Hospital Costs > In Nebraska > Chi Health Bergan Mercy, 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 Cc | 14 | 77 / 6 | $42.880,10 | 1083 / 8 | $8.837,57 | 551 / 8 | $5.563,50 | 550 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 6 | $59.299,80 | 1316 / 9 | $12.343,60 | 1303 / 6 | $11.521,80 | 1293 / 7 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 14 | 110 / 3 | $23.606,10 | 582 / 3 | $5.086,07 | 555 / 2 | $4.678,64 | 554 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 44 | 117 / 3 | $25.967,80 | 1452 / 17 | $5.785,68 | 1472 / 12 | $4.932,45 | 1467 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 32 | 91 / 3 | $41.902,60 | 1372 / 14 | $10.725,50 | 1296 / 13 | $7.895,28 | 1293 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 34 | 116 / 3 | $17.219,60 | 1218 / 15 | $4.621,50 | 1269 / 14 | $3.124,94 | 1264 / 15 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 30 | 88 / 4 | $138.880,00 | 245 / 5 | $32.788,30 | 238 / 4 | $31.862,50 | 238 / 4 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 26 | 90 / 5 | $177.461,00 | 161 / 4 | $46.654,10 | 124 / 2 | $46.048,50 | 124 / 4 |
| Cellulitis W/O Mcc | 44 | 145 / 7 | $21.470,00 | 1625 / 14 | $6.081,70 | 1760 / 11 | $5.064,98 | 1752 / 14 |
| Chest Pain | 20 | 131 / 5 | $24.144,40 | 1166 / 12 | $4.646,80 | 1038 / 9 | $3.622,80 | 1032 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 61 | 118 / 2 | $32.905,10 | 1845 / 15 | $6.831,49 | 1464 / 12 | $5.469,26 | 1458 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 49 | 153 / 7 | $41.199,10 | 1961 / 16 | $9.235,43 | 1154 / 15 | $6.404,37 | 1148 / 9 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 29 | 91 / 3 | $25.026,40 | 1540 / 14 | $5.303,86 | 1384 / 10 | $4.218,07 | 1373 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 9 | $46.192,80 | 1105 / 13 | $7.482,00 | 1076 / 7 | $6.610,89 | 1073 / 11 |
| Coronary Bypass W/O Cardiac Cath W Mcc | 11 | 48 / 3 | $163.262,00 | 136 / 4 | $39.296,30 | 154 / 3 | $38.746,50 | 153 / 3 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 31 | 57 / 2 | $95.538,60 | 222 / 4 | $24.133,20 | 290 / 3 | $21.477,60 | 289 / 4 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 3 | $20.998,70 | 270 / 1 | $6.692,15 | 356 / 1 | $5.481,08 | 356 / 2 |
| Diabetes W Cc | 19 | 73 / 4 | $20.504,90 | 730 / 6 | $6.274,05 | 888 / 6 | $4.876,37 | 884 / 6 |
| Diabetes W Mcc | 11 | 46 / 3 | $39.536,00 | 449 / 3 | $9.166,73 | 393 / 2 | $8.616,91 | 393 / 3 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 3 | $37.486,40 | 758 / 3 | $7.984,82 | 615 / 2 | $5.703,55 | 612 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 16 | 80 / 6 | $48.755,20 | 1132 / 8 | $9.568,75 | 546 / 7 | $6.723,94 | 541 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 85 | 190 / 5 | $26.321,70 | 1963 / 17 | $5.618,44 | 1933 / 11 | $4.657,47 | 1919 / 13 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 19 | 25 / 2 | $77.339,60 | 222 / 4 | $17.828,20 | 66 / 3 | $14.525,40 | 65 / 2 |
