University of Michigan Health: charges and Medicare payments

University of Michigan Health reported 6,691 Medicare inpatient stays across 201 DRGs in 2024. Across them it charged 3.39 times what it was paid — mid-range in Michigan, number 26 of 76 hospitals with at least 100 stays (state median 3.09×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 309 stays at an average charge of $56,703, 1% above the national average. It also billed 14,384 outpatient services, charging 7.88 times what Medicare paid.

1Medicare inpatient stays 6,691
2Charge ÷ paid, inpatient 3.39×
3Rank in MI (highest ratio = 1) 26 of 76
4CMS price-transparency actions 0

Average charge per stay at University of Michigan Health, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 201 DRGs that can be compared with the national average, University of Michigan Health charged more than the national average in 43 (21%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
291 Heart Failure and Shock with MCC	309	$56,703	+1%	$18,660
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	298	$93,319	+3%	$26,871
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	148	$213,002	-23%	$60,198
189 Pulmonary Edema and Respiratory Failure	127	$78,494	+36%	$19,051
267 Endovascular Cardiac Valve Replacement and Supplement...	121	$168,959	-24%	$49,472
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	117	$281,127	-29%	$97,883
177 Respiratory Infections and Inflammations with MCC	108	$67,499	-4%	$21,809
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	102	$36,473	-9%	$11,301
699 Other Kidney and Urinary Tract Diagnoses with CC	91	$38,095	-20%	$13,540
698 Other Kidney and Urinary Tract Diagnoses with MCC	84	$58,112	-21%	$20,788
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	80	$67,253	+10%	$19,663
286 Circulatory Disorders except AMI, with Cardiac...	76	$110,350	-2%	$31,811
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	76	$47,922	-2%	$13,614
309 Cardiac Arrhythmia and Conduction Disorders with CC	75	$32,529	-10%	$9,788
314 Other Circulatory System Diagnoses with MCC	73	$123,932	+31%	$37,181
330 Major Small and Large Bowel Procedures with CC	71	$91,200	-23%	$29,236
690 Kidney and Urinary Tract Infections without MCC	69	$35,846	-5%	$10,324
274 Percutaneous and Other Intracardiac Procedures without MCC	68	$118,498	-24%	$35,845
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	64	$37,444	+1%	$10,872
853 Infectious and Parasitic Diseases with O.R. Procedures with...	61	$256,395	+12%	$87,044
193 Simple Pneumonia and Pleurisy with MCC	59	$55,514	-7%	$17,929
652 Kidney Transplant	59	$237,370	-29%	$38,424
689 Kidney and Urinary Tract Infections with MCC	58	$44,420	-13%	$14,715
378 Gastrointestinal Hemorrhage with CC	57	$49,010	+1%	$13,241
287 Circulatory Disorders except AMI, with Cardiac...	52	$70,758	+11%	$16,033
394 Other Digestive System Diagnoses with CC	51	$53,860	+14%	$15,487
919 Complications of Treatment with MCC	51	$109,136	+23%	$30,028
194 Simple Pneumonia and Pleurisy with CC	50	$38,268	0%	$11,176
312 Syncope and Collapse	50	$42,098	-8%	$11,692
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	50	$53,209	-12%	$17,389
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	49	$48,343	-13%	$13,965
683 Renal Failure with CC	49	$32,584	-20%	$11,238
308 Cardiac Arrhythmia and Conduction Disorders with MCC	48	$52,762	-7%	$15,271
377 Gastrointestinal Hemorrhage with MCC	48	$104,881	+23%	$29,431
812 Red Blood Cell Disorders without MCC	48	$43,522	-2%	$13,639
948 Signs and Symptoms without MCC	47	$42,840	+12%	$11,303
552 Medical Back Problems without MCC	46	$39,076	-20%	$12,821
164 Major Chest Procedures with CC	45	$103,538	-19%	$28,327
603 Cellulitis without MCC	45	$26,609	-29%	$10,488
322 Percutaneous Cardiovascular Procedures with Intraluminal...	44	$110,425	-4%	$22,130
329 Major Small and Large Bowel Procedures with MCC	44	$167,595	-22%	$55,088
472 Cervical Spinal Fusion with CC	44	$127,354	-11%	$31,208
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	42	$78,542	-9%	$25,220
481 Hip and Femur Procedures except Major Joint with CC	42	$90,447	-10%	$24,023
393 Other Digestive System Diagnoses with MCC	40	$71,200	-7%	$23,221
057 Degenerative Nervous System Disorders without MCC	39	$55,398	-2%	$18,773
389 Gastrointestinal Obstruction with CC	39	$41,773	+7%	$12,022
654 Major Bladder Procedures with CC	39	$133,221	-14%	$31,763
657 Kidney and Ureter Procedures for Neoplasm with CC	39	$83,511	-17%	$20,920
025 Craniotomy and Endovascular Intracranial Procedures with MCC	38	$192,237	-17%	$50,403
292 Heart Failure and Shock with CC	38	$37,112	-5%	$11,929
445 Disorders of The Biliary Tract with CC	38	$64,282	+10%	$13,316
178 Respiratory Infections and Inflammations with CC	37	$48,384	+7%	$12,987
467 Revision of Hip or Knee Replacement with CC	37	$122,725	-22%	$36,921
372 Major Gastrointestinal Disorders and Peritoneal Infections...	36	$34,105	-28%	$12,639
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	35	$98,506	-1%	$28,659
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	35	$49,872	-23%	$17,406
315 Other Circulatory System Diagnoses with CC	35	$42,135	-12%	$12,456
328 Stomach, Esophageal and Duodenal Procedures without CC/MCC	35	$73,470	-15%	$18,272
920 Complications of Treatment with CC	35	$48,671	-2%	$16,971

