Hospital Costs > In Michigan > St Mary's Of Michigan Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Spinal Fusion Except Cervical W/O Mcc | 162 | 44 / 4 | $38.134,00 | 38 / 3 | $23.141,00 | 447 / 3 | $21.501,90 | 444 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 160 | 356 / 39 | $38.058,80 | 1215 / 76 | $11.123,30 | 875 / 20 | $10.026,30 | 874 / 23 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 127 | 437 / 43 | $27.880,60 | 154 / 14 | $12.601,90 | 1129 / 11 | $11.263,60 | 1103 / 22 |
| Heart Failure & Shock W Cc | 87 | 191 / 32 | $14.354,80 | 507 / 33 | $6.146,13 | 887 / 21 | $5.195,68 | 886 / 22 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 77 | 198 / 36 | $15.138,30 | 775 / 48 | $4.751,18 | 880 / 17 | $3.678,95 | 875 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 75 | 158 / 27 | $14.178,30 | 819 / 46 | $4.824,81 | 801 / 17 | $3.825,23 | 796 / 19 |
| Heart Failure & Shock W Mcc | 75 | 209 / 44 | $24.386,00 | 690 / 42 | $8.703,95 | 708 / 13 | $7.937,17 | 708 / 13 |
| Cellulitis W/O Mcc | 69 | 120 / 27 | $13.897,10 | 711 / 47 | $5.155,65 | 587 / 12 | $3.956,36 | 584 / 10 |
| Major Cardiovasc Procedures W/O Mcc | 65 | 37 / 4 | $35.996,80 | 17 / 1 | $19.560,90 | 270 / 1 | $18.363,00 | 270 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 64 | 115 / 31 | $17.165,20 | 717 / 48 | $5.830,86 | 624 / 17 | $4.655,27 | 622 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 63 | 98 / 24 | $14.298,70 | 447 / 28 | $4.984,62 | 592 / 16 | $3.903,10 | 589 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 59 | 143 / 38 | $19.599,40 | 680 / 45 | $7.189,58 | 681 / 16 | $5.961,15 | 677 / 14 |
| Simple Pneumonia & Pleurisy W Cc | 58 | 145 / 24 | $18.121,30 | 931 / 56 | $5.961,93 | 679 / 15 | $4.802,47 | 676 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 58 | 92 / 18 | $12.587,20 | 665 / 40 | $3.637,59 | 620 / 15 | $2.534,21 | 616 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 56 | 126 / 25 | $26.366,40 | 882 / 55 | $7.023,89 | 1036 / 26 | $5.879,04 | 1033 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 56 | 132 / 23 | $29.667,50 | 502 / 36 | $6.800,36 | 486 / 5 | $5.421,71 | 484 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 54 | 153 / 36 | $15.949,00 | 432 / 39 | $6.400,81 | 754 / 13 | $5.443,33 | 752 / 20 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 53 | 143 / 22 | $52.251,10 | 264 / 17 | $12.238,80 | 507 / 3 | $10.668,90 | 505 / 4 |
| G.I. Hemorrhage W Cc | 53 | 165 / 40 | $16.241,40 | 415 / 33 | $6.172,23 | 816 / 15 | $5.189,96 | 814 / 17 |
| Cervical Spinal Fusion W/O Cc/Mcc | 51 | 53 / 2 | $22.931,60 | 17 / 1 | $13.633,80 | 273 / 3 | $11.461,40 | 272 / 2 |
| Extracranial Procedures W/O Cc/Mcc | 47 | 51 / 4 | $17.231,30 | 86 / 3 | $6.452,38 | 288 / 3 | $5.176,06 | 288 / 2 |
| Syncope & Collapse | 46 | 123 / 29 | $16.665,40 | 544 / 42 | $5.063,63 | 578 / 29 | $3.629,41 | 575 / 15 |
| Medical Back Problems W/O Mcc | 46 | 75 / 16 | $19.912,50 | 512 / 36 | $5.367,54 | 267 / 10 | $3.912,09 | 267 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 44 | 80 / 19 | $88.155,40 | 337 / 26 | $30.485,50 | 407 / 9 | $28.714,70 | 406 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 43 | 59 / 11 | $19.135,30 | 516 / 40 | $4.863,00 | 409 / 7 | $3.520,86 | 406 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 42 | 126 / 24 | $45.354,90 | 839 / 51 | $11.687,20 | 768 / 26 | $10.095,30 | 767 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 39 | 127 / 28 | $13.938,10 | 831 / 52 | $4.427,64 | 579 / 16 | $3.365,38 | 577 / 13 |
