Hospital Costs > In Michigan > Midmichigan Medical Center-Clare, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 63 | 139 / 36 | $13.599,70 | 228 / 17 | $6.652,32 | 197 / 3 | $5.409,94 | 197 / 3 |
| Heart Failure & Shock W Mcc | 38 | 246 / 56 | $18.134,50 | 316 / 23 | $8.539,82 | 569 / 8 | $7.777,71 | 569 / 10 |
| Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 42 | $19.288,10 | 344 / 26 | $7.571,88 | 184 / 2 | $6.787,88 | 184 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 30 | 486 / 73 | $21.985,40 | 360 / 26 | $10.035,00 | 398 / 4 | $9.350,23 | 398 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 57 | $12.483,30 | 176 / 11 | $6.231,55 | 446 / 6 | $5.141,95 | 444 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 61 | $14.880,70 | 736 / 45 | $4.277,89 | 478 / 2 | $3.386,95 | 476 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 52 | $12.490,40 | 279 / 18 | $5.319,53 | 337 / 3 | $4.361,21 | 336 / 3 |
| Heart Failure & Shock W Cc | 18 | 260 / 63 | $13.065,80 | 378 / 25 | $5.726,61 | 530 / 6 | $4.917,72 | 530 / 10 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 17 | 103 / 39 | $12.688,00 | 513 / 30 | $4.265,71 | 440 / 3 | $3.269,94 | 439 / 4 |
| Renal Failure W Cc | 17 | 204 / 52 | $11.287,10 | 165 / 9 | $5.572,29 | 388 / 1 | $4.646,18 | 385 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 16 | 548 / 77 | $30.912,20 | 257 / 23 | $12.312,10 | 1176 / 5 | $11.334,10 | 1148 / 23 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 59 | $15.550,60 | 628 / 41 | $5.657,36 | 532 / 2 | $4.671,18 | 529 / 7 | Total 12 procedures | 302 | 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.