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The Price of Medicare Procedures in Michigan



This table shows the 100 most frequently charged procedures/diagnosis in Michigan to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Michigan 1212 $15656 $5534 $10122
Acute Myocardial Infarction Discharged Alive With Complications
 Michigan 2142 $21049 $8422 $12627
Acute Myocardial Infarction Discharged Alive With Major Complications
 Michigan 3578 $30858 $12898 $17960
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Michigan 1107 $11260 $4522 $6738
Atherosclerosis No Major Complications
 Michigan 1681 $11758 $4093 $7665
Back And Neck Proc Exc Spinal Fusion No Complications
 Michigan 1670 $18019 $7117 $10902
Bronchitis And Asthma No Complications
 Michigan 730 $11141 $4422 $6719
Bronchitis And Asthma With Complications
 Michigan 1315 $15490 $6126 $9364
Cardiac Arrhythmia And Conduction Disorders No Complications
 Michigan 4454 $10848 $4054 $6794
Cardiac Arrhythmia And Conduction Disorders With Complications
 Michigan 4616 $15249 $5957 $9292
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Michigan 3028 $22828 $8957 $13871
Cellulitis No Major Complications
 Michigan 5815 $13281 $5883 $7398
Cellulitis With Major Complications
 Michigan 992 $24719 $10517 $14202
Cervical Spinal Fusion No Complications
 Michigan 937 $34100 $14796 $19304
Chest Pain
 Michigan 5515 $11866 $3947 $7919
Chronic Obstructive Pulmonary Disease No Complications
 Michigan 4582 $12026 $5048 $6978
Chronic Obstructive Pulmonary Disease With Complications
 Michigan 7185 $16752 $6838 $9914
Chronic Obstructive Pulmonary Disease With Major Complications
 Michigan 7137 $20754 $8256 $12498
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Michigan 4742 $24214 $8026 $16188
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Michigan 1109 $43463 $16479 $26984
Cranial And Peripheral Nerve Disorders No Major Complications
 Michigan 1204 $16213 $6408 $9805
Degenerative Nervous System Disorders No Major Complications
 Michigan 1242 $15305 $6698 $8607
Diabetes With Complications
 Michigan 2099 $14551 $6076 $8475
Disorders Of Pancreas Except Malignancy With Complications
 Michigan 864 $18993 $7651 $11342
Dysequilibrium
 Michigan 1182 $13023 $4547 $8476
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Michigan 10047 $13870 $5175 $8695
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Michigan 1985 $22272 $8677 $13595
Extracranial Procedures No Complications
 Michigan 1325 $21635 $7152 $14483
Fractures Of Hip And Pelvis No Major Complications
 Michigan 740 $12276 $5033 $7243
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Michigan 845 $13567 $5037 $8530
Gi Hemorrhage No Complications
 Michigan 1177 $12749 $5033 $7716
Gi Hemorrhage With Complications
 Michigan 6189 $18450 $7226 $11224
Gi Hemorrhage With Major Complications
 Michigan 2395 $31819 $12773 $19046
Gi Obstruction No Complications
 Michigan 1283 $11751 $4531 $7220
Gi Obstruction With Complications
 Michigan 1939 $16419 $6652 $9767
Heart Failure And Shock No Complications
 Michigan 3341 $11986 $4982 $7004
Heart Failure And Shock With Complications
 Michigan 9126 $17110 $7317 $9793
Heart Failure And Shock With Major Complications
 Michigan 8989 $25094 $10533 $14561
Hip And Femur Procedures Except Major Joint No Complications
 Michigan 595 $27978 $10945 $17033
Hip And Femur Procedures Except Major Joint With Complications
 Michigan 2553 $34665 $12956 $21709
Hip And Femur Procedures Except Major Joint With Major Complications
 Michigan 760 $53729 $21427 $32302
Hypertension No Major Complications
 Michigan 1141 $11951 $4468 $7483
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Michigan 2074 $88504 $39211 $49293
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Michigan 1977 $16037 $5842 $10195
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Michigan 4168 $20410 $8126 $12284
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Michigan 2604 $32645 $13419 $19226
Kidney And Urinary Tract Infections No Major Complications
 Michigan 7010 $12900 $5490 $7410
Kidney And Urinary Tract Infections With Major Complications
 Michigan 2960 $18470 $8356 $10114
Laparoscopic Cholecystectomy No Cde No Complications
 Michigan 411 $23602 $7887 $15715
Laparoscopic Cholecystectomy No Cde With Complications
 Michigan 611 $32433 $11939 $20494
