Spinal fusion except cervical without major complications in Michigan
What 18 hospitals in Michigan charged and were paid for a Medicare hospital stay for spinal fusion except cervical without major complications (DRG 460), from 2024 Medicare claims.
Average charge
$107,446
Hospital list price billed
Average payment
$30,829
Medicare + patient + other payers
Medicare paid
$24,575
Average per stay
State rank
#16 of 43
1 = lowest average payment
Hospitals in Michigan billed an average of $107,446 for spinal fusion except cervical without major complications, about 3.5 times the average total payment of $30,829. That payment is 9% below the U.S. average of $34,025.
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 $30,829Billed $107,446
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: spinal fusion except cervical 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 |
|---|---|---|---|---|
| William Beaumont Hospital-TroyTroy | 105 | $101,779 | $26,651 | $21,041 |
| William Beaumont HospitalRoyal Oak | 67 | $111,838 | $32,039 | $25,028 |
| Spectrum Health - Butterworth CampusGrand Rapids | 57 | $103,331 | $35,141 | $24,808 |
| Bronson Methodist HospitalKalamazoo | 53 | $64,306 | $29,454 | $24,353 |
| Univ of Michigan HospitalsAnn Arbor | 23 | $157,537 | $43,378 | $30,558 |
| Marquette General Hlth SystemMarquette | 23 | $210,912 | $31,042 | $29,390 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 23 | $106,328 | $26,227 | $24,950 |
| Trinity Health Muskegon HospitalMuskegon | 21 | $103,045 | $31,454 | $27,230 |
| University of Michigan Health - WestWyoming | 21 | $115,350 | $30,419 | $28,113 |
| Oaklawn HospitalMarshall | 16 | $89,300 | $25,646 | $21,913 |
| Providence Hospital and Medical CentersSouthfield | 14 | $79,384 | $29,962 | $26,414 |
| Henry Ford HospitalDetroit | 14 | $111,686 | $42,810 | $32,296 |
| Bay Regional Medical CenterBay City | 13 | $78,850 | $24,155 | $22,616 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 13 | $114,097 | $42,803 | $21,095 |
| Edward W Sparrow HospitalLansing | 12 | $129,987 | $28,841 | $22,626 |
| Ascension Providence Rochester HospitalRochester | 12 | $85,182 | $25,429 | $23,928 |
| Covenant Medical Center, INCSaginaw | 11 | $70,069 | $27,817 | $22,785 |
| Beaumont Hospital, Grosse PointeGrosse Pointe | 11 | $158,242 | $28,365 | $22,956 |
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
| Bay Regional Medical CenterBay City, MI | $24,155 |
|---|---|
| Ascension Providence Rochester HospitalRochester, MI | $25,429 |
| Oaklawn HospitalMarshall, MI | $25,646 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp, MI | $26,227 |
| William Beaumont Hospital-TroyTroy, MI | $26,651 |
Highest
| Univ of Michigan HospitalsAnn Arbor, MI | $43,378 |
|---|---|
| Henry Ford HospitalDetroit, MI | $42,810 |
| Trinity Health Ann Arbor HospitalAnn Arbor, MI | $42,803 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $35,141 |
| William Beaumont HospitalRoyal Oak, MI | $32,039 |
Spinal fusion except cervical without major complications in other states
Questions
How much does spinal fusion except cervical without major complications cost in Michigan?
In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 18 hospitals in Michigan was billed at $107,446 on average, while the average total payment was $30,829, of which Medicare paid $24,575. 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.