Hospital Costs > In Ohio > Adena Regional Medical Center, 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 | 28 | 63 / 13 | $22.053,60 | 378 / 23 | $6.234,68 | 254 / 18 | $5.057,32 | 254 / 22 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 35 | 90 / 23 | $33.544,40 | 564 / 38 | $9.625,77 | 315 / 25 | $8.584,06 | 315 / 25 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 15 | $23.411,80 | 407 / 18 | $6.682,27 | 25 / 34 | $2.913,36 | 25 / 3 |
| Bronchitis & Asthma W Cc/Mcc | 21 | 55 / 9 | $22.216,20 | 471 / 31 | $6.814,71 | 723 / 32 | $5.600,14 | 719 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 41 | 120 / 26 | $13.401,30 | 358 / 27 | $4.975,66 | 491 / 32 | $3.811,80 | 490 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 23 | $24.363,80 | 620 / 38 | $7.675,18 | 696 / 39 | $6.650,39 | 693 / 49 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 31 | $10.002,20 | 353 / 25 | $3.682,72 | 783 / 35 | $2.659,00 | 779 / 53 |
| Cellulitis W/O Mcc | 39 | 150 / 42 | $15.480,80 | 917 / 65 | $5.201,44 | 942 / 31 | $4.233,08 | 936 / 61 |
| Cervical Spinal Fusion W Cc | 11 | 42 / 12 | $53.301,60 | 93 / 3 | $16.275,90 | 73 / 1 | $15.042,80 | 73 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 15 | $42.734,90 | 243 / 9 | $13.512,20 | 154 / 8 | $10.780,20 | 154 / 8 |
| Chest Pain | 12 | 139 / 37 | $19.363,80 | 877 / 48 | $3.961,58 | 586 / 27 | $3.010,92 | 582 / 33 |
| Chronic Obstructive Pulmonary Disease W Cc | 62 | 117 / 23 | $15.194,80 | 529 / 41 | $5.578,65 | 574 / 24 | $4.618,81 | 572 / 36 |
| Chronic Obstructive Pulmonary Disease W Mcc | 80 | 122 / 20 | $21.920,50 | 894 / 53 | $6.979,12 | 329 / 30 | $5.595,39 | 328 / 27 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 35 | $11.835,90 | 430 / 34 | $4.576,63 | 248 / 32 | $3.087,95 | 248 / 20 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 33 | 155 / 30 | $24.266,10 | 254 / 12 | $6.553,27 | 354 / 15 | $5.232,73 | 353 / 18 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 11 | 65 / 19 | $124.724,00 | 257 / 11 | $27.228,30 | 229 / 3 | $25.555,50 | 229 / 13 |
| Depressive Neuroses | 11 | 39 / 4 | $9.675,73 | 48 / 2 | $4.389,18 | 22 / 3 | $3.133,55 | 22 / 1 |
| Diabetes W Cc | 23 | 69 / 18 | $16.581,90 | 453 / 32 | $5.535,96 | 291 / 34 | $3.986,78 | 291 / 22 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 15 | $18.814,20 | 260 / 13 | $5.670,79 | 260 / 7 | $4.631,64 | 259 / 17 |
| Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 9 | $62.609,00 | 270 / 15 | $14.764,80 | 259 / 11 | $13.383,50 | 259 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 24 | $26.983,50 | 524 / 37 | $7.440,00 | 391 / 27 | $6.415,93 | 389 / 30 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 48 | $17.744,10 | 1094 / 66 | $4.718,73 | 848 / 33 | $3.660,44 | 843 / 47 |
| G.I. Hemorrhage W Cc | 71 | 147 / 22 | $20.170,70 | 762 / 43 | $6.116,99 | 362 / 31 | $4.770,63 | 362 / 26 |
| G.I. Hemorrhage W Mcc | 39 | 82 / 15 | $33.714,70 | 454 / 29 | $9.471,95 | 169 / 5 | $8.761,54 | 169 / 19 |
| G.I. Obstruction W Cc | 17 | 75 / 26 | $20.236,80 | 671 / 45 | $5.461,12 | 772 / 20 | $4.782,88 | 770 / 49 |
| G.I. Obstruction W/O Cc/Mcc | 16 | 55 / 15 | $11.313,00 | 231 / 16 | $4.009,75 | 429 / 19 | $2.873,00 | 428 / 26 |
| Heart Failure & Shock W Cc | 102 | 176 / 25 | $18.441,80 | 979 / 54 | $5.945,48 | 569 / 34 | $4.957,81 | 569 / 34 |
