Hospital Costs > In Michigan > Spectrum Health Gerber Memorial, 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 | 70 | 446 / 62 | $18.396,20 | 195 / 10 | $11.519,50 | 697 / 27 | $9.782,89 | 696 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 44 | 520 / 67 | $26.871,40 | 123 / 7 | $14.944,60 | 1335 / 53 | $11.668,80 | 1303 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 29 | 178 / 50 | $12.523,40 | 180 / 12 | $6.497,10 | 827 / 15 | $5.499,59 | 825 / 22 |
| Pulmonary Edema & Respiratory Failure | 21 | 182 / 53 | $16.961,20 | 232 / 19 | $8.097,71 | 1162 / 29 | $7.181,90 | 1160 / 34 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 52 | $9.844,74 | 100 / 4 | $6.008,05 | 976 / 17 | $5.058,16 | 973 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 61 | $13.219,90 | 196 / 12 | $7.254,94 | 875 / 19 | $6.125,53 | 870 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 15 | 190 / 53 | $13.911,90 | 80 / 5 | $8.476,47 | 594 / 13 | $7.431,13 | 594 / 11 |
| Cellulitis W/O Mcc | 15 | 174 / 56 | $9.575,20 | 210 / 8 | $5.691,67 | 1333 / 33 | $4.563,13 | 1327 / 36 |
| G.I. Hemorrhage W Cc | 13 | 205 / 61 | $13.608,60 | 197 / 14 | $6.707,38 | 1219 / 35 | $5.599,69 | 1217 / 34 |
| Heart Failure & Shock W Cc | 12 | 266 / 66 | $10.981,40 | 194 / 10 | $6.541,25 | 1472 / 36 | $5.733,25 | 1467 / 40 | Total 10 procedures | 255 | 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.