MI CMS Medicare PUF 2023 Avg payment #13 of 56

Michigan procedure costs

148 hospitals · 3,708 Medicare providers · 4,643 procedure codes with Michigan locality adjustments.

The short answer

Michigan has 148 hospitals and 3,708 Medicare-billing providers across 4,643 procedure codes. The average Medicare payment per procedure is $261.21; the average submitted (billed) charge is $1,364.25.

Procedure codes
4,643
Providers per hospital
25.1
Billed-to-Medicare ratio
5.2x
Markup rank
#35 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

148
Hospitals
3,708
Providers
$261.21
Avg Medicare Payment
$1,364.25
Avg Billed Charge

Michigan against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$261 higher than 77% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). Below this entry. $225–$250: 9 states (16%). Below this entry. $250–$275: 11 states (20%). This entry sits in this band. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Michigan

Highest average Medicare payment per procedure billed in Michigan. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Michigan

Radioelements For Brachyther…12628Removal Of Plaque And Insert…7415Removal Of Plaque And Insert…6615Arthroscopy, Shoulder, Surgi…6046Removal Of Plaque In Artery …5791Cystourethroscopy, With Inse…5242Insertion Of Spinal Neurosti…4933Percutaneous Transcatheter P…4787
Top procedures by Medicare payment - Michigan-Average Medicare payment per procedure (CMS 2023)

Top Procedures by Volume

Procedure Medicare Services
Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count $11.60 6.1M
Ground Mileage, Per Statute Mile $7.44 3.1M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $76.81 2.4M
Injection, Daptomycin, 1 Mg $0.04 1.9M
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $55.68 1.8M
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $17.33 1.4M
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $61.94 1.3M
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-Esrd Use) $0.39 1.3M
Injection, Ferric Carboxymaltose, 1 Mg $0.87 1.1M
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $20.59 938.5K
Injection, Onabotulinumtoxina, 1 Unit $4.72 931.4K
Therapy Procedure Using Functional Activities $24.59 909.5K
Therapy Procedure Using Manual Technique, Each 15 Minutes $15.73 887.8K
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.11 832.2K
Injection, Denosumab, 1 Mg $18.19 811.2K
Injection, Tocilizumab, 1 Mg $4.56 786.7K
Injection, Testosterone Cypionate, 1 Mg $0.02 733.7K
Injection, Faricimab-Svoa, 0.1 Mg $28.87 703.6K
Chiropractic Manipulative Treatment, 3-4 Spinal Regions $26.89 594.0K
Injection, Pembrolizumab, 1 Mg $42.31 582.5K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 50 Minutes $93.18 582.3K
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.88 531.4K
Routine Electrocardiogram (ecg) Using At Least 12 Leads With Interpretation And Report Only $6.01 520.8K
Injection, Vedolizumab, 1 Mg $17.15 515.4K
Hyaluronan Or Derivative, Gelsyn-3, For Intra-Articular Injection, 0.1 Mg $0.52 460.6K
Injection, Filgrastim-Aafi, Biosimilar, (nivestym), 1 Microgram $0.25 450.2K
Injection, Golimumab, 1 Mg, For Intravenous Use $10.36 433.8K
Injection, Gadoterate Meglumine, 0.1 Ml $0.11 425.6K
Injection, Oxaliplatin, 0.5 Mg $0.06 410.6K
Injection, Azacitidine, 1 Mg $0.34 402.4K

Michigan Healthcare Cost Landscape

CMS lists 148 hospitals in Michigan across 115 cities. DETROIT holds 10 (7%). The three densest cities together hold 12% of the state roster. Statewide that is 3,708 Medicare-billing providers, 25.1 per listed hospital.

87 hospitals carry a CMS overall star rating (6 five-star, 29 four-star, 20 three-star, 22 two-star, 10 one-star) ; five-star share among rated facilities is 7%. 61 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 90 (61%); Critical Access Hospitals 35 (24%); Psychiatric 17 (11%); Acute Care - Veterans Administration 4 (3%).

Among the 30 highest-volume procedure codes billed in Michigan, Drugs (Administered) leads with 10.3M services (31% of this top-volume slice) across 14 codes. Next is DME (Temporary) at 18%.

