Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in Michigan
What 6 hospitals in Michigan charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.
Average charge
$385,980
Hospital list price billed
Average payment
$115,230
Medicare + patient + other payers
Medicare paid
$99,013
Average per stay
State rank
#11 of 24
1 = lowest average payment
Hospitals in Michigan billed an average of $385,980 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 3.3 times the average total payment of $115,230. That payment is 17% below the U.S. average of $139,119.
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 $115,230Billed $385,980
About 30¢ was paid for every $1 hospitals in Michigan billed for this stay.
Michigan hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou
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 |
|---|---|---|---|---|
| Edward W Sparrow HospitalLansing | 18 | $296,498 | $88,810 | $74,254 |
| Sinai-Grace HospitalDetroit | 17 | $405,867 | $101,909 | $96,716 |
| Henry Ford HospitalDetroit | 14 | $426,458 | $163,777 | $133,628 |
| Spectrum Health - Butterworth CampusGrand Rapids | 13 | $269,238 | $113,383 | $90,365 |
| Hurley Medical CenterFlint | 12 | $290,374 | $89,810 | $72,493 |
| Detroit Receiving Hospital & Univ Health CenterDetroit | 12 | $666,880 | $144,516 | $134,911 |
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
| Edward W Sparrow HospitalLansing, MI | $88,810 |
|---|---|
| Hurley Medical CenterFlint, MI | $89,810 |
| Sinai-Grace HospitalDetroit, MI | $101,909 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $113,383 |
| Detroit Receiving Hospital & Univ Health CenterDetroit, MI | $144,516 |
Highest
| Henry Ford HospitalDetroit, MI | $163,777 |
|---|---|
| Detroit Receiving Hospital & Univ Health CenterDetroit, MI | $144,516 |
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $113,383 |
| Sinai-Grace HospitalDetroit, MI | $101,909 |
| Hurley Medical CenterFlint, MI | $89,810 |
Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states
Questions
How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Michigan?
In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 6 hospitals in Michigan was billed at $385,980 on average, while the average total payment was $115,230, of which Medicare paid $99,013. 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 3.3 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.