| Extracranial Procedures W/O Cc/Mcc | 21 | 77 / 4 | $35.720,50 | 567 / 8 | $7.649,19 | 581 / 6 | $6.040,29 | 580 / 5 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 3 | $18.294,40 | 447 / 4 | $5.202,50 | 577 / 4 | $4.148,50 | 577 / 4 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 23 | 39 / 1 | $18.490,20 | 329 / 5 | $5.546,87 | 475 / 4 | $4.497,83 | 473 / 4 |
| G.I. Hemorrhage W Cc | 72 | 146 / 4 | $28.426,40 | 1469 / 16 | $7.073,85 | 1499 / 9 | $5.960,15 | 1495 / 11 |
| G.I. Hemorrhage W Mcc | 26 | 95 / 3 | $53.471,80 | 1076 / 9 | $12.909,20 | 663 / 6 | $10.096,30 | 664 / 4 |
| G.I. Obstruction W Cc | 25 | 67 / 4 | $26.620,70 | 1067 / 10 | $6.323,88 | 1047 / 9 | $5.190,76 | 1044 / 8 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 7 | $20.587,50 | 846 / 7 | $5.003,09 | 777 / 6 | $3.394,36 | 774 / 6 |
| Heart Failure & Shock W Cc | 50 | 228 / 11 | $26.347,30 | 1770 / 16 | $7.519,68 | 1427 / 15 | $5.682,70 | 1422 / 11 |
| Heart Failure & Shock W Mcc | 65 | 219 / 4 | $48.853,40 | 1961 / 17 | $10.719,50 | 1755 / 12 | $9.612,63 | 1750 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 4 | $19.131,40 | 1233 / 11 | $5.158,25 | 1311 / 11 | $4.103,46 | 1301 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 11 | $69.181,60 | 1528 / 15 | $13.594,90 | 1396 / 9 | $12.364,20 | 1378 / 10 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 5 | $57.782,10 | 687 / 7 | $10.652,80 | 540 / 5 | $9.439,23 | 538 / 6 |
| Hypertension W/O Mcc | 12 | 53 / 3 | $31.953,50 | 660 / 3 | $4.755,42 | 501 / 2 | $3.752,75 | 499 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 14 | 22 / 3 | $47.652,30 | 102 / 1 | $14.898,60 | 143 / 1 | $13.923,80 | 143 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 3 | $127.869,00 | 809 / 6 | $33.290,90 | 721 / 3 | $31.680,10 | 715 / 5 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 5 | $30.322,10 | 1177 / 11 | $7.119,45 | 1191 / 8 | $6.122,65 | 1188 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 8 | $30.646,30 | 364 / 3 | $10.762,90 | 779 / 4 | $10.121,00 | 778 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 35 | 67 / 3 | $24.797,30 | 892 / 9 | $5.897,23 | 916 / 10 | $4.156,71 | 912 / 8 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 8 | $28.956,10 | 1133 / 10 | $7.671,00 | 1073 / 6 | $6.522,69 | 1070 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 3 | $20.575,00 | 1633 / 14 | $5.593,85 | 1706 / 10 | $4.560,35 | 1695 / 13 |
| Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 15 | 14 / 2 | $11.214,70 | 24 / 2 | $4.999,40 | 88 / 3 | $4.434,07 | 88 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 4 | $53.313,40 | 510 / 7 | $11.791,50 | 372 / 6 | $8.944,62 | 372 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 5 | $62.406,30 | 190 / 3 | $16.458,30 | 109 / 3 | $13.288,00 | 109 / 3 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 4 | $67.400,80 | 417 / 5 | $12.671,30 | 336 / 3 | $11.652,20 | 334 / 3 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 4 | $53.457,40 | 354 / 4 | $11.521,60 | 154 / 4 | $7.564,43 | 154 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 41 | 60 / 3 | $76.696,60 | 336 / 4 | $21.832,30 | 358 / 4 | $19.028,30 | 358 / 3 |
