Hospital Costs > In Ohio > Atrium Medical Center, 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 | 138 | 378 / 43 | $47.423,40 | 1683 / 87 | $11.029,30 | 557 / 43 | $9.604,20 | 556 / 39 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 85 | 479 / 55 | $63.627,60 | 1824 / 105 | $12.824,40 | 1002 / 35 | $11.054,60 | 982 / 71 |
Heart Failure & Shock W Mcc | 84 | 200 / 35 | $45.596,10 | 1862 / 93 | $8.990,00 | 460 / 41 | $7.627,82 | 460 / 33 |
Renal Failure W Cc | 75 | 146 / 30 | $24.940,20 | 1413 / 75 | $5.823,17 | 331 / 29 | $4.571,09 | 329 / 25 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 71 | 60 / 6 | $86.646,20 | 1388 / 72 | $14.561,70 | 859 / 43 | $13.565,60 | 851 / 53 |
Simple Pneumonia & Pleurisy W Mcc | 71 | 134 / 19 | $39.343,00 | 1538 / 90 | $8.946,35 | 101 / 55 | $6.588,77 | 101 / 11 |
Renal Failure W Mcc | 68 | 127 / 23 | $35.988,10 | 1099 / 67 | $9.093,21 | 352 / 37 | $7.831,69 | 352 / 29 |
Chronic Obstructive Pulmonary Disease W Mcc | 67 | 135 / 30 | $31.613,30 | 1565 / 90 | $7.083,70 | 593 / 35 | $5.859,02 | 592 / 42 |
Pulmonary Edema & Respiratory Failure | 60 | 143 / 26 | $35.122,90 | 1302 / 69 | $7.474,10 | 593 / 32 | $6.441,83 | 593 / 44 |
Chronic Obstructive Pulmonary Disease W Cc | 55 | 124 / 28 | $26.257,80 | 1533 / 91 | $5.590,44 | 658 / 27 | $4.686,40 | 656 / 41 |
Simple Pneumonia & Pleurisy W Cc | 51 | 152 / 30 | $27.244,30 | 1789 / 102 | $5.963,55 | 870 / 36 | $4.967,86 | 867 / 59 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 42 | 233 / 54 | $22.033,00 | 1629 / 85 | $4.816,40 | 810 / 45 | $3.637,60 | 805 / 44 |
G.I. Hemorrhage W Cc | 42 | 176 / 41 | $32.249,90 | 1671 / 84 | $6.209,62 | 769 / 38 | $5.154,26 | 767 / 55 |
Heart Failure & Shock W Cc | 35 | 243 / 66 | $29.405,00 | 1925 / 99 | $6.144,54 | 516 / 44 | $4.908,57 | 516 / 30 |
Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 21 | $54.425,60 | 1192 / 67 | $11.202,80 | 591 / 24 | $10.225,20 | 588 / 41 |
Respiratory Infections & Inflammations W Mcc | 31 | 105 / 27 | $58.606,90 | 1245 / 70 | $11.077,90 | 563 / 22 | $10.590,20 | 555 / 45 |
Kidney & Urinary Tract Infections W Mcc | 30 | 114 / 25 | $31.044,40 | 1223 / 74 | $6.625,37 | 578 / 29 | $5.800,77 | 577 / 46 |
Cellulitis W/O Mcc | 29 | 160 / 50 | $21.180,70 | 1596 / 90 | $38.072,30 | 545 / 111 | $3.926,28 | 542 / 34 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 25 | $21.424,80 | 1364 / 87 | $4.441,79 | 694 / 20 | $3.483,66 | 692 / 48 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 29 | 159 / 33 | $40.784,70 | 971 / 53 | $6.750,76 | 506 / 23 | $5.454,55 | 504 / 29 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 21 | $144.832,00 | 983 / 52 | $30.412,40 | 236 / 24 | $27.260,90 | 236 / 19 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 40 | $33.313,80 | 1783 / 89 | $6.835,93 | 477 / 47 | $5.174,96 | 475 / 31 |
Kidney & Urinary Tract Infections W/O Mcc | 27 | 206 / 55 | $22.944,00 | 1838 / 102 | $4.835,56 | 786 / 39 | $3.817,44 | 781 / 51 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 27 | 98 / 30 | $48.757,40 | 1106 / 66 | $9.932,56 | 493 / 32 | $8.982,44 | 492 / 40 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 27 | 134 / 38 | $25.077,30 | 1403 / 87 | $4.964,67 | 768 / 30 | $4.084,26 | 765 / 52 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 26 | 170 / 41 | $66.999,20 | 618 / 43 | $12.269,80 | 337 / 12 | $10.246,50 | 337 / 19 |
Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 30 | $110.070,00 | 833 / 48 | $28.059,30 | 161 / 39 | $19.530,00 | 160 / 13 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 34 | $18.094,70 | 1277 / 74 | $3.659,33 | 809 / 30 | $2.678,71 | 805 / 55 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 29 | $45.493,60 | 845 / 45 | $10.496,10 | 274 / 31 | $8.715,30 | 273 / 23 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 40 | $36.550,40 | 1410 / 72 | $6.400,87 | 579 / 29 | $5.302,83 | 578 / 41 |
G.I. Hemorrhage W Mcc | 23 | 98 / 28 | $45.827,30 | 889 / 51 | $10.488,90 | 159 / 32 | $8.719,09 | 159 / 15 |
Hip & Femur Procedures Except Major Joint W Mcc | 22 | 40 / 8 | $79.670,70 | 527 / 26 | $16.361,40 | 125 / 3 | $15.293,40 | 125 / 5 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 19 | 74 / 16 | $60.663,10 | 474 / 28 | $12.291,00 | 256 / 8 | $11.325,20 | 251 / 18 |
