Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive in Michigan
What 4 hospitals in Michigan charged and were paid for a Medicare hospital stay for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive (DRG 457), from 2024 Medicare claims.
Average charge
$167,140
Hospital list price billed
Average payment
$56,757
Medicare + patient + other payers
Medicare paid
$44,784
Average per stay
State rank
#5 of 11
1 = lowest average payment
Hospitals in Michigan billed an average of $167,140 for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive, about 2.9 times the average total payment of $56,757. That payment is 14% below the U.S. average of $65,757.
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 $56,757Billed $167,140
About 34¢ 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: spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
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 |
|---|---|---|---|---|
| Bronson Methodist HospitalKalamazoo | 18 | $116,936 | $43,958 | $42,030 |
| William Beaumont Hospital-TroyTroy | 15 | $140,245 | $43,385 | $36,712 |
| Univ of Michigan HospitalsAnn Arbor | 14 | $283,638 | $93,875 | $54,410 |
| William Beaumont HospitalRoyal Oak | 13 | $142,229 | $49,936 | $47,544 |
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 | $43,385 |
|---|---|
| Bronson Methodist HospitalKalamazoo, MI | $43,958 |
| William Beaumont HospitalRoyal Oak, MI | $49,936 |
| Univ of Michigan HospitalsAnn Arbor, MI | $93,875 |
Highest
| Univ of Michigan HospitalsAnn Arbor, MI | $93,875 |
|---|---|
| William Beaumont HospitalRoyal Oak, MI | $49,936 |
| Bronson Methodist HospitalKalamazoo, MI | $43,958 |
| William Beaumont Hospital-TroyTroy, MI | $43,385 |
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive in other states
Questions
How much does spinal fusion except cervical with spinal curvature, malignancy, infection or extensive cost in Michigan?
In 2024 Medicare data, a hospital stay for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive (DRG 457) at 4 hospitals in Michigan was billed at $167,140 on average, while the average total payment was $56,757, of which Medicare paid $44,784. 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 2.9 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.