Hospital Costs > In Michigan > North Ottawa Community Health Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 57 | 507 / 60 | $32.003,90 | 311 / 30 | $11.979,60 | 372 / 1 | $10.114,40 | 371 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 24 | 492 / 75 | $20.537,40 | 287 / 20 | $9.511,00 | 77 / 1 | $8.549,67 | 77 / 2 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 59 | $23.093,70 | 602 / 45 | $7.566,00 | 40 / 18 | $5.436,71 | 40 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 54 | $15.636,40 | 145 / 11 | $7.356,46 | 40 / 1 | $6.339,85 | 40 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 45 | $11.745,10 | 522 / 29 | $3.872,46 | 155 / 2 | $2.937,08 | 155 / 2 |
| Heart Failure & Shock W Mcc | 12 | 272 / 67 | $19.462,70 | 399 / 31 | $8.239,00 | 252 / 3 | $7.337,67 | 252 / 3 | Total 6 procedures | 133 | 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.