Hospital Costs > In Michigan > Detroit Receiving Hospital & Univ Health Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 248 | 268 / 29 | $44.319,20 | 1535 / 82 | $17.233,10 | 2519 / 83 | $15.410,80 | 2475 / 84 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 130 | 434 / 40 | $61.191,90 | 1732 / 83 | $19.494,70 | 2504 / 84 | $17.611,40 | 2458 / 87 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 100 | 175 / 30 | $19.119,60 | 1291 / 72 | $8.214,83 | 2535 / 80 | $6.791,42 | 2520 / 81 |
Heart Failure & Shock W Cc | 95 | 183 / 29 | $23.955,10 | 1584 / 81 | $10.092,90 | 2553 / 79 | $8.691,84 | 2547 / 81 |
Renal Failure W Cc | 88 | 133 / 22 | $21.081,70 | 1088 / 63 | $10.057,40 | 2265 / 69 | $8.605,25 | 2255 / 70 |
Heart Failure & Shock W Mcc | 87 | 197 / 39 | $38.389,50 | 1577 / 79 | $14.642,00 | 2409 / 76 | $12.920,20 | 2398 / 77 |
G.I. Hemorrhage W Cc | 75 | 143 / 31 | $27.768,40 | 1429 / 74 | $10.293,30 | 2271 / 74 | $9.029,57 | 2267 / 76 |
Chronic Obstructive Pulmonary Disease W Cc | 71 | 108 / 29 | $19.687,40 | 963 / 57 | $9.536,23 | 2255 / 72 | $8.132,59 | 2248 / 73 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 70 | 96 / 16 | $20.941,60 | 1640 / 75 | $8.148,99 | 2398 / 73 | $6.748,89 | 2389 / 75 |
Diabetes W Cc | 63 | 29 / 7 | $17.311,60 | 499 / 35 | $8.673,92 | 1480 / 50 | $7.584,46 | 1475 / 52 |
Pulmonary Edema & Respiratory Failure | 60 | 143 / 33 | $30.958,20 | 1094 / 67 | $11.940,70 | 2035 / 73 | $10.502,30 | 2029 / 73 |
Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 24 | $18.588,70 | 980 / 58 | $9.787,05 | 2577 / 77 | $8.262,95 | 2568 / 78 |
Red Blood Cell Disorders W/O Mcc | 58 | 85 / 13 | $20.531,10 | 945 / 53 | $8.729,97 | 1838 / 58 | $7.215,59 | 1829 / 59 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 56 | 69 / 20 | $45.912,30 | 1019 / 58 | $16.596,10 | 1607 / 59 | $14.026,50 | 1594 / 60 |
Renal Failure W Mcc | 56 | 139 / 34 | $31.006,70 | 818 / 51 | $14.493,20 | 1919 / 61 | $12.940,50 | 1915 / 63 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 52 | 40 / 7 | $110.735,00 | 265 / 30 | $48.041,40 | 836 / 39 | $44.720,70 | 835 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 51 | 156 / 38 | $23.805,90 | 1141 / 74 | $10.624,60 | 2383 / 80 | $9.184,47 | 2373 / 83 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 41 | $29.758,60 | 1462 / 76 | $11.663,50 | 2390 / 77 | $10.116,30 | 2382 / 79 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 50 | 81 / 22 | $51.616,00 | 664 / 44 | $20.344,40 | 1588 / 55 | $18.733,70 | 1574 / 58 |
Syncope & Collapse | 49 | 120 / 27 | $20.167,70 | 873 / 58 | $8.098,59 | 1776 / 57 | $6.646,80 | 1768 / 59 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 49 | 119 / 20 | $67.015,60 | 1234 / 56 | $17.870,00 | 1472 / 52 | $15.321,60 | 1465 / 53 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 48 | 72 / 15 | $14.760,90 | 752 / 46 | $7.802,06 | 1978 / 58 | $6.508,19 | 1967 / 59 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 46 | 136 / 30 | $33.530,40 | 1307 / 67 | $10.877,70 | 1930 / 63 | $9.245,07 | 1926 / 65 |
