Hospital Costs > In Michigan > Saint Mary's Health Care, 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 | 440 | 109 / 16 | $24.249,20 | 493 / 36 | $13.502,70 | 1694 / 65 | $11.439,70 | 1661 / 50 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 219 | 345 / 27 | $27.839,00 | 153 / 13 | $15.345,80 | 1405 / 63 | $11.814,70 | 1372 / 34 |
| Heart Failure & Shock W Mcc | 148 | 136 / 22 | $18.626,00 | 349 / 26 | $10.955,60 | 1495 / 61 | $9.033,20 | 1491 / 45 |
| Spinal Fusion Except Cervical W/O Mcc | 109 | 85 / 9 | $50.455,20 | 122 / 8 | $27.739,20 | 752 / 26 | $23.663,70 | 748 / 18 |
| Pulmonary Edema & Respiratory Failure | 98 | 105 / 16 | $15.831,70 | 185 / 16 | $9.694,39 | 1292 / 64 | $7.406,32 | 1289 / 46 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 95 | 112 / 20 | $14.279,80 | 298 / 24 | $8.154,97 | 1538 / 63 | $6.321,89 | 1531 / 53 |
| Renal Failure W Cc | 79 | 142 / 27 | $12.008,70 | 211 / 12 | $7.407,85 | 1553 / 55 | $5.851,33 | 1544 / 45 |
| Kidney Transplant | 67 | 42 / 2 | $119.380,00 | 14 / 3 | $34.072,20 | 16 / 2 | $17.936,80 | 16 / 2 |
| Renal Failure W Mcc | 65 | 130 / 30 | $17.190,20 | 133 / 7 | $11.234,60 | 1253 / 47 | $9.557,75 | 1253 / 37 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 59 | 19 / 3 | $27.193,90 | 58 / 14 | $12.537,30 | 165 / 18 | $8.451,22 | 165 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 59 | 216 / 41 | $10.267,20 | 235 / 8 | $6.162,07 | 1813 / 65 | $4.499,31 | 1800 / 56 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 57 | 44 / 5 | $29.426,50 | 366 / 32 | $13.488,60 | 819 / 40 | $11.041,40 | 816 / 36 |
| Respiratory Infections & Inflammations W Mcc | 53 | 83 / 12 | $17.930,10 | 55 / 5 | $12.664,30 | 749 / 24 | $11.027,30 | 741 / 18 |
| G.I. Hemorrhage W Cc | 50 | 168 / 41 | $13.864,00 | 214 / 16 | $7.704,36 | 1591 / 60 | $6.140,98 | 1587 / 54 |
| Heart Failure & Shock W Cc | 50 | 228 / 46 | $10.916,70 | 187 / 9 | $7.486,24 | 1770 / 65 | $6.084,88 | 1765 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 47 | 135 / 29 | $17.844,90 | 337 / 22 | $8.248,34 | 1322 / 53 | $6.382,55 | 1319 / 43 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 23 | $9.399,22 | 252 / 10 | $5.855,71 | 1682 / 61 | $4.300,16 | 1677 / 56 |
| Seizures W/O Mcc | 45 | 63 / 13 | $11.228,60 | 107 / 7 | $6.227,62 | 703 / 38 | $4.502,09 | 700 / 28 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 43 | 81 / 20 | $76.125,60 | 222 / 19 | $36.011,60 | 847 / 24 | $33.216,10 | 841 / 25 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 43 | 125 / 23 | $24.134,70 | 182 / 16 | $12.535,20 | 831 / 40 | $10.326,40 | 829 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 41 | 85 / 21 | $18.383,20 | 323 / 26 | $9.149,29 | 1011 / 47 | $7.112,22 | 1008 / 35 |
| Cervical Spinal Fusion W/O Cc/Mcc | 40 | 64 / 8 | $26.157,40 | 35 / 3 | $15.818,00 | 559 / 15 | $13.253,80 | 556 / 18 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 39 | 64 / 7 | $28.023,20 | 479 / 39 | $9.895,41 | 667 / 36 | $7.458,41 | 667 / 35 |
| Cellulitis W/O Mcc | 38 | 151 / 42 | $8.836,89 | 152 / 5 | $6.497,87 | 1644 / 60 | $4.900,95 | 1637 / 49 |
| Transient Ischemia | 38 | 87 / 18 | $13.817,70 | 230 / 22 | $5.723,45 | 1088 / 44 | $4.219,42 | 1083 / 43 |
| Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 48 | $11.949,60 | 124 / 3 | $8.746,08 | 1203 / 61 | $6.465,68 | 1197 / 33 |
| Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 40 | $8.769,05 | 177 / 4 | $5.812,84 | 1668 / 55 | $4.515,62 | 1657 / 47 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 37 | 86 / 27 | $16.529,90 | 178 / 12 | $8.997,70 | 1193 / 42 | $7.571,78 | 1190 / 39 |
| Other Circulatory System Diagnoses W Mcc | 33 | 83 / 18 | $19.467,40 | 44 / 3 | $13.103,20 | 603 / 28 | $11.139,60 | 601 / 18 |
| Red Blood Cell Disorders W/O Mcc | 33 | 110 / 26 | $12.220,30 | 227 / 12 | $6.500,30 | 1300 / 46 | $4.993,30 | 1291 / 41 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 40 | $10.503,60 | 138 / 7 | $6.438,52 | 1301 / 54 | $4.653,21 | 1296 / 41 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 30 | 66 / 7 | $31.828,80 | 54 / 2 | $16.452,10 | 448 / 24 | $12.468,50 | 445 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 25 | $26.563,60 | 113 / 4 | $13.495,20 | 1298 / 36 | $11.969,10 | 1281 / 37 |
| Chronic Obstructive Pulmonary Disease W Cc | 29 | 150 / 47 | $9.158,45 | 58 / 1 | $7.222,48 | 1530 / 57 | $5.562,90 | 1524 / 46 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 31 | $37.715,90 | 271 / 22 | $17.416,80 | 1146 / 45 | $14.816,30 | 1133 / 39 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 27 | 65 / 20 | $92.573,20 | 139 / 19 | $45.847,70 | 545 / 34 | $37.676,60 | 544 / 25 |
| Simple Pneumonia & Pleurisy W Mcc | 27 | 178 / 45 | $15.054,10 | 125 / 8 | $10.236,30 | 1329 / 53 | $8.366,44 | 1329 / 35 |
| Other Disorders Of Nervous System W Mcc | 27 | 13 / 3 | $15.536,60 | 6 / 1 | $10.768,40 | 119 / 5 | $9.377,07 | 119 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 26 | 118 / 37 | $11.931,90 | 104 / 4 | $7.779,88 | 880 / 34 | $6.191,00 | 878 / 20 |
| G.I. Obstruction W Cc | 26 | 66 / 26 | $15.220,20 | 308 / 27 | $7.388,08 | 1122 / 48 | $5.331,77 | 1119 / 41 |
| Chest Pain | 25 | 126 / 29 | $9.343,20 | 120 / 5 | $5.170,64 | 1112 / 42 | $3.770,00 | 1105 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 20 | $16.099,10 | 316 / 29 | $6.109,92 | 1050 / 44 | $4.455,83 | 1046 / 41 |
| Diabetes W Cc | 24 | 68 / 24 | $10.489,20 | 96 / 1 | $6.487,33 | 711 / 39 | $4.544,79 | 709 / 21 |
| Major Chest Procedures W Cc | 23 | 51 / 4 | $52.620,00 | 135 / 9 | $19.718,30 | 278 / 14 | $15.670,10 | 276 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 28 | $8.848,41 | 174 / 10 | $5.518,36 | 1322 / 52 | $4.120,00 | 1311 / 44 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 24 | $13.102,40 | 92 / 6 | $7.917,73 | 849 / 40 | $5.928,55 | 845 / 32 |
| Other Vascular Procedures W Mcc | 21 | 76 / 21 | $37.169,50 | 36 / 1 | $21.668,60 | 429 / 10 | $19.944,90 | 427 / 12 |
| Nonspecific Cerebrovascular Disorders W Mcc | 20 | 31 / 12 | $19.815,30 | 23 / 6 | $11.617,20 | 193 / 12 | $10.144,50 | 193 / 7 |
| G.I. Hemorrhage W Mcc | 20 | 101 / 35 | $24.216,60 | 153 / 8 | $12.624,50 | 976 / 34 | $11.134,80 | 970 / 31 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 27 | $11.906,30 | 34 / 2 | $8.744,37 | 724 / 32 | $7.194,26 | 719 / 21 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 19 | 55 / 6 | $24.286,10 | 1 / 1 | $15.811,50 | 46 / 1 | $12.325,10 | 46 / 3 |
| Syncope & Collapse | 19 | 150 / 44 | $11.695,00 | 182 / 13 | $5.849,68 | 1118 / 48 | $4.248,63 | 1111 / 41 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 41 | $9.711,58 | 321 / 17 | $4.821,89 | 1176 / 49 | $2.994,32 | 1171 / 36 |
