Hospital Costs > In Michigan > Otsego Memorial Hospital, 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 | 128 | 436 / 42 | $34.463,70 | 424 / 38 | $15.009,50 | 1940 / 57 | $13.385,50 | 1898 / 67 |
| Simple Pneumonia & Pleurisy W Cc | 41 | 162 / 34 | $11.171,50 | 185 / 9 | $6.701,20 | 1757 / 43 | $5.791,15 | 1749 / 50 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 28 | 488 / 74 | $13.531,70 | 38 / 4 | $12.562,40 | 1768 / 48 | $11.651,50 | 1733 / 59 |
| Spinal Fusion Except Cervical W/O Mcc | 27 | 167 / 31 | $53.866,50 | 147 / 16 | $30.239,90 | 835 / 42 | $24.499,70 | 831 / 25 |
| Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 56 | $13.691,60 | 234 / 18 | $8.034,92 | 1557 / 45 | $6.921,32 | 1550 / 47 |
| G.I. Hemorrhage W Cc | 23 | 195 / 54 | $12.784,10 | 149 / 9 | $6.879,65 | 1541 / 41 | $6.037,91 | 1537 / 53 |
| Heart Failure & Shock W Cc | 22 | 256 / 61 | $8.849,50 | 72 / 4 | $6.802,50 | 1531 / 45 | $5.811,95 | 1526 / 45 |
| Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 48 | $14.577,80 | 108 / 6 | $9.940,14 | 1619 / 44 | $8.955,41 | 1619 / 51 |
| Cellulitis W/O Mcc | 21 | 168 / 51 | $7.832,52 | 84 / 1 | $5.751,29 | 1680 / 36 | $4.943,67 | 1673 / 50 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 56 | $13.267,00 | 231 / 19 | $7.314,71 | 1573 / 44 | $6.391,29 | 1566 / 55 |
| Heart Failure & Shock W Mcc | 19 | 265 / 63 | $13.063,40 | 84 / 6 | $10.132,40 | 1494 / 43 | $9.032,00 | 1490 / 44 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 25 | $9.181,33 | 33 / 1 | $5.198,78 | 933 / 21 | $4.192,56 | 929 / 30 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 36 | $28.442,80 | 181 / 9 | $13.402,40 | 1378 / 35 | $12.280,40 | 1360 / 43 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 46 | $10.470,20 | 29 / 1 | $7.399,80 | 1232 / 36 | $6.190,20 | 1229 / 36 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 45 | $9.394,77 | 251 / 9 | $4.801,69 | 1048 / 34 | $3.684,15 | 1045 / 28 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 24 | $8.767,25 | 129 / 2 | $5.129,83 | 909 / 32 | $3.600,58 | 904 / 24 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 41 | $9.858,67 | 228 / 13 | $4.893,58 | 1152 / 25 | $3.888,25 | 1143 / 35 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 24 | $13.844,00 | 72 / 3 | $9.529,18 | 1058 / 24 | $8.893,55 | 1053 / 34 | Total 18 procedures | 474 | 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.