Chest Pain | 45 | 106 / 21 | $17.774,10 | 748 / 47 | $7.077,38 | 1560 / 48 | $5.763,29 | 1551 / 50 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 44 | 82 / 20 | $35.285,40 | 1171 / 53 | $11.761,90 | 1575 / 53 | $10.320,70 | 1572 / 52 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 41 | 20 / 4 | $17.963,70 | 443 / 34 | $7.296,22 | 824 / 35 | $6.130,29 | 823 / 36 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 41 | 120 / 36 | $23.172,90 | 1295 / 67 | $8.551,95 | 2031 / 64 | $7.328,27 | 2026 / 67 |
Other Circulatory System Diagnoses W Mcc | 38 | 78 / 15 | $56.952,40 | 881 / 49 | $18.945,10 | 1210 / 47 | $16.052,60 | 1202 / 46 |
Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 41 | $17.996,20 | 1350 / 72 | $8.224,69 | 2529 / 73 | $6.910,47 | 2518 / 76 |
Seizures W Mcc | 35 | 31 / 8 | $50.331,50 | 488 / 41 | $15.451,70 | 654 / 38 | $13.556,50 | 654 / 40 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 35 | 89 / 26 | $131.691,00 | 857 / 47 | $47.611,80 | 1332 / 46 | $42.857,20 | 1322 / 46 |
Cellulitis W/O Mcc | 34 | 155 / 44 | $20.474,90 | 1532 / 74 | $8.891,09 | 2439 / 74 | $7.353,97 | 2431 / 75 |
G.I. Hemorrhage W Mcc | 30 | 91 / 27 | $49.890,60 | 1005 / 57 | $16.895,10 | 1503 / 55 | $15.210,70 | 1493 / 56 |
Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 24 | $15.253,50 | 874 / 53 | $7.502,17 | 1825 / 60 | $5.732,76 | 1812 / 60 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 20 | $46.394,60 | 747 / 44 | $16.214,40 | 982 / 43 | $13.487,60 | 978 / 43 |
Acute Myocardial Infarction, Discharged Alive W Cc | 28 | 63 / 24 | $34.669,70 | 897 / 52 | $10.653,10 | 1317 / 51 | $9.046,29 | 1315 / 51 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 27 | 44 / 6 | $97.128,10 | 234 / 20 | $40.324,70 | 730 / 31 | $37.906,30 | 729 / 30 |
Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 28 | $67.578,80 | 1500 / 63 | $17.834,80 | 1889 / 61 | $16.070,80 | 1869 / 63 |
Poisoning & Toxic Effects Of Drugs W Mcc | 25 | 47 / 19 | $35.989,90 | 492 / 38 | $13.936,60 | 875 / 44 | $12.447,10 | 872 / 44 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 35 | $15.186,10 | 1012 / 53 | $6.575,80 | 1912 / 57 | $5.679,96 | 1906 / 59 |
Degenerative Nervous System Disorders W/O Mcc | 25 | 53 / 13 | $20.120,00 | 237 / 26 | $9.748,20 | 730 / 32 | $8.121,04 | 730 / 33 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 25 | 77 / 19 | $23.855,20 | 828 / 54 | $8.206,68 | 1515 / 55 | $6.990,60 | 1511 / 57 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 24 | 100 / 11 | $15.960,10 | 379 / 18 | $7.666,62 | 754 / 30 | $6.554,62 | 753 / 31 |
Seizures W/O Mcc | 24 | 84 / 26 | $21.668,20 | 635 / 49 | $8.203,96 | 1172 / 48 | $6.834,62 | 1170 / 50 |
Peripheral Vascular Disorders W Cc | 24 | 60 / 23 | $19.169,80 | 371 / 39 | $9.205,88 | 1086 / 47 | $7.997,25 | 1083 / 48 |
Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 39 | $35.949,00 | 1385 / 58 | $12.302,90 | 1861 / 57 | $10.519,80 | 1857 / 58 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 36 | $37.001,10 | 838 / 47 | $11.272,10 | 1512 / 44 | $9.381,33 | 1509 / 46 |
Transient Ischemia | 23 | 102 / 29 | $21.830,40 | 791 / 56 | $7.725,65 | 1549 / 54 | $6.292,17 | 1541 / 54 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 22 | 40 / 12 | $18.385,70 | 322 / 29 | $8.183,73 | 741 / 34 | $6.688,77 | 739 / 35 |
Pulmonary Embolism W/O Mcc | 22 | 52 / 18 | $24.810,90 | 638 / 45 | $9.961,36 | 1208 / 48 | $8.587,95 | 1205 / 50 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 26 | $37.579,30 | 892 / 48 | $12.233,70 | 1308 / 46 | $10.475,80 | 1303 / 47 |
Other Kidney & Urinary Tract Diagnoses W Cc | 19 | 84 / 15 | $28.392,50 | 488 / 40 | $10.464,60 | 776 / 37 | $8.997,68 | 776 / 39 |
Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 50 | $62.507,30 | 2134 / 79 | $18.218,70 | 2478 / 78 | $15.442,40 | 2472 / 79 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 18 | 46 / 13 | $169.156,00 | 88 / 11 | $81.574,80 | 401 / 23 | $78.017,30 | 400 / 24 |
Atherosclerosis W/O Mcc | 18 | 40 / 13 | $16.708,70 | 233 / 27 | $7.032,83 | / 28 | $5.819,50 | / |
Signs & Symptoms W/O Mcc | 18 | 73 / 24 | $15.299,40 | 354 / 31 | $7.639,78 | 1226 / 47 | $6.570,06 | 1223 / 48 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 28 | $64.459,10 | 550 / 28 | $19.097,10 | 1404 / 34 | $17.514,20 | 1396 / 36 |
Red Blood Cell Disorders W Mcc | 18 | 53 / 21 | $29.961,20 | 455 / 32 | $12.857,20 | 1000 / 38 | $11.303,90 | 996 / 39 |
Non-Extensive Burns | 17 | 12 / 2 | $24.067,50 | 5 / 2 | $13.545,40 | 17 / 1 | $11.803,20 | 17 / 1 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 28 | $20.710,90 | 449 / 40 | $9.885,76 | 1309 / 48 | $8.619,29 | 1305 / 49 |
Other Respiratory System Diagnoses W/O Mcc | 16 | 30 / 10 | $14.724,40 | 54 / 9 | $8.378,44 | 292 / 18 | $7.411,19 | 292 / 20 |
Renal Failure W/O Cc/Mcc | 16 | 40 / 17 | $14.801,90 | 355 / 29 | $7.106,75 | 814 / 31 | $5.817,75 | 812 / 32 |
Other Digestive System Diagnoses W Mcc | 16 | 46 / 13 | $40.538,80 | 323 / 34 | $16.100,10 | 672 / 34 | $14.772,40 | 671 / 37 |
Diabetes W/O Cc/Mcc | 16 | 22 / 7 | $11.442,20 | 63 / 10 | $6.669,19 | 259 / 15 | $5.561,75 | 259 / 15 |
Organic Disturbances & Mental Retardation | 16 | 43 / 12 | $18.552,40 | 148 / 21 | $10.065,60 | 462 / 21 | $8.430,06 | 462 / 23 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 16 | 77 / 22 | $87.516,10 | 698 / 34 | $25.593,40 | 891 / 34 | $22.689,30 | 883 / 34 |
G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 15 | $23.002,10 | 658 / 36 | $7.657,38 | 940 / 32 | $6.399,56 | 936 / 34 |
Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 13 | $17.127,00 | 169 / 28 | $7.334,33 | 363 / 28 | $5.994,33 | 363 / 29 |
