Hospital Costs > In Michigan > St Joseph Mercy Chelsea Chelsea, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 273 | 294 / 18 | $30.174,20 | 228 / 21 | $13.087,80 | 631 / 17 | $10.519,00 | 623 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 44 | 472 / 69 | $22.419,90 | 381 / 28 | $10.281,50 | 150 / 5 | $8.799,16 | 150 / 3 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 31 | 32 / 1 | $44.927,10 | 22 / 2 | $23.914,30 | 3 / 2 | $14.179,40 | 3 / 1 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 51 | $15.417,80 | 167 / 15 | $7.320,46 | 12 / 11 | $5.166,96 | 12 / 1 |
| Headaches W/O Mcc | 23 | 20 / 5 | $29.097,10 | 160 / 20 | $6.314,91 | 1 / 14 | $2.131,91 | 1 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 22 | 74 / 13 | $32.786,90 | 70 / 4 | $12.882,90 | 330 / 4 | $11.729,50 | 327 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 58 | $11.970,50 | 389 / 23 | $4.345,95 | 278 / 3 | $3.207,00 | 278 / 4 |
| Cellulitis W/O Mcc | 20 | 169 / 52 | $10.891,00 | 348 / 19 | $4.895,15 | 106 / 1 | $3.410,55 | 106 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 57 | $15.849,00 | 421 / 37 | $5.925,10 | 227 / 1 | $4.894,70 | 226 / 2 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 53 | $10.870,60 | 372 / 20 | $4.421,89 | 497 / 1 | $3.618,33 | 497 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 17 | 186 / 54 | $13.668,20 | 413 / 29 | $6.012,53 | 296 / 19 | $4.464,65 | 294 / 2 |
| G.I. Hemorrhage W Cc | 16 | 202 / 58 | $16.264,80 | 416 / 34 | $5.623,81 | 465 / 2 | $4.873,81 | 464 / 5 |
| Heart Failure & Shock W Cc | 16 | 262 / 64 | $12.561,60 | 322 / 19 | $5.787,56 | 107 / 7 | $4.358,94 | 107 / 1 |
| Respiratory Infections & Inflammations W Mcc | 15 | 121 / 36 | $22.112,00 | 148 / 12 | $11.346,50 | 485 / 8 | $10.461,20 | 480 / 8 |
| Respiratory Infections & Inflammations W Cc | 14 | 74 / 21 | $15.231,40 | 107 / 7 | $7.447,29 | 105 / 1 | $6.503,29 | 105 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 13 | 189 / 65 | $12.714,90 | 161 / 6 | $7.009,38 | 119 / 12 | $5.214,46 | 119 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 38 | $51.195,60 | 124 / 10 | $25.170,80 | 46 / 9 | $18.085,30 | 46 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 24 | $13.446,60 | 403 / 29 | $3.505,00 | 238 / 1 | $2.601,00 | 238 / 4 |
| Heart Failure & Shock W Mcc | 11 | 273 / 68 | $17.931,20 | 308 / 22 | $8.037,45 | 123 / 1 | $7.051,27 | 123 / 1 | Total 19 procedures | 624 | 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.