Hospital Costs > In Michigan > Mclaren - Greater Lansing, 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 | $25.544,40 | 549 / 42 | $7.766,08 | 947 / 34 | $6.522,54 | 945 / 35 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 37 | $32.041,90 | 513 / 39 | $12.494,20 | 1249 / 40 | $11.202,20 | 1239 / 41 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 19 | 70 / 14 | $27.310,20 | 242 / 18 | $7.945,16 | 528 / 10 | $6.700,42 | 527 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 56 | 105 / 29 | $16.748,70 | 723 / 47 | $5.930,04 | 1389 / 46 | $4.792,54 | 1384 / 46 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 30 | $24.074,00 | 596 / 41 | $8.928,19 | 1287 / 41 | $7.877,25 | 1284 / 48 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 51 | 99 / 20 | $11.056,90 | 462 / 29 | $4.344,69 | 1294 / 40 | $3.159,63 | 1289 / 47 |
| Cellulitis W/O Mcc | 65 | 124 / 31 | $17.343,20 | 1164 / 65 | $6.394,43 | 1699 / 58 | $4.982,49 | 1692 / 51 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 25 | $43.385,20 | 252 / 23 | $15.694,10 | 530 / 13 | $13.081,60 | 527 / 15 |
| Chest Pain | 42 | 109 / 23 | $14.660,80 | 467 / 31 | $4.642,69 | 982 / 34 | $3.518,55 | 976 / 32 |
| Chronic Obstructive Pulmonary Disease W Cc | 87 | 92 / 22 | $20.097,90 | 1014 / 60 | $6.949,14 | 1592 / 51 | $5.667,90 | 1585 / 50 |
| Chronic Obstructive Pulmonary Disease W Mcc | 81 | 121 / 27 | $26.385,30 | 1232 / 70 | $8.759,53 | 1820 / 62 | $7.474,25 | 1812 / 62 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 30 | $17.241,80 | 1036 / 57 | $5.429,03 | 1398 / 43 | $4.239,93 | 1387 / 43 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 22 | 71 / 17 | $47.591,30 | 271 / 26 | $15.022,00 | 588 / 18 | $13.592,60 | 582 / 22 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 49 | 139 / 25 | $34.368,50 | 728 / 44 | $8.069,84 | 1113 / 27 | $6.740,90 | 1110 / 31 |
| Complications Of Treatment W Cc | 12 | 40 / 9 | $14.309,20 | 27 / 2 | $7.051,33 | 182 / 7 | $6.225,00 | 182 / 9 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 25 | 43 / 12 | $21.277,00 | 248 / 30 | $6.661,80 | 451 / 24 | $5.684,92 | 451 / 27 |
| Diabetes W Cc | 29 | 63 / 19 | $16.464,40 | 445 / 33 | $6.239,66 | 1076 / 35 | $5.332,21 | 1072 / 39 |
| Diabetes W Mcc | 13 | 44 / 21 | $26.049,50 | 196 / 21 | $9.746,08 | 401 / 15 | $8.669,00 | 401 / 19 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 14 | $19.890,20 | 185 / 10 | $6.974,64 | 323 / 7 | $6.144,09 | 323 / 12 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 16 | $39.930,70 | 208 / 24 | $13.538,80 | 301 / 17 | $12.209,40 | 301 / 19 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 18 | $15.485,40 | 134 / 14 | $6.878,64 | 586 / 26 | $5.603,64 | 583 / 31 |
| Dysequilibrium | 15 | 50 / 17 | $15.552,10 | 139 / 19 | $4.806,40 | 237 / 17 | $3.287,33 | 237 / 13 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 12 | 69 / 14 | $459.208,00 | 239 / 21 | $142.680,00 | 333 / 18 | $136.852,00 | 332 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 32 | 64 / 20 | $25.921,90 | 470 / 37 | $8.800,62 | 873 / 33 | $7.671,69 | 868 / 32 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 100 | 175 / 30 | $18.826,60 | 1253 / 71 | $5.701,12 | 1871 / 58 | $4.576,12 | 1857 / 62 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 17 | 46 / 13 | $100.630,00 | 215 / 20 | $34.203,30 | 464 / 22 | $32.382,50 | 464 / 21 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 16 | $18.173,40 | 315 / 28 | $5.800,00 | 482 / 23 | $4.522,56 | 480 / 24 |
