Hospital Costs > In Michigan > Alpena Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 111 | 453 / 47 | $36.082,00 | 526 / 45 | $14.925,80 | 1883 / 52 | $13.172,30 | 1841 / 64 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 101 | 415 / 54 | $30.256,60 | 793 / 50 | $12.832,00 | 1919 / 54 | $12.101,40 | 1884 / 67 |
Simple Pneumonia & Pleurisy W Mcc | 67 | 138 / 24 | $25.094,00 | 710 / 50 | $10.102,60 | 1628 / 50 | $8.965,55 | 1628 / 54 |
Heart Failure & Shock W Cc | 58 | 220 / 42 | $16.775,80 | 773 / 49 | $6.912,24 | 1635 / 50 | $5.918,60 | 1630 / 50 |
Heart Failure & Shock W Mcc | 58 | 226 / 50 | $24.447,60 | 696 / 43 | $10.377,70 | 1783 / 49 | $9.668,16 | 1778 / 59 |
Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 40 | $20.976,20 | 808 / 54 | $8.086,56 | 1658 / 47 | $7.110,56 | 1650 / 53 |
Cellulitis W/O Mcc | 49 | 140 / 37 | $14.036,30 | 737 / 50 | $5.831,61 | 1198 / 40 | $4.427,20 | 1192 / 28 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 48 | 102 / 22 | $14.075,70 | 878 / 50 | $3.872,98 | 956 / 23 | $2.787,08 | 951 / 30 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 43 | $16.518,70 | 940 / 60 | $5.191,79 | 1280 / 36 | $3.951,44 | 1269 / 40 |
G.I. Hemorrhage W Cc | 47 | 171 / 42 | $19.978,00 | 747 / 49 | $6.937,89 | 1528 / 43 | $6.011,26 | 1524 / 51 |
Syncope & Collapse | 39 | 130 / 33 | $18.446,50 | 720 / 55 | $5.002,79 | 1083 / 24 | $4.196,23 | 1076 / 38 |
Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 36 | $17.806,10 | 892 / 54 | $6.751,00 | 1830 / 45 | $5.896,26 | 1822 / 54 |
Chronic Obstructive Pulmonary Disease W Cc | 36 | 143 / 42 | $14.773,30 | 494 / 36 | $6.582,78 | 1330 / 43 | $5.299,97 | 1325 / 37 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 38 | $16.138,10 | 641 / 42 | $5.488,66 | 1097 / 33 | $4.390,69 | 1093 / 34 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 33 | 90 / 29 | $21.044,60 | 393 / 26 | $8.360,00 | 1144 / 29 | $7.456,73 | 1141 / 38 |
Renal Failure W Cc | 33 | 188 / 47 | $15.057,80 | 471 / 34 | $6.860,45 | 1232 / 43 | $5.422,88 | 1224 / 30 |
Respiratory Infections & Inflammations W Mcc | 30 | 106 / 28 | $29.123,30 | 359 / 32 | $13.748,00 | 1282 / 39 | $12.865,90 | 1267 / 46 |
Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 45 | $14.406,80 | 844 / 50 | $5.317,30 | 1419 / 37 | $4.270,90 | 1410 / 38 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 29 | 96 / 32 | $21.304,40 | 186 / 18 | $11.895,30 | 1198 / 36 | $11.022,50 | 1192 / 38 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 40 | $21.575,20 | 572 / 39 | $7.447,62 | 1315 / 39 | $6.370,66 | 1312 / 42 |
Pulmonary Edema & Respiratory Failure | 28 | 175 / 48 | $22.639,40 | 574 / 43 | $8.421,82 | 1453 / 41 | $7.733,82 | 1448 / 52 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 32 | $13.617,00 | 619 / 39 | $4.970,54 | 1137 / 29 | $3.862,42 | 1128 / 33 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 53 | $21.875,80 | 958 / 70 | $8.373,29 | 1539 / 69 | $6.323,33 | 1532 / 54 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 35 | $42.432,50 | 392 / 29 | $16.006,00 | 1056 / 36 | $14.368,70 | 1046 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 22 | $18.108,40 | 438 / 36 | $5.239,73 | 936 / 23 | $4.195,36 | 932 / 31 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 33 | $42.810,10 | 755 / 47 | $13.776,00 | 1469 / 41 | $12.624,00 | 1451 / 49 |
G.I. Hemorrhage W Mcc | 20 | 101 / 35 | $28.932,80 | 294 / 23 | $12.054,90 | 1083 / 22 | $11.629,30 | 1075 / 40 |
