Hospital Costs > In Colorado > Centura Health-Porter Adventist 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 | 614 | 76 / 2 | $70.433,60 | 2004 / 27 | $14.989,20 | 548 / 24 | $10.389,90 | 543 / 7 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 98 | 418 / 19 | $60.520,90 | 2101 / 30 | $12.666,30 | 675 / 18 | $9.751,81 | 674 / 9 |
Spinal Fusion Except Cervical W/O Mcc | 62 | 132 / 9 | $186.067,00 | 1239 / 21 | $32.211,80 | 985 / 21 | $26.281,00 | 980 / 21 |
Revision Of Hip Or Knee Replacement W Cc | 48 | 39 / 2 | $111.892,00 | 507 / 5 | $23.032,60 | 209 / 7 | $18.135,60 | 209 / 5 |
Pulmonary Edema & Respiratory Failure | 41 | 162 / 14 | $57.505,30 | 1883 / 30 | $9.370,39 | 902 / 25 | $6.811,93 | 902 / 14 |
Simple Pneumonia & Pleurisy W Mcc | 31 | 174 / 18 | $43.304,10 | 1693 / 22 | $9.669,16 | 450 / 17 | $7.252,39 | 450 / 8 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 31 | 244 / 22 | $28.195,00 | 2077 / 16 | $5.357,74 | 538 / 16 | $3.437,32 | 536 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 30 | 177 / 15 | $35.561,20 | 1886 / 24 | $7.353,20 | 491 / 18 | $5.191,80 | 489 / 9 |
Major Male Pelvic Procedures W/O Cc/Mcc | 28 | 45 / 2 | $59.675,90 | 286 / 3 | $9.598,75 | 46 / 2 | $5.431,36 | 46 / 2 |
Renal Failure W Mcc | 27 | 168 / 13 | $46.751,20 | 1498 / 11 | $11.130,20 | 440 / 19 | $7.980,89 | 440 / 3 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 26 | 43 / 4 | $94.539,40 | 397 / 7 | $19.124,60 | 239 / 5 | $15.193,60 | 238 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 25 | 101 / 6 | $45.892,00 | 1418 / 18 | $8.825,32 | 402 / 17 | $5.882,04 | 399 / 4 |
Major Cardiovasc Procedures W/O Mcc | 24 | 77 / 5 | $148.892,00 | 869 / 8 | $23.683,10 | 611 / 5 | $21.464,20 | 611 / 5 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 11 | $183.410,00 | 1185 / 18 | $43.139,20 | 994 / 21 | $35.434,00 | 988 / 17 |
Cellulitis W/O Mcc | 24 | 165 / 15 | $32.593,00 | 2221 / 23 | $6.397,21 | 547 / 21 | $3.927,25 | 544 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 14 | $27.382,50 | 1514 / 12 | $5.510,75 | 431 / 14 | $3.756,29 | 431 / 7 |
Heart Failure & Shock W Mcc | 24 | 260 / 18 | $46.036,60 | 1878 / 21 | $10.489,90 | 483 / 20 | $7.669,29 | 483 / 6 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 13 | $26.546,50 | 1965 / 19 | $5.129,33 | 317 / 15 | $3.155,25 | 317 / 5 |
Other Vascular Procedures W Cc | 23 | 79 / 4 | $84.160,60 | 692 / 3 | $17.755,70 | 182 / 4 | $13.265,90 | 182 / 1 |
Simple Pneumonia & Pleurisy W Cc | 23 | 180 / 20 | $32.029,40 | 2059 / 24 | $6.780,65 | 378 / 18 | $4.548,04 | 376 / 8 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 22 | 48 / 2 | $35.933,40 | 442 / 5 | $6.898,82 | 43 / 5 | $4.343,36 | 43 / 1 |
Kidney Transplant | 21 | 80 / 3 | $209.430,00 | 104 / 1 | $26.006,00 | 25 / 1 | $18.625,30 | 25 / 2 |
Other Vascular Procedures W Mcc | 21 | 76 / 2 | $109.842,00 | 661 / 2 | $24.116,90 | 307 / 6 | $18.841,00 | 306 / 2 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 21 | 97 / 4 | $147.213,00 | 281 / 2 | $31.292,80 | 72 / 1 | $27.534,60 | 72 / 2 |
G.I. Hemorrhage W Cc | 20 | 198 / 19 | $27.333,40 | 1392 / 11 | $6.375,65 | 146 / 12 | $4.460,25 | 146 / 2 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 9 | $78.894,10 | 1006 / 15 | $15.263,60 | 907 / 16 | $12.202,80 | 903 / 15 |
Renal Failure W Cc | 19 | 202 / 19 | $31.022,40 | 1750 / 13 | $7.032,05 | 566 / 19 | $4.817,95 | 562 / 8 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 19 | 97 / 4 | $197.351,00 | 214 / 2 | $48.685,20 | 94 / 2 | $44.739,10 | 94 / 1 |
