Hospital Costs > In Arizona > Banner-University Medical Center South Campus, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 257 | 80 / 1 | $18.972,80 | 300 / 1 | $11.651,00 | 563 / 2 | $9.585,50 | 563 / 2 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 74 | 442 / 31 | $50.006,90 | 1785 / 16 | $17.341,20 | 2562 / 40 | $15.758,20 | 2518 / 41 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 32 | 175 / 27 | $28.141,90 | 1511 / 13 | $11.300,30 | 2394 / 38 | $9.331,88 | 2384 / 40 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 44 | $57.410,60 | 1596 / 19 | $19.393,30 | 2471 / 43 | $17.110,90 | 2425 / 44 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 26 | $88.996,50 | 1036 / 22 | $18.685,40 | 1355 / 32 | $16.305,00 | 1347 / 34 |
Heart Failure & Shock W Mcc | 23 | 261 / 30 | $31.084,70 | 1160 / 8 | $14.360,00 | 2416 / 39 | $13.005,40 | 2405 / 39 |
Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 31 | $27.136,40 | 1781 / 18 | $10.552,00 | 2677 / 43 | $9.040,53 | 2668 / 45 |
Hip & Femur Procedures Except Major Joint W Cc | 19 | 124 / 26 | $55.818,10 | 1235 / 17 | $17.938,60 | 1902 / 35 | $16.232,20 | 1882 / 37 |
Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 29 | $24.629,60 | 1959 / 28 | $9.158,18 | 2605 / 37 | $7.760,41 | 2594 / 40 |
Cellulitis W/O Mcc | 16 | 173 / 34 | $18.298,00 | 1280 / 11 | $9.670,56 | 2519 / 40 | $8.366,06 | 2511 / 41 |
Acute Myocardial Infarction, Discharged Alive W Cc | 15 | 76 / 12 | $33.512,50 | 865 / 9 | $11.260,10 | 1369 / 20 | $9.896,80 | 1367 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 15 | 151 / 29 | $18.046,70 | 1327 / 7 | $8.612,40 | 2439 / 40 | $7.326,67 | 2430 / 41 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 24 | $24.407,20 | 1371 / 16 | $9.157,21 | 2064 / 38 | $7.801,36 | 2059 / 40 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 37 | $20.110,90 | 1404 / 8 | $8.864,71 | 2611 / 41 | $7.566,57 | 2596 / 43 |
Renal Failure W Cc | 13 | 208 / 27 | $14.671,80 | 434 / 1 | $10.654,90 | 2334 / 38 | $9.350,77 | 2324 / 40 |
Simple Pneumonia & Pleurisy W Mcc | 13 | 192 / 32 | $32.713,50 | 1204 / 11 | $14.016,60 | 2349 / 39 | $12.644,60 | 2343 / 41 |
G.I. Hemorrhage W Mcc | 13 | 108 / 18 | $39.445,20 | 674 / 3 | $15.959,30 | 1443 / 25 | $14.359,60 | 1433 / 28 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 13 | 87 / 13 | $104.346,00 | 538 / 14 | $27.489,20 | 872 / 24 | $25.685,60 | 867 / 24 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 17 | $136.820,00 | 714 / 10 | $48.167,10 | 1200 / 27 | $45.643,90 | 1197 / 28 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 13 | 137 / 27 | $23.597,90 | 1580 / 34 | $7.807,23 | 1941 / 39 | $6.369,23 | 1935 / 39 |
Depressive Neuroses | 12 | 38 / 1 | $13.261,90 | 82 / 1 | $8.566,00 | 124 / 1 | $6.920,67 | 124 / 1 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 18 | $47.941,40 | 1081 / 13 | $16.554,50 | 1667 / 27 | $14.863,30 | 1654 / 28 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 8 | $37.485,70 | 835 / 13 | $10.880,60 | 913 / 17 | $9.588,25 | 912 / 17 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 25 | $34.632,60 | 742 / 4 | $11.380,90 | 1553 / 33 | $10.088,90 | 1550 / 36 |
Renal Failure W Mcc | 11 | 184 / 28 | $34.565,50 | 1030 / 6 | $14.964,70 | 1996 / 32 | $13.779,10 | 1992 / 32 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 26 | $20.361,40 | 435 / 2 | $11.562,50 | 1585 / 30 | $10.362,90 | 1582 / 32 |
Heart Failure & Shock W Cc | 11 | 267 / 35 | $28.234,20 | 1865 / 19 | $10.638,60 | 2625 / 43 | $9.497,55 | 2619 / 43 | Total 27 procedures | 723 | 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.