| G.I. Hemorrhage W Cc | 84 | 134 / 28 | $20.926,70 | 827 / 55 | $7.386,71 | 1695 / 53 | $6.351,26 | 1691 / 61 |
| G.I. Hemorrhage W Mcc | 27 | 94 / 30 | $34.937,00 | 506 / 43 | $12.646,70 | 1069 / 36 | $11.580,70 | 1061 / 39 |
| G.I. Obstruction W Cc | 20 | 72 / 31 | $17.216,80 | 447 / 39 | $6.681,05 | 1153 / 41 | $5.437,75 | 1150 / 45 |
| Headaches W/O Mcc | 13 | 30 / 10 | $21.293,70 | 116 / 17 | $5.207,92 | 138 / 8 | $4.107,00 | 138 / 15 |
| Heart Failure & Shock W Cc | 59 | 219 / 41 | $19.689,10 | 1144 / 65 | $7.447,15 | 1787 / 62 | $6.120,73 | 1782 / 56 |
| Heart Failure & Shock W Mcc | 120 | 164 / 30 | $29.210,50 | 1035 / 61 | $10.714,90 | 1728 / 55 | $9.534,26 | 1723 / 57 |
| Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 29 | $12.853,80 | 581 / 38 | $5.157,85 | 1300 / 45 | $4.089,35 | 1290 / 42 |
| Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 21 | $37.893,60 | 539 / 34 | $13.537,40 | 1371 / 37 | $12.258,20 | 1353 / 41 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 18 | $50.322,50 | 165 / 14 | $20.519,80 | 575 / 19 | $19.093,10 | 572 / 18 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 6 | $34.303,90 | 289 / 19 | $11.582,40 | 649 / 12 | $10.179,20 | 646 / 17 |
| Hypertension W/O Mcc | 13 | 52 / 19 | $12.676,50 | 134 / 18 | $4.772,85 | 523 / 19 | $3.875,92 | 521 / 25 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 13 | $42.770,00 | 71 / 10 | $17.279,40 | 217 / 14 | $15.712,40 | 217 / 17 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 37 | 87 / 24 | $130.778,00 | 849 / 46 | $41.859,40 | 1143 / 44 | $37.687,60 | 1135 / 40 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 39 | 143 / 35 | $25.999,30 | 857 / 52 | $7.969,31 | 1290 / 48 | $6.315,36 | 1287 / 41 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 36 | $30.996,40 | 376 / 32 | $12.309,60 | 956 / 32 | $10.872,10 | 952 / 33 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 30 | $17.898,10 | 427 / 35 | $5.608,08 | 1011 / 34 | $4.355,75 | 1007 / 38 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 11 | 34 / 6 | $38.698,00 | 35 / 3 | $13.479,60 | 89 / 4 | $12.130,20 | 89 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 45 | 99 / 25 | $25.805,30 | 969 / 56 | $8.376,87 | 1262 / 43 | $6.909,38 | 1258 / 38 |
| Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 42 | $16.461,20 | 1137 / 65 | $5.809,43 | 1673 / 54 | $4.524,86 | 1662 / 48 |
| Major Cardiovasc Procedures W/O Mcc | 30 | 71 / 16 | $64.508,10 | 179 / 14 | $23.949,10 | 652 / 21 | $21.974,40 | 651 / 22 |