Showing the 60 most frequent of 201 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	2,369	$2,721	$538
Level 1 Intraocular Procedures	1,412	$22,808	$2,148
Level 3 Urology and Related Services	1,169	$10,758	$1,641
Comprehensive Observation Services	1,091	$15,959	$2,478
Level 2 Excision/ Biopsy/ Incision and Drainage	1,041	$9,721	$1,474
Level 2 Upper GI Procedures	487	$13,650	$1,730
Level 1 Endovascular Procedures	412	$21,223	$2,977
Level 3 Excision/ Biopsy/ Incision and Drainage	378	$20,198	$2,611
Level 3 Vascular Procedures	373	$19,763	$2,928
Level 2 Intraocular Procedures	312	$29,205	$3,752
Level 4 Urology and Related Services	293	$18,701	$3,135
Level 3 Extraocular, Repair, and Plastic Eye Procedures	293	$17,349	$2,156
Level 3 Electrophysiologic Procedures	290	$120,591	$21,844
Level 5 Urology and Related Services	259	$28,701	$4,644
Level 5 Musculoskeletal Procedures	253	$55,592	$12,040
Level 5 ENT Procedures	242	$38,174	$5,314
Level 1 Nerve Procedures	219	$13,459	$1,763
Level 1 Laparoscopy and Related Services	201	$35,711	$5,338
Level 3 Airway Endoscopy	182	$10,768	$1,548
Level 4 Airway Endoscopy	181	$23,294	$3,399
Level 3 Endovascular Procedures	173	$76,793	$10,119
Level 2 Breast/Lymphatic Surgery and Related Procedures	171	$34,478	$6,032
Level 4 ENT Procedures	160	$21,459	$2,945
Complex GI Procedures	157	$42,154	$4,943
Level 4 Extraocular, Repair, and Plastic Eye Procedures	132	$23,720	$3,311

Against the Michigan average

For Heart Failure and Shock with MCC (DRG 291), University of Michigan Health charged $56,703 on average, 58% more than the Michigan average of $35,827, and was paid $18,660 against a state average of $11,565. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), University of Michigan Health charged $93,319 on average, 72% more than the Michigan average of $54,260, and was paid $26,871 against a state average of $17,096. For Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization (DRG 220), University of Michigan Health charged $213,002 on average, 10% more than the Michigan average of $194,058, and was paid $60,198 against a state average of $53,516. For Pulmonary Edema and Respiratory Failure (DRG 189), University of Michigan Health charged $78,494 on average, 109% more than the Michigan average of $37,617, and was paid $19,051 against a state average of $11,581. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,721 was 21% above the state average of $2,258. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $22,808 was 90% above the state average of $11,973. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $10,758 was 6% above the state average of $10,114. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,959 was 4% above the state average of $15,355.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.