Hospital Costs > In Colorado > Centura Health-Avista Adventist Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 11 | 264 / 32 | $25.083,50 | 1893 / 11 | $6.945,45 | 2262 / 28 | $5.416,73 | 2247 / 29 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 21 | $65.950,10 | 1476 / 16 | $13.605,10 | 1453 / 23 | $12.569,70 | 1435 / 27 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 98 | 466 / 25 | $65.042,20 | 1863 / 21 | $15.532,50 | 1784 / 31 | $12.838,30 | 1744 / 29 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 17 | $68.224,90 | 820 / 8 | $17.999,90 | 908 / 21 | $15.286,70 | 900 / 19 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 26 | $28.314,60 | 926 / 8 | $9.691,12 | 1843 / 28 | $9.085,12 | 1838 / 31 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 49 | 467 / 28 | $33.348,70 | 962 / 9 | $13.127,30 | 1758 / 23 | $11.632,90 | 1724 / 25 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 11 | 196 / 28 | $26.633,20 | 1395 / 12 | $8.486,91 | 2059 / 31 | $7.503,64 | 2051 / 32 |
| Spinal Fusion Except Cervical W/O Mcc | 26 | 168 / 21 | $155.462,00 | 1137 / 15 | $34.914,10 | 928 / 23 | $25.437,60 | 923 / 19 | Total 8 procedures | 236 | 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.