Hospital Costs > In Michigan > Oaklawn Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 54 | $20.794,20 | 1108 / 62 | $5.244,45 | 965 / 25 | $4.255,36 | 962 / 24 |
| Cellulitis W/O Mcc | 22 | 167 / 50 | $19.898,80 | 1469 / 72 | $5.419,23 | 1309 / 21 | $4.540,68 | 1303 / 34 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 55 | $23.270,90 | 1327 / 74 | $5.529,00 | 909 / 6 | $4.882,60 | 906 / 23 |
| Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 50 | $27.603,20 | 1316 / 73 | $6.748,11 | 504 / 5 | $5.783,54 | 503 / 8 |
| Depressive Neuroses | 11 | 39 / 1 | $23.898,90 | 123 / 1 | $4.469,55 | 37 / 1 | $3.372,82 | 37 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 64 | $23.681,90 | 1776 / 81 | $4.968,57 | 1252 / 30 | $3.930,86 | 1241 / 39 |
| Extracranial Procedures W/O Cc/Mcc | 26 | 72 / 15 | $35.080,70 | 552 / 33 | $7.559,58 | 473 / 16 | $5.659,12 | 472 / 12 |
| G.I. Hemorrhage W Cc | 26 | 192 / 52 | $29.002,70 | 1498 / 76 | $6.360,58 | 1018 / 23 | $5.382,12 | 1016 / 26 |
| G.I. Obstruction W Cc | 14 | 78 / 37 | $18.009,90 | 509 / 47 | $5.754,79 | 970 / 16 | $5.064,50 | 967 / 32 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 22 | $17.257,00 | 684 / 44 | $4.112,79 | 597 / 14 | $3.075,07 | 596 / 23 |
| Heart Failure & Shock W Cc | 32 | 246 / 53 | $21.069,70 | 1303 / 71 | $6.052,41 | 861 / 17 | $5.184,41 | 860 / 21 |
| Heart Failure & Shock W Mcc | 24 | 260 / 60 | $26.285,20 | 848 / 51 | $8.672,25 | 688 / 12 | $7.916,25 | 688 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 39 | $58.161,20 | 1307 / 62 | $11.806,70 | 793 / 11 | $10.603,00 | 784 / 12 |
| Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 44 | $21.329,80 | 662 / 43 | $6.331,64 | 276 / 3 | $5.383,07 | 275 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 47 | $17.813,60 | 1323 / 70 | $5.038,07 | 1148 / 25 | $4.053,19 | 1140 / 29 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 107 | 457 / 48 | $53.016,10 | 1421 / 80 | $13.233,50 | 1378 / 23 | $11.765,50 | 1345 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 39 | $16.649,30 | 1159 / 66 | $4.666,11 | 849 / 26 | $3.546,53 | 846 / 22 |
| Other Vascular Procedures W Cc | 17 | 85 / 23 | $50.932,20 | 218 / 23 | $15.943,70 | 260 / 7 | $13.699,90 | 259 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 31 | $39.401,50 | 566 / 40 | $8.459,55 | 307 / 5 | $7.691,55 | 306 / 6 |
| Psychoses | 132 | 166 / 3 | $26.781,20 | 439 / 18 | $6.926,98 | 238 / 5 | $5.658,52 | 238 / 5 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 55 | $32.829,10 | 1196 / 69 | $7.766,37 | 1169 / 21 | $7.190,37 | 1167 / 36 |
| Renal Failure W Cc | 20 | 201 / 51 | $19.297,70 | 904 / 55 | $5.921,45 | 950 / 13 | $5.134,25 | 942 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 50 | 466 / 65 | $31.816,50 | 877 / 55 | $10.635,00 | 694 / 12 | $9.778,02 | 693 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 51 | $27.405,70 | 1456 / 82 | $6.677,69 | 1133 / 21 | $5.794,00 | 1129 / 31 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 58 | $24.363,60 | 1572 / 78 | $5.929,83 | 1052 / 13 | $5.124,50 | 1049 / 24 |
| Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 42 | $24.648,40 | 679 / 48 | $8.157,06 | 407 / 5 | $7.196,12 | 407 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 22 | $14.874,40 | 723 / 41 | $4.555,50 | 727 / 13 | $3.437,79 | 723 / 16 | Total 27 procedures | 759 | 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.