Hospital Costs > In Michigan > Emma L Bixby Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Pulmonary Edema & Respiratory Failure | 87 | 116 / 20 | $24.412,30 | 686 / 51 | $7.145,05 | 321 / 4 | $6.116,91 | 321 / 6 |
Simple Pneumonia & Pleurisy W Mcc | 86 | 119 / 19 | $29.579,50 | 1007 / 66 | $8.188,13 | 508 / 6 | $7.335,76 | 508 / 7 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 68 | 496 / 57 | $62.387,20 | 1780 / 85 | $12.110,40 | 940 / 2 | $10.956,50 | 921 / 17 |
Heart Failure & Shock W Mcc | 67 | 217 / 48 | $30.148,80 | 1094 / 66 | $8.184,49 | 302 / 2 | $7.416,49 | 302 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 66 | 450 / 63 | $35.218,70 | 1067 / 66 | $9.665,47 | 192 / 2 | $8.913,45 | 192 / 4 |
Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 42 | $20.205,00 | 1147 / 62 | $5.682,16 | 528 / 5 | $4.667,16 | 525 / 6 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 54 | $19.649,50 | 1340 / 74 | $4.479,32 | 733 / 6 | $3.587,45 | 729 / 18 |
Cellulitis W/O Mcc | 30 | 159 / 45 | $21.684,30 | 1637 / 77 | $4.994,67 | 574 / 5 | $3.949,33 | 571 / 8 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 48 | $19.507,20 | 1516 / 74 | $4.564,00 | 351 / 5 | $3.495,69 | 351 / 3 |
G.I. Hemorrhage W Cc | 25 | 193 / 53 | $21.049,30 | 840 / 56 | $5.894,32 | 419 / 6 | $4.833,20 | 418 / 4 |
Heart Failure & Shock W Cc | 25 | 253 / 58 | $22.297,80 | 1426 / 77 | $5.506,52 | 263 / 3 | $4.639,96 | 263 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 30 | $56.221,80 | 1248 / 59 | $11.050,00 | 382 / 2 | $9.891,13 | 381 / 2 |
Renal Failure W Cc | 21 | 200 / 50 | $17.282,40 | 703 / 47 | $5.766,90 | 278 / 8 | $4.512,57 | 276 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 43 | $24.247,00 | 747 / 46 | $6.612,76 | 309 / 12 | $4.990,57 | 308 / 1 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 38 | $28.771,20 | 397 / 31 | $8.211,75 | 60 / 1 | $7.606,95 | 60 / 1 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 41 | $16.739,40 | 1168 / 59 | $3.510,47 | 731 / 6 | $2.617,84 | 727 / 21 |
Renal Failure W Mcc | 18 | 177 / 51 | $22.971,10 | 363 / 26 | $8.330,56 | 410 / 1 | $7.930,56 | 410 / 4 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 61 | $21.251,60 | 834 / 55 | $6.813,76 | 555 / 8 | $5.821,76 | 554 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 49 | $20.994,60 | 1129 / 63 | $4.770,56 | 621 / 4 | $3.940,56 | 618 / 15 |
Diabetes W Cc | 16 | 76 / 30 | $21.017,40 | 765 / 50 | $4.979,50 | 342 / 3 | $4.077,50 | 342 / 9 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 16 | $72.310,50 | 402 / 31 | $17.675,30 | 161 / 3 | $16.459,30 | 161 / 2 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 43 | $18.026,00 | 1325 / 70 | $4.230,13 | 659 / 6 | $3.425,87 | 657 / 14 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 42 | $49.460,60 | 596 / 40 | $12.476,40 | 275 / 2 | $11.830,00 | 272 / 4 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 36 | $33.682,20 | 543 / 42 | $11.085,10 | 410 / 4 | $10.280,80 | 409 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 43 | $24.572,30 | 627 / 44 | $7.376,29 | 92 / 10 | $5.586,57 | 92 / 1 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 40 | $20.904,80 | 979 / 55 | $4.838,31 | 353 / 6 | $3.816,77 | 352 / 3 |
Transient Ischemia | 13 | 112 / 36 | $19.334,40 | 611 / 49 | $4.284,00 | 317 / 5 | $3.168,92 | 317 / 5 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 21 | $13.672,00 | 295 / 25 | $3.664,25 | 121 / 1 | $2.762,92 | 120 / 2 |
G.I. Obstruction W Cc | 12 | 80 / 39 | $18.465,90 | 545 / 50 | $4.773,83 | 123 / 1 | $3.867,17 | 122 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 59 | $17.461,80 | 557 / 44 | $6.275,75 | 470 / 8 | $5.169,08 | 468 / 5 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 37 | $17.174,20 | 1075 / 58 | $4.089,42 | 378 / 6 | $3.190,75 | 376 / 6 |
Chest Pain | 11 | 140 / 38 | $20.867,90 | 982 / 50 | $3.767,45 | 465 / 3 | $2.894,73 | 463 / 10 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 46 | $19.560,70 | 548 / 37 | $6.461,64 | 329 / 6 | $5.466,73 | 328 / 5 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 35 | $15.909,50 | 221 / 24 | $5.236,36 | 124 / 1 | $4.468,36 | 124 / 1 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 27 | $22.965,40 | 238 / 18 | $7.247,45 | 155 / 1 | $6.368,91 | 155 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 31 | $22.764,10 | 769 / 51 | $4.541,09 | 357 / 2 | $3.441,45 | 354 / 3 |
Major Small & Large Bowel Procedures W Cc | 11 | 97 / 32 | $74.111,40 | 919 / 47 | $15.007,50 | 612 / 6 | $14.027,20 | 606 / 12 | Total 37 procedures | 928 | 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.