Hospital Costs > In Michigan > Sturgis Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 37 | $13.162,90 | 367 / 25 | $7.197,59 | 1992 / 56 | $6.154,68 | 1984 / 62 |
| Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 50 | $10.672,20 | 61 / 2 | $8.184,91 | 1706 / 50 | $7.220,34 | 1698 / 57 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 34 | 530 / 73 | $23.486,10 | 49 / 3 | $14.576,90 | 1955 / 47 | $13.440,00 | 1913 / 68 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 29 | $7.448,94 | 69 / 1 | $5.395,74 | 1530 / 41 | $4.501,81 | 1519 / 47 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 29 | 137 / 32 | $8.073,79 | 153 / 3 | $5.271,03 | 1750 / 53 | $4.394,90 | 1745 / 60 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 13 | $9.078,64 | 152 / 5 | $5.312,48 | 1446 / 34 | $4.300,00 | 1438 / 41 |
| Heart Failure & Shock W Cc | 20 | 258 / 62 | $9.842,35 | 122 / 7 | $7.182,30 | 1874 / 55 | $6.275,10 | 1869 / 62 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 31 | $7.912,17 | 106 / 3 | $5.009,28 | 1418 / 40 | $4.269,72 | 1407 / 52 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 62 | $8.219,81 | 103 / 4 | $5.537,44 | 1684 / 51 | $4.320,62 | 1671 / 49 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 38 | $11.178,50 | 168 / 5 | $5.947,80 | 1256 / 35 | $4.900,33 | 1248 / 39 |
| Kidney & Urinary Tract Infections W/O Mcc | 14 | 219 / 56 | $6.864,43 | 48 / 1 | $5.685,00 | 1833 / 48 | $4.738,71 | 1822 / 57 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 58 | $13.166,80 | 340 / 27 | $6.773,50 | 1701 / 46 | $5.877,50 | 1694 / 59 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 20 | $7.440,36 | 35 / 2 | $5.459,27 | 608 / 23 | $4.069,55 | 604 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 56 | $17.969,50 | 264 / 22 | $10.180,50 | 1805 / 51 | $9.415,45 | 1805 / 65 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 46 | $13.359,50 | 163 / 11 | $8.180,45 | 1529 / 40 | $7.741,18 | 1525 / 49 | Total 15 procedures | 319 | 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.