Hospital Costs > In Michigan > Midmichigan Medical Center-Midland, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 42 | 49 / 12 | $17.099,30 | 178 / 15 | $7.146,62 | 761 / 23 | $6.043,05 | 759 / 22 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 73 | 52 / 10 | $22.706,30 | 229 / 19 | $11.766,90 | 1099 / 34 | $10.659,20 | 1094 / 33 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 17 | $14.285,20 | 120 / 14 | $5.678,62 | 275 / 24 | $3.726,85 | 273 / 9 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 13 | $21.199,10 | 16 / 1 | $12.669,40 | 323 / 4 | $11.488,50 | 321 / 6 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 12 | $15.953,10 | 46 / 1 | $7.618,41 | 368 / 5 | $5.842,23 | 367 / 7 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 96 | 65 / 14 | $10.864,60 | 164 / 11 | $5.447,85 | 997 / 31 | $4.295,39 | 994 / 27 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 43 | 80 / 25 | $13.520,90 | 79 / 3 | $8.172,05 | 1064 / 25 | $7.252,74 | 1061 / 30 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 44 | 106 / 24 | $9.370,84 | 280 / 12 | $3.867,34 | 732 / 22 | $2.619,70 | 728 / 22 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 11 | 58 / 11 | $157.732,00 | 25 / 2 | $64.388,10 | 153 / 6 | $63.119,90 | 153 / 7 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 45 | 73 / 6 | $112.408,00 | 129 / 10 | $37.217,60 | 370 / 8 | $35.925,20 | 370 / 12 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 14 | 102 / 18 | $148.437,00 | 66 / 8 | $55.131,00 | 279 / 10 | $54.045,30 | 279 / 12 |
Cellulitis W/O Mcc | 43 | 146 / 41 | $10.520,70 | 303 / 14 | $5.703,98 | 1489 / 34 | $4.708,53 | 1482 / 41 |
Cervical Spinal Fusion W/O Cc/Mcc | 18 | 86 / 18 | $24.699,30 | 25 / 2 | $15.028,80 | 622 / 11 | $13.838,30 | 619 / 25 |
Chest Pain | 22 | 129 / 31 | $9.704,64 | 139 / 10 | $4.054,64 | 691 / 15 | $3.128,27 | 686 / 20 |
Chronic Obstructive Pulmonary Disease W Cc | 33 | 146 / 44 | $12.252,10 | 260 / 16 | $6.333,97 | 1282 / 34 | $5.256,09 | 1277 / 33 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 43 | $15.339,00 | 340 / 26 | $7.924,78 | 1505 / 39 | $6.839,09 | 1498 / 44 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 41 | $9.849,83 | 226 / 12 | $4.832,08 | 904 / 22 | $3.657,42 | 896 / 25 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 29 | 64 / 13 | $35.940,80 | 97 / 7 | $14.231,70 | 523 / 10 | $13.095,70 | 517 / 15 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 62 | 126 / 20 | $22.622,30 | 175 / 15 | $7.334,81 | 1001 / 15 | $6.340,16 | 998 / 22 |
Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 10 | $30.105,40 | 57 / 7 | $12.391,50 | 153 / 4 | $11.616,30 | 153 / 9 |
Complications Of Treatment W Cc | 11 | 41 / 10 | $14.271,10 | 26 / 1 | $6.617,27 | 121 / 5 | $5.642,73 | 121 / 4 |
Coronary Bypass W Cardiac Cath W/O Mcc | 23 | 53 / 11 | $105.967,00 | 152 / 10 | $34.045,00 | 452 / 13 | $30.463,10 | 452 / 15 |
Diabetes W Cc | 17 | 75 / 29 | $15.385,50 | 361 / 28 | $5.620,59 | 885 / 19 | $4.868,59 | 881 / 29 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 16 | 60 / 13 | $17.520,90 | 14 / 3 | $12.495,00 | 260 / 9 | $11.661,90 | 260 / 17 |
Disorders Of Pancreas Except Malignancy W Cc | 19 | 42 / 13 | $13.728,30 | 90 / 11 | $6.239,53 | 523 / 14 | $5.358,05 | 521 / 25 |