| Renal Failure W Cc | 38 | 183 / 44 | $15.720,20 | 536 / 37 | $5.971,26 | 914 / 16 | $5.096,21 | 906 / 18 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 28 | $30.212,80 | 449 / 35 | $10.209,80 | 518 / 13 | $9.039,51 | 517 / 13 |
| Renal Failure W Mcc | 37 | 158 / 41 | $28.354,70 | 672 / 46 | $9.157,78 | 764 / 12 | $8.483,32 | 764 / 16 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 36 | 84 / 24 | $14.053,80 | 666 / 42 | $4.539,89 | 742 / 15 | $3.522,67 | 739 / 17 |
| G.I. Hemorrhage W Mcc | 35 | 86 / 24 | $32.465,10 | 408 / 34 | $10.629,90 | 522 / 9 | $9.713,31 | 523 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 34 | 57 / 19 | $24.725,00 | 508 / 39 | $6.460,82 | 343 / 12 | $5.211,18 | 342 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 28 | $21.914,40 | 451 / 31 | $7.420,44 | 501 / 12 | $6.375,03 | 498 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 42 | $26.547,90 | 806 / 56 | $8.711,09 | 837 / 21 | $7.697,56 | 837 / 19 |
| Major Small & Large Bowel Procedures W Cc | 34 | 74 / 14 | $36.435,70 | 126 / 9 | $15.036,70 | 538 / 7 | $13.762,00 | 532 / 7 |
| Seizures W/O Mcc | 33 | 75 / 20 | $16.876,60 | 365 / 36 | $4.988,79 | 226 / 12 | $3.617,73 | 225 / 5 |
| Chest Pain | 32 | 119 / 25 | $15.060,30 | 500 / 34 | $3.885,44 | 573 / 8 | $2.995,31 | 569 / 17 |
| Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 23 | $10.142,50 | 274 / 18 | $4.315,00 | 788 / 17 | $3.545,00 | 784 / 25 |
| Other Vascular Procedures W Mcc | 28 | 69 / 16 | $37.929,60 | 40 / 4 | $18.122,00 | 107 / 1 | $17.100,00 | 107 / 1 |
| Transient Ischemia | 27 | 98 / 25 | $17.215,90 | 432 / 40 | $4.616,30 | 324 / 18 | $3.182,11 | 324 / 6 |
| Red Blood Cell Disorders W/O Mcc | 26 | 117 / 31 | $15.550,30 | 500 / 35 | $5.046,15 | 793 / 13 | $4.291,69 | 788 / 17 |
| Major Small & Large Bowel Procedures W Mcc | 26 | 59 / 17 | $87.243,90 | 269 / 23 | $33.431,50 | 697 / 16 | $32.222,80 | 695 / 23 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 38 | $16.587,80 | 344 / 25 | $6.513,60 | 369 / 7 | $5.525,76 | 368 / 7 |
| Diabetes W Cc | 24 | 68 / 24 | $16.302,90 | 427 / 32 | $5.074,75 | 481 / 7 | $4.259,92 | 481 / 15 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 24 | 52 / 10 | $77.564,80 | 37 / 2 | $26.314,30 | 206 / 1 | $24.995,30 | 206 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 35 | $44.713,10 | 472 / 35 | $14.349,90 | 684 / 15 | $12.924,90 | 676 / 14 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 24 | 68 / 22 | $101.972,00 | 190 / 25 | $33.907,20 | 265 / 4 | $32.608,50 | 264 / 3 |
| Signs & Symptoms W/O Mcc | 24 | 67 / 18 | $14.717,10 | 311 / 24 | $4.372,88 | 340 / 11 | $3.443,88 | 339 / 8 |
| Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 29 | $26.736,40 | 122 / 6 | $11.296,20 | 576 / 4 | $10.207,90 | 573 / 6 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 23 | 58 / 7 | $304.094,00 | 88 / 10 | $99.165,90 | 97 / 3 | $92.194,30 | 97 / 3 |
| Peripheral Vascular Disorders W Cc | 22 | 62 / 25 | $12.170,50 | 82 / 4 | $5.847,55 | 356 / 9 | $5.021,00 | 354 / 10 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 22 | 41 / 10 | $88.545,50 | 143 / 16 | $27.312,30 | 145 / 1 | $26.114,70 | 145 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 22 | 39 / 12 | $18.201,40 | 239 / 27 | $5.598,50 | 216 / 3 | $4.534,86 | 216 / 6 |
