Hospital Costs > In Michigan > Midmichigan Medical Center-Gratiot, 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 | 91 | 425 / 57 | $19.234,10 | 229 / 16 | $12.916,00 | 297 / 59 | $9.169,63 | 297 / 7 |
| Heart Failure & Shock W Mcc | 76 | 208 / 43 | $14.212,50 | 117 / 7 | $10.747,30 | 326 / 56 | $7.452,66 | 326 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 58 | 506 / 59 | $33.280,70 | 367 / 34 | $13.843,70 | 829 / 34 | $10.802,10 | 815 / 12 |
| Heart Failure & Shock W Cc | 48 | 230 / 47 | $10.390,40 | 146 / 8 | $7.515,75 | 507 / 66 | $4.902,92 | 507 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 44 | $12.370,90 | 141 / 4 | $8.796,77 | 438 / 63 | $5.730,58 | 437 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 47 | $11.540,40 | 335 / 18 | $6.293,33 | 604 / 67 | $3.486,20 | 601 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 44 | $12.611,40 | 187 / 13 | $7.759,34 | 289 / 52 | $4.978,66 | 288 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 35 | 170 / 41 | $13.155,80 | 58 / 4 | $10.399,10 | 398 / 58 | $7.180,86 | 398 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 40 | $9.042,06 | 62 / 1 | $7.223,88 | 489 / 57 | $4.636,06 | 486 / 4 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 33 | 44 / 8 | $24.064,70 | 37 / 9 | $10.495,70 | 66 / 7 | $7.603,61 | 66 / 2 |
| G.I. Hemorrhage W Cc | 30 | 188 / 50 | $13.705,60 | 202 / 15 | $7.635,90 | 520 / 58 | $4.926,70 | 519 / 7 |
| Cellulitis W/O Mcc | 28 | 161 / 47 | $9.085,04 | 166 / 7 | $6.595,07 | 391 / 61 | $3.788,43 | 388 / 4 |
| Chronic Obstructive Pulmonary Disease W Cc | 26 | 153 / 48 | $10.789,20 | 142 / 5 | $7.237,15 | 301 / 58 | $4.319,38 | 300 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 48 | $9.474,92 | 239 / 9 | $6.051,00 | 404 / 62 | $3.548,77 | 404 / 4 |
| Renal Failure W Cc | 24 | 197 / 49 | $10.860,20 | 142 / 5 | $7.480,00 | 413 / 56 | $4.664,00 | 410 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 36 | $14.514,20 | 43 / 3 | $11.080,70 | 126 / 21 | $8.015,32 | 126 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 36 | $8.329,00 | 172 / 5 | $5.695,64 | 492 / 59 | $3.302,36 | 490 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 44 | $10.850,20 | 162 / 10 | $6.463,14 | 620 / 55 | $3.937,41 | 617 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 40 | $6.852,95 | 69 / 1 | $4.737,85 | 390 / 47 | $2.346,45 | 387 / 6 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 56 | $12.870,30 | 69 / 6 | $9.023,88 | 442 / 54 | $6.281,41 | 442 / 10 |
| G.I. Obstruction W Cc | 17 | 75 / 34 | $12.733,80 | 148 / 14 | $7.550,41 | 187 / 54 | $4.033,71 | 186 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 41 | $16.447,00 | 174 / 11 | $9.525,94 | 428 / 52 | $6.262,06 | 426 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 33 | $6.476,94 | 37 / 1 | $5.430,81 | 389 / 50 | $3.202,56 | 387 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 38 | $12.496,70 | 72 / 3 | $7.823,33 | 83 / 28 | $5.239,20 | 83 / 1 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 28 | $33.210,10 | 85 / 3 | $18.597,90 | 280 / 34 | $12.805,30 | 278 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 23 | $11.494,30 | 244 / 19 | $6.017,62 | 344 / 44 | $2.757,15 | 344 / 11 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 44 | $21.605,00 | 21 / 1 | $13.066,60 | 44 / 3 | $10.642,30 | 44 / 2 |
| Respiratory Infections & Inflammations W Mcc | 13 | 123 / 38 | $14.497,30 | 15 / 1 | $12.935,40 | 236 / 32 | $9.859,54 | 236 / 2 |
| Renal Failure W Mcc | 12 | 183 / 54 | $12.802,70 | 24 / 2 | $10.901,40 | 272 / 41 | $7.680,92 | 272 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 18 | $8.604,36 | 43 / 1 | $5.404,64 | 154 / 18 | $3.122,45 | 155 / 1 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 33 | $12.883,70 | 4 / 1 | $12.099,50 | 170 / 14 | $9.500,64 | 170 / 1 | Total 31 procedures | 886 | 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.