Hospital Costs > In Arizona > Banner Estrella 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 | 227 | 289 / 11 | $62.441,80 | 2146 / 34 | $13.989,50 | 2059 / 29 | $12.577,50 | 2022 / 32 |
| Pulmonary Edema & Respiratory Failure | 103 | 100 / 3 | $45.444,30 | 1657 / 31 | $10.188,00 | 1806 / 26 | $8.947,61 | 1801 / 27 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 86 | 121 / 6 | $35.857,30 | 1897 / 32 | $9.445,57 | 2085 / 34 | $7.584,91 | 2077 / 32 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 79 | 485 / 32 | $64.040,00 | 1837 / 28 | $16.122,70 | 2099 / 33 | $14.045,20 | 2057 / 37 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 57 | 218 / 24 | $30.346,10 | 2183 / 38 | $7.287,58 | 2257 / 37 | $5.410,09 | 2242 / 31 |
| Heart Failure & Shock W Mcc | 55 | 229 / 17 | $41.157,90 | 1706 / 22 | $11.711,40 | 2075 / 31 | $10.668,90 | 2066 / 33 |
| Simple Pneumonia & Pleurisy W Mcc | 53 | 152 / 16 | $50.669,50 | 1931 / 33 | $12.383,40 | 1799 / 36 | $9.402,60 | 1799 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 49 | 77 / 3 | $36.021,40 | 1201 / 26 | $9.331,59 | 1334 / 25 | $8.308,00 | 1331 / 25 |
| Cellulitis W/O Mcc | 44 | 145 / 18 | $24.528,50 | 1848 / 32 | $7.506,98 | 2292 / 31 | $6.489,52 | 2284 / 32 |
| Other Circulatory System Diagnoses W Mcc | 40 | 76 / 5 | $78.020,70 | 1130 / 25 | $15.635,70 | 842 / 23 | $12.361,50 | 837 / 19 |
| Renal Failure W Mcc | 39 | 156 / 9 | $46.010,60 | 1478 / 21 | $12.247,20 | 1518 / 22 | $10.372,80 | 1517 / 24 |
| Renal Failure W Cc | 39 | 182 / 16 | $31.321,70 | 1764 / 27 | $8.409,51 | 1970 / 32 | $6.876,49 | 1960 / 30 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 37 | 87 / 11 | $147.501,00 | 1001 / 19 | $40.510,40 | 608 / 22 | $30.458,80 | 603 / 14 |
| G.I. Hemorrhage W Cc | 32 | 186 / 25 | $39.420,20 | 1938 / 32 | $9.133,50 | 2010 / 33 | $7.312,75 | 2006 / 32 |
| Heart Failure & Shock W Cc | 31 | 247 / 25 | $32.744,30 | 2089 / 31 | $8.510,42 | 2372 / 35 | $7.654,68 | 2366 / 36 |
| Simple Pneumonia & Pleurisy W Cc | 28 | 175 / 25 | $36.342,70 | 2230 / 43 | $8.607,29 | 2366 / 37 | $7.111,64 | 2357 / 37 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 27 | 169 / 25 | $83.730,30 | 934 / 19 | $18.760,10 | 840 / 33 | $11.812,40 | 834 / 17 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 26 | 75 / 12 | $39.363,50 | 620 / 9 | $12.371,20 | 698 / 18 | $10.195,00 | 696 / 15 |
| G.I. Obstruction W Cc | 25 | 67 / 12 | $28.939,40 | 1159 / 20 | $8.142,16 | 1486 / 28 | $6.694,20 | 1481 / 28 |
| Respiratory Infections & Inflammations W Mcc | 25 | 111 / 15 | $63.274,10 | 1322 / 21 | $14.382,70 | 1281 / 22 | $12.858,00 | 1266 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 18 | $29.551,30 | 1613 / 27 | $7.233,43 | 1912 / 31 | $6.345,78 | 1907 / 34 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 26 | $32.027,50 | 2282 / 42 | $7.236,71 | 2350 / 32 | $5.953,43 | 2339 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 27 | $29.119,10 | 2104 / 35 | $6.693,15 | 2252 / 33 | $5.845,15 | 2244 / 35 |
| Chronic Obstructive Pulmonary Disease W Mcc | 20 | 182 / 26 | $47.511,60 | 2129 / 38 | $9.304,65 | 2117 / 29 | $8.367,05 | 2109 / 34 |
| Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 26 | $67.030,60 | 1490 / 26 | $14.966,50 | 1344 / 29 | $12.163,70 | 1326 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 18 | 164 / 27 | $48.101,60 | 1700 / 31 | $8.715,33 | 1689 / 23 | $7.572,22 | 1685 / 26 |
| Syncope & Collapse | 17 | 152 / 18 | $38.447,20 | 1665 / 34 | $6.830,06 | 1746 / 29 | $6.406,53 | 1738 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 20 | $59.701,50 | 1680 / 32 | $9.833,53 | 1582 / 24 | $9.122,00 | 1579 / 27 |