| Major Chest Procedures W/O Cc/Mcc | 19 | 40 / 4 | $43.015,20 | 89 / 6 | $14.943,20 | 77 / 5 | $9.898,79 | 77 / 3 |
| Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 20 | $24.750,80 | 275 / 21 | $7.766,78 | 737 / 19 | $6.873,28 | 734 / 29 |
| Hypertension W/O Mcc | 18 | 47 / 14 | $9.102,33 | 46 / 1 | $5.099,50 | 553 / 25 | $4.073,17 | 551 / 29 |
| Major Small & Large Bowel Procedures W Mcc | 17 | 68 / 24 | $83.492,30 | 219 / 22 | $36.196,60 | 741 / 30 | $32.880,00 | 739 / 25 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 17 | 44 / 15 | $6.713,71 | 15 / 1 | $5.172,88 | 450 / 25 | $3.707,82 | 449 / 17 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 27 | $43.647,10 | 267 / 22 | $19.057,10 | 871 / 41 | $15.078,80 | 863 / 19 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 17 | 51 / 18 | $13.982,20 | 89 / 8 | $7.120,47 | 448 / 28 | $5.645,88 | 448 / 25 |
| Red Blood Cell Disorders W Mcc | 17 | 54 / 22 | $14.869,40 | 62 / 4 | $9.481,41 | 654 / 24 | $8.072,12 | 650 / 22 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 25 | $16.520,00 | 46 / 7 | $10.124,50 | 527 / 25 | $8.635,00 | 525 / 22 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 16 | 75 / 10 | $25.229,60 | 116 / 8 | $8.189,50 | 164 / 7 | $7.274,06 | 164 / 5 |
| Other Disorders Of Nervous System W Cc | 16 | 40 / 17 | $14.639,60 | 80 / 7 | $7.156,31 | 225 / 20 | $4.971,44 | 225 / 6 |
| Nonspecific Cerebrovascular Disorders W Cc | 16 | 40 / 15 | $13.971,80 | 30 / 5 | $6.985,75 | 227 / 13 | $5.656,38 | 227 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 33 | $14.082,10 | 94 / 7 | $7.574,00 | 820 / 31 | $6.178,27 | 818 / 26 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 15 | 54 / 13 | $44.733,90 | 72 / 7 | $19.402,20 | 292 / 14 | $15.837,30 | 291 / 12 |
| Other Vascular Procedures W Cc | 15 | 87 / 25 | $36.668,70 | 70 / 8 | $17.889,70 | 657 / 24 | $16.002,90 | 654 / 22 |
| Other Resp System O.R. Procedures W Mcc | 15 | 48 / 13 | $44.319,80 | 33 / 5 | $27.390,20 | 106 / 18 | $19.266,20 | 106 / 3 |
| Major Chest Procedures W Mcc | 15 | 34 / 4 | $66.394,90 | 24 / 3 | $34.158,50 | 75 / 6 | $27.506,70 | 75 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 21 | $8.974,07 | 86 / 6 | $5.303,80 | 752 / 38 | $3.352,13 | 749 / 33 |
| Other Digestive System Diagnoses W Mcc | 15 | 47 / 14 | $24.175,80 | 89 / 13 | $12.439,60 | 318 / 23 | $10.233,20 | 317 / 14 |
| Spinal Fusion Except Cervical W Mcc | 15 | 10 / 2 | $61.844,30 | 2 / 2 | $43.300,90 | 5 / 3 | $31.121,10 | 5 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 17 | $33.202,90 | 24 / 1 | $19.624,50 | 431 / 13 | $17.537,60 | 428 / 10 |
| Digestive Malignancy W Cc | 14 | 33 / 7 | $19.443,40 | 37 / 5 | $9.682,86 | 208 / 11 | $7.880,29 | 206 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 56 | $9.488,29 | 81 / 3 | $7.450,07 | 1960 / 64 | $6.093,07 | 1952 / 61 |
| Psychoses | 14 | 261 / 10 | $5.706,07 | 3 / 1 | $7.312,71 | 369 / 10 | $6.412,21 | 369 / 12 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 10 | $22.800,00 | 58 / 2 | $12.501,50 | 549 / 19 | $9.484,36 | 547 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 18 | $40.163,80 | 47 / 2 | $21.356,20 | 511 / 17 | $19.422,70 | 508 / 18 |
