Hospital Costs > In Arizona > Banner Gateway 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 | 234 | 282 / 10 | $62.195,00 | 2137 / 32 | $13.153,90 | 1746 / 24 | $11.612,70 | 1713 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 71 | 136 / 14 | $37.053,30 | 1931 / 33 | $8.050,44 | 1767 / 24 | $6.724,38 | 1760 / 25 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 71 | 29 / 1 | $43.466,80 | 282 / 8 | $8.102,80 | 219 / 3 | $7.754,86 | 219 / 5 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 70 | 494 / 33 | $57.922,40 | 1620 / 20 | $14.334,50 | 1868 / 20 | $13.083,00 | 1827 / 29 |
| Renal Failure W Cc | 46 | 175 / 12 | $36.139,00 | 1935 / 38 | $7.278,52 | 1828 / 21 | $6.475,04 | 1818 / 25 |
| Heart Failure & Shock W Mcc | 45 | 239 / 21 | $45.749,90 | 1866 / 28 | $10.394,00 | 1536 / 22 | $9.137,80 | 1532 / 19 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 27 | $27.109,70 | 2013 / 29 | $5.916,61 | 2055 / 22 | $4.900,61 | 2041 / 26 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 17 | $20.199,50 | 1573 / 13 | $5.799,95 | 1913 / 24 | $4.698,81 | 1907 / 26 |
| Renal Failure W Mcc | 36 | 159 / 12 | $41.766,20 | 1335 / 13 | $11.121,10 | 1180 / 17 | $9.361,28 | 1180 / 15 |
| Cellulitis W/O Mcc | 32 | 157 / 25 | $26.520,00 | 1966 / 36 | $6.423,09 | 1924 / 23 | $5.402,09 | 1916 / 23 |
| G.I. Hemorrhage W Cc | 30 | 188 / 26 | $36.542,50 | 1841 / 28 | $8.280,37 | 1513 / 28 | $5.985,87 | 1509 / 19 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 29 | 72 / 11 | $44.611,70 | 714 / 17 | $10.530,20 | 555 / 10 | $9.351,97 | 553 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 28 | 177 / 24 | $50.975,20 | 1936 / 34 | $11.030,20 | 2010 / 28 | $10.177,10 | 2009 / 31 |
| Kidney & Urinary Tract Infections W/O Mcc | 26 | 207 / 23 | $28.598,90 | 2156 / 39 | $6.167,12 | 1956 / 22 | $4.927,77 | 1945 / 24 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 18 | $181.048,00 | 1179 / 26 | $42.070,50 | 1142 / 24 | $37.686,30 | 1134 / 22 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 22 | $44.962,80 | 1647 / 30 | $9.327,85 | 1484 / 21 | $7.795,31 | 1479 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 23 | $47.234,00 | 2121 / 37 | $10.146,80 | 1973 / 35 | $7.898,67 | 1965 / 30 |
| Respiratory Infections & Inflammations W Mcc | 24 | 112 / 16 | $60.341,80 | 1268 / 16 | $13.183,40 | 1161 / 15 | $12.334,10 | 1147 / 18 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 23 | 138 / 18 | $33.483,70 | 1760 / 34 | $6.464,83 | 1618 / 27 | $5.242,35 | 1613 / 27 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 23 | $58.994,20 | 1322 / 19 | $12.833,50 | 1267 / 14 | $11.841,50 | 1250 / 19 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 18 | $31.041,50 | 1011 / 17 | $7.892,55 | 907 / 13 | $6.807,77 | 904 / 12 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 11 | $69.374,60 | 1043 / 23 | $13.036,70 | 610 / 17 | $11.174,60 | 608 / 12 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 10 | $44.419,50 | 1056 / 22 | $8.612,62 | 938 / 14 | $7.923,86 | 933 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 30 | $33.594,70 | 2127 / 37 | $7.202,00 | 2005 / 24 | $6.174,80 | 1997 / 27 |
