Hospital Costs > In Michigan > Holland Community 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 | 167 | 397 / 34 | $39.894,30 | 748 / 59 | $13.462,20 | 783 / 27 | $10.735,00 | 770 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 136 | 380 / 42 | $26.405,80 | 608 / 44 | $10.981,20 | 730 / 17 | $9.827,23 | 729 / 18 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 62 | 145 / 31 | $18.921,80 | 681 / 52 | $6.775,50 | 1243 / 25 | $5.921,31 | 1238 / 34 |
Pulmonary Edema & Respiratory Failure | 50 | 153 / 36 | $30.226,00 | 1055 / 65 | $8.341,42 | 1048 / 37 | $7.015,16 | 1046 / 29 |
Spinal Fusion Except Cervical W/O Mcc | 49 | 145 / 23 | $69.571,80 | 363 / 27 | $23.182,10 | 417 / 4 | $21.344,60 | 414 / 4 |
Heart Failure & Shock W Cc | 40 | 238 / 49 | $19.043,40 | 1052 / 60 | $6.320,98 | 1320 / 29 | $5.567,38 | 1316 / 33 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 37 | 238 / 50 | $17.725,40 | 1090 / 65 | $5.427,05 | 1007 / 49 | $3.766,03 | 999 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 31 | 151 / 39 | $18.000,60 | 350 / 25 | $6.926,48 | 748 / 22 | $5.479,81 | 746 / 15 |
Heart Failure & Shock W Mcc | 31 | 253 / 59 | $23.446,20 | 624 / 39 | $8.962,19 | 749 / 19 | $7.988,77 | 749 / 14 |
G.I. Hemorrhage W Cc | 27 | 191 / 51 | $23.361,00 | 1068 / 65 | $6.877,67 | 700 / 40 | $5.089,89 | 699 / 12 |
Cellulitis W/O Mcc | 26 | 163 / 48 | $17.618,00 | 1197 / 66 | $6.209,00 | 667 / 50 | $4.021,27 | 663 / 13 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 48 | $14.537,40 | 870 / 52 | $5.209,77 | 797 / 31 | $3.823,42 | 792 / 18 |
Red Blood Cell Disorders W/O Mcc | 24 | 119 / 33 | $17.288,80 | 651 / 43 | $5.355,21 | 888 / 21 | $4.399,21 | 883 / 21 |
Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 47 | $20.338,80 | 1158 / 63 | $6.361,96 | 1449 / 30 | $5.461,96 | 1443 / 37 |
Renal Failure W Cc | 24 | 197 / 49 | $19.650,60 | 946 / 59 | $6.164,50 | 1218 / 24 | $5.408,50 | 1210 / 28 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 40 | $16.813,50 | 352 / 26 | $6.916,30 | 561 / 14 | $5.785,00 | 560 / 10 |
Syncope & Collapse | 22 | 147 / 42 | $14.361,30 | 349 / 30 | $4.894,45 | 1008 / 22 | $4.069,73 | 1001 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 44 | $12.519,50 | 273 / 21 | $5.234,41 | 1057 / 24 | $4.355,86 | 1053 / 31 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 22 | 101 / 37 | $24.227,90 | 604 / 42 | $8.517,68 | 1006 / 33 | $7.158,32 | 1003 / 29 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 33 | $40.926,50 | 682 / 46 | $12.367,20 | 495 / 21 | $10.063,80 | 494 / 4 |
Renal Failure W Mcc | 20 | 175 / 49 | $23.485,10 | 386 / 29 | $9.539,85 | 811 / 17 | $8.568,65 | 811 / 18 |
Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 60 | $15.393,80 | 345 / 28 | $7.542,63 | 796 / 31 | $6.041,53 | 791 / 17 |
Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 51 | $23.564,00 | 602 / 42 | $8.513,78 | 661 / 16 | $7.512,89 | 661 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 25 | $14.131,80 | 203 / 20 | $5.008,83 | 670 / 15 | $3.823,33 | 666 / 20 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 40 | $22.242,00 | 165 / 14 | $7.320,72 | 616 / 13 | $5.607,56 | 614 / 9 |
Pulmonary Embolism W/O Mcc | 17 | 57 / 21 | $17.707,30 | 269 / 22 | $6.158,12 | 430 / 5 | $5.053,18 | 429 / 9 |
Chest Pain | 17 | 134 / 35 | $15.796,80 | 571 / 41 | $4.227,06 | 941 / 21 | $3.451,53 | 936 / 28 |
Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 31 | $21.963,90 | 375 / 32 | $6.540,18 | 576 / 13 | $5.614,06 | 575 / 15 |
Signs & Symptoms W/O Mcc | 16 | 75 / 26 | $16.198,80 | 419 / 39 | $4.683,88 | 556 / 18 | $3.771,88 | 555 / 20 |
G.I. Hemorrhage W Mcc | 15 | 106 / 37 | $32.538,10 | 411 / 35 | $12.335,50 | 717 / 30 | $10.267,90 | 717 / 18 |
Red Blood Cell Disorders W Mcc | 14 | 57 / 24 | $26.819,90 | 368 / 26 | $7.892,57 | 401 / 8 | $7.115,43 | 399 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 45 | $30.901,40 | 372 / 31 | $11.700,10 | 471 / 27 | $9.274,71 | 470 / 9 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 45 | $13.755,10 | 797 / 49 | $4.794,31 | 1276 / 33 | $3.866,31 | 1272 / 40 |
Cervical Spinal Fusion W/O Cc/Mcc | 13 | 91 / 23 | $52.236,80 | 363 / 29 | $14.399,20 | 405 / 6 | $12.143,90 | 404 / 7 |
Transurethral Prostatectomy W/O Cc/Mcc | 13 | 16 / 1 | $15.398,10 | 13 / 1 | $5.029,15 | 42 / 1 | $3.911,62 | 42 / 1 |
G.I. Obstruction W Cc | 13 | 79 / 38 | $14.083,20 | 227 / 20 | $5.842,62 | 940 / 18 | $5.005,69 | 937 / 30 |
Transient Ischemia | 12 | 113 / 37 | $11.691,00 | 118 / 10 | $4.769,17 | 894 / 22 | $3.862,50 | 890 / 32 |
Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 21 | $17.320,10 | 196 / 22 | $6.017,64 | 454 / 9 | $5.136,18 | 453 / 15 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 25 | $14.051,80 | 458 / 32 | $4.264,00 | 657 / 17 | $3.170,18 | 655 / 26 | Total 39 procedures | 1.152 | 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.