Medical Back Problems W/O Mcc | 18 | 103 / 29 | $24.454,80 | 803 / 47 | $5.240,56 | 589 / 21 | $4.385,61 | 587 / 42 |
Syncope & Collapse | 18 | 151 / 39 | $26.132,90 | 1276 / 78 | $4.814,61 | 529 / 46 | $3.579,89 | 527 / 43 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 19 | $141.631,00 | 466 / 27 | $32.639,10 | 190 / 9 | $31.569,00 | 190 / 19 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 38 | $27.958,60 | 1412 / 78 | $5.038,38 | 527 / 30 | $4.011,25 | 525 / 39 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 16 | 107 / 44 | $33.570,20 | 1110 / 66 | $7.648,25 | 304 / 37 | $6.051,75 | 303 / 26 |
Respiratory Infections & Inflammations W Cc | 16 | 72 / 25 | $40.746,20 | 979 / 59 | $8.024,50 | 576 / 21 | $7.500,88 | 573 / 34 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 48 | $19.046,30 | 1459 / 82 | $4.486,31 | 878 / 41 | $3.560,12 | 875 / 53 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 9 | $131.424,00 | 788 / 30 | $22.500,10 | 650 / 21 | $21.325,20 | 647 / 26 |
Major Small & Large Bowel Procedures W Cc | 15 | 93 / 27 | $75.833,80 | 949 / 48 | $14.292,60 | 357 / 11 | $13.067,10 | 354 / 29 |
Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 16 | $44.495,50 | 628 / 30 | $8.349,80 | 227 / 8 | $7.405,73 | 226 / 14 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 15 | 25 / 4 | $78.978,30 | 285 / 10 | $15.282,10 | 29 / 5 | $12.029,80 | 29 / 4 |
Other Resp System O.R. Procedures W Mcc | 14 | 49 / 11 | $80.440,90 | 216 / 14 | $20.919,50 | 8 / 10 | $15.728,60 | 8 / 2 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 14 | 87 / 25 | $37.744,10 | 585 / 38 | $8.996,07 | 313 / 16 | $8.419,07 | 313 / 25 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 25 | $27.658,30 | 554 / 41 | $7.203,31 | 418 / 16 | $6.461,31 | 416 / 34 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 25 | $146.905,00 | 790 / 43 | $29.842,50 | 409 / 24 | $28.574,30 | 407 / 35 |
Other Digestive System Diagnoses W Cc | 13 | 84 / 28 | $26.740,20 | 747 / 44 | $5.959,46 | 369 / 14 | $4.990,00 | 366 / 25 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 35 | $30.743,70 | 996 / 57 | $6.693,54 | 153 / 23 | $5.433,77 | 152 / 11 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 13 | 82 / 15 | $68.211,60 | 246 / 13 | $11.519,80 | 193 / 4 | $10.836,20 | 191 / 10 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 17 | $59.279,80 | 464 / 20 | $13.912,60 | 152 / 16 | $10.797,60 | 150 / 9 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 14 | $73.973,80 | 375 / 22 | $13.733,60 | 98 / 22 | $8.974,00 | 98 / 7 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 34 | $18.336,20 | 1179 / 68 | $4.254,25 | 637 / 23 | $3.422,50 | 635 / 35 |
Acute Myocardial Infarction, Discharged Alive W Cc | 12 | 79 / 25 | $44.367,20 | 1106 / 61 | $7.117,42 | 851 / 38 | $6.249,25 | 849 / 52 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 29 | $19.121,30 | 1130 / 60 | $4.482,50 | 1064 / 24 | $3.742,50 | 1058 / 53 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 22 | $29.363,10 | 785 / 49 | $5.988,08 | 460 / 19 | $5.218,50 | 458 / 33 |
Diabetes W Mcc | 12 | 45 / 12 | $50.730,20 | 562 / 36 | $10.525,80 | 22 / 29 | $6.215,50 | 22 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 27 | $109.974,00 | 588 / 36 | $18.763,00 | 267 / 9 | $17.667,50 | 265 / 16 |
Seizures W Mcc | 11 | 55 / 20 | $37.897,10 | 323 / 23 | $8.770,09 | 131 / 10 | $7.951,09 | 131 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 33 | $32.701,80 | 1177 / 62 | $4.809,73 | 543 / 24 | $3.677,55 | 539 / 34 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 24 | $19.663,50 | 371 / 17 | $6.240,73 | 180 / 23 | $4.553,64 | 180 / 14 |
Peripheral Vascular Disorders W Mcc | 11 | 38 / 11 | $23.535,10 | 94 / 2 | $7.452,82 | 54 / 3 | $6.634,27 | 54 / 6 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 10 | $55.937,70 | 666 / 19 | $9.284,18 | 228 / 5 | $8.247,82 | 228 / 6 |
Cellulitis W Mcc | 11 | 47 / 19 | $38.640,00 | 565 / 40 | $8.889,82 | 29 / 26 | $6.435,36 | 29 / 3 | Total 65 procedures | 1.881 | 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.