Hospital Costs > In Michigan > Mclaren Central Michigan, 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 | 108 | 408 / 50 | $23.808,70 | 468 / 35 | $9.910,13 | 244 / 3 | $9.054,13 | 244 / 5 |
Heart Failure & Shock W Mcc | 81 | 203 / 40 | $15.971,90 | 192 / 14 | $8.431,64 | 246 / 5 | $7.326,96 | 246 / 2 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 70 | 494 / 56 | $33.561,90 | 378 / 35 | $12.619,50 | 735 / 13 | $10.679,90 | 725 / 6 |
Chronic Obstructive Pulmonary Disease W Mcc | 51 | 151 / 41 | $12.413,60 | 146 / 5 | $6.724,24 | 554 / 4 | $5.819,53 | 553 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 32 | $16.946,90 | 209 / 20 | $8.271,82 | 466 / 7 | $7.281,74 | 466 / 6 |
Heart Failure & Shock W Cc | 37 | 241 / 51 | $11.941,80 | 264 / 17 | $5.915,54 | 664 / 10 | $5.038,97 | 663 / 12 |
Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 38 | $11.908,50 | 247 / 14 | $5.774,19 | 555 / 9 | $4.690,03 | 552 / 8 |
G.I. Hemorrhage W Cc | 33 | 185 / 48 | $16.025,00 | 395 / 32 | $5.993,03 | 530 / 11 | $4.932,18 | 529 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 41 | $11.547,80 | 207 / 14 | $4.900,53 | 549 / 10 | $3.862,53 | 547 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 53 | $11.740,40 | 353 / 19 | $4.646,34 | 522 / 14 | $3.423,84 | 520 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 50 | $15.597,60 | 400 / 35 | $6.166,83 | 626 / 2 | $5.334,83 | 624 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 33 | $8.586,64 | 194 / 7 | $4.324,32 | 1100 / 10 | $3.722,04 | 1097 / 31 |
Cellulitis W/O Mcc | 26 | 163 / 48 | $11.565,70 | 418 / 25 | $5.105,77 | 624 / 9 | $3.990,69 | 621 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 26 | 97 / 35 | $14.509,50 | 106 / 4 | $7.059,92 | 434 / 3 | $6.268,54 | 432 / 7 |
Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 50 | $9.970,21 | 295 / 11 | $4.617,00 | 488 / 6 | $3.611,67 | 488 / 6 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 23 | 127 / 37 | $9.865,22 | 338 / 18 | $3.525,57 | 475 / 7 | $2.419,48 | 472 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 42 | $15.474,90 | 177 / 13 | $6.247,55 | 491 / 3 | $5.216,45 | 490 / 6 |
Transient Ischemia | 20 | 105 / 32 | $10.396,40 | 72 / 6 | $4.543,30 | 550 / 14 | $3.424,70 | 547 / 15 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 54 | $14.095,00 | 105 / 11 | $7.063,60 | 389 / 2 | $6.205,50 | 389 / 9 |
Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 52 | $12.001,40 | 230 / 12 | $5.614,63 | 698 / 10 | $4.725,37 | 696 / 12 |
Red Blood Cell Disorders W/O Mcc | 17 | 126 / 36 | $12.547,40 | 247 / 16 | $4.812,88 | 477 / 4 | $3.960,18 | 476 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 36 | $38.929,40 | 579 / 39 | $12.040,90 | 983 / 17 | $10.990,90 | 970 / 23 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 20 | $10.020,90 | 137 / 10 | $3.816,62 | 347 / 3 | $2.760,62 | 347 / 12 |
Diabetes W Cc | 15 | 77 / 31 | $15.374,80 | 360 / 27 | $5.018,40 | 384 / 5 | $4.130,93 | 384 / 11 |
G.I. Obstruction W Cc | 14 | 78 / 37 | $11.562,30 | 101 / 9 | $5.582,64 | 296 / 11 | $4.189,21 | 295 / 6 |
Renal Failure W Cc | 14 | 207 / 55 | $11.107,60 | 153 / 7 | $5.712,07 | 723 / 5 | $4.932,64 | 716 / 11 |
Pulmonary Embolism W/O Mcc | 13 | 61 / 25 | $10.879,80 | 45 / 3 | $5.728,38 | 204 / 1 | $4.608,38 | 204 / 2 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 38 | $20.293,50 | 109 / 8 | $11.035,10 | 375 / 3 | $10.200,60 | 374 / 5 |
Syncope & Collapse | 12 | 157 / 48 | $11.491,10 | 170 / 10 | $4.456,75 | 606 / 6 | $3.656,75 | 603 / 18 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 43 | $19.121,80 | 135 / 12 | $9.293,50 | 228 / 4 | $8.384,17 | 228 / 5 |
Renal Failure W Mcc | 11 | 184 / 55 | $17.359,30 | 139 / 9 | $8.811,36 | 486 / 5 | $8.040,45 | 486 / 7 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 42 | $12.876,20 | 533 / 33 | $4.404,73 | 476 / 6 | $3.299,27 | 475 / 7 |
Pulmonary Embolism W Mcc | 11 | 32 / 20 | $18.756,20 | 36 / 2 | $8.852,91 | 129 / 1 | $7.860,91 | 129 / 2 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 35 | $12.366,40 | 87 / 5 | $5.808,27 | 173 / 8 | $4.578,45 | 173 / 3 | Total 34 procedures | 953 | 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.