Hospital Costs > In Michigan > Pennock 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 | 85 | 431 / 59 | $19.232,90 | 228 / 15 | $11.285,30 | 1126 / 26 | $10.358,80 | 1110 / 29 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 78 | 486 / 54 | $31.888,30 | 308 / 29 | $13.010,70 | 1406 / 16 | $11.817,30 | 1373 / 35 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 47 | $16.883,60 | 506 / 40 | $6.613,82 | 952 / 20 | $5.623,76 | 949 / 27 |
Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 45 | $11.820,90 | 217 / 10 | $5.788,22 | 859 / 14 | $4.847,22 | 856 / 22 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 28 | 92 / 31 | $12.565,10 | 502 / 29 | $4.436,79 | 699 / 7 | $3.489,36 | 697 / 15 |
Heart Failure & Shock W Cc | 28 | 250 / 56 | $14.483,00 | 523 / 35 | $6.160,68 | 1179 / 22 | $5.429,25 | 1176 / 29 |
Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 48 | $10.447,90 | 338 / 13 | $4.817,38 | 548 / 14 | $3.651,85 | 547 / 10 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 35 | $11.138,20 | 444 / 25 | $4.346,28 | 546 / 12 | $3.337,64 | 544 / 11 |
Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 56 | $19.937,20 | 705 / 49 | $7.210,32 | 944 / 17 | $6.195,28 | 939 / 21 |
G.I. Obstruction W Cc | 22 | 70 / 30 | $12.028,30 | 121 / 13 | $5.443,68 | 725 / 8 | $4.730,95 | 724 / 22 |
Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 49 | $14.794,80 | 534 / 36 | $6.063,23 | 1062 / 22 | $5.130,86 | 1059 / 25 |
Renal Failure W Cc | 21 | 200 / 50 | $12.436,30 | 249 / 17 | $5.941,52 | 1011 / 14 | $5.193,33 | 1003 / 23 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 59 | $13.282,00 | 537 / 33 | $4.619,52 | 817 / 11 | $3.641,24 | 812 / 21 |
Cellulitis W/O Mcc | 21 | 168 / 51 | $10.884,80 | 345 / 17 | $5.197,81 | 1077 / 13 | $4.332,29 | 1071 / 25 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 39 | $11.636,30 | 195 / 8 | $4.972,14 | 937 / 9 | $4.455,57 | 931 / 24 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 47 | $14.908,90 | 147 / 10 | $6.678,79 | 801 / 14 | $5.551,93 | 799 / 16 |
Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 35 | $9.937,00 | 255 / 17 | $4.208,93 | 553 / 10 | $3.344,93 | 551 / 15 |
Pulmonary Edema & Respiratory Failure | 13 | 190 / 60 | $22.877,30 | 594 / 44 | $7.530,77 | 710 / 16 | $6.602,77 | 710 / 18 |
Heart Failure & Shock W Mcc | 11 | 273 / 68 | $29.692,10 | 1060 / 63 | $9.215,36 | 1120 / 24 | $8.450,36 | 1117 / 28 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 11 | 139 / 46 | $8.345,00 | 176 / 7 | $3.472,18 | 564 / 4 | $2.491,82 | 560 / 12 | Total 20 procedures | 544 | 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.