Disorders Of Pancreas Except Malignancy W Mcc | 17 | 29 / 7 | $38.109,60 | 120 / 17 | $12.471,80 | 112 / 10 | $10.312,20 | 112 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 27 | $23.476,10 | 367 / 28 | $8.231,32 | 815 / 22 | $7.470,58 | 810 / 28 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 92 | 183 / 32 | $13.726,60 | 592 / 35 | $5.037,11 | 1376 / 31 | $4.025,86 | 1365 / 41 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 11 | $53.193,00 | 72 / 9 | $19.298,10 | 260 / 7 | $18.347,80 | 258 / 11 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 16 | $55.722,20 | 26 / 3 | $32.971,00 | 448 / 17 | $32.067,70 | 448 / 19 |
Extracranial Procedures W Cc | 16 | 30 / 9 | $28.093,20 | 64 / 3 | $10.743,80 | 248 / 8 | $9.809,94 | 248 / 13 |
Extracranial Procedures W/O Cc/Mcc | 38 | 60 / 10 | $19.288,70 | 119 / 6 | $7.407,53 | 435 / 12 | $5.569,05 | 434 / 9 |
G.I. Hemorrhage W Cc | 98 | 120 / 21 | $15.657,50 | 353 / 28 | $6.798,86 | 1405 / 37 | $5.826,51 | 1402 / 42 |
G.I. Hemorrhage W Mcc | 43 | 78 / 19 | $33.763,10 | 458 / 40 | $13.033,30 | 1177 / 41 | $12.062,80 | 1169 / 46 |
G.I. Obstruction W Cc | 24 | 68 / 28 | $16.655,80 | 413 / 34 | $6.096,38 | 905 / 25 | $4.963,04 | 903 / 29 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 25 | $10.191,70 | 146 / 11 | $4.392,36 | 294 / 22 | $2.688,45 | 294 / 5 |
Heart Failure & Shock W Cc | 110 | 168 / 23 | $12.224,60 | 287 / 18 | $6.770,15 | 1520 / 43 | $5.801,18 | 1515 / 42 |
Heart Failure & Shock W Mcc | 200 | 87 / 17 | $18.166,90 | 318 / 24 | $10.157,10 | 1642 / 44 | $9.362,97 | 1637 / 50 |
Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 24 | $8.268,00 | 133 / 4 | $4.607,21 | 836 / 28 | $3.586,83 | 832 / 29 |
Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 20 | $30.910,70 | 256 / 12 | $13.301,50 | 1323 / 34 | $12.066,70 | 1305 / 39 |
Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 15 | $34.721,10 | 31 / 2 | $20.536,40 | 599 / 20 | $19.297,60 | 596 / 21 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 10 | $21.979,20 | 49 / 1 | $10.998,60 | 608 / 8 | $9.839,64 | 606 / 15 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 13 | $24.995,80 | 15 / 1 | $16.619,20 | 163 / 11 | $14.471,80 | 163 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 41 | 83 / 22 | $73.058,60 | 197 / 16 | $36.739,10 | 963 / 29 | $34.962,60 | 957 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 52 | 130 / 28 | $14.747,60 | 140 / 9 | $7.277,02 | 1212 / 33 | $6.161,44 | 1209 / 34 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 35 | 133 / 29 | $19.683,10 | 87 / 6 | $11.498,30 | 857 / 23 | $10.435,50 | 855 / 28 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 30 | 72 / 18 | $12.308,30 | 108 / 8 | $5.138,20 | 726 / 19 | $3.893,20 | 722 / 21 |
Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 36 | $10.882,10 | 72 / 2 | $7.600,52 | 1042 / 29 | $6.467,41 | 1039 / 26 |
Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 39 | $10.708,70 | 359 / 17 | $5.223,92 | 1430 / 32 | $4.277,29 | 1421 / 39 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 16 | $27.847,90 | 25 / 1 | $13.453,80 | 401 / 7 | $12.331,80 | 398 / 14 |
Major Cardiovasc Procedures W Mcc | 27 | 41 / 10 | $89.019,10 | 79 / 7 | $34.744,60 | 335 / 11 | $33.848,40 | 335 / 16 |
Major Cardiovasc Procedures W/O Mcc | 33 | 68 / 14 | $59.519,20 | 127 / 7 | $22.708,80 | 620 / 16 | $21.662,80 | 620 / 18 |
