Hospital Costs > In Michigan > Beaumont Hospital, Grosse Pointe, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 32 | $19.170,60 | 258 / 23 | $5.928,81 | 271 / 3 | $5.087,50 | 271 / 1 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 35 | $24.807,30 | 286 / 24 | $9.861,12 | 399 / 9 | $8.752,15 | 399 / 7 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 31 | 35 / 4 | $34.893,50 | 109 / 8 | $12.216,70 | 285 / 2 | $11.150,20 | 283 / 3 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 43 | 46 / 5 | $19.039,30 | 79 / 5 | $6.840,98 | 201 / 1 | $5.200,44 | 201 / 3 |
Bone Diseases & Arthropathies W/O Mcc | 16 | 28 / 8 | $10.567,10 | 53 / 3 | $4.538,81 | 76 / 2 | $3.769,50 | 76 / 5 |
Bronchitis & Asthma W Cc/Mcc | 30 | 46 / 10 | $14.652,20 | 177 / 16 | $5.711,10 | 161 / 7 | $3.969,47 | 158 / 6 |
Bronchitis & Asthma W/O Cc/Mcc | 20 | 25 / 6 | $10.109,80 | 53 / 5 | $4.088,65 | 93 / 2 | $2.922,05 | 93 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 39 | $14.597,90 | 479 / 33 | $4.951,82 | 756 / 14 | $4.073,88 | 753 / 19 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 35 | $24.976,10 | 656 / 46 | $7.741,65 | 643 / 17 | $6.582,00 | 640 / 15 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 29 | $10.281,30 | 376 / 20 | $3.573,79 | 373 / 11 | $2.331,52 | 370 / 5 |
Cellulitis W Mcc | 19 | 39 / 18 | $22.202,20 | 173 / 19 | $8.694,89 | 233 / 3 | $7.583,21 | 232 / 5 |
Cellulitis W/O Mcc | 106 | 83 / 14 | $12.080,90 | 478 / 32 | $5.306,21 | 585 / 18 | $3.956,26 | 582 / 9 |
Chest Pain | 49 | 102 / 20 | $13.326,00 | 337 / 24 | $3.831,63 | 424 / 7 | $2.852,82 | 422 / 7 |
Chronic Obstructive Pulmonary Disease W Cc | 94 | 85 / 19 | $15.885,70 | 599 / 40 | $5.780,17 | 765 / 13 | $4.771,11 | 763 / 17 |
Chronic Obstructive Pulmonary Disease W Mcc | 112 | 90 / 18 | $21.460,30 | 853 / 57 | $7.334,49 | 970 / 23 | $6.214,59 | 965 / 24 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 27 | $12.141,50 | 459 / 26 | $4.497,42 | 684 / 13 | $3.473,85 | 682 / 14 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 33 | $26.546,30 | 355 / 27 | $6.559,32 | 548 / 3 | $5.519,71 | 546 / 5 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 21 | $17.298,60 | 147 / 18 | $5.520,71 | 95 / 5 | $4.186,36 | 95 / 2 |
Diabetes W Cc | 15 | 77 / 31 | $12.566,50 | 183 / 12 | $5.170,80 | 474 / 9 | $4.250,80 | 474 / 14 |
Diabetes W Mcc | 16 | 41 / 18 | $26.277,80 | 203 / 24 | $8.452,94 | 248 / 3 | $7.813,00 | 248 / 8 |
Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 16 | $16.524,20 | 165 / 17 | $6.145,88 | 152 / 13 | $4.350,38 | 152 / 3 |
Dysequilibrium | 27 | 38 / 7 | $14.343,10 | 110 / 14 | $3.965,33 | 113 / 2 | $2.818,63 | 113 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 39 | 57 / 16 | $16.522,10 | 102 / 9 | $7.479,38 | 298 / 9 | $6.239,38 | 296 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 174 | 102 / 14 | $12.907,50 | 497 / 30 | $4.767,26 | 783 / 18 | $3.614,10 | 778 / 19 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 19 | $13.956,30 | 154 / 13 | $4.561,13 | 225 / 2 | $3.665,87 | 225 / 6 |
