Hospital Costs > In Colorado > Boulder Community Foothills Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 268 | 298 / 9 | $70.429,70 | 2003 / 26 | $11.774,60 | 671 / 1 | $10.582,30 | 662 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 100 | 416 / 18 | $53.075,40 | 1893 / 26 | $10.200,10 | 271 / 2 | $9.097,39 | 271 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 50 | 225 / 14 | $30.922,40 | 2210 / 22 | $4.217,20 | 489 / 3 | $3.394,16 | 487 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 47 | 158 / 12 | $41.757,00 | 1627 / 20 | $8.080,23 | 185 / 3 | $6.788,79 | 185 / 3 |
| Pulmonary Edema & Respiratory Failure | 44 | 159 / 12 | $44.939,40 | 1643 / 24 | $7.124,36 | 460 / 4 | $6.298,91 | 460 / 7 |
| Respiratory Infections & Inflammations W Mcc | 38 | 98 / 3 | $49.658,20 | 1062 / 8 | $10.720,70 | 299 / 2 | $10.022,60 | 299 / 6 |
| Heart Failure & Shock W Cc | 36 | 242 / 12 | $41.066,90 | 2354 / 29 | $5.541,36 | 320 / 4 | $4.701,36 | 320 / 7 |
| Spinal Fusion Except Cervical W/O Mcc | 33 | 161 / 17 | $193.228,00 | 1255 / 22 | $29.139,90 | 1087 / 13 | $27.926,80 | 1082 / 23 |
| Cellulitis W/O Mcc | 31 | 158 / 12 | $33.129,50 | 2241 / 24 | $4.628,32 | 325 / 2 | $3.728,19 | 322 / 6 |
| Heart Failure & Shock W Mcc | 31 | 253 / 17 | $54.129,30 | 2094 / 24 | $8.673,10 | 703 / 5 | $7.932,97 | 703 / 7 |
| G.I. Hemorrhage W Cc | 29 | 189 / 14 | $31.847,40 | 1653 / 17 | $5.711,41 | 339 / 5 | $4.752,52 | 339 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 13 | $57.647,30 | 1838 / 20 | $6.402,93 | 633 / 6 | $5.362,38 | 632 / 6 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 27 | 169 / 12 | $125.398,00 | 1349 / 25 | $14.234,40 | 1095 / 11 | $13.159,40 | 1088 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 25 | 125 / 8 | $26.467,00 | 1669 / 18 | $3.150,20 | 235 / 2 | $2.183,80 | 233 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 8 | $54.098,10 | 1607 / 16 | $7.360,21 | 525 / 4 | $6.402,88 | 522 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 22 | $33.375,00 | 2119 / 25 | $5.568,95 | 510 / 5 | $4.653,14 | 507 / 9 |
| Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 10 | $31.158,30 | 1226 / 8 | $5.803,00 | 80 / 2 | $4.969,48 | 80 / 2 |
| Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 17 | $73.805,00 | 1613 / 20 | $11.399,50 | 800 / 7 | $10.617,20 | 791 / 10 |
| Renal Failure W Mcc | 20 | 175 / 15 | $44.648,60 | 1436 / 8 | $8.630,55 | 474 / 1 | $8.028,95 | 474 / 4 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 9 | $90.362,80 | 714 / 14 | $12.690,90 | 283 / 2 | $11.478,30 | 280 / 6 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 16 | $44.135,40 | 2050 / 19 | $6.573,74 | 205 / 1 | $5.428,47 | 204 / 2 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 9 | $38.613,70 | 1029 / 16 | $5.733,95 | 256 / 4 | $4.718,37 | 256 / 4 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 18 | 46 / 5 | $62.213,60 | 589 / 8 | $10.039,80 | 376 / 3 | $9.030,11 | 376 / 5 |
| Medical Back Problems W/O Mcc | 18 | 103 / 13 | $48.994,10 | 1394 / 20 | $5.718,94 | 739 / 11 | $4.639,83 | 736 / 14 |
| Syncope & Collapse | 18 | 151 / 14 | $33.980,80 | 1553 / 11 | $4.126,00 | 171 / 2 | $3.119,78 | 170 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 14 | $53.006,50 | 1271 / 15 | $6.191,44 | 364 / 2 | $5.252,78 | 363 / 5 |
| Renal Failure W Cc | 17 | 204 / 20 | $37.928,90 | 1985 / 22 | $5.439,41 | 402 / 4 | $4.654,47 | 399 / 7 |
