Hospital Costs > In Michigan > St Joseph Mercy Port Huron, 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 | 174 | 390 / 33 | $41.327,80 | 835 / 66 | $12.277,00 | 865 / 4 | $10.846,60 | 848 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 79 | 123 / 28 | $17.611,60 | 529 / 37 | $6.625,05 | 426 / 2 | $5.721,76 | 425 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 76 | 440 / 60 | $23.315,90 | 438 / 33 | $10.340,70 | 432 / 7 | $9.394,28 | 432 / 9 |
Heart Failure & Shock W Mcc | 57 | 227 / 51 | $19.733,20 | 417 / 32 | $8.279,25 | 300 / 4 | $7.414,58 | 300 / 4 |
Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 40 | $16.233,20 | 628 / 41 | $5.539,71 | 538 / 7 | $4.588,27 | 536 / 7 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 49 | $14.847,20 | 733 / 44 | $4.517,42 | 383 / 7 | $3.313,89 | 381 / 6 |
Cellulitis W/O Mcc | 37 | 152 / 43 | $14.218,20 | 755 / 54 | $4.990,27 | 357 / 4 | $3.757,86 | 354 / 3 |
G.I. Hemorrhage W Cc | 34 | 184 / 47 | $17.272,10 | 510 / 39 | $5.932,50 | 496 / 7 | $4.906,47 | 495 / 6 |
Renal Failure W Cc | 34 | 187 / 46 | $14.987,40 | 465 / 33 | $5.601,94 | 528 / 2 | $4.784,06 | 524 / 7 |
Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 42 | $20.568,90 | 428 / 33 | $8.065,62 | 588 / 3 | $7.425,62 | 588 / 10 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 48 | $19.399,40 | 730 / 57 | $6.199,58 | 677 / 3 | $5.372,23 | 675 / 15 |
Kidney & Urinary Tract Infections W/O Mcc | 31 | 202 / 44 | $11.139,50 | 414 / 22 | $4.427,16 | 435 / 2 | $3.570,39 | 435 / 5 |
Transient Ischemia | 29 | 96 / 24 | $12.786,40 | 164 / 13 | $4.146,79 | 264 / 2 | $3.112,86 | 264 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 27 | 155 / 41 | $13.915,70 | 106 / 5 | $6.135,85 | 521 / 1 | $5.242,22 | 520 / 8 |
Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 46 | $14.003,30 | 445 / 32 | $5.661,76 | 507 / 3 | $4.650,56 | 504 / 5 |
Respiratory Infections & Inflammations W Mcc | 25 | 111 / 31 | $20.611,50 | 117 / 10 | $10.402,40 | 150 / 1 | $9.581,88 | 150 / 1 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 23 | 73 / 12 | $50.460,40 | 348 / 22 | $12.672,00 | 276 / 1 | $11.463,00 | 273 / 2 |
Renal Failure W Mcc | 23 | 172 / 47 | $24.910,50 | 451 / 34 | $8.656,30 | 424 / 3 | $7.959,96 | 424 / 5 |
Heart Failure & Shock W Cc | 22 | 256 / 61 | $13.837,80 | 446 / 29 | $5.627,45 | 306 / 5 | $4.690,73 | 306 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 45 | $15.098,90 | 535 / 39 | $4.648,33 | 591 / 2 | $3.901,67 | 588 / 10 |
Pulmonary Edema & Respiratory Failure | 21 | 182 / 53 | $22.069,40 | 544 / 41 | $7.067,81 | 268 / 3 | $6.041,19 | 268 / 5 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 19 | 50 / 11 | $60.638,70 | 194 / 16 | $16.324,90 | 109 / 1 | $13.690,70 | 109 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 39 | $17.375,90 | 215 / 15 | $6.656,95 | 192 / 1 | $5.835,05 | 192 / 2 |
O.R. Procedures For Obesity W/O Cc/Mcc | 19 | 58 / 14 | $24.749,30 | 44 / 11 | $9.316,68 | 72 / 1 | $7.671,79 | 72 / 3 |
Revision Of Hip Or Knee Replacement W Cc | 18 | 68 / 11 | $72.358,00 | 238 / 19 | $19.232,40 | 217 / 1 | $18.233,30 | 217 / 2 |
Major Small & Large Bowel Procedures W Cc | 18 | 90 / 26 | $28.892,10 | 47 / 1 | $14.036,50 | 320 / 1 | $12.959,20 | 318 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 16 | 109 / 41 | $20.843,90 | 169 / 15 | $9.034,06 | 191 / 3 | $8.280,06 | 191 / 4 |
Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 34 | $11.644,10 | 426 / 33 | $3.893,40 | 441 / 2 | $3.249,13 | 439 / 11 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 15 | 116 / 42 | $34.425,50 | 191 / 13 | $11.974,70 | 32 / 1 | $10.463,50 | 32 / 1 |
Respiratory Infections & Inflammations W Cc | 14 | 74 / 21 | $23.853,50 | 421 / 27 | $7.752,00 | 219 / 2 | $6.796,57 | 217 / 2 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 44 | $16.205,80 | 316 / 24 | $6.383,43 | 427 / 5 | $5.601,71 | 426 / 8 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 44 | $10.517,20 | 396 / 22 | $3.341,86 | 335 / 2 | $2.299,57 | 333 / 4 |
Red Blood Cell Disorders W/O Mcc | 14 | 129 / 39 | $16.092,00 | 547 / 39 | $4.721,79 | 394 / 3 | $3.860,07 | 393 / 5 |
Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 29 | $22.098,70 | 154 / 18 | $7.847,08 | 144 / 2 | $7.012,62 | 144 / 2 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 40 | $11.356,70 | 378 / 19 | $4.233,38 | 277 / 2 | $3.115,85 | 277 / 2 |
Diabetes W Cc | 13 | 79 / 32 | $13.095,50 | 208 / 15 | $5.297,92 | 121 / 12 | $3.648,62 | 121 / 2 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 28 | $61.851,20 | 76 / 5 | $28.305,90 | 317 / 2 | $27.656,00 | 315 / 3 |
Signs & Symptoms W/O Mcc | 12 | 79 / 28 | $12.609,40 | 203 / 16 | $4.027,25 | 328 / 2 | $3.424,58 | 327 / 6 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 24 | $12.220,80 | 434 / 27 | $4.161,75 | 524 / 2 | $3.255,08 | 522 / 7 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 34 | $14.318,30 | 156 / 14 | $5.559,00 | 251 / 4 | $4.751,00 | 250 / 7 |
Syncope & Collapse | 12 | 157 / 48 | $13.512,20 | 295 / 25 | $4.290,00 | 340 / 2 | $3.378,00 | 338 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 32 | $22.825,60 | 331 / 27 | $7.504,36 | 502 / 10 | $6.625,91 | 499 / 10 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 47 | $19.114,80 | 74 / 3 | $9.625,45 | 285 / 3 | $8.749,82 | 284 / 5 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 41 | $14.430,80 | 128 / 10 | $6.394,00 | 417 / 3 | $5.899,45 | 414 / 8 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 33 | $17.511,70 | 264 / 26 | $5.639,55 | 368 / 2 | $4.985,00 | 365 / 7 | Total 45 procedures | 1.225 | 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.