Chest Pain | 20 | 131 / 33 | $15.676,60 | 559 / 39 | $4.470,15 | 666 / 30 | $3.100,25 | 662 / 19 |
Transient Ischemia | 19 | 106 / 33 | $21.774,80 | 789 / 55 | $6.158,16 | 546 / 49 | $3.420,11 | 543 / 14 |
Respiratory Infections & Inflammations W Cc | 18 | 70 / 18 | $24.192,40 | 435 / 28 | $9.629,33 | 1091 / 25 | $9.023,11 | 1086 / 36 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 12 | $11.461,50 | 65 / 5 | $5.222,67 | 495 / 14 | $4.280,44 | 492 / 24 |
Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 31 | $14.724,40 | 822 / 52 | $4.656,94 | 1058 / 30 | $3.791,17 | 1050 / 35 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 42 | $28.744,40 | 302 / 27 | $12.448,60 | 1073 / 34 | $11.450,90 | 1068 / 42 |
Renal Failure W Mcc | 17 | 178 / 52 | $33.192,70 | 957 / 56 | $10.642,70 | 1389 / 35 | $9.927,41 | 1389 / 44 |
Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 21 | $16.195,00 | 70 / 2 | $7.223,50 | 711 / 9 | $6.693,50 | 708 / 28 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 29 | $25.270,70 | 445 / 34 | $8.225,88 | 777 / 20 | $7.317,88 | 772 / 24 |
G.I. Obstruction W Cc | 16 | 76 / 35 | $16.590,00 | 406 / 33 | $6.315,75 | 761 / 31 | $4.771,12 | 759 / 24 |
Red Blood Cell Disorders W/O Mcc | 15 | 128 / 38 | $13.335,60 | 295 / 21 | $5.523,27 | 1241 / 26 | $4.876,87 | 1233 / 37 |
Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 14 | 24 / 8 | $18.365,70 | 214 / 20 | $4.783,79 | 265 / 12 | $3.661,50 | 264 / 15 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 17 | $15.021,80 | 303 / 30 | $4.392,36 | 404 / 9 | $3.615,21 | 403 / 14 |
Seizures W/O Mcc | 13 | 95 / 35 | $16.817,20 | 362 / 35 | $5.236,77 | 617 / 19 | $4.308,77 | 614 / 22 |
Hypertension W/O Mcc | 13 | 52 / 19 | $16.800,60 | 290 / 31 | $4.282,31 | 344 / 10 | $3.263,23 | 342 / 12 |
Cellulitis W Mcc | 13 | 45 / 23 | $16.515,70 | 63 / 5 | $10.061,90 | 576 / 19 | $9.222,54 | 574 / 25 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 30 | $39.827,00 | 187 / 15 | $17.674,50 | 1119 / 27 | $16.741,50 | 1106 / 38 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 23 | $14.886,60 | 725 / 42 | $4.849,08 | 1141 / 20 | $3.827,54 | 1135 / 30 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 35 | $17.712,50 | 204 / 17 | $7.290,50 | 823 / 27 | $6.181,17 | 821 / 27 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 30 | $31.177,50 | 377 / 33 | $10.026,00 | 389 / 23 | $8.103,67 | 388 / 9 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 32 | $38.686,80 | 445 / 37 | $13.081,20 | 882 / 26 | $12.579,90 | 876 / 37 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 29 | $71.692,40 | 137 / 16 | $36.039,70 | 708 / 29 | $32.411,10 | 706 / 24 |
G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 19 | $10.376,40 | 113 / 10 | $4.809,58 | 472 / 13 | $3.705,58 | 468 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 11 | 155 / 47 | $18.220,00 | 1351 / 71 | $4.845,36 | 1264 / 35 | $3.853,36 | 1260 / 39 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 21 | $44.648,40 | 243 / 15 | $15.412,00 | 623 / 17 | $14.207,60 | 619 / 24 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 35 | $17.932,50 | 311 / 34 | $8.425,64 | 484 / 45 | $5.290,45 | 482 / 16 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 26 | $41.517,00 | 97 / 6 | $18.394,70 | 664 / 17 | $17.399,80 | 663 / 23 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 21 | $15.197,70 | 121 / 13 | $6.324,64 | 479 / 16 | $5.225,00 | 477 / 22 | Total 55 procedures | 1.533 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.