Hospital Costs > In Michigan > Spectrum Health Zeeland Community Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 58 | $13.586,10 | 379 / 30 | $5.111,25 | 557 / 1 | $4.601,33 | 555 / 8 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 21 | $19.119,20 | 273 / 30 | $7.133,73 | 10 / 30 | $3.467,73 | 10 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 13 | 262 / 65 | $13.705,80 | 590 / 34 | $4.060,54 | 97 / 1 | $2.934,69 | 97 / 1 |
| G.I. Hemorrhage W Cc | 12 | 206 / 62 | $15.831,70 | 369 / 29 | $5.454,33 | 135 / 1 | $4.445,17 | 135 / 1 |
| Heart Failure & Shock W Cc | 20 | 258 / 62 | $13.383,90 | 405 / 28 | $5.341,65 | 138 / 1 | $4.429,30 | 138 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 38 | $10.585,70 | 332 / 23 | $3.609,64 | 126 / 1 | $2.833,18 | 124 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 40 | 524 / 70 | $27.078,00 | 129 / 9 | $12.819,70 | 74 / 14 | $9.184,35 | 74 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 46 | $9.775,83 | 288 / 12 | $3.787,83 | 16 / 1 | $2.523,42 | 16 / 1 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 11 | 66 / 19 | $21.829,20 | 29 / 5 | $10.164,20 | 17 / 5 | $6.742,82 | 17 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 58 | 458 / 64 | $22.413,40 | 380 / 27 | $10.755,60 | 26 / 13 | $8.127,86 | 26 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 54 | $14.968,80 | 352 / 30 | $7.254,43 | 17 / 40 | $4.132,57 | 17 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 14 | 189 / 56 | $12.336,60 | 284 / 18 | $5.193,43 | 156 / 1 | $4.241,50 | 156 / 1 | 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.