Major Chest Procedures W Cc | 13 | 61 / 9 | $40.138,10 | 49 / 3 | $17.626,20 | 322 / 6 | $16.647,30 | 320 / 12 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 15 | $15.751,20 | 136 / 8 | $7.976,60 | 630 / 15 | $7.090,10 | 628 / 18 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 21 | 44 / 10 | $48.202,30 | 108 / 12 | $24.791,00 | 770 / 36 | $23.546,10 | 767 / 37 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 327 | 245 / 14 | $27.004,20 | 125 / 8 | $14.489,30 | 1846 / 43 | $13.009,10 | 1805 / 60 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 9 | $38.340,00 | 44 / 4 | $17.771,30 | 340 / 7 | $16.626,60 | 340 / 12 |
Major Small & Large Bowel Procedures W Cc | 34 | 74 / 14 | $38.910,10 | 170 / 14 | $17.351,70 | 1008 / 26 | $15.928,60 | 997 / 29 |
Major Small & Large Bowel Procedures W Mcc | 26 | 59 / 17 | $54.890,90 | 46 / 3 | $34.410,30 | 742 / 21 | $32.883,90 | 740 / 26 |
Medical Back Problems W/O Mcc | 26 | 95 / 25 | $15.477,80 | 251 / 18 | $5.823,35 | 797 / 20 | $4.741,19 | 794 / 22 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 26 | 100 / 30 | $14.513,20 | 131 / 11 | $7.529,81 | 841 / 24 | $6.670,04 | 838 / 26 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 30 | $10.638,90 | 387 / 24 | $4.750,29 | 1237 / 31 | $3.836,51 | 1233 / 38 |
Nonspecific Cerebrovascular Disorders W Cc | 11 | 45 / 20 | $12.073,50 | 21 / 3 | $6.607,55 | 221 / 8 | $5.639,55 | 221 / 10 |
Nonspecific Cerebrovascular Disorders W Mcc | 24 | 27 / 9 | $19.167,10 | 19 / 5 | $11.201,50 | 210 / 8 | $10.390,90 | 210 / 11 |
Other Circulatory System Diagnoses W Cc | 17 | 49 / 15 | $10.541,90 | 30 / 1 | $6.453,47 | 331 / 8 | $5.653,71 | 330 / 12 |
Other Circulatory System Diagnoses W Mcc | 25 | 91 / 22 | $23.520,20 | 91 / 10 | $12.208,20 | 676 / 18 | $11.488,30 | 674 / 23 |
Other Digestive System Diagnoses W Cc | 27 | 70 / 20 | $13.883,30 | 121 / 11 | $6.549,37 | 645 / 20 | $5.466,11 | 641 / 19 |
Other Digestive System Diagnoses W Mcc | 18 | 44 / 11 | $19.251,30 | 30 / 3 | $11.160,40 | 337 / 9 | $10.357,70 | 336 / 17 |
Other Kidney & Urinary Tract Diagnoses W Cc | 14 | 89 / 19 | $12.718,20 | 63 / 3 | $6.691,29 | 380 / 16 | $5.788,00 | 380 / 19 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 28 | 73 / 20 | $16.262,90 | 58 / 4 | $10.525,00 | 665 / 21 | $9.947,43 | 663 / 27 |
Other Vascular Procedures W Cc | 11 | 91 / 28 | $36.531,50 | 69 / 7 | $16.874,80 | 679 / 15 | $16.229,00 | 676 / 25 |
Other Vascular Procedures W Mcc | 15 | 82 / 24 | $69.221,30 | 251 / 25 | $22.629,50 | 523 / 16 | $20.944,90 | 520 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 39 | 61 / 9 | $61.332,50 | 87 / 5 | $22.198,30 | 447 / 12 | $19.228,70 | 443 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 87 | 109 / 13 | $50.821,60 | 243 / 16 | $14.066,70 | 949 / 11 | $12.248,70 | 942 / 15 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 33 | 36 / 7 | $44.593,70 | 97 / 11 | $12.260,90 | 387 / 8 | $11.286,70 | 385 / 16 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 13 | 41 / 13 | $49.041,50 | 10 / 2 | $21.759,80 | 140 / 8 | $20.656,70 | 140 / 10 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 26 | 69 / 14 | $46.392,00 | 81 / 13 | $13.317,10 | 345 / 6 | $12.326,20 | 341 / 11 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 35 | $13.444,00 | 123 / 10 | $6.581,55 | 608 / 24 | $5.576,27 | 605 / 23 |
Peritoneal Adhesiolysis W Cc | 12 | 27 / 5 | $30.094,80 | 13 / 1 | $15.897,70 | 175 / 2 | $14.854,00 | 175 / 6 |
Permanent Cardiac Pacemaker Implant W Cc | 43 | 34 / 5 | $60.151,10 | 348 / 21 | $18.838,50 | 640 / 21 | $17.130,70 | 639 / 20 |