| Major Chest Procedures W Cc | 19 | 55 / 3 | $72.657,70 | 283 / 6 | $18.033,80 | 218 / 3 | $14.786,10 | 217 / 4 |
| Major Chest Procedures W/O Cc/Mcc | 19 | 40 / 1 | $54.826,40 | 146 / 1 | $13.885,70 | 78 / 1 | $9.908,74 | 78 / 1 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 14 | 39 / 2 | $37.163,80 | 294 / 2 | $8.293,43 | 266 / 1 | $7.605,36 | 266 / 2 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 5 | $66.035,20 | 546 / 9 | $14.995,70 | 428 / 7 | $12.348,20 | 425 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 254 | 311 / 7 | $57.101,20 | 1585 / 17 | $14.682,80 | 1369 / 13 | $11.734,90 | 1336 / 13 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 18 | 55 / 3 | $55.238,00 | 270 / 3 | $10.060,90 | 162 / 3 | $6.649,78 | 162 / 2 |
| Major Small & Large Bowel Procedures W Cc | 41 | 67 / 5 | $87.590,20 | 1080 / 14 | $17.828,60 | 918 / 7 | $15.325,00 | 910 / 9 |
| Major Small & Large Bowel Procedures W Mcc | 25 | 60 / 5 | $155.301,00 | 835 / 6 | $36.913,20 | 918 / 4 | $35.831,60 | 916 / 5 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 19 | 45 / 3 | $53.774,30 | 508 / 7 | $13.311,50 | 195 / 6 | $8.048,21 | 195 / 5 |
| Medical Back Problems W/O Mcc | 34 | 87 / 2 | $19.673,30 | 496 / 6 | $6.107,71 | 848 / 6 | $4.855,62 | 845 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 5 | $39.185,10 | 1287 / 7 | $8.115,70 | 1122 / 5 | $7.392,45 | 1119 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 53 | 113 / 3 | $21.059,50 | 1648 / 15 | $5.532,42 | 1576 / 14 | $4.152,64 | 1571 / 13 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 5 | $27.797,80 | 371 / 3 | $6.710,62 | 345 / 4 | $5.759,23 | 344 / 4 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 4 | $51.016,00 | 769 / 5 | $12.616,40 | 473 / 3 | $10.656,00 | 472 / 3 |
| Other Circulatory System O.R. Procedures | 12 | 43 / 1 | $53.114,30 | 115 / 1 | $16.887,80 | 59 / 1 | $14.213,90 | 59 / 1 |
| Other Digestive System Diagnoses W Cc | 28 | 69 / 5 | $25.288,80 | 694 / 5 | $6.604,64 | 738 / 4 | $5.656,07 | 734 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 3 | $41.452,10 | 650 / 5 | $10.180,50 | 560 / 5 | $9.374,13 | 558 / 6 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 3 | $50.309,90 | 160 / 3 | $13.067,50 | 41 / 2 | $9.756,18 | 41 / 3 |
| Other Resp System O.R. Procedures W Mcc | 13 | 50 / 2 | $123.452,00 | 430 / 6 | $27.819,30 | 464 / 5 | $27.167,00 | 463 / 6 |
| Other Vascular Procedures W Cc | 25 | 77 / 4 | $67.787,90 | 482 / 5 | $15.859,60 | 511 / 2 | $15.037,90 | 508 / 5 |
| Other Vascular Procedures W Mcc | 22 | 75 / 2 | $82.427,20 | 410 / 3 | $19.615,80 | 304 / 1 | $18.795,40 | 303 / 2 |
| Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 3 | $53.858,90 | 328 / 5 | $14.494,30 | 58 / 5 | $8.164,69 | 58 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 27 | 169 / 6 | $84.865,90 | 956 / 10 | $13.181,70 | 906 / 5 | $12.105,50 | 899 / 8 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 21 | 48 / 2 | $72.374,60 | 365 / 5 | $11.780,40 | 314 / 3 | $10.686,30 | 314 / 4 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 18 | 77 / 2 | $91.351,30 | 419 / 6 | $15.314,20 | 473 / 4 | $14.608,40 | 469 / 5 |
