Hospital Costs > In Michigan > Mclaren - Northern Michigan, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 39 | 52 / 15 | $19.080,50 | 256 / 22 | $7.308,64 | 758 / 28 | $6.021,67 | 756 / 21 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 28 | $30.519,80 | 459 / 36 | $11.640,10 | 1133 / 31 | $10.791,60 | 1128 / 35 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 18 | $20.069,20 | 301 / 29 | $5.039,50 | 445 / 12 | $4.135,50 | 442 / 18 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 14 | $13.806,00 | 286 / 14 | $4.554,29 | 173 / 8 | $3.458,67 | 173 / 6 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 17 | 72 / 15 | $21.544,60 | 114 / 10 | $7.264,88 | 443 / 3 | $6.201,35 | 442 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 59 | 102 / 27 | $12.488,30 | 270 / 20 | $5.317,41 | 1022 / 27 | $4.321,71 | 1018 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 34 | 89 / 28 | $17.183,00 | 201 / 14 | $8.057,94 | 965 / 21 | $7.083,35 | 962 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 64 | 86 / 14 | $10.939,00 | 447 / 27 | $3.710,91 | 644 / 18 | $2.554,27 | 640 / 17 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 31 | 87 / 7 | $90.172,50 | 41 / 3 | $35.153,30 | 323 / 4 | $34.373,90 | 323 / 9 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 25 | 91 / 11 | $111.449,00 | 21 / 3 | $52.476,80 | 244 / 6 | $51.752,40 | 244 / 7 |
| Cellulitis W/O Mcc | 43 | 146 / 41 | $12.111,80 | 481 / 33 | $5.601,60 | 1330 / 28 | $4.561,23 | 1324 / 35 |
| Cervical Spinal Fusion W Cc | 13 | 40 / 10 | $31.597,20 | 12 / 2 | $19.498,20 | 236 / 5 | $18.380,60 | 235 / 13 |
| Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 21 | $29.200,10 | 53 / 8 | $14.956,40 | 621 / 10 | $13.827,90 | 618 / 24 |
| Chest Pain | 52 | 99 / 18 | $11.410,60 | 217 / 15 | $4.036,67 | 480 / 14 | $2.903,33 | 477 / 11 |
| Chronic Obstructive Pulmonary Disease W Cc | 44 | 135 / 41 | $12.528,90 | 282 / 19 | $6.221,34 | 1324 / 29 | $5.288,98 | 1319 / 36 |
| Chronic Obstructive Pulmonary Disease W Mcc | 43 | 159 / 44 | $18.292,30 | 589 / 42 | $7.790,84 | 1605 / 37 | $7.002,74 | 1597 / 49 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 33 | $9.342,54 | 180 / 5 | $4.753,75 | 1067 / 21 | $3.799,08 | 1058 / 30 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 19 | $36.106,20 | 102 / 8 | $14.015,60 | 561 / 9 | $13.382,40 | 555 / 19 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 102 | 86 / 13 | $23.019,00 | 200 / 17 | $7.347,99 | 949 / 16 | $6.236,69 | 946 / 18 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 28 | 48 / 7 | $76.248,20 | 35 / 1 | $32.775,10 | 427 / 10 | $29.806,30 | 427 / 12 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 10 | $50.778,20 | 21 / 1 | $25.268,10 | 416 / 6 | $24.210,10 | 415 / 12 |
| Degenerative Nervous System Disorders W/O Mcc | 19 | 59 / 17 | $12.464,70 | 59 / 6 | $6.893,16 | 204 / 15 | $5.000,79 | 204 / 7 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 11 | 65 / 16 | $21.461,60 | 31 / 7 | $12.315,10 | 243 / 7 | $11.544,20 | 243 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 19 | 77 / 27 | $22.025,00 | 296 / 24 | $7.928,95 | 641 / 14 | $6.980,74 | 636 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 93 | 182 / 31 | $12.110,90 | 413 / 25 | $4.959,00 | 1129 / 29 | $3.845,74 | 1121 / 33 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 18 | $65.953,20 | 54 / 7 | $32.633,30 | 435 / 14 | $31.644,20 | 435 / 17 |