| Cervical Spinal Fusion W Cc | 21 | 32 / 5 | $34.370,60 | 19 / 5 | $17.105,10 | 140 / 1 | $15.994,20 | 139 / 4 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 21 | 77 / 8 | $105.894,00 | 213 / 15 | $28.186,70 | 204 / 4 | $26.848,80 | 204 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 26 | $15.151,90 | 78 / 6 | $7.189,71 | 153 / 4 | $5.826,48 | 153 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 21 | 105 / 32 | $18.499,40 | 333 / 28 | $6.816,14 | 467 / 10 | $5.972,90 | 464 / 12 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 20 | 68 / 9 | $55.579,00 | 32 / 2 | $21.868,70 | 241 / 3 | $20.673,70 | 240 / 2 |
| Seizures W Mcc | 20 | 46 / 15 | $38.150,10 | 329 / 34 | $10.656,60 | 385 / 21 | $9.466,65 | 385 / 23 |
| Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 20 | 12 / 3 | $38.551,70 | 11 / 1 | $12.838,60 | 45 / 2 | $11.739,20 | 45 / 2 |
| Major Cardiovasc Procedures W Mcc | 20 | 48 / 14 | $65.997,60 | 21 / 2 | $27.699,80 | 56 / 1 | $26.696,60 | 56 / 1 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 19 | 19 / 4 | $12.124,90 | 74 / 8 | $4.222,95 | 99 / 3 | $2.923,79 | 99 / 3 |
| G.I. Obstruction W Cc | 19 | 73 / 32 | $18.102,40 | 521 / 48 | $5.227,16 | 499 / 3 | $4.476,63 | 498 / 11 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 27 | $31.667,70 | 256 / 22 | $11.679,90 | 446 / 10 | $10.549,20 | 445 / 11 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 18 | 36 / 8 | $13.456,20 | 37 / 5 | $6.088,83 | 152 / 5 | $5.648,39 | 152 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 18 | 22 / 3 | $47.735,70 | 79 / 11 | $15.795,80 | 201 / 4 | $14.420,20 | 200 / 7 |
| Extracranial Procedures W Cc | 18 | 28 / 8 | $32.756,40 | 104 / 10 | $9.543,61 | 129 / 2 | $8.496,94 | 129 / 2 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 11 | $30.736,80 | 171 / 22 | $9.957,83 | 126 / 3 | $8.981,83 | 126 / 4 |
| Peripheral Vascular Disorders W/O Cc/Mcc | 18 | 27 / 10 | $9.882,17 | 43 / 6 | $4.230,44 | 136 / 2 | $3.418,00 | 136 / 8 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 18 | 39 / 9 | $41.829,80 | 175 / 9 | $12.690,80 | 274 / 3 | $11.754,60 | 273 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 17 | 56 / 17 | $20.319,80 | 295 / 23 | $7.237,18 | 487 / 7 | $6.620,47 | 485 / 9 |
| Other Vascular Procedures W Cc | 17 | 85 / 23 | $33.848,30 | 50 / 2 | $14.911,20 | 301 / 2 | $13.952,20 | 299 / 3 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 35 | $35.698,90 | 618 / 46 | $11.665,40 | 634 / 11 | $10.757,60 | 626 / 13 |
| Transurethral Procedures W Cc | 17 | 24 / 9 | $15.087,40 | 11 / 1 | $7.689,35 | 105 / 2 | $6.609,82 | 105 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 17 | 39 / 6 | $33.693,40 | 156 / 16 | $9.938,06 | 382 / 3 | $8.989,35 | 382 / 6 |
| Other Vascular Procedures W/O Cc/Mcc | 17 | 39 / 9 | $19.426,50 | 12 / 1 | $10.108,70 | 157 / 1 | $8.900,47 | 156 / 4 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 28 | $12.817,50 | 83 / 4 | $5.998,53 | 362 / 6 | $4.965,82 | 359 / 6 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 20 | $15.240,40 | 544 / 36 | $3.991,94 | 329 / 9 | $2.736,69 | 329 / 8 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 19 | $18.520,40 | 325 / 28 | $5.877,56 | 155 / 10 | $3.953,31 | 152 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 23 | $54.960,90 | 404 / 31 | $13.974,90 | 468 / 8 | $12.678,40 | 462 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 21 | $14.534,40 | 677 / 39 | $4.522,27 | 536 / 11 | $3.266,80 | 534 / 9 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 24 | $19.213,30 | 350 / 31 | $6.175,86 | 479 / 7 | $5.159,86 | 477 / 12 |
