facebook tracking Traumatic stupor and coma <1 hour with major complications cost in Michigan: 4 hospitals compared (DRG 085)

Traumatic stupor and coma <1 hour with major complications in Michigan

What 4 hospitals in Michigan charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085), from 2024 Medicare claims.

DRG 085 Inpatient 2024 Medicare data
Average charge $51,132 Hospital list price billed
Average payment $17,415 Medicare + patient + other payers
Medicare paid $15,326 Average per stay
State rank #2 of 27 1 = lowest average payment

Hospitals in Michigan billed an average of $51,132 for traumatic stupor and coma <1 hour with major complications, about 2.9 times the average total payment of $17,415. That payment is 21% below the U.S. average of $22,150.

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 $17,415Billed $51,132

About 34¢ was paid for every $1 hospitals in Michigan billed for this stay.

Michigan hospitals: traumatic stupor and coma <1 hour 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
Spectrum Health - Butterworth CampusGrand Rapids 17 $40,396 $18,135 $15,837
William Beaumont HospitalRoyal Oak 11 $53,743 $19,701 $17,466
Ascension Providence Rochester HospitalRochester 11 $44,873 $17,851 $15,971
William Beaumont Hospital-TroyTroy 11 $71,371 $13,581 $11,750
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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

Highest

Traumatic stupor and coma <1 hour with major complications in other states

Questions

How much does traumatic stupor and coma <1 hour with major complications cost in Michigan?

In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085) at 4 hospitals in Michigan was billed at $51,132 on average, while the average total payment was $17,415, of which Medicare paid $15,326. 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.