| Extracranial Procedures W Cc | 20 | 26 / 6 | $24.125,40 | 39 / 1 | $10.631,00 | 236 / 7 | $9.663,05 | 236 / 12 |
| Extracranial Procedures W/O Cc/Mcc | 55 | 43 / 3 | $15.834,10 | 67 / 1 | $7.110,64 | 524 / 8 | $5.835,98 | 523 / 15 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 13 | $12.230,60 | 172 / 13 | $4.942,19 | 266 / 10 | $3.382,06 | 267 / 7 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 22 | $10.149,20 | 61 / 3 | $5.034,67 | 276 / 10 | $3.829,33 | 276 / 11 |
| G.I. Hemorrhage W Cc | 73 | 145 / 32 | $12.278,20 | 126 / 8 | $6.683,08 | 1381 / 33 | $5.791,47 | 1378 / 41 |
| G.I. Hemorrhage W Mcc | 13 | 108 / 39 | $24.317,20 | 156 / 10 | $12.285,80 | 1102 / 28 | $11.724,60 | 1094 / 41 |
| G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 15 | $10.037,10 | 104 / 9 | $4.703,38 | 369 / 8 | $3.507,19 | 366 / 6 |
| G.I. Obstruction W Cc | 24 | 68 / 28 | $13.456,50 | 189 / 16 | $5.906,00 | 896 / 20 | $4.948,67 | 894 / 27 |
| G.I. Obstruction W/O Cc/Mcc | 20 | 51 / 17 | $10.303,40 | 156 / 12 | $4.041,05 | 544 / 11 | $3.013,85 | 543 / 17 |
| Heart Failure & Shock W Cc | 96 | 182 / 28 | $16.574,40 | 752 / 46 | $6.614,51 | 1566 / 37 | $5.837,18 | 1561 / 46 |
| Heart Failure & Shock W Mcc | 57 | 227 / 51 | $22.925,70 | 598 / 38 | $10.254,80 | 1718 / 47 | $9.515,46 | 1713 / 55 |
| Heart Failure & Shock W/O Cc/Mcc | 29 | 81 / 24 | $10.902,00 | 353 / 26 | $4.487,03 | 819 / 25 | $3.568,97 | 815 / 26 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 17 | $29.812,20 | 216 / 10 | $13.104,20 | 1294 / 32 | $11.951,50 | 1277 / 36 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 10 | $24.518,30 | 80 / 4 | $10.854,60 | 595 / 6 | $9.739,21 | 593 / 13 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 23 | 101 / 30 | $80.534,60 | 253 / 21 | $38.095,50 | 1125 / 33 | $37.413,80 | 1117 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 63 | 119 / 21 | $17.920,90 | 341 / 24 | $7.170,81 | 1195 / 30 | $6.135,63 | 1192 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 39 | 129 / 26 | $22.682,70 | 142 / 12 | $11.606,20 | 915 / 25 | $10.706,10 | 912 / 30 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 37 | 65 / 14 | $14.886,10 | 243 / 23 | $5.051,84 | 830 / 16 | $4.036,49 | 826 / 28 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 42 | $13.200,10 | 157 / 10 | $7.727,56 | 780 / 32 | $6.070,88 | 779 / 17 |
| Kidney & Urinary Tract Infections W/O Mcc | 53 | 180 / 32 | $12.778,90 | 618 / 34 | $5.123,83 | 1333 / 29 | $4.189,79 | 1324 / 33 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 4 | $21.812,50 | 25 / 1 | $11.012,40 | 602 / 11 | $10.187,20 | 600 / 20 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 14 | 33 / 7 | $18.412,10 | 20 / 2 | $8.160,86 | 364 / 7 | $7.045,43 | 363 / 9 |
| Major Cardiovasc Procedures W Mcc | 24 | 44 / 11 | $100.183,00 | 120 / 16 | $38.813,60 | 445 / 21 | $37.858,90 | 444 / 23 |