| Heart Failure & Shock W Mcc | 101 | 183 / 27 | $29.252,90 | 1040 / 58 | $9.416,43 | 1010 / 57 | $8.315,69 | 1009 / 66 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 33 | $11.040,20 | 366 / 22 | $4.339,69 | 698 / 32 | $3.467,38 | 694 / 44 |
| Hip & Femur Procedures Except Major Joint W Cc | 44 | 99 / 13 | $33.069,90 | 340 / 25 | $12.254,50 | 142 / 47 | $9.327,61 | 141 / 11 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 16 | $43.112,90 | 74 / 6 | $16.250,40 | 75 / 2 | $14.985,50 | 75 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 21 | $113.311,00 | 662 / 39 | $33.027,30 | 450 / 37 | $29.066,90 | 446 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 34 | $16.404,00 | 232 / 10 | $6.012,53 | 264 / 12 | $4.924,27 | 264 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 37 | $30.008,90 | 338 / 20 | $9.054,57 | 84 / 5 | $8.034,57 | 84 / 11 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 33 | $16.367,90 | 330 / 16 | $4.751,36 | 441 / 20 | $3.562,82 | 438 / 29 |
| Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 25 | $24.675,20 | 897 / 58 | $6.686,00 | 486 / 37 | $5.690,63 | 485 / 39 |
| Kidney & Urinary Tract Infections W/O Mcc | 75 | 158 / 24 | $15.552,80 | 1019 / 58 | $5.027,39 | 583 / 54 | $3.680,00 | 581 / 39 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 9 | $30.867,50 | 107 / 6 | $9.608,44 | 194 / 4 | $8.269,69 | 194 / 10 |
| Major Cardiovasc Procedures W Mcc | 13 | 55 / 17 | $94.661,80 | 94 / 8 | $36.401,40 | 54 / 15 | $26.635,50 | 54 / 5 |
| Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 20 | $52.292,50 | 71 / 2 | $18.563,90 | 170 / 3 | $17.475,90 | 170 / 11 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 23 | 50 / 11 | $22.298,80 | 367 / 23 | $6.562,61 | 103 / 8 | $5.598,87 | 103 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 13 | 43 / 13 | $36.246,00 | 233 / 18 | $10.570,70 | 66 / 6 | $9.482,69 | 66 / 7 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 41 | 55 / 6 | $33.996,50 | 86 / 4 | $12.517,00 | 234 / 5 | $11.291,70 | 232 / 13 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 11 | $53.038,40 | 154 / 10 | $17.041,80 | 82 / 4 | $15.663,50 | 82 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 123 | 441 / 43 | $37.749,40 | 627 / 34 | $13.022,10 | 397 / 46 | $10.164,00 | 396 / 32 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 28 | 41 / 7 | $39.538,40 | 49 / 1 | $13.768,90 | 72 / 1 | $12.658,80 | 72 / 4 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 27 | $43.708,30 | 268 / 16 | $14.456,70 | 369 / 14 | $13.111,50 | 366 / 31 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 22 | $140.100,00 | 736 / 40 | $39.421,20 | 986 / 47 | $37.314,50 | 984 / 50 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 31 | $15.566,70 | 1027 / 54 | $4.426,71 | 624 / 35 | $3.395,34 | 622 / 38 |
| Neuroses Except Depressive | 14 | 13 / 1 | $6.677,71 | 3 / 1 | $4.512,21 | 3 / 1 | $3.301,93 | 3 / 1 |
| Other Circulatory System Diagnoses W Mcc | 22 | 94 / 26 | $37.074,10 | 404 / 28 | $9.925,36 | 102 / 4 | $9.141,45 | 102 / 12 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 13 | $44.721,70 | 387 / 17 | $10.047,30 | 120 / 8 | $8.961,50 | 120 / 7 |
| Other Vascular Procedures W Cc | 23 | 79 / 19 | $41.646,70 | 103 / 5 | $14.131,60 | 122 / 4 | $12.891,30 | 122 / 5 |