| Other Digestive System Diagnoses W Cc | 16 | 81 / 15 | $33.864,90 | 998 / 19 | $8.327,38 | 1238 / 22 | $7.799,38 | 1234 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 19 | $63.125,50 | 1182 / 25 | $12.917,60 | 1215 / 18 | $12.235,60 | 1209 / 22 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 15 | 21 / 4 | $78.269,90 | 242 / 9 | $20.798,50 | 154 / 9 | $14.205,10 | 154 / 7 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 16 | $47.796,50 | 940 / 13 | $13.131,20 | 1214 / 20 | $12.322,70 | 1206 / 24 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 24 | $37.336,10 | 1999 / 29 | $7.912,57 | 2044 / 31 | $6.872,57 | 2037 / 30 |
| Complications Of Treatment W Mcc | 14 | 37 / 6 | $48.046,90 | 165 / 4 | $13.914,10 | 135 / 6 | $11.292,40 | 135 / 6 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 21 | $91.304,20 | 1125 / 19 | $18.126,40 | 1168 / 21 | $17.260,10 | 1155 / 26 |
| Diabetes W Cc | 14 | 78 / 11 | $32.899,70 | 1259 / 23 | $7.749,86 | 1257 / 21 | $5.988,64 | 1252 / 20 |
| Diabetes W Mcc | 14 | 43 / 3 | $59.951,10 | 637 / 8 | $10.857,10 | 565 / 3 | $10.164,60 | 564 / 5 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 13 | $56.642,10 | 435 / 11 | $16.139,40 | 662 / 16 | $14.927,90 | 658 / 18 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 14 | 54 / 2 | $34.881,90 | 540 / 7 | $7.795,29 | 622 / 8 | $7.191,86 | 622 / 8 |
| Cellulitis W Mcc | 13 | 45 / 10 | $38.080,40 | 544 / 7 | $10.974,50 | 702 / 11 | $10.041,50 | 700 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 27 | $21.767,40 | 1490 / 28 | $5.784,38 | 1828 / 31 | $4.760,38 | 1822 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 20 | $34.959,40 | 1243 / 24 | $7.841,54 | 1356 / 28 | $5.506,38 | 1352 / 25 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 12 | $48.379,60 | 690 / 16 | $10.782,60 | 727 / 14 | $10.041,70 | 725 / 14 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 15 | $39.533,60 | 1006 / 24 | $8.337,92 | 1061 / 19 | $7.683,15 | 1058 / 21 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 13 | $41.732,60 | 1000 / 11 | $10.673,90 | 1235 / 16 | $9.975,25 | 1230 / 18 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 12 | 34 / 2 | $48.089,30 | 210 / 1 | $9.076,75 | 173 / 1 | $6.675,08 | 173 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 12 | $27.435,80 | 463 / 6 | $8.339,75 | 636 / 14 | $7.230,42 | 636 / 15 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 9 | $90.559,80 | 709 / 12 | $16.973,90 | 577 / 10 | $13.481,90 | 571 / 7 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 22 | $34.610,80 | 1354 / 20 | $9.521,58 | 1512 / 26 | $7.656,00 | 1508 / 23 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 12 | 30 / 3 | $46.550,20 | 147 / 3 | $15.452,00 | 93 / 5 | $10.194,80 | 93 / 2 |
| Hypertension W/O Mcc | 12 | 53 / 7 | $30.220,30 | 640 / 12 | $6.813,83 | 581 / 12 | $4.258,42 | 579 / 10 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 11 | $100.364,00 | 695 / 18 | $20.028,50 | 539 / 12 | $18.713,80 | 536 / 14 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 6 | $89.912,40 | 322 / 8 | $17.662,90 | 347 / 9 | $16.854,90 | 346 / 10 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 7 | $32.063,30 | 398 / 10 | $7.978,36 | 427 / 5 | $7.318,00 | 427 / 7 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 20 | $30.849,00 | 1531 / 24 | $9.296,64 | 1399 / 31 | $5.208,55 | 1390 / 22 | Total 55 procedures | 1.612 | 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.