| Psychoses | 16 | 259 / 3 | $70.368,60 | 605 / 6 | $8.193,75 | 462 / 4 | $7.378,75 | 462 / 4 |
| Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 12 | $90.072,20 | 733 / 10 | $12.781,80 | 294 / 2 | $11.571,80 | 293 / 6 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 12 | $34.677,90 | 1154 / 8 | $6.875,81 | 680 / 4 | $6.345,81 | 677 / 9 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 21 | $32.037,40 | 2283 / 27 | $4.271,56 | 140 / 3 | $3.215,56 | 140 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 18 | $21.017,40 | 1130 / 4 | $4.416,06 | 168 / 2 | $3.430,06 | 168 / 1 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 7 | $31.825,40 | 1572 / 6 | $4.552,00 | 295 / 1 | $3.749,87 | 294 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 12 | $82.660,00 | 1384 / 15 | $11.232,30 | 855 / 13 | $10.428,10 | 853 / 14 |
| Nonspecific Cerebrovascular Disorders W Cc | 15 | 41 / 3 | $37.668,10 | 353 / 5 | $5.225,67 | 61 / 1 | $4.660,33 | 61 / 1 |
| Pulmonary Embolism W Mcc | 15 | 28 / 6 | $48.613,70 | 406 / 7 | $8.093,13 | 29 / 1 | $6.962,47 | 29 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 4 | $65.904,90 | 757 / 10 | $9.285,07 | 207 / 3 | $8.158,67 | 207 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 20 | $26.138,60 | 1947 / 17 | $3.911,50 | 123 / 3 | $2.876,07 | 123 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 11 | $43.526,70 | 1411 / 14 | $4.233,07 | 154 / 3 | $3.115,36 | 152 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 17 | $166.924,00 | 1113 / 16 | $31.812,10 | 630 / 9 | $30.792,90 | 624 / 13 |
| Extracranial Procedures W/O Cc/Mcc | 13 | 85 / 7 | $53.020,70 | 786 / 5 | $5.959,69 | 156 / 2 | $4.849,54 | 156 / 2 |
| Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 1 | $138.473,00 | 484 / 4 | $22.417,80 | 238 / 2 | $21.401,20 | 238 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 6 | $117.963,00 | 856 / 9 | $16.149,60 | 379 / 3 | $15.032,10 | 378 / 5 |
| G.I. Hemorrhage W Mcc | 12 | 109 / 13 | $57.074,80 | 1143 / 9 | $9.752,25 | 217 / 1 | $8.946,92 | 217 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 28 | $41.816,20 | 2095 / 30 | $6.092,82 | 305 / 4 | $4.996,09 | 304 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 16 | $22.296,80 | 1321 / 12 | $3.996,45 | 201 / 4 | $2.902,64 | 199 / 5 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 17 | $86.274,20 | 1072 / 17 | $15.049,50 | 626 / 6 | $14.069,00 | 620 / 10 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 4 | $26.516,50 | 737 / 5 | $3.902,82 | 55 / 1 | $2.806,09 | 55 / 1 |
| G.I. Obstruction W Cc | 11 | 81 / 14 | $25.263,70 | 1005 / 5 | $4.838,91 | 286 / 1 | $4.178,55 | 285 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 13 | $45.370,00 | 1074 / 13 | $6.779,18 | 174 / 2 | $5.903,55 | 173 / 2 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 5 | $141.902,00 | 573 / 8 | $17.220,70 | 524 / 7 | $16.342,10 | 520 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 8 | $99.089,00 | 649 / 6 | $17.026,10 | 103 / 2 | $15.932,20 | 103 / 2 |
| Major Cardiovasc Procedures W Mcc | 11 | 57 / 6 | $177.472,00 | 448 / 6 | $31.480,70 | 202 / 1 | $30.602,30 | 202 / 4 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 8 | $104.911,00 | 418 / 5 | $15.426,60 | 194 / 5 | $14.213,50 | 194 / 7 |
| Chest Pain | 11 | 140 / 14 | $36.352,50 | 1524 / 14 | $3.425,82 | 87 / 2 | $2.323,27 | 87 / 1 | Total 55 procedures | 1.408 | 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.