Hospital Costs > In Michigan > Mclaren Lapeer Region, 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 | 41 | 50 / 13 | $20.731,70 | 314 / 27 | $5.999,80 | 406 / 4 | $5.320,78 | 405 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 104 | 28 / 3 | $32.267,70 | 521 / 41 | $9.784,06 | 523 / 7 | $9.045,91 | 522 / 14 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 26 | 27 / 5 | $12.646,50 | 88 / 9 | $4.528,92 | 250 / 2 | $3.692,00 | 249 / 8 |
| Atherosclerosis W/O Mcc | 15 | 43 / 15 | $14.931,20 | 169 / 22 | $3.850,13 | / 4 | $2.545,80 | / |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 19 | $17.472,90 | 291 / 26 | $5.227,12 | 237 / 2 | $4.183,12 | 234 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 57 | 104 / 28 | $16.166,00 | 645 / 43 | $4.753,88 | 568 / 3 | $3.883,14 | 566 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 36 | $21.203,10 | 403 / 27 | $7.107,12 | 638 / 5 | $6.575,92 | 635 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 32 | 118 / 30 | $12.663,90 | 675 / 41 | $3.471,94 | 467 / 3 | $2.413,94 | 464 / 9 |
| Cellulitis W/O Mcc | 45 | 144 / 39 | $15.553,70 | 925 / 61 | $5.151,22 | 561 / 11 | $3.940,71 | 558 / 7 |
| Chest Pain | 23 | 128 / 30 | $15.861,70 | 577 / 42 | $3.733,52 | 464 / 1 | $2.894,57 | 462 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 93 | 86 / 20 | $20.605,50 | 1065 / 63 | $5.573,90 | 813 / 8 | $4.807,97 | 810 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 58 | 144 / 39 | $27.349,90 | 1295 / 72 | $6.823,67 | 474 / 9 | $5.760,76 | 473 / 7 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 40 | 80 / 20 | $15.371,70 | 825 / 47 | $4.363,90 | 448 / 4 | $3.279,90 | 447 / 5 |
| Diabetes W Cc | 18 | 74 / 28 | $17.620,30 | 525 / 38 | $5.059,61 | 184 / 6 | $3.798,44 | 184 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 31 | $19.378,00 | 181 / 16 | $7.753,15 | 225 / 12 | $6.057,23 | 224 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 81 | 194 / 35 | $16.400,40 | 929 / 59 | $4.568,40 | 526 / 9 | $3.427,02 | 524 / 11 |
| G.I. Hemorrhage W Cc | 60 | 158 / 37 | $23.892,00 | 1110 / 68 | $5.946,27 | 731 / 8 | $5.120,67 | 730 / 13 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 33 | $37.031,50 | 591 / 44 | $9.755,86 | 277 / 1 | $9.098,41 | 277 / 2 |
| G.I. Obstruction W Cc | 18 | 74 / 33 | $15.739,90 | 344 / 29 | $5.320,39 | 477 / 5 | $4.443,94 | 476 / 9 |
| Heart Failure & Shock W Cc | 84 | 194 / 35 | $19.577,80 | 1134 / 64 | $5.895,61 | 726 / 9 | $5.087,04 | 725 / 15 |
| Heart Failure & Shock W Mcc | 97 | 187 / 37 | $33.922,80 | 1341 / 75 | $8.842,24 | 1008 / 17 | $8.309,12 | 1007 / 25 |
| Heart Failure & Shock W/O Cc/Mcc | 20 | 90 / 29 | $13.830,00 | 707 / 43 | $4.139,00 | 473 / 9 | $3.289,40 | 471 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 33 | $35.272,60 | 420 / 26 | $11.120,90 | 517 / 3 | $10.093,70 | 516 / 5 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 19 | $53.144,40 | 215 / 18 | $16.372,10 | 147 / 1 | $15.496,50 | 147 / 1 |
| Hypertension W/O Mcc | 15 | 50 / 17 | $15.423,50 | 241 / 24 | $3.827,20 | 186 / 2 | $2.860,80 | 184 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 29 | $90.478,00 | 375 / 28 | $29.013,90 | 293 / 6 | $27.941,90 | 293 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 21 | 161 / 43 | $24.378,10 | 750 / 47 | $6.227,05 | 466 / 2 | $5.186,29 | 465 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 31 | 137 / 32 | $29.172,20 | 317 / 28 | $9.323,55 | 134 / 1 | $8.236,58 | 133 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 33 | $19.403,40 | 535 / 36 | $6.368,44 | 315 / 4 | $5.443,44 | 314 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 36 | $14.313,90 | 833 / 49 | $4.628,50 | 648 / 7 | $3.722,41 | 644 / 13 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 21 | $50.833,90 | 351 / 23 | $12.780,80 | 303 / 3 | $11.573,50 | 300 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 19 | 46 / 12 | $64.808,40 | 306 / 28 | $18.115,60 | 231 / 4 | $17.037,70 | 230 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 130 | 434 / 40 | $41.037,80 | 812 / 64 | $12.383,60 | 805 / 6 | $10.770,70 | 791 / 9 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 12 | 57 / 11 | $55.607,40 | 176 / 13 | $15.103,60 | 173 / 1 | $13.900,90 | 173 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 18 | 67 / 23 | $67.783,70 | 112 / 10 | $25.004,80 | 49 / 1 | $23.996,80 | 49 / 1 |
| Medical Back Problems W/O Mcc | 23 | 98 / 26 | $17.865,20 | 383 / 29 | $5.060,09 | 299 / 2 | $3.956,78 | 299 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 40 | $21.513,00 | 490 / 41 | $6.370,42 | 166 / 2 | $5.466,42 | 165 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 21 | 145 / 37 | $13.065,00 | 692 / 45 | $4.236,86 | 508 / 7 | $3.314,95 | 506 / 9 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 33 | $35.522,20 | 355 / 29 | $10.733,50 | 322 / 2 | $10.076,00 | 321 / 8 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 29 | $18.274,90 | 299 / 31 | $5.619,75 | 268 / 1 | $4.791,75 | 265 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 21 | $17.832,20 | 179 / 20 | $5.903,17 | 62 / 3 | $4.653,83 | 62 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 30 | $33.618,80 | 487 / 38 | $8.724,73 | 272 / 3 | $8.282,55 | 272 / 5 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 33 | $17.131,70 | 274 / 30 | $5.405,62 | 130 / 2 | $4.475,15 | 130 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 29 | $26.702,90 | 270 / 30 | $7.795,23 | 133 / 1 | $6.955,85 | 133 / 1 |
| Pulmonary Edema & Respiratory Failure | 38 | 165 / 41 | $26.349,50 | 814 / 58 | $7.164,79 | 555 / 5 | $6.402,68 | 555 / 11 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 41 | $19.302,90 | 837 / 49 | $4.837,18 | 588 / 5 | $4.069,18 | 585 / 12 |
| Renal Failure W Cc | 49 | 172 / 40 | $23.967,30 | 1345 / 70 | $5.745,04 | 589 / 7 | $4.834,02 | 583 / 9 |
| Renal Failure W Mcc | 36 | 159 / 42 | $35.286,00 | 1058 / 61 | $8.622,03 | 326 / 2 | $7.782,03 | 326 / 2 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 35 | $31.742,10 | 451 / 37 | $11.237,20 | 523 / 6 | $10.527,60 | 517 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 17 | 114 / 40 | $65.653,20 | 1054 / 57 | $13.334,40 | 207 / 5 | $11.575,90 | 205 / 3 |
| Seizures W Mcc | 12 | 54 / 21 | $20.302,70 | 60 / 11 | $8.426,33 | 98 / 1 | $7.719,67 | 98 / 2 |
| Seizures W/O Mcc | 14 | 94 / 34 | $18.393,70 | 456 / 41 | $4.679,00 | 111 / 4 | $3.331,29 | 111 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 132 | 384 / 44 | $36.424,60 | 1118 / 71 | $10.525,50 | 510 / 9 | $9.531,57 | 510 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 52 | 155 / 37 | $20.339,10 | 815 / 59 | $6.210,79 | 715 / 4 | $5.400,33 | 713 / 18 |
| Signs & Symptoms W/O Mcc | 18 | 73 / 24 | $17.887,20 | 529 / 43 | $4.133,72 | 358 / 3 | $3.463,50 | 357 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 29 | $24.352,20 | 1568 / 77 | $5.783,71 | 706 / 11 | $4.825,04 | 703 / 13 |
| Simple Pneumonia & Pleurisy W Mcc | 41 | 164 / 37 | $31.675,20 | 1150 / 68 | $8.318,78 | 719 / 9 | $7.582,78 | 719 / 18 |
| Syncope & Collapse | 35 | 134 / 36 | $16.790,80 | 556 / 43 | $4.400,83 | 456 / 4 | $3.503,91 | 454 / 10 |
| Transient Ischemia | 23 | 102 / 29 | $18.698,20 | 561 / 44 | $4.263,57 | 552 / 3 | $3.426,00 | 549 / 16 | Total 59 procedures | 2.055 | 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.