Submitted charges average $1,364.25 against $261.21 Medicare payment (5.2x billed-to-Medicare). That ratio ranks #35 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #13 of 56.

Volume leaders are not the high-payment codes. Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count is in the top volume slice but not the highest Medicare payments; Radioelements For Brachytherapy, Any Type, Each is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Michigan, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Michigan hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 115 distinct cities appear on 148 listed facilities.

City Hospitals Share of state roster
DETROIT 10 7%
GRAND RAPIDS 4 3%
KALAMAZOO 4 3%
ANN ARBOR 3 2%
BATTLE CREEK 3 2%
SAGINAW 3 2%
SOUTHFIELD 3 2%
WARREN 3 2%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Michigan: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (148 here).

Similar average Medicare payment

Nearest states with published averages ($261.21 here).

Hospitals in Michigan

ASCENSION BORGESS ALLEGAN HOSPITAL
ALLEGAN · -
ASCENSION BORGESS LEE HOSPITAL
DOWAGIAC · -
ASCENSION GENESYS HOSPITAL
GRAND BLANC · ★★☆☆☆
ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI
SOUTHFIELD · ★★★★☆
ASCENSION PROVIDENCE ROCHESTER HOSPITAL
ROCHESTER · ★★☆☆☆
ASCENSION RIVER DISTRICT HOSPITAL
EAST CHINA · ★★★☆☆
ASCENSION ST MARY'S HOSPITAL
SAGINAW · ★★☆☆☆
ASPIRUS IRON RIVER HOSPITAL & CLINICS, INC
IRON RIVER · -
ASPIRUS IRONWOOD HOSPITAL
IRONWOOD · -
ASPIRUS KEWEENAW HOSPITAL AND CLINICS
LAURIUM · -
BARAGA COUNTY MEMORIAL HOSPITAL
L' ANSE · -
BATTLE CREEK VA MEDICAL CENTER
BATTLE CREEK · -
BCA STONECREST CENTER
DETROIT · -
BEAUMONT HOSPITAL - DEARBORN
DEARBORN · ★☆☆☆☆
BEAUMONT HOSPITAL - FARMINGTON HILLS
FARMINGTON HILLS · ★★☆☆☆
BEAUMONT HOSPITAL - GROSSE POINTE
GROSSE POINTE · ★★★★☆
BEAUMONT HOSPITAL - TAYLOR
TAYLOR · ★☆☆☆☆
BEAUMONT HOSPITAL ROYAL OAK
ROYAL OAK · ★★★☆☆
BEAUMONT HOSPITAL, TROY
TROY · ★★★☆☆
BELL HOSPITAL
ISHPEMING · -
BORGESS MEDICAL CENTER
KALAMAZOO · ★★★☆☆
BRIGHTWELL BEHAVIORAL HEALTH
EAST LANSING · -
BRONSON BATTLE CREEK HOSPITAL
BATTLE CREEK · ★★★★☆
BRONSON BEHAVIORAL HEALTH HOSPITAL
BATTLE CREEK · -
BRONSON LAKEVIEW HOSPITAL
PAW PAW · ★★★★☆
BRONSON METHODIST HOSPITAL
KALAMAZOO · ★★★★☆
BRONSON SOUTH HAVEN HOSPITAL
SOUTH HAVEN · -
CARO PSYCHIATRIC HOSPITAL
CARO · -
CEDAR CREEK HOSPITAL
SAINT JOHNS · -
CHARLEVOIX AREA HOSPITAL
CHARLEVOIX · -

View all 148 hospitals in Michigan →

How Michigan Compares Nationally

Michigan's average Medicare payment is #13 of 56 in this extract. Submitted-over-Medicare markup ranks #35 of 56 (5.2x). Hospital-count peers (nearest CMS roster size to 148): Georgia 148, Indiana 150, Wisconsin 142, Kansas 138. Payment peers (nearest average Medicare payment to $261.21): Tennessee $263.44, Alaska $257.79, Ohio $255.69, Missouri $255.25.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Michigan, not an out-of-pocket quote.

Related registry pages

Michigan averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Michigan CMS averages, not a quote for any patient, plan, or visit.

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

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.