Hospital Costs > In Michigan > Spectrum Health Big Rapids 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 | 94 | 422 / 56 | $10.877,60 | 11 / 2 | $11.224,40 | 990 / 23 | $10.167,90 | 981 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 50 | 514 / 62 | $20.215,20 | 17 / 2 | $13.140,00 | 1462 / 20 | $11.954,10 | 1429 / 37 |
| Heart Failure & Shock W Mcc | 35 | 249 / 57 | $11.233,00 | 32 / 4 | $9.246,40 | 1207 / 26 | $8.589,94 | 1204 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 47 | $7.822,06 | 13 / 3 | $6.871,67 | 1208 / 28 | $5.884,52 | 1203 / 33 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 57 | $8.035,29 | 6 / 1 | $7.354,08 | 1188 / 25 | $6.448,75 | 1182 / 30 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 52 | $9.560,59 | 7 / 1 | $9.148,65 | 1116 / 26 | $8.011,71 | 1116 / 29 |
| Renal Failure W Cc | 16 | 205 / 53 | $6.104,06 | 1 / 1 | $6.114,38 | 1180 / 21 | $5.362,38 | 1172 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 63 | $6.395,33 | 27 / 1 | $5.086,67 | 1495 / 32 | $4.124,53 | 1484 / 44 |
| G.I. Hemorrhage W Cc | 15 | 203 / 59 | $7.820,13 | 11 / 1 | $6.448,53 | 1250 / 25 | $5.644,27 | 1247 / 36 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 38 | $13.061,00 | 1 / 1 | $11.953,40 | 953 / 16 | $10.922,50 | 940 / 21 |
| Heart Failure & Shock W Cc | 13 | 265 / 65 | $8.650,54 | 61 / 3 | $6.328,77 | 907 / 30 | $5.216,15 | 906 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 13 | 169 / 48 | $10.830,30 | 36 / 2 | $6.911,92 | 1097 / 19 | $5.991,31 | 1094 / 28 | Total 12 procedures | 339 | 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.