| Major Chest Procedures W Cc | 11 | 63 / 10 | $56.174,70 | 162 / 11 | $18.415,90 | 326 / 8 | $16.709,40 | 324 / 13 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 51 | 45 / 3 | $37.267,40 | 132 / 9 | $15.516,30 | 624 / 19 | $14.224,60 | 620 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 587 | 87 / 4 | $27.708,00 | 148 / 11 | $14.194,90 | 1700 / 39 | $12.559,50 | 1663 / 51 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 16 | 57 / 9 | $43.457,10 | 205 / 17 | $9.584,12 | 227 / 5 | $7.500,81 | 227 / 8 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 24 | $37.176,10 | 136 / 11 | $17.705,40 | 1065 / 28 | $16.263,20 | 1052 / 34 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 17 | 47 / 12 | $27.385,50 | 89 / 8 | $11.631,30 | 196 / 10 | $8.050,41 | 196 / 1 |
| Medical Back Problems W/O Mcc | 45 | 76 / 17 | $20.069,20 | 532 / 38 | $6.313,93 | 922 / 28 | $5.023,80 | 919 / 32 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 32 | 94 / 28 | $22.715,00 | 575 / 44 | $8.304,91 | 1022 / 34 | $7.158,91 | 1019 / 36 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 43 | 123 / 25 | $14.611,90 | 906 / 58 | $5.359,81 | 1851 / 55 | $4.563,95 | 1845 / 62 |
| Organic Disturbances & Mental Retardation | 13 | 46 / 15 | $14.295,20 | 79 / 11 | $7.123,69 | 247 / 14 | $5.955,54 | 247 / 13 |
| Other Circulatory System Diagnoses W Cc | 15 | 51 / 17 | $29.698,40 | 405 / 28 | $7.149,27 | 394 / 18 | $6.029,80 | 393 / 16 |
| Other Circulatory System Diagnoses W Mcc | 26 | 90 / 21 | $33.152,00 | 291 / 25 | $13.703,50 | 875 / 34 | $12.551,20 | 869 / 36 |
| Other Digestive System Diagnoses W Cc | 21 | 76 / 25 | $15.615,60 | 170 / 17 | $7.167,14 | 900 / 31 | $6.130,76 | 896 / 35 |
| Other Disorders Of Nervous System W Cc | 16 | 40 / 17 | $18.935,00 | 162 / 20 | $6.697,44 | 401 / 14 | $5.844,81 | 401 / 21 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 26 | 75 / 21 | $36.736,90 | 562 / 40 | $11.284,70 | 684 / 30 | $10.061,80 | 682 / 29 |
| Other Respiratory System Diagnoses W/O Mcc | 13 | 33 / 13 | $16.591,80 | 80 / 15 | $6.044,15 | 131 / 11 | $4.577,54 | 131 / 7 |
| Other Vascular Procedures W Cc | 19 | 83 / 22 | $69.379,70 | 507 / 37 | $18.951,30 | 831 / 32 | $17.719,60 | 826 / 36 |
| Other Vascular Procedures W Mcc | 19 | 78 / 22 | $98.039,40 | 581 / 37 | $26.954,00 | 728 / 32 | $24.172,60 | 725 / 32 |
| Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 18 | 22 / 5 | $15.672,70 | 28 / 1 | $7.923,72 | 102 / 5 | $6.465,28 | 102 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 14 | 86 / 25 | $67.976,00 | 147 / 16 | $22.206,90 | 591 / 13 | $20.710,10 | 587 / 18 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 47 | 149 / 24 | $53.276,30 | 294 / 19 | $14.392,00 | 1082 / 15 | $13.078,90 | 1075 / 26 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 19 | $57.569,00 | 236 / 22 | $14.013,40 | 466 / 18 | $12.891,10 | 464 / 23 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 25 | $15.537,50 | 205 / 21 | $7.217,59 | 810 / 33 | $6.239,59 | 807 / 39 |
| Peripheral Vascular Disorders W Mcc | 15 | 34 / 16 | $19.638,10 | 58 / 10 | $9.348,27 | 288 / 13 | $8.371,20 | 288 / 14 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 15 | 30 / 13 | $14.862,80 | 125 / 24 | $5.368,13 | 175 / 21 | $3.674,00 | 175 / 11 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 27 | 34 / 11 | $13.906,10 | 258 / 26 | $4.890,52 | 487 / 21 | $3.845,78 | 486 / 22 |
| Psychoses | 14 | 261 / 10 | $13.207,10 | 141 / 10 | $7.419,36 | 361 / 12 | $6.370,93 | 361 / 10 |