Major Cardiovasc Procedures No Major Complications
 Michigan 1345 $63123 $22694 $40429
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Michigan 1207 $20900 $8997 $11903
Major Joint Replacement Of Lower Extremity No Major Complications
 Michigan 16847 $34590 $14454 $20136
Major Joint Replacement Of Lower Extremity With Major Complications
 Michigan 747 $58466 $22992 $35474
Major Small And Large Bowel Procedures With Complications
 Michigan 1796 $46238 $18518 $27720
Major Small And Large Bowel Procedures With Major Complications
 Michigan 1471 $89888 $36970 $52918
Medical Back Problems No Major Complications
 Michigan 2772 $15895 $5893 $10002
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Michigan 5355 $11978 $4928 $7050
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Michigan 2450 $19497 $8609 $10888
Other Circulatory System Diagnoses With Complications
 Michigan 905 $17951 $7268 $10683
Other Circulatory System Diagnoses With Major Complications
 Michigan 2516 $32362 $14014 $18348
Other Digestive System Diagnoses With Complications
 Michigan 1831 $18702 $7288 $11414
Other Kidney And Urinary Tract Diagnoses With Complications
 Michigan 1053 $18995 $7935 $11060
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Michigan 1225 $27446 $12070 $15376
Other Vascular Procedures No Complications
 Michigan 1484 $37770 $12145 $25625
Other Vascular Procedures With Complications
 Michigan 1756 $50898 $18314 $32584
Other Vascular Procedures With Major Complications
 Michigan 1612 $60517 $23568 $36949
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Michigan 1282 $38345 $13657 $24688
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Michigan 5420 $44975 $14008 $30967
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Michigan 1167 $68412 $23477 $44935
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Michigan 1581 $39270 $12507 $26763
Peripheral Vascular Disorders No Complications
 Michigan 971 $11298 $4749 $6549
Peripheral Vascular Disorders With Complications
 Michigan 2099 $16646 $7083 $9563
Permanent Cardiac Pacemaker Implant No Complications
 Michigan 1041 $42230 $14046 $28184
Permanent Cardiac Pacemaker Implant With Complications
 Michigan 1308 $51803 $18463 $33340
Poisoning And Toxic Effects Of Drugs No Major Complications
 Michigan 1590 $10975 $4598 $6377
Poisoning And Toxic Effects Of Drugs With Major Complications
 Michigan 1093 $25997 $11041 $14956
Psychoses
 Michigan 688 $15415 $6199 $9216
Pulmonary Edema And Respiratory Failure
 Michigan 4193 $22359 $8891 $13468
Pulmonary Embolism No Major Complications
 Michigan 1428 $20030 $7634 $12396
Red Blood Cell Disorders No Major Complications
 Michigan 3464 $14010 $5838 $8172
Red Blood Cell Disorders With Major Complications
 Michigan 1119 $22449 $9316 $13133
Renal Failure No Complications
 Michigan 918 $11741 $4777 $6964
Renal Failure With Complications
 Michigan 6103 $16644 $7327 $9317
Renal Failure With Major Complications
 Michigan 4616 $27214 $11944 $15270
Respiratory Infections And Inflammations With Complications
 Michigan 1673 $23028 $10117 $12911
Respiratory Infections And Inflammations With Major Complications
 Michigan 2555 $33415 $14054 $19361
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Michigan 1044 $95044 $39526 $55518
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Michigan 2912 $44210 $16708 $27502
Seizures No Major Complications
 Michigan 2452 $13979 $5668 $8311
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Michigan 5388 $18305 $8034 $10271
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Michigan 15548 $31268 $13308 $17960
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Michigan 1138 $104081 $42908 $61173
Signs And Symptoms No Major Complications
 Michigan 2197 $13041 $5008 $8033
Simple Pneumonia And Pleurisy No Complications
 Michigan 2432 $11947 $4951 $6996
Simple Pneumonia And Pleurisy With Complications
 Michigan 6390 $16425 $7142 $9283
Simple Pneumonia And Pleurisy With Major Complications
 Michigan 4904 $24354 $10062 $14292
Spinal Fusion Except Cervical No Major Complications
 Michigan 3021 $59725 $26977 $32748
Syncope And Collapse
 Michigan 7122 $13390 $5119 $8271
Transient Ischemia
 Michigan 3940 $13892 $5129 $8763


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

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