Hospital Costs > In Michigan > Spectrum Health United Memorial - United Campus, 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 | 113 | 403 / 48 | $21.277,90 | 327 / 22 | $10.310,50 | 505 / 6 | $9.524,90 | 505 / 11 |
| Pulmonary Edema & Respiratory Failure | 46 | 157 / 38 | $23.629,50 | 643 / 47 | $7.366,20 | 704 / 12 | $6.595,07 | 704 / 17 |
| Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 40 | $17.590,60 | 243 / 21 | $8.429,19 | 353 / 11 | $7.117,81 | 353 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 35 | 168 / 39 | $12.188,70 | 266 / 17 | $5.877,66 | 1097 / 12 | $5.154,46 | 1093 / 27 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 46 | $15.266,40 | 372 / 33 | $6.242,41 | 566 / 7 | $5.281,47 | 564 / 9 |
| Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 53 | $13.565,10 | 224 / 16 | $7.711,50 | 614 / 35 | $5.880,00 | 612 / 12 |
| Heart Failure & Shock W Cc | 32 | 246 / 53 | $11.690,40 | 248 / 15 | $6.131,22 | 692 / 20 | $5.058,34 | 691 / 13 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 31 | 533 / 74 | $28.362,60 | 167 / 16 | $12.559,00 | 1187 / 10 | $11.357,50 | 1159 / 24 |
| Heart Failure & Shock W Mcc | 24 | 260 / 60 | $15.633,20 | 168 / 12 | $8.500,17 | 545 / 7 | $7.744,17 | 545 / 9 |
| Heart Failure & Shock W/O Cc/Mcc | 22 | 88 / 28 | $8.995,64 | 182 / 11 | $4.361,23 | 436 / 21 | $3.244,32 | 434 / 10 |
| Cellulitis W/O Mcc | 22 | 167 / 50 | $11.660,30 | 424 / 27 | $5.221,91 | 937 / 15 | $4.231,36 | 931 / 22 |
| Chronic Obstructive Pulmonary Disease W Cc | 21 | 158 / 51 | $10.189,30 | 109 / 3 | $5.458,14 | 724 / 4 | $4.741,95 | 722 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 19 | 256 / 61 | $15.856,40 | 856 / 54 | $6.937,63 | 101 / 75 | $2.941,32 | 101 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 16 | 115 / 41 | $34.721,80 | 203 / 14 | $13.714,20 | 725 / 12 | $13.038,20 | 717 / 15 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 43 | $11.240,70 | 458 / 26 | $4.867,13 | 684 / 38 | $3.442,40 | 682 / 16 |
| G.I. Hemorrhage W Cc | 15 | 203 / 59 | $10.189,20 | 48 / 3 | $5.968,33 | 870 / 10 | $5.245,13 | 868 / 22 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 39 | $26.993,70 | 131 / 7 | $13.885,70 | 25 / 44 | $8.774,69 | 25 / 1 |
| G.I. Obstruction W Cc | 13 | 79 / 38 | $11.751,40 | 106 / 11 | $5.508,23 | 595 / 10 | $4.580,23 | 594 / 17 |
| Renal Failure W Cc | 13 | 208 / 56 | $11.166,60 | 156 / 8 | $5.862,77 | 826 / 10 | $5.028,31 | 819 / 16 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 40 | $11.743,80 | 419 / 21 | $4.543,85 | 633 / 17 | $3.428,77 | 632 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 53 | $9.544,50 | 84 / 3 | $4.855,83 | 959 / 7 | $4.253,17 | 956 / 23 |
| Syncope & Collapse | 11 | 158 / 49 | $10.725,50 | 132 / 7 | $4.585,27 | 765 / 12 | $3.814,36 | 762 / 22 |
| Renal Failure W Mcc | 11 | 184 / 55 | $19.664,80 | 215 / 15 | $8.875,91 | 673 / 6 | $8.329,00 | 673 / 14 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 46 | $13.982,50 | 191 / 14 | $6.521,64 | 539 / 8 | $5.756,55 | 538 / 9 | Total 24 procedures | 610 | 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.