Hospital Costs > In Michigan > Promedica Monroe Regional Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Mcc | 167 | 39 / 5 | $21.845,00 | 888 / 60 | $7.240,03 | 1015 / 18 | $6.258,80 | 1010 / 26 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 162 | 354 / 38 | $31.091,90 | 833 / 53 | $11.154,40 | 1052 / 22 | $10.265,20 | 1039 / 27 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 146 | 129 / 20 | $13.742,40 | 596 / 36 | $4.701,79 | 863 / 16 | $3.669,97 | 858 / 24 |
| Chronic Obstructive Pulmonary Disease W Cc | 112 | 67 / 12 | $17.146,30 | 716 / 47 | $5.718,54 | 956 / 12 | $4.921,96 | 953 / 25 |
| Kidney & Urinary Tract Infections W Mcc | 89 | 55 / 11 | $18.574,90 | 474 / 31 | $6.763,96 | 746 / 11 | $6.020,22 | 745 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 87 | 477 / 51 | $38.104,40 | 649 / 52 | $12.246,20 | 1060 / 3 | $11.164,10 | 1037 / 19 |
| Simple Pneumonia & Pleurisy W Cc | 85 | 118 / 12 | $20.551,70 | 1188 / 64 | $6.031,42 | 1146 / 21 | $5.191,18 | 1142 / 28 |
| Cellulitis W/O Mcc | 84 | 105 / 19 | $14.173,60 | 747 / 52 | $5.248,20 | 919 / 17 | $4.213,73 | 913 / 21 |
| Heart Failure & Shock W Mcc | 71 | 213 / 46 | $27.402,50 | 933 / 55 | $8.878,84 | 946 / 18 | $8.213,59 | 945 / 23 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 67 | 58 / 14 | $27.925,50 | 364 / 30 | $10.105,70 | 619 / 11 | $9.255,25 | 618 / 15 |
| Heart Failure & Shock W Cc | 61 | 217 / 40 | $19.450,30 | 1111 / 63 | $6.121,82 | 1096 / 19 | $5.367,98 | 1094 / 26 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 61 | 59 / 11 | $13.635,20 | 621 / 40 | $4.494,52 | 789 / 11 | $3.565,48 | 785 / 21 |
| Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 31 | $13.869,50 | 780 / 44 | $4.873,03 | 995 / 21 | $3.957,82 | 987 / 25 |
| Simple Pneumonia & Pleurisy W Mcc | 58 | 147 / 28 | $23.862,90 | 624 / 43 | $8.693,81 | 1233 / 20 | $8.195,05 | 1233 / 32 |
| Renal Failure W Cc | 58 | 163 / 35 | $14.741,00 | 442 / 30 | $5.879,62 | 976 / 11 | $5.160,17 | 968 / 21 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 55 | 152 / 35 | $18.500,60 | 634 / 48 | $6.526,93 | 675 / 16 | $5.371,49 | 673 / 14 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 48 | 43 / 8 | $16.980,70 | 175 / 14 | $5.912,56 | 282 / 2 | $5.105,90 | 282 / 2 |
| Renal Failure W Mcc | 47 | 148 / 35 | $27.111,30 | 586 / 38 | $10.338,90 | 787 / 30 | $8.513,13 | 787 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 45 | 116 / 35 | $14.121,50 | 428 / 27 | $4.933,89 | 684 / 12 | $3.994,51 | 681 / 16 |
| Syncope & Collapse | 43 | 126 / 30 | $14.627,00 | 362 / 31 | $4.675,95 | 593 / 16 | $3.645,86 | 590 / 17 |
| Chest Pain | 42 | 109 / 23 | $13.513,50 | 354 / 25 | $4.075,07 | 502 / 17 | $2.932,40 | 499 / 13 |
| G.I. Hemorrhage W Cc | 35 | 183 / 46 | $19.914,90 | 744 / 48 | $6.037,14 | 647 / 14 | $5.047,66 | 646 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 37 | $22.598,70 | 640 / 44 | $6.915,47 | 495 / 20 | $5.217,65 | 494 / 7 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 34 | 12 / 5 | $9.264,74 | 16 / 1 | $4.424,56 | 102 / 3 | $3.235,00 | 102 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 32 | 99 / 30 | $34.281,50 | 189 / 12 | $13.499,60 | 748 / 9 | $13.122,50 | 740 / 17 |
