Hospital Costs > In Michigan > St John River District 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 | 86 | 430 / 58 | $16.512,60 | 114 / 7 | $10.401,30 | 262 / 8 | $9.079,63 | 262 / 6 |
| Heart Failure & Shock W Mcc | 35 | 249 / 57 | $17.314,60 | 266 / 20 | $8.631,00 | 462 / 10 | $7.629,49 | 462 / 8 |
| Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 52 | $12.991,80 | 183 / 8 | $6.787,36 | 605 / 6 | $5.871,39 | 603 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 51 | $11.143,30 | 94 / 7 | $6.337,31 | 645 / 11 | $5.349,92 | 643 / 11 |
| Chronic Obstructive Pulmonary Disease W Cc | 25 | 154 / 49 | $12.084,70 | 243 / 13 | $5.925,00 | 354 / 21 | $4.379,56 | 353 / 4 |
| G.I. Hemorrhage W Cc | 22 | 196 / 55 | $10.799,80 | 76 / 5 | $5.874,95 | 838 / 5 | $5.206,23 | 836 / 20 |
| Heart Failure & Shock W Cc | 22 | 256 / 61 | $9.570,59 | 112 / 6 | $5.504,14 | 216 / 2 | $4.568,41 | 216 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 60 | $11.761,00 | 358 / 20 | $4.535,30 | 886 / 8 | $3.683,60 | 881 / 26 |
| Cellulitis W/O Mcc | 18 | 171 / 53 | $11.868,80 | 450 / 30 | $5.053,17 | 953 / 6 | $4.240,72 | 947 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 51 | $14.858,20 | 117 / 7 | $8.436,67 | 581 / 12 | $7.418,22 | 581 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 41 | $10.603,20 | 63 / 1 | $6.300,76 | 263 / 2 | $5.368,29 | 263 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 16 | 548 / 77 | $25.546,60 | 91 / 4 | $13.421,60 | 643 / 26 | $10.534,10 | 635 / 5 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 56 | $6.984,57 | 51 / 2 | $4.684,21 | 538 / 8 | $3.645,79 | 537 / 9 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 59 | $12.857,40 | 66 / 5 | $7.199,64 | 569 / 6 | $6.413,36 | 569 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 56 | $10.619,70 | 150 / 6 | $5.677,71 | 584 / 4 | $4.729,29 | 581 / 9 |
| Syncope & Collapse | 14 | 155 / 47 | $9.282,36 | 76 / 3 | $4.524,07 | 282 / 8 | $3.313,43 | 280 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 45 | $10.025,10 | 314 / 18 | $4.305,62 | 991 / 9 | $3.646,54 | 988 / 25 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 13 | 148 / 52 | $9.971,54 | 108 / 5 | $4.954,38 | 152 / 15 | $3.404,15 | 152 / 1 | Total 18 procedures | 420 | 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.