Hospital Costs > In Colorado > Centura Health-St Anthony Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 6 | $57.401,00 | 1276 / 8 | $10.685,80 | 710 / 4 | $9.477,54 | 709 / 6 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 4 | $40.246,20 | 470 / 5 | $8.093,91 | 308 / 8 | $5.643,82 | 307 / 4 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 8 | $29.037,40 | 1596 / 14 | $5.366,74 | 980 / 9 | $4.271,45 | 977 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 15 | 108 / 13 | $39.124,60 | 1298 / 7 | $7.966,53 | 981 / 7 | $7.106,53 | 978 / 12 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 11 | 105 / 8 | $233.650,00 | 282 / 3 | $46.716,70 | 105 / 1 | $45.281,50 | 105 / 2 |
Cellulitis W Mcc | 12 | 46 / 3 | $42.092,20 | 637 / 5 | $8.401,17 | 198 / 1 | $7.432,75 | 197 / 1 |
Cellulitis W/O Mcc | 34 | 155 / 10 | $26.184,30 | 1941 / 14 | $5.521,94 | 1190 / 9 | $4.421,91 | 1184 / 13 |
Cervical Spinal Fusion W Cc | 14 | 39 / 5 | $105.994,00 | 291 / 2 | $22.958,50 | 54 / 7 | $14.695,40 | 54 / 1 |
Cervical Spinal Fusion W/O Cc/Mcc | 27 | 77 / 4 | $107.936,00 | 800 / 14 | $18.454,90 | 466 / 15 | $12.509,40 | 464 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 15 | $28.854,60 | 1665 / 11 | $6.088,23 | 996 / 7 | $4.954,23 | 993 / 7 |
Chronic Obstructive Pulmonary Disease W Mcc | 25 | 177 / 12 | $47.037,20 | 2117 / 21 | $7.599,52 | 618 / 8 | $5.884,76 | 616 / 5 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 12 | 176 / 17 | $44.229,40 | 1053 / 10 | $7.140,50 | 861 / 7 | $6.032,08 | 858 / 10 |
Craniotomy & Endovascular Intracranial Procedures W Cc | 13 | 42 / 3 | $130.280,00 | 183 / 2 | $22.467,70 | 24 / 2 | $15.483,80 | 24 / 1 |
Craniotomy & Endovascular Intracranial Procedures W Mcc | 20 | 78 / 3 | $172.374,00 | 398 / 7 | $28.176,40 | 205 / 4 | $26.857,70 | 205 / 4 |
Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 14 | 60 / 5 | $101.218,00 | 217 / 2 | $14.464,90 | 95 / 2 | $13.401,00 | 95 / 2 |
Diabetes W Cc | 11 | 81 / 9 | $26.570,20 | 1061 / 6 | $5.657,18 | 789 / 5 | $4.687,18 | 786 / 8 |
Diabetes W Mcc | 12 | 45 / 4 | $65.453,70 | 670 / 5 | $8.775,83 | 92 / 2 | $6.979,50 | 92 / 1 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 6 | $39.207,50 | 783 / 10 | $7.003,08 | 326 / 7 | $4.830,17 | 325 / 5 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 13 | 68 / 3 | $631.160,00 | 340 / 4 | $150.450,00 | 256 / 4 | $118.278,00 | 255 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 12 | 84 / 12 | $44.319,80 | 1055 / 12 | $7.181,58 | 288 / 3 | $6.212,17 | 286 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 21 | $29.203,20 | 2127 / 18 | $5.171,25 | 1166 / 14 | $3.866,62 | 1157 / 15 |
Fractures Of Hip & Pelvis W/O Mcc | 17 | 44 / 5 | $27.289,60 | 698 / 9 | $6.519,47 | 366 / 14 | $3.622,53 | 367 / 6 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 16 | 46 / 6 | $38.487,20 | 711 / 11 | $4.937,25 | 253 / 5 | $3.756,69 | 253 / 6 |
G.I. Hemorrhage W Cc | 46 | 172 / 12 | $33.580,30 | 1740 / 18 | $6.609,13 | 1296 / 14 | $5.688,30 | 1293 / 20 |
G.I. Hemorrhage W Mcc | 20 | 101 / 6 | $58.331,20 | 1164 / 10 | $11.310,50 | 779 / 6 | $10.494,50 | 776 / 8 |
G.I. Obstruction W Cc | 25 | 67 / 6 | $31.082,10 | 1233 / 12 | $6.579,88 | 732 / 14 | $4.736,88 | 731 / 10 |
Heart Failure & Shock W Cc | 28 | 250 / 17 | $40.013,10 | 2325 / 27 | $6.938,39 | 1223 / 19 | $5.471,00 | 1220 / 15 |
Heart Failure & Shock W Mcc | 57 | 227 / 8 | $45.254,70 | 1854 / 18 | $9.269,61 | 1077 / 9 | $8.405,28 | 1074 / 13 |