| Stomach, Esophageal & Duodenal Proc W Cc | 13 | 37 / 6 | $33.264,20 | 4 / 1 | $19.891,20 | 61 / 8 | $14.938,80 | 61 / 1 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 25 | $8.814,23 | 21 / 1 | $7.044,08 | 813 / 27 | $5.844,15 | 810 / 29 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 17 | $32.102,50 | 137 / 15 | $14.010,00 | 445 / 28 | $11.713,10 | 443 / 27 |
| Signs & Symptoms W Mcc | 12 | 29 / 12 | $10.631,40 | 9 / 2 | $8.682,25 | 73 / 11 | $6.386,83 | 73 / 4 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 12 | 51 / 17 | $63.240,30 | 42 / 6 | $32.897,20 | 339 / 15 | $29.528,70 | 339 / 10 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 12 | 86 / 15 | $68.870,80 | 51 / 5 | $27.870,60 | 141 / 3 | $25.191,10 | 141 / 3 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 28 | $10.021,80 | 92 / 6 | $5.806,92 | 205 / 38 | $3.244,92 | 205 / 1 |
| Complications Of Treatment W Mcc | 12 | 39 / 12 | $26.263,30 | 34 / 3 | $13.329,60 | 151 / 9 | $11.647,30 | 151 / 7 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 12 | 42 / 10 | $11.132,10 | 25 / 3 | $6.211,75 | 170 / 14 | $4.100,83 | 170 / 10 |
| G.I. Obstruction W Mcc | 12 | 30 / 16 | $22.015,80 | 48 / 4 | $12.349,90 | 305 / 18 | $10.272,40 | 305 / 16 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 41 | $19.923,30 | 106 / 7 | $8.273,08 | 1085 / 32 | $6.643,83 | 1082 / 29 |
| Medical Back Problems W/O Mcc | 12 | 109 / 34 | $12.202,30 | 108 / 5 | $6.732,67 | 934 / 35 | $5.051,75 | 931 / 33 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 43 | $23.649,40 | 252 / 20 | $12.952,60 | 1155 / 45 | $10.859,10 | 1150 / 37 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 22 | $19.360,20 | 472 / 28 | $6.599,25 | 319 / 28 | $3.848,83 | 319 / 14 |
| Revision Of Hip Or Knee Replacement W Cc | 12 | 74 / 16 | $54.250,80 | 100 / 9 | $23.198,60 | 290 / 15 | $19.216,10 | 289 / 6 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 23 | $14.389,40 | 81 / 4 | $9.992,67 | 860 / 29 | $8.170,50 | 855 / 20 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 16 | $28.053,60 | 101 / 9 | $12.743,00 | 438 / 19 | $9.450,75 | 438 / 12 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 12 | 36 / 6 | $33.430,50 | 63 / 4 | $12.396,20 | 84 / 5 | $8.217,67 | 84 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 12 | $47.059,50 | 406 / 28 | $19.833,10 | 855 / 31 | $16.130,50 | 851 / 31 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 20 | $6.688,36 | 24 / 1 | $5.596,91 | 631 / 25 | $4.144,45 | 627 / 22 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 27 | $44.907,30 | 41 / 3 | $22.602,20 | 578 / 15 | $21.074,00 | 578 / 14 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 16 | $35.816,40 | 94 / 8 | $18.236,20 | 284 / 19 | $11.197,20 | 284 / 5 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 23 | $8.157,64 | 24 / 1 | $6.757,36 | 646 / 25 | $5.257,09 | 642 / 25 |
| Seizures W Mcc | 11 | 55 / 22 | $16.770,10 | 29 / 4 | $10.651,90 | 316 / 20 | $9.018,82 | 316 / 18 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 11 | 62 / 14 | $29.678,20 | 80 / 5 | $10.688,40 | 204 / 8 | $7.151,73 | 204 / 7 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 12 | $32.835,50 | 17 / 1 | $17.708,40 | 320 / 6 | $16.082,60 | 320 / 8 | Total 105 procedures | 3.519 | 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.