Hospital Costs > In Michigan > Mercy Health Hackley Campus, 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 | 170 | 346 / 37 | $19.059,00 | 224 / 14 | $12.859,20 | 1737 / 55 | $11.564,70 | 1704 / 54 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 89 | 475 / 50 | $31.390,10 | 287 / 26 | $15.700,20 | 1976 / 68 | $13.520,90 | 1934 / 71 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 84 | 123 / 24 | $12.208,90 | 161 / 9 | $8.169,06 | 1829 / 64 | $6.867,05 | 1821 / 68 |
G.I. Hemorrhage W Cc | 43 | 175 / 43 | $19.405,70 | 698 / 46 | $8.041,86 | 1799 / 63 | $6.632,58 | 1795 / 64 |
Renal Failure W Cc | 39 | 182 / 43 | $13.262,80 | 313 / 24 | $7.352,05 | 1750 / 53 | $6.266,62 | 1740 / 56 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 36 | $15.779,60 | 198 / 15 | $8.234,89 | 1596 / 52 | $7.188,16 | 1593 / 58 |
Pulmonary Edema & Respiratory Failure | 36 | 167 / 43 | $17.199,30 | 240 / 20 | $9.375,67 | 1568 / 60 | $8.010,78 | 1563 / 61 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 54 | $13.134,10 | 524 / 32 | $6.298,65 | 2110 / 68 | $5.019,97 | 2096 / 72 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 29 | 139 / 33 | $19.270,60 | 77 / 4 | $11.958,30 | 958 / 30 | $10.880,20 | 954 / 34 |
Major Small & Large Bowel Procedures W Cc | 27 | 81 / 18 | $29.625,60 | 51 / 2 | $17.033,60 | 1033 / 21 | $16.047,50 | 1021 / 31 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 27 | $33.167,90 | 345 / 22 | $14.645,20 | 1201 / 52 | $11.633,40 | 1187 / 30 |
Heart Failure & Shock W Cc | 23 | 255 / 60 | $15.011,00 | 577 / 37 | $7.743,87 | 2081 / 70 | $6.692,04 | 2075 / 71 |
Heart Failure & Shock W Mcc | 23 | 261 / 61 | $18.687,30 | 354 / 28 | $10.829,60 | 1930 / 59 | $10.149,30 | 1924 / 66 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 38 | $12.802,00 | 650 / 38 | $5.753,55 | 2094 / 60 | $5.148,75 | 2086 / 69 |
Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 22 | $44.665,30 | 24 / 1 | $29.743,90 | 285 / 6 | $27.258,60 | 283 / 2 |
Renal Failure W Mcc | 19 | 176 / 50 | $19.113,70 | 193 / 13 | $11.092,20 | 1509 / 44 | $10.325,80 | 1508 / 50 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 18 | 83 / 26 | $12.978,60 | 19 / 1 | $11.137,40 | 700 / 28 | $10.198,70 | 698 / 30 |
Seizures W/O Mcc | 17 | 91 / 31 | $9.500,29 | 57 / 1 | $6.205,12 | 933 / 37 | $5.209,35 | 931 / 42 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 17 | 107 / 34 | $44.562,20 | 36 / 1 | $26.789,30 | 107 / 1 | $25.688,10 | 107 / 1 |
G.I. Obstruction W Cc | 16 | 76 / 35 | $14.609,40 | 263 / 24 | $7.033,00 | 1374 / 46 | $6.129,00 | 1369 / 54 |
G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 20 | $9.313,25 | 104 / 8 | $5.288,19 | 1037 / 37 | $4.078,19 | 1034 / 39 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 15 | 49 / 13 | $24.529,40 | 57 / 3 | $12.355,70 | 530 / 16 | $10.206,20 | 530 / 19 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 39 | $12.475,40 | 240 / 15 | $6.442,43 | 1622 / 44 | $5.923,57 | 1613 / 53 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 14 | 117 / 43 | $27.370,10 | 91 / 5 | $15.530,50 | 1104 / 29 | $14.584,20 | 1092 / 37 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 24 | $10.962,40 | 46 / 4 | $7.749,29 | 943 / 37 | $6.288,64 | 940 / 41 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 14 | 84 / 13 | $56.303,20 | 25 / 2 | $28.925,80 | 231 / 6 | $27.798,90 | 231 / 11 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 29 | $10.447,20 | 55 / 3 | $6.260,38 | 1281 / 45 | $5.155,15 | 1277 / 51 |
Simple Pneumonia & Pleurisy W Cc | 13 | 190 / 57 | $11.349,70 | 203 / 11 | $7.585,92 | 2253 / 65 | $6.749,00 | 2245 / 72 |
Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 38 | $69.884,10 | 370 / 28 | $28.226,80 | 837 / 29 | $24.506,70 | 833 / 26 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 10 | $24.912,40 | 39 / 2 | $12.076,80 | 683 / 21 | $10.961,80 | 680 / 25 |
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 13 | 34 / 8 | $18.207,50 | 19 / 1 | $9.920,85 | 429 / 17 | $7.553,08 | 428 / 13 |
Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 13 | $24.337,40 | 37 / 2 | $10.635,50 | 292 / 7 | $8.618,92 | 292 / 15 |
Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 24 | $44.634,20 | 270 / 24 | $15.910,30 | 684 / 17 | $14.699,70 | 681 / 28 |
Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 30 | $14.719,00 | 25 / 3 | $10.270,10 | 634 / 29 | $9.366,08 | 632 / 35 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 45 | $16.159,50 | 162 / 9 | $9.187,36 | 1460 / 45 | $8.524,09 | 1457 / 56 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 33 | $16.106,30 | 193 / 19 | $7.618,36 | 1036 / 37 | $6.629,27 | 1032 / 43 |
Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 59 | $9.845,18 | 91 / 2 | $7.631,09 | 1599 / 64 | $5.679,09 | 1592 / 51 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 11 | 25 / 14 | $27.284,00 | 18 / 2 | $15.456,70 | 147 / 3 | $14.093,70 | 147 / 6 | Total 38 procedures | 1.016 | 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.