Hospital Costs > In Michigan > Memorial Medical Center Of West 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 | 106 | 410 / 51 | $22.679,60 | 395 / 30 | $12.889,60 | 1894 / 56 | $12.023,50 | 1859 / 63 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 81 | 483 / 53 | $35.872,70 | 516 / 44 | $15.507,50 | 1975 / 65 | $13.517,10 | 1933 / 70 |
| Heart Failure & Shock W Mcc | 45 | 239 / 55 | $21.734,40 | 519 / 36 | $11.886,40 | 1697 / 71 | $9.466,49 | 1692 / 53 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 43 | $18.122,70 | 608 / 47 | $7.476,08 | 1626 / 49 | $6.467,70 | 1619 / 57 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 55 | $12.993,00 | 502 / 31 | $5.199,00 | 1686 / 38 | $4.321,76 | 1673 / 50 |
| Chronic Obstructive Pulmonary Disease W Mcc | 27 | 175 / 54 | $15.862,40 | 377 / 30 | $8.353,59 | 1532 / 52 | $6.876,48 | 1525 / 46 |
| Cellulitis W/O Mcc | 25 | 164 / 49 | $13.595,10 | 679 / 45 | $5.905,84 | 1601 / 41 | $4.837,04 | 1594 / 47 |
| Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 46 | $18.817,60 | 317 / 25 | $10.566,00 | 1574 / 61 | $8.848,20 | 1574 / 49 |
| Heart Failure & Shock W Cc | 25 | 253 / 58 | $15.201,50 | 600 / 38 | $6.957,12 | 1851 / 51 | $6.233,92 | 1846 / 61 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 47 | $15.964,80 | 678 / 47 | $6.829,00 | 1889 / 48 | $5.973,00 | 1881 / 59 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 52 | $20.628,80 | 442 / 33 | $8.514,91 | 1497 / 43 | $7.833,17 | 1492 / 55 |
| G.I. Hemorrhage W Cc | 23 | 195 / 54 | $21.558,80 | 902 / 62 | $7.107,61 | 1677 / 47 | $6.318,74 | 1673 / 58 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 42 | $15.877,60 | 204 / 16 | $7.532,14 | 1434 / 40 | $6.653,59 | 1431 / 51 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 35 | $27.829,70 | 324 / 27 | $13.854,80 | 1348 / 40 | $13.218,60 | 1333 / 53 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 51 | $16.217,10 | 654 / 44 | $5.525,71 | 1416 / 36 | $4.835,43 | 1411 / 50 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 29 | $15.729,00 | 301 / 27 | $5.312,23 | 977 / 29 | $4.288,23 | 973 / 35 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 59 | $19.960,30 | 994 / 59 | $7.019,27 | 1419 / 53 | $5.404,36 | 1414 / 39 | Total 17 procedures | 550 | 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.