Hospital Costs > In Michigan > West Shore Medical Center, 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 | 39 | 525 / 71 | $39.181,60 | 707 / 55 | $15.202,80 | 2083 / 61 | $13.987,60 | 2041 / 76 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 44 | $15.921,60 | 673 / 46 | $6.394,72 | 1383 / 31 | $5.398,86 | 1377 / 36 |
| Heart Failure & Shock W Cc | 24 | 254 / 59 | $12.983,80 | 370 / 24 | $6.301,75 | 1578 / 27 | $5.848,42 | 1573 / 47 |
| Pulmonary Edema & Respiratory Failure | 23 | 180 / 52 | $17.717,90 | 269 / 23 | $7.943,48 | 908 / 25 | $6.815,09 | 908 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 22 | 494 / 76 | $21.467,10 | 338 / 23 | $12.165,80 | 1676 / 42 | $11.393,50 | 1644 / 49 |
| Cellulitis W/O Mcc | 20 | 169 / 52 | $11.633,50 | 422 / 26 | $5.414,60 | 1464 / 20 | $4.685,00 | 1457 / 40 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 42 | $11.248,80 | 459 / 27 | $4.959,38 | 1613 / 42 | $4.199,38 | 1608 / 54 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 55 | $17.652,50 | 767 / 51 | $6.171,20 | 1554 / 28 | $5.603,73 | 1548 / 47 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 64 | $17.651,90 | 533 / 39 | $7.076,57 | 1061 / 14 | $6.299,43 | 1056 / 27 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 37 | $11.244,50 | 383 / 29 | $4.352,00 | 1013 / 19 | $3.744,00 | 1005 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 59 | $14.687,10 | 325 / 27 | $6.409,17 | 830 / 14 | $5.502,50 | 828 / 23 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 58 | $13.349,60 | 692 / 38 | $5.072,27 | 1336 / 27 | $4.190,82 | 1327 / 34 | Total 12 procedures | 237 | 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.