| Pulmonary Edema & Respiratory Failure | 39 | 164 / 40 | $34.546,50 | 1272 / 73 | $9.405,21 | 1554 / 61 | $7.972,79 | 1549 / 59 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 23 | $16.520,50 | 214 / 18 | $7.395,33 | 909 / 34 | $6.132,53 | 906 / 38 |
| Red Blood Cell Disorders W Mcc | 22 | 49 / 17 | $29.433,30 | 441 / 31 | $9.199,95 | 653 / 22 | $8.064,68 | 649 / 21 |
| Red Blood Cell Disorders W/O Mcc | 34 | 109 / 25 | $19.590,20 | 867 / 51 | $6.132,06 | 1156 / 42 | $4.729,88 | 1148 / 33 |
| Renal Failure W Cc | 65 | 156 / 33 | $17.464,90 | 725 / 49 | $7.131,09 | 1556 / 48 | $5.852,85 | 1547 / 46 |
| Renal Failure W Mcc | 64 | 131 / 31 | $35.866,80 | 1090 / 62 | $11.403,10 | 1459 / 49 | $10.129,20 | 1458 / 48 |
| Renal Failure W/O Cc/Mcc | 15 | 41 / 18 | $12.601,50 | 256 / 21 | $4.877,67 | 582 / 22 | $3.833,00 | 581 / 25 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 32 | $41.456,10 | 839 / 55 | $14.380,10 | 1339 / 50 | $13.161,70 | 1324 / 52 |
| Respiratory Signs & Symptoms | 13 | 33 / 12 | $14.184,20 | 42 / 9 | $5.323,85 | 145 / 12 | $4.074,46 | 145 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 34 | $65.165,20 | 1040 / 56 | $17.708,40 | 1383 / 48 | $16.315,20 | 1369 / 50 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 18 | $145.498,00 | 534 / 32 | $40.279,20 | 737 / 30 | $38.115,80 | 736 / 31 |
| Revision Of Hip Or Knee Replacement W Cc | 27 | 59 / 6 | $45.148,30 | 48 / 3 | $22.331,40 | 433 / 8 | $21.271,90 | 431 / 16 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 57 | 17 / 2 | $33.164,30 | 18 / 2 | $17.525,90 | 273 / 7 | $15.610,90 | 272 / 10 |
| Seizures W/O Mcc | 26 | 82 / 25 | $14.849,40 | 254 / 23 | $5.698,50 | 726 / 31 | $4.537,04 | 723 / 29 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 30 | $139.663,00 | 451 / 37 | $39.123,00 | 470 / 19 | $36.122,10 | 469 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 199 | 317 / 34 | $44.740,00 | 1559 / 83 | $14.230,10 | 2055 / 74 | $12.564,70 | 2018 / 72 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 32 | $19.918,30 | 771 / 58 | $7.765,78 | 1737 / 53 | $6.658,32 | 1730 / 64 |
| Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 20 | 27 / 8 | $15.102,40 | 84 / 8 | $5.443,85 | 173 / 9 | $4.250,55 | 173 / 8 |
| Signs & Symptoms W/O Mcc | 27 | 64 / 16 | $15.470,70 | 367 / 32 | $5.373,81 | 737 / 33 | $4.113,93 | 734 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 28 | $21.426,90 | 1294 / 68 | $7.309,41 | 2018 / 60 | $6.205,80 | 2010 / 65 |
| Simple Pneumonia & Pleurisy W Mcc | 57 | 148 / 29 | $37.218,10 | 1460 / 77 | $11.269,40 | 1909 / 66 | $9.728,68 | 1909 / 67 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 17 | 76 / 19 | $14.240,10 | 639 / 38 | $5.399,41 | 1299 / 37 | $4.041,41 | 1292 / 35 |
| Spinal Fusion Except Cervical W/O Mcc | 15 | 179 / 37 | $57.707,10 | 185 / 20 | $27.504,00 | 976 / 22 | $26.157,10 | 971 / 38 |
| Syncope & Collapse | 46 | 123 / 29 | $18.549,30 | 731 / 56 | $5.580,50 | 1226 / 43 | $4.434,33 | 1219 / 45 |
| Transient Ischemia | 39 | 86 / 17 | $15.631,30 | 331 / 28 | $5.294,54 | 972 / 37 | $3.999,10 | 967 / 37 | Total 99 procedures | 3.711 | 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.