Hospital Costs > In Oregon > Adventist Medical Center Portland, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 202 | 314 / 7 | $34.226,10 | 1015 / 18 | $12.987,80 | 1771 / 13 | $11.664,70 | 1736 / 13 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 102 | 462 / 16 | $61.547,20 | 1750 / 29 | $15.579,00 | 1857 / 9 | $13.031,10 | 1816 / 17 |
Heart Failure & Shock W Mcc | 86 | 198 / 5 | $22.402,20 | 560 / 7 | $10.790,50 | 1799 / 10 | $9.709,06 | 1794 / 10 |
Pulmonary Edema & Respiratory Failure | 69 | 134 / 3 | $22.851,00 | 593 / 5 | $9.092,29 | 1521 / 9 | $7.886,90 | 1516 / 8 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 58 | 149 / 7 | $17.077,40 | 521 / 7 | $7.813,95 | 1772 / 12 | $6.737,29 | 1765 / 11 |
Spinal Fusion Except Cervical W/O Mcc | 41 | 153 / 10 | $71.152,20 | 389 / 11 | $28.220,20 | 756 / 8 | $23.718,90 | 752 / 5 |
Heart Failure & Shock W Cc | 37 | 241 / 14 | $16.359,30 | 726 / 7 | $7.373,14 | 2012 / 12 | $6.549,03 | 2007 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 10 | $21.673,10 | 484 / 9 | $10.340,50 | 1782 / 10 | $9.348,19 | 1782 / 14 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 2 | $52.204,10 | 684 / 5 | $16.628,90 | 1188 / 5 | $15.027,50 | 1175 / 3 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 7 | $31.669,00 | 502 / 7 | $13.034,80 | 1165 / 9 | $10.914,70 | 1160 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 9 | $14.393,50 | 455 / 4 | $6.068,36 | 1540 / 8 | $5.069,43 | 1535 / 9 |
Renal Failure W Mcc | 28 | 167 / 8 | $22.886,80 | 357 / 3 | $10.938,10 | 1416 / 9 | $9.992,32 | 1416 / 9 |
G.I. Hemorrhage W Mcc | 27 | 94 / 5 | $28.575,00 | 281 / 2 | $12.374,50 | 1107 / 4 | $11.748,40 | 1099 / 5 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 27 | 97 / 7 | $100.627,00 | 497 / 7 | $37.037,30 | 895 / 2 | $33.844,90 | 889 / 3 |
G.I. Hemorrhage W Cc | 25 | 193 / 15 | $17.274,80 | 511 / 7 | $7.465,72 | 1772 / 12 | $6.536,88 | 1768 / 17 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 24 | 77 / 4 | $22.725,10 | 179 / 2 | $10.817,30 | 713 / 4 | $10.290,40 | 711 / 9 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 23 | 66 / 6 | $23.459,00 | 150 / 4 | $8.236,04 | 511 / 3 | $6.621,43 | 510 / 7 |
Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 11 | $48.543,70 | 998 / 18 | $13.350,00 | 1404 / 6 | $12.394,60 | 1386 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 23 | 252 / 17 | $14.027,40 | 624 / 8 | $5.891,83 | 1719 / 13 | $4.360,52 | 1706 / 11 |
Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 7 | $14.645,20 | 225 / 3 | $8.126,04 | 1324 / 8 | $7.066,39 | 1320 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 15 | $18.721,80 | 400 / 5 | $7.679,32 | 1425 / 8 | $6.633,14 | 1422 / 8 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 21 | 129 / 9 | $13.877,70 | 851 / 9 | $5.775,62 | 1051 / 15 | $2.864,24 | 1046 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 9 | $21.543,00 | 492 / 5 | $8.019,10 | 1162 / 4 | $7.526,40 | 1159 / 6 |
Cervical Spinal Fusion W/O Cc/Mcc | 20 | 84 / 5 | $42.650,90 | 241 / 7 | $15.918,30 | 599 / 3 | $13.635,20 | 596 / 6 |
Renal Failure W Cc | 20 | 201 / 14 | $13.952,30 | 381 / 3 | $7.680,15 | 1270 / 14 | $5.466,90 | 1262 / 6 |
Chest Pain | 18 | 133 / 2 | $13.355,30 | 340 / 4 | $5.067,17 | 937 / 5 | $3.444,11 | 932 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 12 | $16.852,50 | 189 / 1 | $8.796,11 | 1265 / 6 | $7.782,89 | 1262 / 7 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 7 | $33.362,30 | 532 / 6 | $13.721,30 | 1265 / 6 | $12.783,30 | 1250 / 7 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 18 | 178 / 15 | $59.527,60 | 441 / 12 | $14.659,60 | 974 / 5 | $12.373,30 | 967 / 5 |
Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 6 | $25.551,30 | 230 / 5 | $9.578,18 | 347 / 2 | $7.873,76 | 346 / 1 |
G.I. Obstruction W Cc | 17 | 75 / 7 | $20.319,80 | 680 / 10 | $6.599,24 | 1231 / 7 | $5.662,76 | 1227 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 17 | 185 / 14 | $14.332,70 | 268 / 1 | $8.511,41 | 1799 / 10 | $7.434,47 | 1791 / 12 |
Major Cardiovasc Procedures W/O Mcc | 17 | 84 / 8 | $75.157,50 | 315 / 5 | $22.758,70 | 523 / 2 | $20.542,90 | 523 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 13 | $23.832,00 | 174 / 2 | $11.760,00 | 980 / 3 | $10.964,80 | 975 / 4 |
Cellulitis W/O Mcc | 14 | 175 / 18 | $11.517,10 | 416 / 2 | $6.655,79 | 1854 / 15 | $5.256,07 | 1846 / 13 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 9 | $15.417,90 | 79 / 1 | $8.672,31 | 934 / 3 | $7.917,92 | 929 / 3 |
Transient Ischemia | 13 | 112 / 5 | $14.312,70 | 256 / 3 | $5.476,85 | 1142 / 5 | $4.352,00 | 1136 / 6 |
Other Vascular Procedures W Cc | 13 | 89 / 8 | $57.552,90 | 319 / 5 | $17.257,20 | 678 / 1 | $16.224,50 | 675 / 2 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 11 | $19.710,50 | 272 / 5 | $7.814,62 | 1026 / 3 | $6.786,38 | 1024 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 13 | $12.486,80 | 610 / 2 | $5.398,23 | 1939 / 8 | $4.741,00 | 1931 / 14 |
Syncope & Collapse | 12 | 157 / 12 | $12.646,60 | 238 / 1 | $5.659,00 | 1279 / 6 | $4.551,17 | 1272 / 6 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 13 | $27.989,80 | 424 / 7 | $8.011,91 | 1133 / 4 | $6.792,82 | 1130 / 6 |
Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 16 | $13.136,50 | 335 / 2 | $7.025,64 | 1729 / 9 | $5.927,91 | 1722 / 10 |
Diabetes W Cc | 11 | 81 / 9 | $15.769,60 | 383 / 5 | $6.611,45 | 367 / 10 | $4.110,09 | 367 / 1 | Total 44 procedures | 1.332 | 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.