| Peripheral Vascular Disorders W Cc | 15 | 69 / 5 | $25.635,30 | 662 / 9 | $7.274,80 | 481 / 8 | $5.278,93 | 479 / 4 |
| Pleural Effusion W Cc | 11 | 17 / 1 | $32.419,70 | 56 / 1 | $7.346,36 | 54 / 1 | $6.686,00 | 54 / 1 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 5 | $17.752,10 | 436 / 4 | $4.949,18 | 465 / 3 | $3.779,55 | 464 / 3 |
| Psychoses | 483 | 26 / 1 | $20.023,70 | 327 / 2 | $7.170,71 | 322 / 2 | $6.119,28 | 322 / 2 |
| Pulmonary Edema & Respiratory Failure | 29 | 174 / 8 | $52.118,40 | 1793 / 15 | $8.764,69 | 1417 / 8 | $7.631,90 | 1413 / 9 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 9 | $29.574,80 | 819 / 10 | $6.916,81 | 817 / 8 | $5.852,81 | 814 / 10 |
| Red Blood Cell Disorders W/O Mcc | 21 | 122 / 6 | $24.043,60 | 1188 / 11 | $5.803,57 | 1244 / 9 | $4.883,19 | 1236 / 10 |
| Renal Failure W Cc | 49 | 172 / 5 | $23.772,60 | 1332 / 13 | $6.753,51 | 1566 / 11 | $5.867,31 | 1557 / 12 |
| Renal Failure W Mcc | 33 | 162 / 5 | $40.872,60 | 1313 / 11 | $12.091,10 | 880 / 12 | $8.693,42 | 880 / 7 |
| Respiratory Signs & Symptoms | 12 | 34 / 2 | $29.444,30 | 228 / 2 | $5.565,67 | 152 / 2 | $4.096,17 | 152 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 8 | $60.722,60 | 918 / 6 | $14.568,40 | 903 / 3 | $13.749,20 | 895 / 5 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 17 | 54 / 2 | $145.404,00 | 532 / 4 | $28.706,10 | 153 / 1 | $27.209,60 | 153 / 1 |
| Revision Of Hip Or Knee Replacement W Cc | 33 | 53 / 3 | $75.778,60 | 260 / 6 | $20.567,20 | 307 / 2 | $19.396,80 | 306 / 4 |
| Seizures W/O Mcc | 11 | 97 / 7 | $22.535,50 | 668 / 7 | $5.558,36 | 778 / 5 | $4.676,91 | 775 / 7 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 16 | 76 / 2 | $154.127,00 | 550 / 3 | $37.718,90 | 453 / 2 | $35.905,90 | 452 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 154 | 362 / 5 | $59.575,30 | 2079 / 17 | $13.242,30 | 1860 / 11 | $11.917,40 | 1825 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 74 | 133 / 4 | $33.738,70 | 1802 / 16 | $7.742,50 | 1402 / 14 | $6.114,31 | 1397 / 10 |
| Signs & Symptoms W/O Mcc | 28 | 63 / 4 | $28.151,00 | 986 / 10 | $5.627,96 | 637 / 9 | $3.922,54 | 636 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 71 | 132 / 5 | $29.839,80 | 1940 / 16 | $6.959,73 | 1537 / 12 | $5.554,58 | 1531 / 10 |
| Simple Pneumonia & Pleurisy W Mcc | 55 | 150 / 4 | $49.189,50 | 1891 / 15 | $11.018,00 | 1254 / 13 | $8.224,67 | 1254 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 28 | 65 / 3 | $22.857,10 | 1347 / 15 | $5.546,64 | 1321 / 12 | $4.082,82 | 1313 / 13 |
| Spinal Fusion Except Cervical W/O Mcc | 24 | 170 / 9 | $78.995,20 | 512 / 7 | $26.344,40 | 453 / 7 | $21.545,00 | 450 / 6 |
| Syncope & Collapse | 35 | 134 / 4 | $19.250,70 | 786 / 6 | $5.497,83 | 1224 / 11 | $4.429,29 | 1217 / 10 |
| Transient Ischemia | 18 | 107 / 5 | $24.026,80 | 918 / 10 | $5.397,78 | 959 / 7 | $3.973,94 | 954 / 9 | Total 98 procedures | 3.393 | 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.