Hip & Femur Procedures Except Major Joint W Cc | 43 | 100 / 6 | $88.622,50 | 1801 / 27 | $12.449,90 | 1037 / 16 | $11.118,30 | 1024 / 16 |
Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 4 | $94.698,40 | 667 / 5 | $17.670,20 | 271 / 4 | $16.382,60 | 269 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 43 | 81 / 4 | $152.632,00 | 1039 / 12 | $31.559,50 | 588 / 8 | $30.243,60 | 583 / 12 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 53 | 129 / 5 | $46.600,90 | 1665 / 16 | $7.799,23 | 660 / 15 | $5.389,38 | 659 / 7 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 41 | 127 / 2 | $74.552,00 | 1318 / 14 | $12.041,30 | 955 / 15 | $10.870,40 | 951 / 15 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 36 | 66 / 4 | $39.021,20 | 1338 / 12 | $5.471,17 | 1015 / 8 | $4.364,31 | 1011 / 14 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 13 | $40.791,80 | 1525 / 14 | $6.825,35 | 345 / 7 | $5.494,41 | 344 / 6 |
Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 18 | $28.100,30 | 2135 / 23 | $5.220,95 | 1520 / 15 | $4.368,65 | 1509 / 18 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 8 | $65.776,80 | 624 / 8 | $10.556,20 | 429 / 3 | $9.168,36 | 429 / 5 |
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 3 | $72.488,80 | 251 / 4 | $15.395,00 | 51 / 3 | $12.388,90 | 51 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 5 | $72.975,40 | 445 / 6 | $13.699,00 | 157 / 6 | $10.271,40 | 157 / 2 |
Major Cardiovasc Procedures W Mcc | 12 | 56 / 5 | $191.491,00 | 493 / 7 | $32.823,30 | 245 / 3 | $31.657,40 | 245 / 5 |
Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 11 | $154.724,00 | 888 / 11 | $27.091,70 | 843 / 10 | $25.753,80 | 842 / 13 |
Major Chest Trauma W Mcc | 13 | 6 / 1 | $79.958,80 | 19 / 1 | $11.884,50 | 13 / 1 | $10.587,40 | 13 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 23 | 42 / 2 | $100.698,00 | 660 / 7 | $19.122,00 | 159 / 6 | $16.430,30 | 159 / 5 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 76 | 488 / 28 | $81.588,50 | 2234 / 34 | $14.933,80 | 1182 / 23 | $11.348,40 | 1154 / 16 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 16 | $88.996,90 | 1100 / 18 | $16.231,80 | 833 / 14 | $14.879,80 | 825 / 17 |
Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 6 | $128.992,00 | 642 / 5 | $28.582,70 | 283 / 3 | $27.252,00 | 281 / 4 |
Medical Back Problems W Mcc | 14 | 25 / 3 | $40.579,90 | 144 / 1 | $8.880,00 | 17 / 1 | $7.624,00 | 17 / 1 |
Medical Back Problems W/O Mcc | 35 | 86 / 6 | $41.754,00 | 1278 / 17 | $6.758,66 | 416 / 20 | $4.110,97 | 416 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 17 | 109 / 11 | $35.669,40 | 1182 / 10 | $7.064,24 | 606 / 7 | $6.201,06 | 603 / 8 |
Nervous System Neoplasms W Mcc | 12 | 36 / 2 | $64.505,40 | 256 / 3 | $9.811,00 | 60 / 2 | $6.955,92 | 60 / 2 |
Other Circulatory System Diagnoses W Mcc | 18 | 98 / 9 | $66.681,70 | 1014 / 10 | $12.796,30 | 758 / 13 | $11.886,30 | 755 / 14 |
Other Digestive System Diagnoses W Mcc | 12 | 50 / 4 | $53.168,30 | 491 / 2 | $10.646,80 | 203 / 2 | $9.482,08 | 203 / 2 |
Other Disorders Of Nervous System W Mcc | 12 | 28 / 2 | $56.041,20 | 229 / 2 | $10.324,00 | 108 / 1 | $9.231,25 | 108 / 1 |
Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 3 | $27.083,20 | 448 / 6 | $6.433,06 | 378 / 5 | $5.783,44 | 378 / 7 |
Other Kidney & Urinary Tract Diagnoses W Mcc | 27 | 74 / 4 | $43.021,00 | 684 / 6 | $9.808,30 | 410 / 9 | $8.773,26 | 409 / 7 |