Respiratory Infections & Inflammations W Mcc | 19 | 117 / 11 | $55.093,60 | 1175 / 13 | $13.506,60 | 323 / 16 | $10.067,90 | 323 / 7 |
Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 20 | $26.829,80 | 2069 / 20 | $5.408,11 | 191 / 18 | $3.287,22 | 191 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 11 | $20.133,80 | 1397 / 14 | $3.944,22 | 208 / 8 | $2.140,11 | 207 / 3 |
Poisoning & Toxic Effects Of Drugs W Mcc | 17 | 55 / 7 | $51.931,80 | 734 / 8 | $10.020,40 | 365 / 10 | $7.962,35 | 364 / 7 |
Other Digestive System Diagnoses W Cc | 17 | 80 / 8 | $32.857,80 | 962 / 7 | $6.617,12 | 210 / 9 | $4.694,47 | 208 / 3 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 19 | $67.029,20 | 1489 / 18 | $12.264,40 | 442 / 12 | $9.980,65 | 441 / 5 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 16 | 79 / 4 | $108.682,00 | 491 / 6 | $13.414,60 | 90 / 4 | $9.923,62 | 89 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 15 | 61 / 3 | $66.868,90 | 399 / 3 | $15.889,00 | 284 / 3 | $12.051,50 | 284 / 3 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 4 | $102.877,00 | 674 / 9 | $21.592,90 | 138 / 13 | $16.250,90 | 138 / 4 |
Knee Procedures W/O Pdx Of Infection W Cc/Mcc | 14 | 4 / 1 | $43.671,60 | 13 / 1 | $10.703,60 | 3 / 1 | $8.656,36 | 3 / 1 |
Tracheostomy For Face,Mouth & Neck Diagnoses W Mcc | 14 | 9 / 1 | $184.852,00 | 20 / 1 | $37.312,60 | 5 / 1 | $32.053,50 | 5 / 1 |
Major Head & Neck Procedures W Cc/Mcc Or Major Device | 14 | 10 / 1 | $120.859,00 | 24 / 1 | $17.646,30 | 2 / 1 | $12.743,30 | 2 / 1 |
Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 14 | 26 / 2 | $436.438,00 | 83 / 3 | $84.134,30 | 79 / 3 | $65.592,00 | 79 / 3 |
Coronary Bypass W/O Cardiac Cath W/O Mcc | 13 | 75 / 5 | $99.913,70 | 252 / 1 | $27.298,50 | 25 / 3 | $17.202,50 | 25 / 1 |
Kidney & Ureter Procedures For Neoplasm W Cc | 12 | 32 / 1 | $76.339,40 | 134 / 1 | $15.221,90 | 5 / 1 | $8.811,75 | 5 / 1 |
Heart Failure & Shock W Cc | 12 | 266 / 27 | $34.457,70 | 2156 / 23 | $7.231,75 | 377 / 24 | $4.759,75 | 377 / 8 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 6 | $30.340,40 | 821 / 2 | $6.769,33 | 242 / 6 | $4.722,42 | 241 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 16 | $61.539,70 | 1704 / 19 | $10.771,30 | 752 / 18 | $6.730,17 | 749 / 8 |
Kidney & Ureter Procedures For Neoplasm W/O Cc/Mcc | 11 | 29 / 2 | $62.388,10 | 114 / 2 | $9.922,09 | 16 / 1 | $7.059,09 | 16 / 1 |
Signs & Symptoms W/O Mcc | 11 | 80 / 12 | $26.432,30 | 942 / 11 | $5.061,18 | 268 / 12 | $3.339,18 | 267 / 5 |
Disorders Of Pancreas Except Malignancy W Mcc | 11 | 35 / 3 | $57.888,50 | 247 / 2 | $13.197,40 | 11 / 2 | $8.184,09 | 11 / 1 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 11 | 52 / 6 | $113.072,00 | 191 / 6 | $21.512,80 | 116 / 1 | $19.154,20 | 116 / 4 |
Major Chest Procedures W/O Cc/Mcc | 11 | 48 / 3 | $58.625,10 | 169 / 2 | $11.489,00 | 50 / 1 | $9.300,36 | 50 / 1 |
G.I. Hemorrhage W Mcc | 11 | 110 / 14 | $60.869,20 | 1214 / 12 | $11.525,30 | 256 / 9 | $9.030,36 | 256 / 2 |
Other Circulatory System Diagnoses W Mcc | 11 | 105 / 13 | $71.105,40 | 1063 / 14 | $16.056,20 | 215 / 15 | $9.630,00 | 215 / 3 |
Major Cardiovasc Procedures W Mcc | 11 | 57 / 6 | $128.383,00 | 255 / 3 | $33.727,90 | 172 / 4 | $29.947,10 | 172 / 1 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 17 | $28.453,70 | 1113 / 6 | $7.382,36 | 173 / 12 | $5.209,82 | 173 / 5 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 4 | $152.362,00 | 488 / 3 | $32.758,60 | 149 / 3 | $26.295,20 | 149 / 1 | Total 56 procedures | 1.792 | 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.