| Other Resp System O.R. Procedures W Mcc | 14 | 49 / 14 | $62.239,70 | 116 / 16 | $19.526,10 | 68 / 2 | $18.494,90 | 68 / 2 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 28 | $48.394,80 | 691 / 46 | $10.214,70 | 613 / 28 | $9.182,93 | 611 / 32 |
| Ventricular Shunt Procedures W/O Cc/Mcc | 14 | 10 / 2 | $21.982,10 | 5 / 2 | $9.092,64 | 13 / 1 | $8.251,50 | 13 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 14 | 52 / 12 | $24.348,10 | 147 / 11 | $6.829,50 | 123 / 5 | $5.758,64 | 123 / 4 |
| Pulmonary Edema & Respiratory Failure | 14 | 189 / 59 | $26.204,60 | 807 / 57 | $7.466,07 | 935 / 14 | $6.852,93 | 935 / 27 |
| Respiratory Neoplasms W Mcc | 14 | 38 / 16 | $33.265,00 | 150 / 18 | $10.210,30 | 189 / 4 | $9.428,57 | 189 / 4 |
| Acute Myocardial Infarction, Expired W Mcc | 14 | 16 / 3 | $53.228,90 | 118 / 8 | $11.842,10 | 90 / 4 | $10.768,10 | 90 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 24 | $69.840,40 | 485 / 30 | $17.089,40 | 502 / 9 | $15.946,80 | 501 / 13 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 17 | $97.449,40 | 236 / 21 | $29.411,40 | 150 / 2 | $27.167,70 | 150 / 2 |
| G.I. Obstruction W Mcc | 14 | 28 / 14 | $23.633,90 | 59 / 7 | $9.520,43 | 96 / 2 | $8.411,29 | 96 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 13 | 34 / 11 | $18.069,40 | 12 / 1 | $9.123,85 | 123 / 2 | $7.362,62 | 123 / 2 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 18 | $193.689,00 | 132 / 18 | $63.530,20 | 245 / 8 | $62.034,20 | 245 / 13 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 13 | 41 / 9 | $14.865,30 | 64 / 6 | $5.033,46 | 22 / 4 | $3.071,23 | 22 / 1 |
| Diabetes W/O Cc/Mcc | 12 | 26 / 10 | $10.998,50 | 54 / 8 | $3.743,67 | 52 / 2 | $2.757,67 | 52 / 3 |
| Digestive Malignancy W Cc | 12 | 35 / 9 | $21.525,50 | 51 / 7 | $7.681,17 | 55 / 3 | $6.336,50 | 55 / 2 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 12 | 65 / 18 | $20.546,70 | 23 / 3 | $9.404,67 | 129 / 2 | $8.136,00 | 129 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 21 | $16.296,90 | 133 / 14 | $6.140,50 | 147 / 7 | $5.013,50 | 147 / 3 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 18 | $17.022,70 | 201 / 21 | $4.773,25 | 170 / 9 | $3.502,25 | 169 / 3 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 23 | $25.035,80 | 472 / 29 | $8.328,75 | 507 / 11 | $7.362,08 | 504 / 8 |
| Other Circulatory System Diagnoses W Cc | 12 | 54 / 20 | $14.781,90 | 75 / 10 | $5.888,17 | 245 / 2 | $5.300,83 | 244 / 5 |
| Diabetes W Mcc | 11 | 46 / 23 | $26.059,00 | 198 / 22 | $8.182,82 | 184 / 2 | $7.488,64 | 184 / 3 |
| Organic Disturbances & Mental Retardation | 11 | 48 / 17 | $16.324,90 | 110 / 16 | $5.821,73 | 52 / 2 | $4.743,55 | 52 / 1 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 19 | $21.880,20 | 77 / 11 | $7.847,18 | 61 / 1 | $6.705,00 | 61 / 1 |
| Red Blood Cell Disorders W Mcc | 11 | 60 / 27 | $23.961,40 | 269 / 23 | $7.616,64 | 340 / 4 | $6.937,73 | 338 / 6 |
| Other Digestive System Diagnoses W/O Cc/Mcc | 11 | 32 / 11 | $11.548,70 | 42 / 5 | $4.296,00 | 165 / 2 | $3.649,45 | 165 / 8 |
| Postoperative Or Post-Traumatic Infections W O.R. Proc W Mcc | 11 | 20 / 4 | $44.233,80 | 1 / 1 | $22.172,80 | 4 / 1 | $21.589,20 | 4 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 30 | $22.311,10 | 167 / 15 | $9.658,00 | 96 / 10 | $7.541,45 | 96 / 1 | Total 110 procedures | 3.472 | 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.