| Heart Failure & Shock W Cc | 20 | 258 / 31 | $31.108,10 | 2018 / 28 | $7.762,80 | 1841 / 28 | $6.219,45 | 1836 / 23 |
| Red Blood Cell Disorders W/O Mcc | 20 | 123 / 14 | $25.344,60 | 1275 / 13 | $6.803,20 | 1071 / 21 | $4.613,15 | 1064 / 15 |
| Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 17 | $26.842,30 | 1023 / 10 | $7.660,89 | 1251 / 12 | $6.896,26 | 1247 / 14 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 19 | 58 / 4 | $39.249,30 | 173 / 2 | $11.472,40 | 7 / 4 | $6.211,58 | 7 / 1 |
| G.I. Obstruction W Cc | 18 | 74 / 17 | $27.056,60 | 1089 / 15 | $7.032,50 | 1094 / 23 | $5.287,83 | 1091 / 18 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 10 | $21.773,90 | 899 / 17 | $5.197,71 | 954 / 20 | $3.817,88 | 951 / 19 |
| Chronic Obstructive Pulmonary Disease W Cc | 17 | 162 / 21 | $26.045,90 | 1520 / 10 | $7.604,00 | 1703 / 27 | $5.881,47 | 1696 / 24 |
| Malignancy Of Hepatobiliary System Or Pancreas W Mcc | 17 | 36 / 2 | $60.075,50 | 215 / 3 | $13.242,30 | 129 / 3 | $10.528,70 | 130 / 2 |
| Digestive Malignancy W Cc | 16 | 31 / 2 | $36.347,30 | 202 / 2 | $9.808,06 | 211 / 3 | $7.932,38 | 209 / 4 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 14 | $194.587,00 | 1022 / 24 | $38.566,80 | 910 / 23 | $35.676,40 | 908 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 28 | $38.623,70 | 1474 / 23 | $7.637,93 | 1413 / 19 | $6.590,47 | 1410 / 22 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 20 | $102.329,00 | 1231 / 23 | $18.017,70 | 711 / 20 | $14.395,70 | 704 / 13 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 15 | $32.228,30 | 899 / 19 | $8.035,33 | 824 / 24 | $5.878,07 | 821 / 17 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 16 | $33.673,90 | 988 / 18 | $7.271,21 | 960 / 19 | $6.329,50 | 956 / 22 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Mcc | 14 | 20 / 2 | $46.110,80 | 12 / 1 | $15.389,40 | 6 / 1 | $15.048,90 | 6 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 6 | $54.397,40 | 454 / 11 | $12.858,30 | 410 / 9 | $12.337,10 | 409 / 11 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 13 | 23 / 6 | $59.937,20 | 168 / 4 | $17.483,60 | 97 / 5 | $13.169,70 | 97 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 12 | $27.818,80 | 475 / 7 | $8.264,92 | 460 / 13 | $6.083,17 | 460 / 10 |
| Autologous Bone Marrow Transplant W Cc/Mcc | 12 | 23 / 2 | $200.838,00 | 34 / 3 | $39.973,10 | 11 / 2 | $39.773,20 | 11 / 3 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 17 | $68.865,30 | 1121 / 12 | $15.193,00 | 1016 / 12 | $14.185,00 | 1006 / 16 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 12 | 90 / 21 | $38.089,60 | 1310 / 30 | $5.941,67 | 1194 / 18 | $4.835,00 | 1190 / 20 |
| Transient Ischemia | 11 | 114 / 20 | $33.677,50 | 1296 / 25 | $5.616,27 | 1196 / 19 | $4.513,73 | 1190 / 20 |
| Diabetes W Cc | 11 | 81 / 14 | $17.559,60 | 519 / 2 | $6.277,00 | 1058 / 15 | $5.287,91 | 1054 / 15 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 11 | $38.006,50 | 765 / 14 | $7.865,18 | 490 / 16 | $5.247,45 | 488 / 10 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 3 | $32.004,30 | 237 / 2 | $7.759,45 | 312 / 4 | $7.102,00 | 312 / 5 | Total 49 procedures | 1.399 | 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.