Hospital Costs > In Michigan > Portage Health, 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 | 46 | 518 / 65 | $32.173,30 | 323 / 32 | $16.455,70 | 2294 / 77 | $15.325,20 | 2250 / 82 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 41 | 475 / 70 | $20.277,10 | 274 / 19 | $14.562,40 | 2179 / 77 | $13.091,70 | 2141 / 77 |
| Chronic Obstructive Pulmonary Disease W Mcc | 16 | 186 / 62 | $15.105,50 | 318 / 22 | $8.951,81 | 2062 / 65 | $8.125,81 | 2054 / 72 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 56 | $12.896,00 | 315 / 23 | $7.147,64 | 1841 / 55 | $6.194,50 | 1834 / 63 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 23 | $13.268,60 | 53 / 1 | $10.651,80 | 1206 / 39 | $9.755,75 | 1201 / 41 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 66 | $10.324,10 | 238 / 9 | $5.681,75 | 1865 / 55 | $4.572,42 | 1851 / 61 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 43 | $13.162,40 | 25 / 2 | $13.210,00 | 1417 / 50 | $12.202,00 | 1405 / 55 |
| G.I. Obstruction W Cc | 11 | 81 / 40 | $11.893,50 | 113 / 12 | $6.941,36 | 1384 / 44 | $6.176,27 | 1379 / 55 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 58 | $8.728,18 | 172 / 3 | $5.800,91 | 1814 / 52 | $4.710,00 | 1803 / 55 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 60 | $21.724,00 | 939 / 67 | $8.199,45 | 1934 / 65 | $7.105,64 | 1926 / 75 | Total 10 procedures | 186 | 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.