| Other Vascular Procedures W/O Cc/Mcc | 15 | 41 / 7 | $36.936,10 | 134 / 4 | $9.765,27 | 148 / 2 | $8.840,60 | 147 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 22 | $95.125,70 | 439 / 30 | $20.433,70 | 453 / 22 | $19.292,90 | 449 / 27 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 37 | 159 / 33 | $78.528,50 | 847 / 51 | $17.241,70 | 634 / 59 | $11.050,40 | 630 / 40 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 19 | $16.208,30 | 231 / 17 | $5.690,00 | 213 / 14 | $4.670,67 | 212 / 16 |
| Pleural Effusion W Mcc | 13 | 17 / 3 | $31.536,20 | 51 / 2 | $9.295,38 | 58 / 2 | $8.670,31 | 58 / 4 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 15 | $12.988,30 | 214 / 8 | $4.171,42 | 102 / 6 | $2.908,25 | 102 / 4 |
| Psychoses | 60 | 221 / 14 | $9.636,52 | 52 / 3 | $6.577,57 | 72 / 9 | $4.940,83 | 72 / 2 |
| Pulmonary Edema & Respiratory Failure | 55 | 148 / 31 | $27.835,40 | 902 / 50 | $7.379,89 | 420 / 25 | $6.249,38 | 420 / 28 |
| Pulmonary Embolism W/O Mcc | 25 | 49 / 12 | $21.332,70 | 460 / 25 | $6.275,88 | 315 / 24 | $4.834,56 | 315 / 24 |
| Red Blood Cell Disorders W/O Mcc | 29 | 114 / 25 | $16.111,90 | 552 / 34 | $5.090,86 | 377 / 36 | $3.848,03 | 376 / 30 |
| Renal Failure W Cc | 50 | 171 / 44 | $17.596,30 | 738 / 42 | $6.158,16 | 329 / 50 | $4.568,76 | 327 / 24 |
| Renal Failure W Mcc | 31 | 164 / 48 | $29.252,30 | 715 / 43 | $8.966,23 | 441 / 31 | $7.981,00 | 441 / 38 |
| Renal Failure W/O Cc/Mcc | 13 | 43 / 12 | $11.222,00 | 169 / 9 | $4.680,69 | 26 / 25 | $2.358,38 | 26 / 5 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 30 | $27.969,00 | 608 / 41 | $8.134,73 | 493 / 26 | $7.323,64 | 490 / 28 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 36 | $32.111,00 | 472 / 31 | $10.882,50 | 249 / 14 | $9.890,00 | 249 / 24 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 36 | 95 / 24 | $56.659,80 | 825 / 46 | $13.458,30 | 524 / 20 | $12.508,90 | 517 / 36 |
| Revision Of Hip Or Knee Replacement W Cc | 20 | 66 / 10 | $58.812,60 | 134 / 6 | $21.635,70 | 70 / 8 | $16.466,20 | 70 / 4 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 14 | 55 / 10 | $52.812,90 | 133 / 2 | $15.061,90 | 111 / 2 | $13.698,60 | 111 / 3 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 21 | $182.727,00 | 682 / 36 | $44.328,90 | 767 / 36 | $42.497,60 | 766 / 40 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 207 | 309 / 23 | $41.938,50 | 1407 / 73 | $11.233,00 | 548 / 51 | $9.592,24 | 547 / 38 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 60 | 147 / 17 | $23.643,70 | 1130 / 61 | $6.538,23 | 629 / 36 | $5.338,13 | 627 / 38 |
| Signs & Symptoms W Mcc | 12 | 29 / 7 | $25.348,80 | 108 / 4 | $7.045,67 | 66 / 2 | $6.313,33 | 66 / 3 |
| Signs & Symptoms W/O Mcc | 12 | 79 / 23 | $10.797,40 | 121 / 10 | $4.425,17 | 307 / 19 | $3.393,83 | 306 / 21 |
| Simple Pneumonia & Pleurisy W Cc | 65 | 138 / 20 | $18.394,20 | 956 / 57 | $5.926,86 | 640 / 31 | $4.767,72 | 637 / 40 |
| Simple Pneumonia & Pleurisy W Mcc | 71 | 134 / 19 | $24.821,40 | 692 / 47 | $8.487,89 | 494 / 34 | $7.316,63 | 494 / 44 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 27 | $15.562,90 | 791 / 45 | $4.527,43 | 790 / 28 | $3.493,29 | 786 / 42 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 40 | $64.441,20 | 268 / 14 | $22.166,80 | 325 / 10 | $20.724,90 | 324 / 24 |
| Syncope & Collapse | 23 | 146 / 35 | $14.917,70 | 385 / 25 | $4.568,00 | 398 / 29 | $3.448,43 | 396 / 32 |
| Transient Ischemia | 13 | 112 / 39 | $13.426,80 | 209 / 10 | $4.422,23 | 355 / 21 | $3.213,92 | 354 / 29 | Total 82 procedures | 2.617 | 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.