G.I. Hemorrhage W Cc | 79 | 139 / 29 | $17.189,30 | 500 / 38 | $6.310,86 | 766 / 21 | $5.150,78 | 764 / 15 |
G.I. Hemorrhage W Mcc | 38 | 83 / 22 | $32.079,10 | 394 / 31 | $12.137,20 | 702 / 26 | $10.225,00 | 702 / 17 |
G.I. Obstruction W Cc | 36 | 56 / 18 | $15.902,00 | 357 / 30 | $5.751,28 | 495 / 15 | $4.471,03 | 494 / 10 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 25 | $14.389,60 | 488 / 33 | $3.946,73 | 563 / 6 | $3.041,36 | 562 / 20 |
Headaches W/O Mcc | 11 | 32 / 12 | $14.921,90 | 45 / 7 | $4.252,64 | 53 / 2 | $3.180,27 | 53 / 4 |
Heart Failure & Shock W Cc | 82 | 196 / 36 | $16.891,60 | 791 / 51 | $6.046,16 | 806 / 16 | $5.145,59 | 805 / 17 |
Heart Failure & Shock W Mcc | 109 | 175 / 34 | $25.199,00 | 751 / 47 | $9.182,46 | 916 / 22 | $8.171,90 | 915 / 21 |
Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 29 | $12.405,70 | 519 / 35 | $4.079,40 | 129 / 5 | $2.845,95 | 127 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 31 | $31.689,00 | 279 / 15 | $11.860,80 | 947 / 13 | $10.911,20 | 934 / 20 |
Hypertension W/O Mcc | 17 | 48 / 15 | $12.530,40 | 124 / 14 | $3.970,29 | 198 / 4 | $2.889,94 | 196 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 40 | 84 / 23 | $54.555,40 | 74 / 4 | $28.114,80 | 204 / 5 | $26.958,90 | 204 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 38 | $21.455,90 | 564 / 38 | $6.617,41 | 658 / 13 | $5.386,31 | 657 / 13 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 32 | 136 / 31 | $24.809,30 | 198 / 18 | $10.239,60 | 391 / 6 | $9.063,81 | 390 / 7 |
Kidney & Urinary Tract Infections W Mcc | 54 | 90 / 21 | $15.995,30 | 308 / 22 | $6.912,17 | 361 / 13 | $5.514,50 | 360 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 75 | 158 / 27 | $13.402,60 | 696 / 39 | $4.821,48 | 671 / 16 | $3.733,77 | 667 / 14 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 11 | $30.883,90 | 109 / 11 | $10.074,00 | 350 / 4 | $8.856,00 | 350 / 5 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 19 | $99.977,80 | 118 / 15 | $34.805,20 | 318 / 12 | $33.307,60 | 318 / 15 |
Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 23 | $90.519,60 | 498 / 34 | $25.566,40 | 793 / 28 | $24.452,20 | 792 / 31 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 19 | $16.509,20 | 165 / 12 | $6.858,31 | 309 / 2 | $6.158,92 | 308 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 17 | $39.260,40 | 39 / 1 | $18.914,00 | 337 / 8 | $17.904,40 | 335 / 9 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 162 | 402 / 35 | $26.515,20 | 114 / 6 | $13.144,50 | 743 / 21 | $10.685,70 | 733 / 7 |
