US Health Care Costs

Heart valve replacement through a catheter (TAVR), with major complications in Michigan

MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc

$215,287typical hospital bill
$52,758typical amount paid
$42,474–$76,124range paid across 13 hospitals

Michigan hospitals billed Medicare a typical $215,287 for this stay in 2024, about 4.1 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

HospitalCityMedicare staysBilledPaid
Beaumont Hospital, TroyTroy13$274,128$42,474
Edward W Sparrow HospitalLansing16$203,483$48,299
Borgess Medical CenterKalamazoo31$134,208$49,549
Ascension Providence Hospital, Southfield and NoviSouthfield18$117,756$50,795
Mymichigan Medical Center MidlandMidland12$141,730$51,669
Ascension Genesys HospitalGrand Blanc12$278,378$51,905
Trinity Health Ann Arbor HospitalAnn Arbor53$165,237$52,758
Munson Medical CenterTraverse City45$215,287$55,251
Spectrum HealthGrand Rapids22$220,849$56,417
Henry Ford Health St John HospitalDetroit16$133,496$56,546
Beaumont Hospital Royal OakRoyal Oak44$316,548$60,784
Henry Ford Health HospitalDetroit44$237,663$71,423
University of Michigan Health SystemAnn Arbor33$250,666$76,124

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.