Detroit (john D. Dingell) Va Medical Center vs Rex Hospital
Side-by-side hospital cost and quality comparison from CMS Medicare data
This comparison crosses state lines: Detroit (john D. Dingell) Va Medical Center (Michigan) versus Rex Hospital (North Carolina). Cost differences are influenced by the federal wage-index adjustment in addition to hospital-specific cost structure. Average payments are close: $9,372 vs $10,102, only 7% apart. With cost close to tied, the quality measures do most of the work in the value-rubric comparison. Rex Hospital comes out slightly ahead.
With costs this close, the choice between these two hospitals turns on the quality measure set, geographic convenience, or insurance-network status rather than payment-per-procedure differences.
Verdict
Rex Hospital earns a higher Value Score of 94/100 (A) compared to Detroit (john D. Dingell) Va Medical Center at 92/100 (A). Average Medicare payment differs by $730 ($9,372 vs $10,102). Rex Hospital holds a 5-star CMS rating.
| Metric | Detroit (john D. Dingell) Va Medical Center | Rex Hospital |
|---|---|---|
| Value Score Composite of price, quality, and outcomes | 92/100 (A) | 94/100 (A)* |
| CMS Quality Rating | ★★★★★ (5/5) | ★★★★★ (5/5) |
| Avg Payment Average Medicare payment across all procedures | $9,372* | $10,102 |
| Outcome Score | 70/100 | 88/100* |
| Emergency Services | Yes | Yes |
| Hospital Type | Acute Care - Veterans Administration | Acute Care Hospitals |
| Ownership | Veterans Health Administration | Government - State |
| Location | Detroit, MI | Raleigh, NC |
| Procedures Tracked | 11 | 12 |
Rex Hospital earns a higher Value Score of 94/100 (A) compared to Detroit (john D. Dingell) Va Medical Center at 92/100 (A). Average Medicare payment differs by $730 ($9,372 vs $10,102). Rex Hospital holds a 5-star CMS rating.
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Source: CMS Hospital Price Transparency, 2026.