Major Small & Large Bowel Procedures W Cc | 24 | 84 / 21 | $38.065,80 | 153 / 13 | $15.049,50 | 638 / 9 | $14.107,90 | 632 / 13 |
Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 27 | $78.529,80 | 186 / 20 | $29.548,60 | 350 / 4 | $28.067,60 | 348 / 5 |
Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 11 | 42 / 13 | $22.803,30 | 12 / 2 | $10.557,00 | 69 / 2 | $9.573,18 | 69 / 1 |
Medical Back Problems W/O Mcc | 42 | 79 / 18 | $12.137,00 | 103 / 4 | $5.163,07 | 422 / 6 | $4.120,31 | 422 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 25 | $20.017,80 | 409 / 31 | $6.878,86 | 520 / 12 | $6.051,60 | 517 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 20 | $13.008,50 | 677 / 42 | $4.428,54 | 773 / 17 | $3.502,78 | 770 / 19 |
Nonspecific Cerebrovascular Disorders W Cc | 42 | 14 / 5 | $16.879,60 | 69 / 13 | $6.097,90 | 117 / 3 | $4.956,93 | 117 / 3 |
Nonspecific Cerebrovascular Disorders W Mcc | 23 | 28 / 10 | $21.555,60 | 36 / 8 | $9.797,04 | 104 / 1 | $8.934,65 | 104 / 2 |
O.R. Procedures For Obesity W/O Cc/Mcc | 11 | 66 / 19 | $18.117,20 | 17 / 2 | $9.475,18 | 151 / 3 | $8.312,18 | 151 / 6 |
Other Circulatory System Diagnoses W Cc | 13 | 53 / 19 | $16.727,20 | 116 / 17 | $6.835,85 | 47 / 13 | $4.463,54 | 47 / 1 |
Other Circulatory System Diagnoses W Mcc | 34 | 82 / 17 | $33.071,20 | 287 / 24 | $12.074,40 | 597 / 13 | $11.116,30 | 595 / 17 |
Other Digestive System Diagnoses W Cc | 31 | 66 / 16 | $14.844,10 | 146 / 13 | $6.032,74 | 432 / 9 | $5.090,32 | 429 / 8 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 11 | $21.875,10 | 58 / 6 | $10.087,60 | 122 / 4 | $8.969,00 | 122 / 2 |
Other Kidney & Urinary Tract Diagnoses W Cc | 13 | 90 / 20 | $14.141,90 | 91 / 9 | $6.153,38 | 255 / 9 | $5.361,31 | 255 / 11 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 37 | 64 / 15 | $20.841,20 | 138 / 13 | $9.116,43 | 188 / 4 | $7.935,89 | 188 / 3 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 15 | $48.913,60 | 55 / 8 | $21.118,40 | 145 / 6 | $19.852,80 | 145 / 7 |
Other Vascular Procedures W Cc | 21 | 81 / 20 | $50.612,40 | 217 / 22 | $16.111,30 | 527 / 10 | $15.105,20 | 524 / 15 |
Other Vascular Procedures W Mcc | 27 | 70 / 17 | $71.442,70 | 279 / 28 | $23.192,40 | 624 / 21 | $22.367,90 | 621 / 24 |
Peripheral Vascular Disorders W Cc | 33 | 51 / 17 | $13.904,80 | 142 / 11 | $5.916,12 | 217 / 10 | $4.678,73 | 216 / 4 |
Peripheral Vascular Disorders W Mcc | 13 | 36 / 17 | $24.255,80 | 106 / 14 | $8.310,69 | 128 / 3 | $7.175,00 | 128 / 2 |
Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 26 | $58.480,80 | 324 / 19 | $15.854,70 | 363 / 3 | $14.946,70 | 362 / 3 |
Pulmonary Edema & Respiratory Failure | 77 | 126 / 25 | $21.911,80 | 528 / 39 | $7.676,36 | 720 / 20 | $6.618,23 | 720 / 19 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 25 | $20.742,40 | 425 / 33 | $6.717,08 | 304 / 21 | $4.813,38 | 304 / 4 |
Red Blood Cell Disorders W Mcc | 22 | 49 / 17 | $17.412,30 | 101 / 9 | $7.666,18 | 322 / 6 | $6.864,09 | 320 / 5 |
Red Blood Cell Disorders W/O Mcc | 60 | 83 / 12 | $14.193,50 | 369 / 27 | $5.040,55 | 575 / 12 | $4.058,50 | 573 / 11 |
Renal Failure W Cc | 56 | 165 / 37 | $14.844,30 | 448 / 32 | $5.981,29 | 808 / 17 | $5.008,95 | 801 / 14 |
Renal Failure W Mcc | 80 | 115 / 25 | $22.918,80 | 358 / 25 | $9.211,44 | 505 / 14 | $8.073,16 | 505 / 9 |
Respiratory Infections & Inflammations W Mcc | 29 | 107 / 29 | $26.611,40 | 281 / 22 | $11.787,70 | 646 / 13 | $10.801,50 | 638 / 14 |
Respiratory Neoplasms W Mcc | 12 | 40 / 18 | $26.117,60 | 75 / 5 | $10.765,80 | 255 / 6 | $9.834,33 | 255 / 8 |
Respiratory Signs & Symptoms | 12 | 34 / 13 | $19.037,10 | 103 / 19 | $4.354,33 | 93 / 2 | $3.598,00 | 93 / 5 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 33 | $42.745,20 | 404 / 30 | $13.596,00 | 486 / 10 | $12.400,90 | 479 / 6 |
Seizures W Mcc | 20 | 46 / 15 | $19.422,10 | 46 / 10 | $9.080,90 | 152 / 4 | $8.085,45 | 152 / 3 |
Seizures W/O Mcc | 27 | 81 / 24 | $14.432,00 | 233 / 21 | $4.792,67 | 331 / 7 | $3.812,19 | 329 / 10 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 30 | 62 / 17 | $74.795,80 | 68 / 6 | $31.855,20 | 109 / 2 | $30.150,10 | 109 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 213 | 303 / 32 | $31.161,50 | 837 / 54 | $11.239,40 | 898 / 25 | $10.046,90 | 895 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 32 | $15.907,80 | 428 / 38 | $6.590,02 | 505 / 19 | $5.210,92 | 503 / 6 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 14 | $13.705,60 | 69 / 5 | $4.395,50 | 59 / 2 | $3.503,17 | 59 / 1 |
Signs & Symptoms W/O Mcc | 17 | 74 / 25 | $14.665,10 | 308 / 23 | $4.360,82 | 355 / 10 | $3.460,06 | 354 / 10 |
Simple Pneumonia & Pleurisy W Cc | 54 | 149 / 26 | $14.903,00 | 548 / 37 | $6.012,13 | 812 / 18 | $4.918,30 | 809 / 17 |
Simple Pneumonia & Pleurisy W Mcc | 59 | 146 / 27 | $22.533,50 | 547 / 39 | $8.851,98 | 654 / 22 | $7.505,31 | 654 / 14 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 24 | $9.871,67 | 205 / 7 | $4.462,25 | 521 / 8 | $3.253,75 | 519 / 6 |
Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 37 | $44.084,30 | 65 / 5 | $23.641,90 | 609 / 5 | $22.513,20 | 605 / 12 |
Syncope & Collapse | 65 | 104 / 18 | $16.107,80 | 495 / 39 | $4.583,22 | 544 / 10 | $3.589,82 | 541 / 12 |
Transient Ischemia | 32 | 93 / 22 | $15.762,40 | 342 / 31 | $4.589,19 | 349 / 16 | $3.208,41 | 348 / 8 |
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 15 | 29 / 8 | $16.515,70 | 70 / 12 | $4.668,80 | 49 / 3 | $3.516,93 | 49 / 3 |
Urinary Stones W/O Esw Lithotripsy W/O Mcc | 14 | 32 / 15 | $15.165,40 | 79 / 14 | $4.377,79 | 108 / 2 | $3.257,14 | 108 / 5 | Total 92 procedures | 3.468 | 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.