Hospital Costs > In Michigan > Memorial Healthcare, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 68 | 496 / 57 | $45.365,80 | 1048 / 74 | $13.400,90 | 1451 / 25 | $11.924,80 | 1418 / 36 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 48 | 468 / 66 | $32.450,70 | 908 / 59 | $11.045,60 | 1023 / 19 | $10.215,00 | 1012 / 26 |
Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 42 | $23.397,70 | 1010 / 63 | $7.346,85 | 1191 / 24 | $6.450,85 | 1185 / 31 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 29 | $16.148,80 | 1100 / 65 | $4.719,16 | 1056 / 29 | $3.687,22 | 1053 / 29 |
G.I. Hemorrhage W Cc | 35 | 183 / 46 | $20.180,60 | 764 / 51 | $6.390,31 | 1091 / 24 | $5.457,74 | 1089 / 29 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 47 | $20.889,30 | 875 / 60 | $6.771,00 | 1254 / 24 | $5.930,27 | 1249 / 35 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 43 | $24.494,00 | 669 / 47 | $8.667,42 | 978 / 19 | $7.851,94 | 978 / 25 |
Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 46 | $20.235,00 | 1023 / 61 | $6.001,17 | 1204 / 23 | $5.157,43 | 1199 / 30 |
Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 46 | $15.968,30 | 1069 / 61 | $4.964,90 | 1068 / 23 | $4.004,90 | 1060 / 27 |
Simple Pneumonia & Pleurisy W Cc | 26 | 177 / 45 | $21.753,00 | 1326 / 72 | $6.242,73 | 1194 / 28 | $5.223,65 | 1190 / 32 |
Renal Failure W Cc | 25 | 196 / 48 | $19.535,20 | 936 / 58 | $6.216,76 | 1250 / 26 | $5.446,20 | 1242 / 31 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 33 | $16.312,50 | 942 / 53 | $4.950,00 | 539 / 27 | $3.357,67 | 538 / 9 |
Heart Failure & Shock W Cc | 23 | 255 / 60 | $20.250,10 | 1211 / 66 | $6.267,22 | 1105 / 26 | $5.375,39 | 1103 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 60 | $20.002,20 | 1389 / 75 | $5.125,30 | 822 / 34 | $3.645,25 | 817 / 22 |
Pulmonary Edema & Respiratory Failure | 19 | 184 / 55 | $25.053,80 | 736 / 53 | $8.409,11 | 335 / 39 | $6.127,84 | 335 / 7 |
Renal Failure W Mcc | 18 | 177 / 51 | $37.260,40 | 1166 / 63 | $9.604,72 | 943 / 18 | $8.802,94 | 943 / 23 |
Heart Failure & Shock W Mcc | 17 | 267 / 64 | $25.845,70 | 807 / 50 | $9.208,59 | 1191 / 23 | $8.572,35 | 1188 / 30 |
Cellulitis W/O Mcc | 17 | 172 / 54 | $19.425,50 | 1416 / 70 | $5.468,06 | 712 / 24 | $4.055,00 | 708 / 15 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 22 | $17.831,60 | 282 / 24 | $6.403,31 | 740 / 14 | $5.651,31 | 737 / 26 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 43 | $26.040,40 | 729 / 52 | $7.702,64 | 926 / 14 | $7.014,64 | 923 / 26 |
Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 39 | $39.196,40 | 592 / 41 | $11.837,50 | 911 / 12 | $10.820,90 | 898 / 15 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 39 | $30.159,30 | 966 / 52 | $7.093,31 | 821 / 14 | $6.628,08 | 818 / 24 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 23 | $15.624,20 | 567 / 37 | $4.487,00 | 165 / 24 | $2.469,38 | 165 / 2 |
Seizures W/O Mcc | 12 | 96 / 36 | $19.739,00 | 542 / 46 | $4.859,42 | 301 / 9 | $3.755,42 | 299 / 8 |
Diabetes W Cc | 11 | 81 / 33 | $16.235,50 | 420 / 31 | $5.378,00 | 186 / 15 | $3.803,09 | 186 / 5 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 33 | $15.082,00 | 154 / 14 | $6.273,64 | 550 / 14 | $5.281,64 | 547 / 17 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 49 | $24.512,70 | 764 / 48 | $6.850,36 | 1085 / 17 | $5.971,82 | 1082 / 27 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 31 | $20.300,90 | 594 / 46 | $4.949,36 | 604 / 12 | $3.739,18 | 600 / 16 |
Signs & Symptoms W/O Mcc | 11 | 80 / 29 | $22.440,90 | 791 / 50 | $4.543,18 | 422 / 16 | $3.554,09 | 421 / 16 | Total 29 procedures | 683 | 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.