial HealthcareOwosso, MI | $9,415 |
| Mymichigan Medical Center SaginawSaginaw, MI | $9,421 |
| Oaklawn HospitalMarshall, MI | $9,494 |
Highest
| Univ of Michigan HospitalsAnn Arbor, MI | $17,929 |
|---|---|
| Harper University HospitalDetroit, MI | $16,729 |
| Henry Ford HospitalDetroit, MI | $16,567 |
| Chippewa County War Memorial HospitalSault Sainte Marie, MI | $14,799 |
| Detroit Receiving Hospital & Univ Health CenterDetroit, MI | $14,586 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Michigan?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 69 hospitals in Michigan was billed at $36,121 on average, while the average total payment was $11,570, of which Medicare paid $9,169. 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 3.1 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.