| Major Cardiovasc Procedures W/O Mcc | 81 | 26 / 2 | $61.641,50 | 144 / 9 | $22.800,80 | 645 / 17 | $21.830,50 | 644 / 21 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 14 | $32.096,50 | 63 / 3 | $14.851,70 | 586 / 10 | $13.644,20 | 582 / 18 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 12 | 53 / 19 | $42.218,60 | 60 / 5 | $22.794,70 | 666 / 24 | $21.597,30 | 663 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 226 | 338 / 25 | $29.432,20 | 202 / 18 | $14.339,20 | 1842 / 41 | $13.004,70 | 1801 / 59 |
| Major Small & Large Bowel Procedures W Cc | 45 | 63 / 11 | $40.102,00 | 191 / 16 | $17.127,00 | 911 / 24 | $15.295,40 | 903 / 20 |
| Major Small & Large Bowel Procedures W Mcc | 28 | 57 / 15 | $70.778,20 | 130 / 14 | $35.632,90 | 874 / 26 | $34.859,20 | 872 / 33 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 16 | $23.721,50 | 47 / 2 | $10.905,80 | 507 / 6 | $10.004,50 | 507 / 18 |
| Medical Back Problems W/O Mcc | 32 | 89 / 23 | $12.847,00 | 128 / 8 | $5.665,09 | 790 / 15 | $4.725,84 | 787 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 34 | $18.049,20 | 308 / 23 | $7.390,68 | 722 / 19 | $6.434,05 | 719 / 19 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 44 | 122 / 24 | $10.059,50 | 316 / 19 | $4.665,14 | 1200 / 25 | $3.811,32 | 1196 / 37 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 19 | 58 / 14 | $21.499,50 | 25 / 4 | $10.510,70 | 243 / 8 | $9.365,47 | 243 / 17 |
| Other Digestive System Diagnoses W Cc | 30 | 67 / 17 | $18.202,30 | 293 / 29 | $6.437,40 | 674 / 16 | $5.509,40 | 670 / 22 |
| Other Disorders Of Nervous System W Cc | 16 | 40 / 17 | $16.200,40 | 105 / 12 | $5.945,69 | 257 / 3 | $5.115,69 | 257 / 10 |
| Other Vascular Procedures W Cc | 44 | 58 / 9 | $50.347,90 | 214 / 21 | $17.376,80 | 722 / 21 | $16.583,40 | 718 / 28 |
| Other Vascular Procedures W Mcc | 14 | 83 / 25 | $63.829,00 | 190 / 20 | $23.739,50 | 650 / 22 | $22.877,80 | 647 / 26 |
| Other Vascular Procedures W/O Cc/Mcc | 27 | 29 / 4 | $31.276,80 | 70 / 3 | $11.523,40 | 343 / 6 | $10.450,80 | 342 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 30 | 70 / 15 | $63.454,00 | 106 / 11 | $21.466,30 | 578 / 10 | $20.582,00 | 574 / 17 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 111 | 85 / 9 | $44.980,90 | 133 / 9 | $14.188,80 | 870 / 14 | $11.949,10 | 864 / 11 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 16 | 53 / 17 | $39.555,00 | 56 / 7 | $12.911,70 | 281 / 12 | $10.335,60 | 281 / 7 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 13 | 41 / 13 | $42.892,80 | 7 / 1 | $20.544,20 | 65 / 4 | $17.524,20 | 65 / 3 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 35 | 60 / 9 | $41.605,90 | 52 / 8 | $13.370,50 | 291 / 8 | $11.801,70 | 288 / 6 |
| Peripheral Vascular Disorders W Cc | 16 | 68 / 31 | $19.109,30 | 367 / 38 | $6.432,06 | 589 / 17 | $5.526,06 | 587 / 20 |
| Permanent Cardiac Pacemaker Implant W Cc | 38 | 39 / 8 | $51.410,60 | 232 / 13 | $19.599,60 | 558 / 30 | $16.362,50 | 557 / 16 |
| Permanent Cardiac Pacemaker Implant W Mcc | 16 | 36 / 16 | $55.734,00 | 56 / 3 | $24.753,20 | 389 / 7 | $24.227,20 | 389 / 12 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 41 | 16 / 1 | $39.758,30 | 140 / 6 | $15.086,20 | 401 / 14 | $12.713,30 | 400 / 9 |
