Hospital Costs > In Michigan > Hillsdale Community Health Center, 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 | 13 | 78 / 34 | $11.527,20 | 57 / 4 | $6.120,00 | 292 / 5 | $5.138,54 | 292 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 44 | $15.920,90 | 69 / 5 | $9.762,18 | 459 / 6 | $8.894,36 | 459 / 10 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 17 | $9.113,54 | 38 / 2 | $4.824,62 | 381 / 10 | $3.949,08 | 378 / 13 |
Atherosclerosis W/O Mcc | 14 | 44 / 16 | $10.631,10 | 59 / 6 | $4.073,71 | / 10 | $3.147,43 | / |
Cardiac Arrhythmia & Conduction Disorders W Cc | 15 | 146 / 50 | $8.639,73 | 58 / 1 | $5.041,00 | 1059 / 19 | $4.358,07 | 1055 / 32 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 42 | $8.436,39 | 186 / 9 | $3.754,94 | 1003 / 20 | $2.830,39 | 998 / 32 |
Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 57 | $12.587,90 | 286 / 21 | $5.810,08 | 719 / 15 | $4.739,15 | 717 / 13 |
Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 59 | $17.101,10 | 485 / 35 | $7.119,95 | 951 / 15 | $6.198,33 | 946 / 22 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 35 | $10.713,70 | 322 / 16 | $4.566,68 | 662 / 18 | $3.450,14 | 660 / 12 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 55 | $9.626,86 | 180 / 6 | $4.869,83 | 1200 / 23 | $3.888,52 | 1189 / 36 |
G.I. Hemorrhage W Cc | 23 | 195 / 54 | $15.364,20 | 328 / 24 | $6.280,39 | 830 / 19 | $5.198,65 | 828 / 19 |
Heart Failure & Shock W Cc | 39 | 239 / 50 | $11.283,40 | 217 / 12 | $6.263,69 | 821 / 25 | $5.156,33 | 820 / 18 |
Heart Failure & Shock W Mcc | 14 | 270 / 66 | $14.486,90 | 125 / 8 | $8.596,57 | 679 / 9 | $7.896,14 | 679 / 11 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 33 | $8.828,88 | 170 / 9 | $4.355,81 | 785 / 20 | $3.542,06 | 781 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 31 | $9.880,36 | 45 / 2 | $4.969,45 | 563 / 13 | $3.697,27 | 559 / 13 |
Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 43 | $9.068,15 | 202 / 6 | $4.864,41 | 789 / 20 | $3.818,47 | 784 / 17 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 37 | 527 / 72 | $29.923,00 | 218 / 20 | $13.578,20 | 1229 / 29 | $11.449,00 | 1198 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 46 | $8.280,92 | 168 / 4 | $4.646,33 | 1018 / 24 | $3.664,33 | 1015 / 27 |
Pulmonary Edema & Respiratory Failure | 12 | 191 / 61 | $12.968,00 | 71 / 7 | $7.536,58 | 613 / 17 | $6.465,08 | 613 / 14 |
Renal Failure W Cc | 14 | 207 / 55 | $10.583,90 | 129 / 4 | $6.127,79 | 1009 / 22 | $5.190,36 | 1001 / 22 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 43 | $25.642,90 | 71 / 2 | $13.386,20 | 620 / 6 | $12.754,50 | 612 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 34 | 482 / 71 | $18.475,10 | 199 / 11 | $10.990,80 | 816 / 18 | $9.944,21 | 815 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 55 | $11.721,90 | 130 / 8 | $6.766,41 | 956 / 23 | $5.626,32 | 953 / 28 |
Simple Pneumonia & Pleurisy W Cc | 52 | 151 / 27 | $12.421,00 | 294 / 19 | $6.126,62 | 1164 / 26 | $5.205,69 | 1160 / 29 |
Simple Pneumonia & Pleurisy W Mcc | 20 | 185 / 49 | $15.777,50 | 157 / 16 | $8.510,55 | 595 / 15 | $7.431,35 | 595 / 12 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 22 | $10.004,40 | 220 / 10 | $4.644,21 | 835 / 15 | $3.538,21 | 831 / 21 |
Syncope & Collapse | 12 | 157 / 48 | $8.829,83 | 61 / 1 | $5.073,92 | 371 / 30 | $3.414,58 | 369 / 6 | Total 27 procedures | 549 | 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.