Hospital Costs > In Michigan > Saint Joseph Mercy Livingston 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 | 140 | 376 / 41 | $24.709,90 | 512 / 38 | $12.768,60 | 1469 / 52 | $10.969,30 | 1440 / 40 |
| Pulmonary Edema & Respiratory Failure | 71 | 132 / 28 | $18.344,20 | 311 / 27 | $8.711,55 | 1269 / 48 | $7.347,83 | 1266 / 42 |
| Heart Failure & Shock W Mcc | 58 | 226 / 50 | $16.154,00 | 203 / 16 | $9.732,36 | 1268 / 35 | $8.672,91 | 1265 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 57 | 150 / 34 | $14.741,30 | 330 / 28 | $7.296,56 | 938 / 43 | $5.610,39 | 935 / 26 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 47 | 517 / 64 | $38.192,60 | 651 / 53 | $14.957,40 | 1334 / 54 | $11.665,30 | 1302 / 30 |
| Heart Failure & Shock W Cc | 36 | 242 / 52 | $14.386,10 | 511 / 34 | $7.277,36 | 1486 / 58 | $5.753,19 | 1481 / 41 |
| Chronic Obstructive Pulmonary Disease W Mcc | 36 | 166 / 49 | $15.615,90 | 360 / 29 | $8.003,14 | 1356 / 43 | $6.651,92 | 1350 / 38 |
| Cellulitis W/O Mcc | 29 | 160 / 46 | $10.888,30 | 347 / 18 | $6.137,62 | 632 / 48 | $3.999,17 | 629 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 45 | $20.384,40 | 415 / 31 | $10.086,30 | 1312 / 49 | $8.338,04 | 1312 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 56 | $14.970,00 | 751 / 46 | $5.338,38 | 1242 / 42 | $3.920,54 | 1231 / 38 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 35 | $14.933,50 | 949 / 61 | $5.251,96 | 1300 / 51 | $3.887,68 | 1296 / 41 |
| Syncope & Collapse | 22 | 147 / 42 | $17.024,10 | 573 / 44 | $5.242,36 | 833 / 36 | $3.879,45 | 829 / 26 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 51 | $15.182,80 | 582 / 40 | $6.470,20 | 1076 / 33 | $5.138,00 | 1073 / 26 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 34 | $28.434,80 | 339 / 29 | $12.830,20 | 858 / 26 | $11.288,70 | 848 / 23 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 52 | $10.711,60 | 360 / 18 | $5.532,95 | 1593 / 45 | $4.435,47 | 1582 / 45 |
| G.I. Obstruction W Cc | 18 | 74 / 33 | $19.803,90 | 638 / 52 | $7.809,78 | 622 / 56 | $4.609,78 | 621 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 48 | $14.798,50 | 494 / 36 | $5.592,33 | 1031 / 38 | $4.330,11 | 1027 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 45 | $22.029,60 | 597 / 41 | $7.660,78 | 1222 / 42 | $6.178,78 | 1219 / 35 |
| Nonspecific Cerebrovascular Disorders W Cc | 17 | 39 / 14 | $14.252,40 | 35 / 6 | $6.733,65 | 218 / 9 | $5.624,71 | 218 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 54 | $15.251,40 | 535 / 37 | $7.237,18 | 1337 / 59 | $5.307,18 | 1332 / 38 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 42 | $12.590,90 | 133 / 8 | $7.540,31 | 953 / 26 | $6.313,06 | 950 / 24 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 42 | $19.251,70 | 297 / 21 | $9.202,94 | 787 / 46 | $6.792,75 | 784 / 19 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 22 | $16.317,60 | 205 / 17 | $6.331,06 | 376 / 9 | $4.936,06 | 376 / 7 |
| Renal Failure W Cc | 15 | 206 / 54 | $27.030,90 | 1550 / 72 | $7.395,67 | 1607 / 54 | $5.948,20 | 1598 / 48 |
| G.I. Hemorrhage W Cc | 15 | 203 / 59 | $15.581,40 | 344 / 26 | $6.691,60 | 929 / 34 | $5.305,20 | 927 / 24 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 27 | $61.385,10 | 40 / 4 | $38.339,50 | 459 / 17 | $35.990,20 | 458 / 15 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 43 | $12.710,70 | 681 / 42 | $4.004,67 | 858 / 27 | $2.713,47 | 854 / 28 |
| Pulmonary Embolism W Mcc | 13 | 30 / 19 | $29.114,70 | 148 / 14 | $10.309,80 | 312 / 12 | $8.973,15 | 312 / 11 |
| Transient Ischemia | 13 | 112 / 36 | $12.754,80 | 162 / 12 | $4.942,54 | 866 / 28 | $3.804,69 | 862 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 29 | $17.848,70 | 422 / 34 | $5.369,08 | 897 / 30 | $4.130,92 | 893 / 29 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 37 | $11.168,70 | 378 / 27 | $4.741,00 | 1047 / 31 | $3.781,33 | 1039 / 34 | Total 31 procedures | 879 | 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.