| Pulmonary Edema & Respiratory Failure | 31 | 172 / 46 | $21.111,50 | 474 / 36 | $7.308,19 | 922 / 10 | $6.839,55 | 922 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 31 | $11.912,90 | 539 / 31 | $4.384,81 | 817 / 13 | $3.527,00 | 814 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 32 | $22.770,20 | 507 / 35 | $7.257,17 | 635 / 9 | $6.573,43 | 632 / 13 |
| Cellulitis W Mcc | 30 | 28 / 9 | $24.624,30 | 236 / 25 | $8.963,93 | 353 / 6 | $8.120,17 | 351 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 29 | 67 / 21 | $23.581,30 | 372 / 30 | $7.329,86 | 479 / 5 | $6.582,86 | 476 / 9 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 29 | 24 / 4 | $11.171,00 | 63 / 4 | $4.718,38 | 298 / 7 | $3.770,14 | 295 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 31 | $10.382,10 | 383 / 21 | $3.616,69 | 684 / 14 | $2.576,14 | 680 / 20 |
| Red Blood Cell Disorders W/O Mcc | 28 | 115 / 30 | $16.029,00 | 541 / 38 | $5.023,68 | 746 / 11 | $4.236,82 | 741 / 13 |
| Diabetes W Cc | 25 | 67 / 23 | $14.792,50 | 326 / 23 | $5.176,80 | 609 / 10 | $4.401,12 | 608 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 24 | 164 / 36 | $21.099,80 | 133 / 11 | $6.499,79 | 638 / 2 | $5.645,12 | 636 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 27 | $13.590,80 | 679 / 41 | $4.264,96 | 652 / 13 | $3.430,17 | 650 / 18 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 30 | $63.515,10 | 131 / 12 | $29.788,20 | 437 / 8 | $28.950,70 | 434 / 10 |
| G.I. Obstruction W Cc | 22 | 70 / 30 | $16.817,00 | 423 / 35 | $5.315,23 | 573 / 4 | $4.548,68 | 572 / 16 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 33 | $37.185,90 | 597 / 45 | $10.792,80 | 725 / 10 | $10.299,70 | 725 / 19 |
| Pulmonary Embolism W/O Mcc | 21 | 53 / 19 | $17.269,40 | 249 / 20 | $6.355,48 | 443 / 11 | $5.080,14 | 441 / 10 |
| Transient Ischemia | 21 | 104 / 31 | $14.323,60 | 257 / 26 | $4.436,10 | 581 / 8 | $3.451,71 | 578 / 17 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 21 | 25 / 2 | $16.306,10 | 30 / 1 | $6.958,00 | 40 / 6 | $4.504,29 | 40 / 2 |
| Medical Back Problems W/O Mcc | 21 | 100 / 28 | $17.113,80 | 337 / 23 | $5.201,43 | 537 / 7 | $4.284,10 | 535 / 13 |
| Bronchitis & Asthma W Cc/Mcc | 20 | 56 / 17 | $16.261,90 | 244 / 23 | $5.495,15 | 239 / 4 | $4.194,15 | 236 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 19 | 149 / 40 | $21.283,10 | 123 / 10 | $9.957,32 | 167 / 5 | $8.386,42 | 166 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 18 | $13.201,50 | 529 / 33 | $4.460,17 | 969 / 7 | $3.651,28 | 964 / 25 |
| Atherosclerosis W/O Mcc | 18 | 40 / 13 | $15.989,60 | 204 / 25 | $3.908,67 | / 7 | $3.169,11 | / |
| Seizures W/O Mcc | 18 | 90 / 30 | $13.577,70 | 193 / 19 | $4.674,61 | 422 / 3 | $3.933,28 | 420 / 17 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 25 | $16.515,60 | 336 / 31 | $4.741,33 | 595 / 5 | $3.733,33 | 591 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 35 | $31.048,50 | 261 / 13 | $11.556,60 | 736 / 8 | $10.487,50 | 729 / 11 |
| Dysequilibrium | 17 | 48 / 15 | $12.941,60 | 84 / 8 | $4.003,76 | 110 / 4 | $2.813,18 | 110 / 2 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 30 | $15.245,70 | 196 / 19 | $5.692,00 | 411 / 6 | $5.123,53 | 409 / 14 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 17 | $21.813,20 | 346 / 26 | $6.924,65 | 353 / 3 | $6.284,59 | 352 / 4 |
