Hospital Costs > In Michigan > Mclaren Oakland, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 240 | 7 / 1 | $10.590,30 | 15 / 3 | $11.160,90 | 64 / 5 | $8.846,34 | 64 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 102 | 414 / 53 | $30.963,10 | 825 / 52 | $15.881,70 | 2288 / 82 | $13.607,80 | 2247 / 81 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 61 | 6 / 1 | $5.506,72 | 28 / 3 | $4.803,49 | 46 / 5 | $3.257,51 | 45 / 3 |
Heart Failure & Shock W Mcc | 46 | 238 / 54 | $25.468,80 | 781 / 48 | $12.975,40 | 2216 / 75 | $11.381,70 | 2206 / 74 |
Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 44 | $17.450,30 | 515 / 36 | $10.282,10 | 2147 / 75 | $8.527,26 | 2139 / 75 |
Renal Failure W Mcc | 38 | 157 / 40 | $22.431,90 | 339 / 24 | $13.520,40 | 1781 / 60 | $11.642,00 | 1778 / 59 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 37 | 527 / 72 | $34.519,40 | 431 / 39 | $17.635,00 | 2134 / 82 | $14.215,10 | 2091 / 78 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 29 | $25.497,10 | 301 / 27 | $13.808,20 | 1398 / 53 | $12.068,40 | 1386 / 53 |
Renal Failure W Cc | 35 | 186 / 45 | $13.426,50 | 333 / 26 | $8.629,34 | 2070 / 66 | $7.346,97 | 2060 / 66 |
Pulmonary Edema & Respiratory Failure | 29 | 174 / 47 | $19.302,00 | 365 / 28 | $10.785,20 | 1888 / 71 | $9.300,59 | 1882 / 71 |
Cellulitis W/O Mcc | 28 | 161 / 47 | $12.990,00 | 587 / 43 | $7.836,68 | 2211 / 72 | $6.158,25 | 2203 / 71 |
Poisoning & Toxic Effects Of Drugs W Mcc | 28 | 44 / 16 | $34.944,90 | 472 / 37 | $13.387,20 | 818 / 43 | $11.256,50 | 815 / 43 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 52 | $17.412,60 | 550 / 43 | $9.361,00 | 2043 / 78 | $7.463,84 | 2035 / 77 |
G.I. Hemorrhage W Cc | 25 | 193 / 53 | $17.029,60 | 486 / 36 | $8.995,44 | 2082 / 72 | $7.650,04 | 2078 / 72 |
Heart Failure & Shock W Cc | 25 | 253 / 58 | $16.473,10 | 743 / 45 | $9.004,68 | 2323 / 77 | $7.394,92 | 2317 / 77 |
Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 50 | $12.908,30 | 631 / 35 | $7.166,12 | 2285 / 71 | $5.703,71 | 2274 / 71 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 36 | $57.333,20 | 847 / 51 | $23.085,80 | 1474 / 59 | $17.256,30 | 1460 / 53 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 58 | $12.300,10 | 430 / 27 | $7.192,50 | 2145 / 77 | $5.104,32 | 2131 / 74 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 34 | $13.479,00 | 310 / 23 | $7.443,09 | 1693 / 55 | $6.291,45 | 1684 / 55 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 21 | 71 / 23 | $109.130,00 | 246 / 28 | $46.253,90 | 787 / 35 | $42.856,00 | 786 / 37 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 45 | $16.366,20 | 673 / 45 | $7.425,38 | 1837 / 62 | $5.960,05 | 1832 / 62 |
Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 29 | $18.696,20 | 241 / 21 | $9.035,55 | 1209 / 48 | $7.746,10 | 1207 / 48 |
Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 52 | $12.942,80 | 320 / 24 | $8.449,74 | 2096 / 69 | $7.096,95 | 2089 / 69 |
Seizures W/O Mcc | 19 | 89 / 29 | $13.536,10 | 188 / 17 | $7.034,00 | 986 / 46 | $5.485,63 | 984 / 46 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 25 | $28.033,20 | 333 / 30 | $13.024,40 | 830 / 37 | $11.119,20 | 827 / 37 |
Diabetes W Cc | 18 | 74 / 28 | $14.613,30 | 311 / 21 | $7.660,89 | 1318 / 48 | $6.297,61 | 1313 / 48 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 37 | $35.818,70 | 444 / 30 | $16.027,90 | 1707 / 59 | $14.084,10 | 1688 / 59 |
G.I. Hemorrhage W Mcc | 15 | 106 / 37 | $29.115,70 | 299 / 24 | $15.194,50 | 1363 / 53 | $13.436,50 | 1353 / 53 |
Respiratory Infections & Inflammations W Mcc | 14 | 122 / 37 | $28.973,40 | 356 / 31 | $17.066,80 | 1545 / 60 | $14.591,60 | 1529 / 59 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 44 | $23.784,40 | 840 / 52 | $10.510,00 | 1600 / 53 | $8.116,00 | 1596 / 52 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 17 | $91.754,10 | 184 / 14 | $39.433,30 | 640 / 29 | $35.620,40 | 639 / 25 |
G.I. Obstruction W Cc | 14 | 78 / 37 | $11.655,10 | 102 / 10 | $8.148,14 | 1499 / 58 | $6.735,07 | 1494 / 58 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 48 | $19.163,20 | 422 / 31 | $9.622,15 | 1785 / 60 | $8.116,15 | 1781 / 61 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 44 | $22.339,00 | 481 / 33 | $10.863,50 | 1591 / 59 | $9.163,75 | 1588 / 59 |
Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 55 | $24.794,70 | 689 / 49 | $12.987,40 | 2152 / 74 | $10.947,70 | 2147 / 73 |
Respiratory Neoplasms W Mcc | 11 | 41 / 19 | $35.533,80 | 182 / 22 | $15.039,50 | 527 / 29 | $12.979,20 | 524 / 30 |
Syncope & Collapse | 11 | 158 / 49 | $15.601,90 | 448 / 36 | $7.644,18 | 1432 / 56 | $4.948,82 | 1425 / 52 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 47 | $26.673,90 | 250 / 24 | $14.630,00 | 990 / 50 | $10.996,90 | 985 / 37 | Total 38 procedures | 1.181 | 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.