| Postoperative & Post-Traumatic Infections W/O Mcc | 11 | 43 / 15 | $14.668,50 | 44 / 7 | $6.548,55 | 225 / 9 | $6.112,18 | 225 / 12 |
| Pulmonary Edema & Respiratory Failure | 44 | 159 / 39 | $21.898,90 | 526 / 38 | $8.117,82 | 1256 / 30 | $7.319,27 | 1254 / 41 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 21 | $12.260,80 | 78 / 7 | $6.855,94 | 536 / 23 | $5.258,35 | 534 / 16 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 26 | $15.028,70 | 64 / 5 | $8.316,42 | 574 / 13 | $7.711,08 | 572 / 18 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 32 | $9.479,56 | 84 / 3 | $5.331,12 | 779 / 19 | $4.268,72 | 774 / 16 |
| Renal Failure W Cc | 50 | 171 / 39 | $14.838,70 | 447 / 31 | $6.419,46 | 1346 / 30 | $5.550,34 | 1338 / 34 |
| Renal Failure W Mcc | 28 | 167 / 45 | $25.767,10 | 503 / 35 | $10.239,40 | 1229 / 27 | $9.504,57 | 1229 / 36 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 19 | $17.055,90 | 156 / 10 | $9.160,65 | 798 / 20 | $7.986,41 | 793 / 17 |
| Respiratory Infections & Inflammations W Mcc | 21 | 115 / 33 | $24.246,40 | 205 / 19 | $13.231,90 | 1213 / 35 | $12.599,50 | 1198 / 39 |
| Respiratory Neoplasms W Cc | 11 | 36 / 13 | $15.228,70 | 30 / 1 | $7.807,91 | 270 / 6 | $7.255,18 | 269 / 12 |
| Respiratory Signs & Symptoms | 12 | 34 / 13 | $11.466,80 | 25 / 2 | $4.528,75 | 86 / 4 | $3.523,42 | 86 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 46 | 85 / 23 | $37.637,40 | 265 / 21 | $15.470,80 | 1036 / 26 | $14.287,10 | 1026 / 32 |
| Seizures W Mcc | 15 | 51 / 19 | $17.043,70 | 31 / 5 | $10.075,40 | 320 / 16 | $9.034,33 | 320 / 19 |
| Seizures W/O Mcc | 15 | 93 / 33 | $14.594,50 | 245 / 22 | $5.132,67 | 365 / 16 | $3.865,33 | 363 / 12 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 30 | $88.991,20 | 126 / 17 | $39.317,20 | 587 / 20 | $38.413,20 | 586 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 71 | 445 / 61 | $31.835,10 | 880 / 57 | $12.359,60 | 1710 / 45 | $11.472,10 | 1677 / 51 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 47 | $21.772,00 | 944 / 69 | $7.229,27 | 1272 / 39 | $5.949,45 | 1267 / 39 |
| Signs & Symptoms W/O Mcc | 26 | 65 / 17 | $12.213,50 | 191 / 15 | $4.599,38 | 652 / 17 | $3.947,08 | 651 / 25 |
| Simple Pneumonia & Pleurisy W Cc | 70 | 133 / 19 | $16.015,60 | 684 / 48 | $6.511,90 | 1569 / 34 | $5.580,70 | 1562 / 43 |
| Simple Pneumonia & Pleurisy W Mcc | 59 | 146 / 27 | $20.394,20 | 416 / 32 | $9.678,37 | 1508 / 39 | $8.693,41 | 1508 / 47 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 13 | $12.491,30 | 457 / 29 | $4.675,08 | 866 / 16 | $3.562,76 | 862 / 22 |
| Spinal Fusion Except Cervical W/O Mcc | 47 | 147 / 25 | $52.512,60 | 135 / 14 | $26.738,00 | 848 / 17 | $24.566,90 | 844 / 28 |
| Syncope & Collapse | 53 | 116 / 24 | $13.238,80 | 277 / 23 | $4.827,08 | 748 / 20 | $3.799,45 | 745 / 21 |
| Transient Ischemia | 22 | 103 / 30 | $12.874,50 | 173 / 15 | $4.639,27 | 797 / 19 | $3.701,09 | 793 / 25 |
| Transurethral Procedures W Cc | 19 | 22 / 8 | $17.277,10 | 13 / 2 | $8.463,37 | 198 / 8 | $7.323,16 | 198 / 10 |
| Trauma To The Skin, Subcut Tiss & Breast W/O Mcc | 11 | 33 / 11 | $14.911,80 | 57 / 8 | $5.336,45 | 133 / 10 | $4.236,82 | 133 / 11 | Total 100 procedures | 3.424 | 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.