Hospital Costs > In Michigan > Three Rivers Health, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Heart Failure & Shock W Cc | 27 | 251 / 57 | $11.670,60 | 245 / 14 | $6.431,63 | 1381 / 33 | $5.625,70 | 1376 / 37 |
| Chronic Obstructive Pulmonary Disease W Mcc | 26 | 176 / 55 | $13.341,80 | 203 / 15 | $7.932,96 | 1420 / 40 | $6.735,58 | 1414 / 41 |
| Pulmonary Edema & Respiratory Failure | 24 | 179 / 51 | $12.854,00 | 65 / 4 | $8.527,00 | 1535 / 45 | $7.925,67 | 1530 / 58 |
| Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 48 | $13.993,50 | 443 / 31 | $6.555,43 | 1603 / 38 | $5.609,35 | 1596 / 46 |
| Simple Pneumonia & Pleurisy W Mcc | 22 | 183 / 48 | $15.660,00 | 146 / 12 | $9.508,64 | 1475 / 33 | $8.627,18 | 1475 / 45 |
| Kidney & Urinary Tract Infections W/O Mcc | 15 | 218 / 55 | $11.239,80 | 427 / 23 | $5.498,13 | 1918 / 44 | $4.851,73 | 1907 / 61 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 65 | $17.098,00 | 1014 / 63 | $5.390,62 | 1852 / 46 | $4.556,15 | 1838 / 59 |
| Cellulitis W/O Mcc | 11 | 178 / 58 | $10.696,30 | 328 / 16 | $5.578,36 | 1578 / 27 | $4.807,45 | 1571 / 43 | Total 8 procedures | 161 | 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.