Michigan · 33510

Coronary Artery Bypass Using Vein Graft, 1 Graft in Michigan

Michigan Medicare Avg
$619.29
1% above national avg
National Medicare Avg
$614.92
All states combined
Billed Charge (MI)
$6,168.26
What providers submit
Est. Commercial (MI)
$1,645.33
National avg: $1,725.32
Est. Cash / Self-Pay (MI)
$2,278.35
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

84
Services in MI
62
Providers
N/A
Min Payment
N/A
Max Payment

Michigan Pricing in Context

In Michigan, CPT code 33510 (Coronary Artery Bypass Using Vein Graft, 1 Graft) carries an average Medicare payment of $619.29 — 1% above the national benchmark of $614.92. 62 providers across the state submitted claims for this procedure in 2023, performing 84 total services. Individual payments in MI ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Michigan is $6,168.26, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Michigan sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Cardiovascular Surgery procedures, the estimated commercial insurance price in Michigan lands near $1,645.33, with self-pay cash prices typically around $2,278.35. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Coronary Artery Bypass Using Vein Graft, 1 Graft cost in Michigan?

The average Medicare payment for Coronary Artery Bypass Using Vein Graft, 1 Graft in Michigan is $619.29, which is 1% above the national average of $614.92. Providers in MI typically bill $6,168.26 for this procedure.

What does Coronary Artery Bypass Using Vein Graft, 1 Graft cost with insurance in Michigan?

With commercial insurance in Michigan, Coronary Artery Bypass Using Vein Graft, 1 Graft costs an estimated $1,645.33. Without insurance, the estimated cash price is $2,278.35. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Coronary Artery Bypass Using Vein Graft, 1 Graft in Michigan?

62 providers in Michigan billed Medicare for Coronary Artery Bypass Using Vein Graft, 1 Graft in 2023, performing 84 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Coronary Artery Bypass Using Vein Graft, 1 Graft cheaper in Michigan than the national average?

No — Coronary Artery Bypass Using Vein Graft, 1 Graft costs 1% above the national average in Michigan. The state average Medicare payment is $619.29 compared to $614.92 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial