Hospital Costs > In Michigan > Carson City Hospital, 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 | 51 | 513 / 61 | $32.029,80 | 314 / 31 | $15.011,10 | 1851 / 58 | $13.017,50 | 1810 / 61 |
| Pulmonary Edema & Respiratory Failure | 32 | 171 / 45 | $9.072,38 | 6 / 3 | $8.834,09 | 1407 / 52 | $7.604,38 | 1403 / 50 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 31 | 485 / 72 | $16.503,00 | 113 / 6 | $12.294,40 | 1740 / 43 | $11.575,80 | 1707 / 55 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 51 | $9.619,65 | 54 / 5 | $7.779,46 | 1835 / 54 | $6.886,19 | 1827 / 69 |
| Heart Failure & Shock W Mcc | 19 | 265 / 63 | $10.627,40 | 17 / 3 | $10.358,70 | 1695 / 48 | $9.463,89 | 1690 / 52 |
| Spinal Fusion Except Cervical W/O Mcc | 19 | 175 / 34 | $45.058,20 | 73 / 6 | $28.073,60 | 1032 / 28 | $26.860,60 | 1027 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 62 | $10.426,60 | 245 / 10 | $5.718,75 | 1715 / 60 | $4.355,31 | 1702 / 52 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 56 | $9.186,64 | 213 / 7 | $5.982,07 | 1547 / 60 | $4.393,71 | 1536 / 41 |
| Cellulitis W/O Mcc | 13 | 176 / 57 | $8.025,85 | 93 / 2 | $6.143,92 | 1746 / 49 | $5.047,15 | 1738 / 54 |
| Heart Failure & Shock W Cc | 12 | 266 / 66 | $8.554,58 | 57 / 2 | $7.130,50 | 1990 / 54 | $6.513,00 | 1985 / 67 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 56 | $10.782,40 | 12 / 3 | $9.616,27 | 1613 / 37 | $8.948,45 | 1613 / 50 | Total 11 procedures | 244 | 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.