Hospital Costs > In Michigan > Munson Healthcare Cadillac Hospital, 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 | 125 | 391 / 47 | $17.221,20 | 145 / 8 | $10.862,40 | 672 / 16 | $9.750,26 | 671 / 14 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 99 | 465 / 49 | $28.598,20 | 174 / 17 | $13.137,80 | 973 / 19 | $11.014,30 | 954 / 18 |
Pulmonary Edema & Respiratory Failure | 70 | 133 / 29 | $13.882,80 | 98 / 10 | $7.274,90 | 354 / 9 | $6.155,80 | 354 / 8 |
Heart Failure & Shock W Mcc | 63 | 221 / 49 | $15.070,60 | 146 / 10 | $8.832,19 | 883 / 16 | $8.143,43 | 883 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 46 | 229 / 44 | $11.919,90 | 379 / 22 | $4.367,74 | 588 / 4 | $3.475,91 | 585 / 12 |
Heart Failure & Shock W Cc | 45 | 233 / 48 | $13.997,50 | 471 / 31 | $5.976,33 | 504 / 13 | $4.900,80 | 504 / 8 |
Simple Pneumonia & Pleurisy W Mcc | 42 | 163 / 36 | $16.263,10 | 180 / 17 | $8.554,50 | 960 / 17 | $7.836,79 | 960 / 23 |
Renal Failure W Cc | 41 | 180 / 42 | $12.241,40 | 232 / 15 | $5.688,46 | 525 / 4 | $4.781,29 | 521 / 6 |
G.I. Hemorrhage W Cc | 38 | 180 / 45 | $15.648,00 | 351 / 27 | $6.190,97 | 307 / 16 | $4.716,61 | 307 / 3 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 38 | 169 / 44 | $12.296,20 | 168 / 10 | $6.294,89 | 532 / 10 | $5.243,11 | 530 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 51 | $15.239,60 | 333 / 25 | $7.358,74 | 177 / 26 | $5.364,97 | 177 / 2 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 45 | $12.173,90 | 249 / 15 | $5.506,72 | 606 / 5 | $4.640,72 | 604 / 10 |
Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 43 | $12.815,00 | 339 / 22 | $5.776,71 | 622 / 10 | $4.756,97 | 619 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 42 | $11.900,00 | 224 / 16 | $4.645,03 | 269 / 1 | $3.574,52 | 269 / 3 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 40 | $14.366,20 | 120 / 6 | $6.607,00 | 475 / 11 | $5.198,48 | 474 / 5 |
Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 49 | $11.548,80 | 463 / 27 | $4.541,56 | 261 / 4 | $3.378,04 | 261 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 38 | $9.579,82 | 309 / 15 | $3.262,23 | 314 / 1 | $2.274,59 | 312 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 22 | 103 / 36 | $15.940,80 | 71 / 6 | $10.233,90 | 471 / 15 | $8.932,09 | 471 / 11 |
Cellulitis W/O Mcc | 21 | 168 / 51 | $8.895,57 | 156 / 6 | $4.954,52 | 479 / 3 | $3.860,43 | 476 / 5 |
Syncope & Collapse | 20 | 149 / 43 | $13.870,20 | 320 / 27 | $5.033,20 | 77 / 27 | $2.943,50 | 77 / 1 |
Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 30 | $11.215,50 | 382 / 28 | $3.970,58 | 241 / 4 | $3.020,68 | 239 / 5 |
Transient Ischemia | 18 | 107 / 34 | $12.125,60 | 132 / 11 | $4.108,39 | 174 / 1 | $2.968,83 | 174 / 2 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 39 | $26.411,70 | 78 / 4 | $13.456,80 | 636 / 8 | $12.786,60 | 628 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 35 | $12.941,70 | 90 / 5 | $6.539,72 | 431 / 6 | $5.920,61 | 428 / 11 |
Renal Failure W Mcc | 17 | 178 / 52 | $14.013,40 | 44 / 4 | $9.015,12 | 471 / 10 | $8.025,00 | 471 / 6 |
Respiratory Infections & Inflammations W Mcc | 17 | 119 / 35 | $20.378,80 | 113 / 9 | $11.698,50 | 696 / 12 | $10.911,70 | 688 / 16 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 42 | $12.680,20 | 634 / 36 | $4.129,06 | 251 / 4 | $3.073,06 | 251 / 4 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 37 | $27.420,10 | 141 / 8 | $11.602,10 | 729 / 9 | $10.473,50 | 723 / 10 |
Atherosclerosis W/O Mcc | 15 | 43 / 15 | $9.894,33 | 41 / 2 | $3.570,47 | / 1 | $2.523,00 | / |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 15 | 38 / 15 | $7.558,00 | 24 / 1 | $4.624,40 | 239 / 4 | $3.666,20 | 238 / 6 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 33 | $10.419,30 | 39 / 3 | $6.166,80 | 381 / 6 | $5.281,47 | 380 / 8 |
Pulmonary Embolism W/O Mcc | 14 | 60 / 24 | $15.011,60 | 153 / 13 | $5.833,50 | 299 / 2 | $4.802,64 | 299 / 3 |
G.I. Hemorrhage W Mcc | 14 | 107 / 38 | $23.139,20 | 129 / 4 | $10.338,80 | 321 / 5 | $9.218,79 | 321 / 5 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 31 | $37.755,30 | 143 / 12 | $15.001,60 | 598 / 5 | $13.990,90 | 592 / 10 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 24 | $10.958,40 | 308 / 16 | $4.137,92 | 279 / 1 | $3.025,92 | 277 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 44 | $16.030,40 | 155 / 7 | $7.120,58 | 396 / 6 | $6.213,92 | 394 / 4 |
Red Blood Cell Disorders W/O Mcc | 11 | 132 / 41 | $12.333,10 | 234 / 14 | $4.714,45 | 358 / 2 | $3.830,09 | 357 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 31 | $13.339,90 | 145 / 12 | $4.467,55 | 291 / 1 | $3.365,00 | 288 / 2 | Total 38 procedures | 1.141 | 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.