Permanent Cardiac Pacemaker Implant W Mcc | 32 | 20 / 4 | $73.973,60 | 170 / 13 | $26.750,60 | 443 / 14 | $25.752,60 | 443 / 17 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 11 | $55.387,90 | 347 / 18 | $15.162,80 | 526 / 15 | $14.105,80 | 525 / 18 |
Poisoning & Toxic Effects Of Drugs W Mcc | 22 | 50 / 22 | $20.806,50 | 128 / 11 | $9.638,73 | 567 / 18 | $8.860,55 | 565 / 29 |
Pulmonary Edema & Respiratory Failure | 66 | 137 / 30 | $19.467,60 | 375 / 30 | $8.283,52 | 1323 / 35 | $7.442,92 | 1319 / 48 |
Pulmonary Embolism W Mcc | 13 | 30 / 19 | $19.184,50 | 40 / 3 | $10.355,60 | 361 / 14 | $9.380,08 | 361 / 17 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 23 | $11.686,80 | 64 / 6 | $6.679,47 | 766 / 20 | $5.710,27 | 763 / 28 |
Red Blood Cell Disorders W Mcc | 11 | 60 / 27 | $29.214,50 | 437 / 30 | $8.542,64 | 520 / 16 | $7.564,45 | 518 / 16 |
Red Blood Cell Disorders W/O Mcc | 22 | 121 / 34 | $12.745,90 | 262 / 17 | $5.432,64 | 748 / 23 | $4.238,82 | 743 / 14 |
Renal Failure W Cc | 84 | 137 / 25 | $12.160,70 | 224 / 14 | $6.537,77 | 1413 / 33 | $5.634,06 | 1404 / 37 |
Renal Failure W Mcc | 94 | 101 / 19 | $20.701,50 | 251 / 19 | $10.462,20 | 1202 / 32 | $9.447,54 | 1202 / 34 |
Renal Failure W/O Cc/Mcc | 18 | 38 / 15 | $7.631,11 | 46 / 1 | $4.217,67 | 388 / 7 | $3.287,78 | 387 / 12 |
Respiratory Infections & Inflammations W Mcc | 15 | 121 / 36 | $30.992,90 | 416 / 36 | $13.510,70 | 1216 / 37 | $12.603,50 | 1201 / 40 |
Respiratory Neoplasms W Mcc | 14 | 38 / 16 | $20.288,00 | 38 / 1 | $11.477,20 | 354 / 12 | $10.667,60 | 353 / 18 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 70 | 61 / 11 | $41.972,90 | 383 / 28 | $16.332,50 | 1250 / 39 | $15.369,30 | 1237 / 45 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 18 | 53 / 15 | $94.876,00 | 215 / 18 | $36.053,10 | 615 / 17 | $35.043,80 | 614 / 24 |
Seizures W/O Mcc | 11 | 97 / 37 | $11.318,70 | 112 / 10 | $5.149,73 | 438 / 17 | $3.957,36 | 436 / 18 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 28 | $82.645,70 | 101 / 10 | $41.229,00 | 643 / 25 | $39.641,00 | 642 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 385 | 148 / 17 | $25.961,00 | 587 / 42 | $12.757,80 | 1741 / 51 | $11.576,50 | 1708 / 56 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 82 | 125 / 25 | $14.018,60 | 280 / 22 | $7.187,63 | 1387 / 37 | $6.101,00 | 1382 / 46 |
Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 32 | $12.809,40 | 334 / 21 | $6.613,89 | 1599 / 40 | $5.606,43 | 1592 / 45 |
Simple Pneumonia & Pleurisy W Mcc | 76 | 129 / 22 | $19.659,30 | 367 / 28 | $9.949,50 | 1484 / 45 | $8.642,93 | 1484 / 46 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 16 | $8.909,86 | 138 / 3 | $4.747,00 | 1024 / 19 | $3.697,48 | 1019 / 28 |
Spinal Fusion Except Cervical W/O Mcc | 61 | 133 / 19 | $31.092,40 | 11 / 1 | $26.896,60 | 936 / 19 | $25.592,00 | 931 / 36 |
Syncope & Collapse | 38 | 131 / 34 | $12.546,30 | 228 / 18 | $5.040,50 | 897 / 28 | $3.938,55 | 892 / 30 |
Transient Ischemia | 27 | 98 / 25 | $10.689,30 | 87 / 7 | $4.710,48 | 694 / 21 | $3.577,37 | 690 / 22 |
Transurethral Procedures W Cc | 12 | 29 / 12 | $18.968,90 | 20 / 5 | $8.617,33 | 204 / 11 | $7.371,67 | 204 / 12 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 10 | $27.870,10 | 26 / 2 | $13.299,10 | 150 / 5 | $12.136,70 | 150 / 5 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 10 | $9.224,42 | 10 / 1 | $4.988,42 | 140 / 3 | $3.906,58 | 140 / 7 | Total 108 procedures | 4.170 | 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.