Hospital Costs > In Montana > Bozeman Deaconess 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 | 191 | 373 / 6 | $30.125,90 | 223 / 2 | $12.821,10 | 681 / 2 | $10.603,20 | 671 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 88 | 428 / 7 | $21.377,60 | 333 / 1 | $11.106,50 | 512 / 2 | $9.534,06 | 512 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 49 | 145 / 3 | $81.459,80 | 546 / 5 | $24.741,60 | 748 / 1 | $23.632,00 | 744 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 42 | 165 / 6 | $14.235,90 | 296 / 2 | $6.088,38 | 387 / 1 | $5.080,00 | 386 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 6 | $10.277,50 | 237 / 1 | $4.225,87 | 362 / 1 | $3.296,64 | 361 / 1 |
| G.I. Hemorrhage W Cc | 32 | 186 / 7 | $12.417,50 | 128 / 2 | $5.712,44 | 317 / 1 | $4.728,44 | 317 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 6 | $9.735,58 | 95 / 1 | $5.559,32 | 472 / 1 | $4.623,06 | 469 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 30 | 172 / 4 | $12.829,40 | 169 / 1 | $6.701,57 | 232 / 2 | $5.467,10 | 231 / 1 |
| Heart Failure & Shock W Cc | 30 | 248 / 6 | $9.362,40 | 92 / 1 | $5.682,87 | 442 / 2 | $4.836,90 | 442 / 1 |
| Heart Failure & Shock W Mcc | 29 | 255 / 6 | $14.292,60 | 121 / 1 | $8.487,38 | 308 / 1 | $7.423,38 | 308 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 29 | 153 / 6 | $15.862,80 | 202 / 2 | $6.651,69 | 298 / 2 | $4.979,00 | 297 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 26 | 170 / 6 | $29.630,00 | 28 / 1 | $12.538,50 | 172 / 1 | $9.709,54 | 172 / 1 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 25 | 71 / 4 | $35.970,90 | 110 / 5 | $12.707,10 | 310 / 1 | $11.594,80 | 307 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 5 | $8.888,67 | 186 / 1 | $4.392,67 | 220 / 1 | $3.331,33 | 220 / 1 |
| Hip & Femur Procedures Except Major Joint W Cc | 22 | 121 / 6 | $29.619,90 | 213 / 2 | $11.566,50 | 294 / 2 | $9.718,55 | 293 / 1 |
| Respiratory Infections & Inflammations W Mcc | 21 | 115 / 6 | $20.601,80 | 116 / 1 | $11.689,80 | 764 / 2 | $11.053,40 | 756 / 2 |
| Medical Back Problems W/O Mcc | 20 | 101 / 3 | $9.556,65 | 45 / 1 | $4.876,00 | 141 / 1 | $3.644,00 | 141 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 9 | $16.794,80 | 203 / 1 | $8.209,84 | 350 / 1 | $7.113,63 | 350 / 1 |
| Renal Failure W Cc | 19 | 202 / 7 | $10.587,50 | 130 / 1 | $5.483,26 | 407 / 2 | $4.657,58 | 404 / 2 |
| Cellulitis W/O Mcc | 18 | 171 / 6 | $9.587,00 | 212 / 1 | $4.781,56 | 458 / 1 | $3.840,89 | 455 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 4 | $6.229,88 | 29 / 1 | $3.834,53 | 100 / 1 | $2.770,29 | 99 / 1 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 16 | 37 / 1 | $10.737,10 | 58 / 1 | $4.288,38 | 213 / 1 | $3.612,38 | 212 / 1 |
| G.I. Obstruction W Cc | 16 | 76 / 5 | $9.766,75 | 49 / 1 | $5.054,50 | 271 / 1 | $4.150,50 | 270 / 2 |
| Renal Failure W Mcc | 14 | 181 / 6 | $22.554,50 | 344 / 1 | $10.118,40 | 891 / 5 | $8.711,64 | 891 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 6 | $13.989,10 | 193 / 4 | $4.310,92 | 193 / 2 | $3.193,08 | 191 / 2 |
| Pulmonary Edema & Respiratory Failure | 13 | 190 / 8 | $11.682,00 | 31 / 1 | $6.948,23 | 312 / 1 | $6.108,85 | 312 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 6 | $7.877,46 | 86 / 1 | $3.990,77 | 238 / 1 | $2.974,15 | 236 / 2 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 5 | $9.355,08 | 26 / 1 | $5.511,77 | 131 / 1 | $4.495,15 | 130 / 1 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 3 | $7.470,00 | 26 / 1 | $4.059,85 | 74 / 1 | $2.859,23 | 75 / 1 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 4 | $9.360,46 | 73 / 1 | $3.926,00 | 106 / 2 | $3.000,46 | 106 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 6 | $10.520,40 | 22 / 1 | $6.965,17 | 32 / 2 | $5.329,58 | 32 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 4 | $28.204,60 | 151 / 3 | $11.025,70 | 53 / 5 | $7.418,08 | 53 / 1 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 7 | $33.502,80 | 92 / 1 | $14.531,30 | 504 / 1 | $13.627,30 | 499 / 1 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 3 | $14.013,30 | 74 / 1 | $7.881,25 | 259 / 1 | $6.875,92 | 257 / 2 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 6 | $14.150,80 | 119 / 1 | $5.625,92 | 465 / 1 | $5.121,92 | 463 / 2 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 5 | $12.194,50 | 40 / 1 | $6.793,42 | 134 / 1 | $5.791,42 | 134 / 1 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 11 | 58 / 4 | $42.299,80 | 56 / 2 | $15.736,80 | 187 / 1 | $14.640,10 | 187 / 1 | Total 37 procedures | 1.008 | 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.