Diabetes W Mcc | 15 | 42 / 19 | $22.224,20 | 114 / 13 | $12.537,10 | 622 / 31 | $11.077,30 | 621 / 32 |
Bone Diseases & Arthropathies W/O Mcc | 15 | 29 / 9 | $17.670,30 | 134 / 18 | $8.075,80 | 245 / 20 | $6.504,33 | 245 / 21 |
Major Small & Large Bowel Procedures W Cc | 14 | 94 / 29 | $98.170,10 | 1200 / 49 | $24.641,40 | 1444 / 46 | $22.203,60 | 1430 / 49 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 18 | $32.203,10 | 447 / 29 | $10.352,20 | 628 / 26 | $9.254,29 | 627 / 29 |
Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 18 | $19.380,10 | 287 / 32 | $9.393,07 | 877 / 42 | $8.028,64 | 874 / 45 |
Medical Back Problems W/O Mcc | 14 | 107 / 33 | $21.574,50 | 643 / 42 | $8.958,21 | 1363 / 44 | $7.269,93 | 1358 / 46 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 23 | $11.953,80 | 412 / 25 | $7.559,15 | 1870 / 48 | $6.341,85 | 1862 / 50 |
Psychoses | 13 | 262 / 11 | $18.208,40 | 282 / 14 | $10.231,50 | 537 / 18 | $8.908,31 | 537 / 18 |
Revision Of Hip Or Knee Replacement W Cc | 13 | 73 / 15 | $81.757,50 | 308 / 23 | $29.583,60 | 617 / 25 | $28.242,50 | 615 / 26 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 28 | $127.492,00 | 630 / 38 | $41.461,10 | 1047 / 40 | $38.689,80 | 1045 / 40 |
Hypertension W/O Mcc | 13 | 52 / 19 | $21.992,10 | 461 / 36 | $7.308,15 | 708 / 34 | $5.541,46 | 706 / 35 |
Full Thickness Burn W Skin Graft Or Inhal Inj W Cc/Mcc | 12 | 19 / 2 | $159.815,00 | 22 / 1 | $60.026,10 | 31 / 1 | $56.615,00 | 31 / 1 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 12 | 69 / 14 | $389.399,00 | 167 / 17 | $145.765,00 | 329 / 19 | $136.210,00 | 328 / 19 |
Nonspecific Cerebrovascular Disorders W Cc | 12 | 44 / 19 | $26.143,30 | 242 / 27 | $9.976,92 | 433 / 25 | $8.632,75 | 433 / 26 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 19 | $17.189,50 | 206 / 22 | $8.003,55 | 818 / 33 | $6.954,45 | 814 / 35 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 11 | 16 / 6 | $28.188,00 | 42 / 6 | $14.559,30 | 109 / 10 | $13.137,40 | 109 / 9 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 11 | 36 / 15 | $16.932,30 | 106 / 13 | $7.212,82 | 301 / 19 | $5.780,73 | 301 / 19 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 16 | $70.453,00 | 431 / 23 | $21.084,80 | 580 / 23 | $16.205,40 | 576 / 22 |
Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 12 | $14.048,10 | 114 / 13 | $7.254,91 | 351 / 17 | $6.042,55 | 351 / 17 |
Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 39 | $108.002,00 | 818 / 46 | $34.599,90 | 1254 / 46 | $32.917,50 | 1249 / 48 |
Full Thickness Burn W/O Skin Grft Or Inhal Inj | 11 | 1 / 1 | $41.225,50 | 1 / 1 | $15.849,90 | 2 / 1 | $14.122,20 | 2 / 1 |
G.I. Obstruction W Cc | 11 | 81 / 40 | $20.166,60 | 666 / 54 | $8.781,09 | 1606 / 60 | $7.605,27 | 1601 / 61 |
Other Vascular Procedures W Mcc | 11 | 86 / 28 | $60.986,60 | 168 / 16 | $28.681,20 | 847 / 35 | $26.745,20 | 844 / 36 | Total 91 procedures | 3.110 | 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.