| Respiratory Neoplasms W Mcc | 17 | 35 / 13 | $29.725,20 | 110 / 12 | $9.477,41 | 72 / 1 | $8.628,41 | 72 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 37 | $21.229,60 | 469 / 37 | $6.494,19 | 407 / 5 | $5.888,19 | 404 / 6 |
| Pulmonary Embolism W Mcc | 16 | 27 / 17 | $34.217,80 | 233 / 22 | $8.978,44 | 182 / 2 | $8.182,38 | 182 / 4 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 18 | $11.329,80 | 86 / 5 | $4.586,38 | 304 / 3 | $3.906,38 | 304 / 12 |
| Disorders Of Pancreas Except Malignancy W Mcc | 15 | 31 / 9 | $27.986,00 | 52 / 7 | $11.377,70 | 121 / 5 | $10.573,40 | 121 / 6 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 36 | $40.470,40 | 807 / 54 | $12.882,70 | 361 / 29 | $10.169,70 | 361 / 4 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 18 | $16.892,00 | 177 / 20 | $5.635,79 | 305 / 4 | $4.776,36 | 304 / 10 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 17 | $10.462,80 | 117 / 13 | $4.048,36 | 315 / 4 | $3.358,07 | 314 / 7 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 14 | 30 / 9 | $11.781,40 | 37 / 5 | $4.600,86 | 102 / 2 | $3.995,14 | 102 / 7 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 20 | $13.088,10 | 252 / 12 | $4.359,50 | 253 / 4 | $3.669,21 | 253 / 9 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 30 | $34.663,70 | 337 / 27 | $10.990,60 | 287 / 5 | $9.928,86 | 286 / 3 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 28 | $22.814,30 | 166 / 20 | $8.513,00 | 332 / 6 | $7.820,43 | 331 / 7 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 13 | 25 / 9 | $14.874,50 | 131 / 15 | $4.152,23 | 167 / 2 | $3.216,85 | 167 / 7 |
| Hypertension W/O Mcc | 12 | 53 / 20 | $10.981,40 | 83 / 9 | $3.993,92 | 242 / 6 | $2.993,92 | 240 / 9 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 31 | $43.620,80 | 266 / 21 | $15.041,90 | 699 / 8 | $14.335,20 | 693 / 15 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 32 | $17.255,20 | 252 / 24 | $5.977,42 | 485 / 5 | $5.174,75 | 482 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 19 | $49.155,20 | 116 / 15 | $17.628,70 | 173 / 2 | $16.530,00 | 173 / 3 |
| Headaches W/O Mcc | 12 | 31 / 11 | $15.356,70 | 50 / 9 | $4.231,83 | 56 / 1 | $3.229,17 | 56 / 5 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 24 | $13.565,40 | 81 / 7 | $5.477,45 | 274 / 4 | $4.927,64 | 274 / 10 |
| Seizures W Mcc | 11 | 55 / 22 | $30.157,60 | 170 / 27 | $9.182,64 | 97 / 6 | $7.718,36 | 97 / 1 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 24 | $20.569,30 | 285 / 19 | $8.002,09 | 271 / 4 | $6.902,45 | 269 / 5 |
| Fractures Of Hip & Pelvis W/O Mcc | 11 | 50 / 18 | $13.660,30 | 230 / 17 | $4.521,36 | 236 / 4 | $3.319,91 | 237 / 6 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 22 | $14.006,10 | 306 / 26 | $4.012,45 | 296 / 5 | $3.139,73 | 295 / 9 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 30 | $72.926,50 | 145 / 17 | $30.006,70 | 473 / 7 | $29.349,30 | 471 / 10 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 29 | $13.794,20 | 263 / 20 | $4.322,18 | 333 / 6 | $3.437,82 | 332 / 7 | Total 78 procedures | 2.752 | 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.