Other Vascular Procedures W Cc | 14 | 88 / 8 | $95.587,90 | 804 / 6 | $19.084,70 | 500 / 7 | $14.959,40 | 497 / 5 |
Other Vascular Procedures W Mcc | 17 | 80 / 3 | $124.378,00 | 758 / 5 | $26.015,80 | 596 / 8 | $22.030,80 | 593 / 5 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 34 | 66 / 1 | $126.287,00 | 705 / 7 | $20.744,90 | 333 / 3 | $18.188,10 | 331 / 4 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 64 | 132 / 5 | $91.772,90 | 1074 / 13 | $15.690,30 | 366 / 21 | $10.318,40 | 366 / 7 |
Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 11 | 84 / 5 | $99.672,20 | 458 / 5 | $13.985,70 | 121 / 5 | $10.241,40 | 119 / 2 |
Peripheral Vascular Disorders W Cc | 12 | 72 / 6 | $40.244,30 | 1017 / 8 | $6.647,33 | 510 / 5 | $5.362,83 | 508 / 5 |
Permanent Cardiac Pacemaker Implant W Mcc | 12 | 40 / 2 | $121.785,00 | 430 / 1 | $23.649,60 | 280 / 3 | $22.295,50 | 280 / 3 |
Poisoning & Toxic Effects Of Drugs W Mcc | 24 | 48 / 4 | $91.679,30 | 941 / 14 | $12.697,20 | 828 / 11 | $11.432,10 | 825 / 11 |
Pulmonary Edema & Respiratory Failure | 39 | 164 / 15 | $36.182,80 | 1341 / 15 | $7.978,59 | 809 / 12 | $6.716,41 | 809 / 12 |
Pulmonary Embolism W/O Mcc | 15 | 59 / 12 | $32.171,30 | 898 / 13 | $6.255,07 | 543 / 7 | $5.265,93 | 541 / 11 |
Renal Failure W Cc | 22 | 199 / 16 | $31.562,80 | 1771 / 14 | $6.193,55 | 1034 / 11 | $5.222,32 | 1026 / 16 |
Renal Failure W Mcc | 29 | 166 / 11 | $48.665,10 | 1548 / 14 | $9.834,34 | 987 / 8 | $8.903,07 | 987 / 9 |
Respiratory Infections & Inflammations W Mcc | 24 | 112 / 9 | $53.828,90 | 1150 / 12 | $11.609,50 | 520 / 5 | $10.525,20 | 514 / 10 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 34 | 97 / 4 | $99.797,90 | 1513 / 16 | $16.180,40 | 1150 / 12 | $14.830,70 | 1137 / 11 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 16 | 55 / 2 | $224.207,00 | 811 / 5 | $42.574,70 | 447 / 4 | $31.474,20 | 447 / 2 |
Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 8 | $131.477,00 | 570 / 8 | $21.166,10 | 351 / 2 | $20.125,20 | 350 / 8 |
Seizures W Mcc | 19 | 47 / 2 | $60.542,70 | 579 / 3 | $9.887,00 | 293 / 2 | $8.837,11 | 293 / 3 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 3 | $226.379,00 | 826 / 5 | $44.467,10 | 446 / 6 | $35.762,50 | 445 / 4 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 180 | 336 / 8 | $58.518,50 | 2048 / 27 | $11.878,50 | 1205 / 14 | $10.487,10 | 1186 / 15 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 10 | $29.546,10 | 1589 / 17 | $7.068,17 | 1083 / 13 | $5.740,96 | 1080 / 14 |
Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 21 | $32.016,80 | 2058 / 23 | $6.758,95 | 990 / 16 | $5.068,05 | 987 / 12 |
Simple Pneumonia & Pleurisy W Mcc | 65 | 140 / 7 | $45.657,00 | 1781 / 26 | $9.222,51 | 1038 / 13 | $7.917,34 | 1038 / 14 |
Spinal Fusion Except Cervical W/O Mcc | 58 | 136 / 10 | $182.098,00 | 1230 / 20 | $32.103,80 | 819 / 20 | $24.278,80 | 815 / 16 |
Syncope & Collapse | 15 | 154 / 15 | $47.622,10 | 1818 / 19 | $6.084,07 | 1522 / 18 | $5.223,73 | 1515 / 18 |
Traumatic Stupor & Coma, Coma <1 Hr W Cc | 28 | 38 / 2 | $45.500,90 | 402 / 8 | $7.093,68 | 176 / 5 | $6.053,57 | 176 / 6 |
Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 20 | 31 / 1 | $97.664,70 | 299 / 2 | $15.401,00 | 231 / 3 | $13.944,70 | 231 / 4 |
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 19 | 35 / 2 | $37.660,00 | 331 / 4 | $5.309,58 | 92 / 6 | $3.662,47 | 92 / 4 | Total 82 procedures | 2.086 | 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.