Hospital Costs > In Michigan > Karmanos Cancer 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 | 45 | 471 / 68 | $29.205,90 | 744 / 48 | $13.505,80 | 2075 / 66 | $12.650,80 | 2038 / 73 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 48 | $10.789,20 | 270 / 11 | $6.466,92 | 2326 / 70 | $5.629,08 | 2311 / 77 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 38 | 53 / 5 | $20.519,60 | 75 / 6 | $9.246,03 | 253 / 12 | $8.437,71 | 253 / 11 |
| Autologous Bone Marrow Transplant W Cc/Mcc | 36 | 7 / 1 | $128.855,00 | 12 / 2 | $45.685,20 | 21 / 1 | $43.514,40 | 21 / 2 |
| Renal Failure W Cc | 33 | 188 / 47 | $15.636,00 | 522 / 35 | $7.806,03 | 1981 / 58 | $6.904,94 | 1971 / 65 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 27 | 139 / 34 | $10.404,10 | 363 / 23 | $6.130,70 | 2156 / 67 | $5.402,56 | 2148 / 70 |
| Major Chest Procedures W Cc | 23 | 51 / 4 | $52.177,00 | 132 / 8 | $18.441,90 | 348 / 9 | $17.262,60 | 346 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 56 | $17.544,00 | 567 / 45 | $8.493,33 | 2213 / 70 | $8.071,05 | 2204 / 79 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 21 | $15.174,40 | 342 / 30 | $6.342,90 | 1048 / 44 | $5.118,52 | 1045 / 44 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 35 | $8.501,16 | 50 / 1 | $6.822,79 | 1587 / 49 | $5.799,84 | 1578 / 52 |
| G.I. Obstruction W Cc | 19 | 73 / 32 | $17.877,00 | 501 / 46 | $7.408,68 | 1445 / 50 | $6.425,53 | 1440 / 57 |
| Allogeneic Bone Marrow Transplant | 16 | 9 / 1 | $321.719,00 | 12 / 1 | $118.557,00 | 22 / 1 | $115.771,00 | 22 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 55 | $11.999,20 | 256 / 15 | $7.987,60 | 2320 / 71 | $6.956,93 | 2311 / 74 |
| Radiotherapy | 15 | 2 / 1 | $12.460,70 | 1 / 1 | $10.721,50 | 1 / 1 | $10.262,60 | 1 / 1 |
| Renal Failure W Mcc | 13 | 182 / 53 | $34.104,20 | 1009 / 59 | $15.014,70 | 1882 / 62 | $12.553,30 | 1878 / 61 |
| Chemo W Acute Leukemia As Sdx W Cc Or High Dose Chemo Agent | 13 | 13 / 1 | $34.747,80 | 4 / 1 | $19.902,10 | 4 / 1 | $19.070,40 | 4 / 1 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 32 | $27.704,00 | 782 / 51 | $10.458,40 | 1358 / 50 | $9.255,33 | 1354 / 51 |
| Respiratory Neoplasms W Cc | 12 | 35 / 12 | $19.033,50 | 55 / 5 | $9.543,33 | 386 / 16 | $8.830,33 | 385 / 19 |
| Signs & Symptoms W Mcc | 11 | 30 / 13 | $13.285,30 | 17 / 4 | $8.819,00 | 177 / 12 | $8.133,18 | 177 / 15 |
| Nervous System Neoplasms W Mcc | 11 | 37 / 10 | $32.531,70 | 112 / 11 | $11.025,50 | 217 / 12 | $10.000,10 | 217 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 59 | $11.358,50 | 173 / 8 | $7.617,73 | 2062 / 63 | $6.931,91 | 2055 / 68 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 33 | $45.868,10 | 651 / 45 | $19.568,30 | 1252 / 49 | $17.113,40 | 1244 / 50 |
| Mastectomy For Malignancy W Cc/Mcc | 11 | 4 / 1 | $28.950,00 | 3 / 1 | $9.372,36 | 2 / 1 | $8.153,45 | 2 / 1 | Total 23 procedures | 472 | 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.