Hospital Costs > In Nebraska > Chi Health Good Samaritan, 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 | 454 | 154 / 2 | $40.172,10 | 768 / 6 | $16.686,40 | 2014 / 18 | $13.672,90 | 1972 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 111 | 405 / 8 | $43.709,90 | 1513 / 10 | $14.981,20 | 2168 / 16 | $13.060,10 | 2130 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 74 | 69 / 3 | $37.124,50 | 505 / 6 | $14.733,40 | 1594 / 12 | $13.324,40 | 1575 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 66 | 141 / 5 | $26.118,00 | 1349 / 13 | $7.887,76 | 1929 / 15 | $7.092,23 | 1921 / 15 |
| Heart Failure & Shock W Cc | 64 | 214 / 6 | $25.130,70 | 1677 / 14 | $7.397,06 | 1989 / 14 | $6.510,84 | 1984 / 16 |
| Simple Pneumonia & Pleurisy W Cc | 54 | 149 / 8 | $20.976,50 | 1242 / 7 | $7.406,19 | 1887 / 14 | $5.970,83 | 1879 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 53 | 143 / 3 | $51.325,60 | 251 / 3 | $16.019,20 | 1086 / 12 | $13.101,00 | 1079 / 9 |
| Spinal Fusion Except Cervical W/O Mcc | 53 | 141 / 3 | $70.247,90 | 378 / 5 | $31.799,60 | 986 / 12 | $26.286,70 | 981 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 6 | $35.104,40 | 1358 / 9 | $11.402,20 | 2042 / 14 | $10.315,50 | 2041 / 15 |
| Renal Failure W Cc | 44 | 177 / 7 | $22.609,80 | 1242 / 11 | $7.102,82 | 1770 / 13 | $6.333,25 | 1760 / 15 |
| G.I. Hemorrhage W Cc | 41 | 177 / 7 | $21.843,60 | 930 / 9 | $7.443,56 | 1748 / 15 | $6.476,98 | 1744 / 15 |
| Heart Failure & Shock W Mcc | 40 | 244 / 10 | $35.763,70 | 1433 / 9 | $12.045,50 | 2236 / 15 | $11.498,00 | 2226 / 17 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 40 | 235 / 11 | $21.422,00 | 1547 / 12 | $6.522,08 | 1713 / 15 | $4.353,27 | 1700 / 12 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 38 | 93 / 4 | $53.310,60 | 719 / 2 | $18.412,10 | 1428 / 9 | $16.720,40 | 1414 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 38 | 130 / 4 | $38.315,10 | 639 / 9 | $13.300,70 | 1046 / 11 | $11.302,10 | 1041 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 37 | 165 / 9 | $32.088,40 | 1592 / 14 | $8.714,95 | 1904 / 13 | $7.699,62 | 1896 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 36 | 146 / 7 | $29.732,50 | 1135 / 10 | $8.075,44 | 1550 / 12 | $7.042,14 | 1547 / 12 |
| Revision Of Hip Or Knee Replacement W Cc | 32 | 54 / 4 | $70.821,00 | 224 / 4 | $24.455,00 | 522 / 6 | $23.565,20 | 520 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 8 | $16.269,30 | 1110 / 7 | $5.391,30 | 1419 / 13 | $3.987,10 | 1414 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 6 | $33.286,00 | 669 / 8 | $9.254,93 | 1057 / 12 | $6.513,73 | 1054 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 28 | 133 / 10 | $17.439,80 | 801 / 8 | $6.080,93 | 1112 / 13 | $4.412,07 | 1108 / 11 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 9 | $33.291,90 | 1214 / 7 | $8.938,11 | 1604 / 9 | $8.126,59 | 1599 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 8 | $13.181,50 | 745 / 6 | $4.237,56 | 1000 / 11 | $2.825,52 | 995 / 11 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 27 | 62 / 2 | $33.132,40 | 347 / 5 | $7.992,37 | 535 / 5 | $6.770,04 | 534 / 5 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 5 | $93.597,80 | 417 / 2 | $41.045,60 | 1255 / 7 | $40.239,00 | 1245 / 7 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 26 | 70 / 4 | $44.432,90 | 240 / 6 | $16.314,60 | 670 / 9 | $15.141,50 | 666 / 9 |
| Cellulitis W/O Mcc | 26 | 163 / 10 | $17.875,50 | 1231 / 7 | $6.323,65 | 1740 / 13 | $5.031,81 | 1732 / 13 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 26 | 40 / 3 | $22.316,60 | 111 / 2 | $8.149,27 | 320 / 3 | $7.056,81 | 320 / 3 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 25 | 51 / 4 | $124.558,00 | 256 / 5 | $39.046,00 | 503 / 6 | $32.408,70 | 503 / 5 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 25 | 31 / 2 | $29.053,60 | 169 / 1 | $11.945,30 | 716 / 6 | $10.813,90 | 713 / 7 |
| Renal Failure W Mcc | 24 | 171 / 9 | $36.904,70 | 1143 / 7 | $11.744,00 | 1633 / 11 | $10.802,60 | 1631 / 12 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 10 | $16.564,90 | 1152 / 6 | $5.634,00 | 1659 / 11 | $4.503,00 | 1648 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 11 | $24.220,60 | 1396 / 8 | $6.950,65 | 1607 / 14 | $5.692,70 | 1600 / 13 |
| Medical Back Problems W/O Mcc | 23 | 98 / 4 | $17.392,70 | 353 / 3 | $7.216,26 | 695 / 9 | $4.555,70 | 692 / 6 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 23 | 46 / 1 | $49.337,80 | 149 / 2 | $14.141,80 | 417 / 4 | $11.666,20 | 415 / 5 |
| Cervical Spinal Fusion W/O Cc/Mcc | 22 | 82 / 4 | $32.761,70 | 90 / 1 | $16.004,90 | 633 / 4 | $13.944,60 | 630 / 5 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 22 | 25 / 2 | $30.300,40 | 116 / 1 | $11.322,60 | 371 / 3 | $9.590,23 | 371 / 4 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 21 | 48 / 2 | $61.181,10 | 199 / 5 | $21.627,10 | 370 / 6 | $17.422,00 | 369 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 6 | $15.704,50 | 803 / 5 | $5.144,95 | 1295 / 10 | $4.036,86 | 1288 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 21 | 70 / 3 | $22.963,20 | 422 / 2 | $7.750,90 | 985 / 7 | $6.648,86 | 983 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 5 | $45.940,90 | 1023 / 7 | $14.830,80 | 1598 / 9 | $13.961,30 | 1585 / 10 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 19 | 47 / 3 | $45.232,90 | 224 / 3 | $14.431,50 | 382 / 4 | $12.378,30 | 379 / 3 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 6 | $19.559,80 | 365 / 3 | $7.939,53 | 769 / 9 | $5.715,84 | 766 / 9 |
| Seizures W/O Mcc | 19 | 89 / 4 | $21.293,50 | 617 / 5 | $5.562,11 | 765 / 6 | $4.651,84 | 762 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 7 | $17.277,40 | 383 / 2 | $5.559,26 | 1026 / 9 | $4.402,11 | 1022 / 10 |
| Syncope & Collapse | 19 | 150 / 8 | $22.657,40 | 1081 / 12 | $5.313,79 | 1244 / 10 | $4.468,79 | 1237 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 5 | $75.726,00 | 451 / 7 | $26.519,20 | 771 / 9 | $23.567,30 | 768 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 9 | $27.214,20 | 799 / 6 | $9.402,61 | 1150 / 12 | $7.480,50 | 1147 / 10 |
| Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 5 | $49.077,10 | 50 / 1 | $24.570,10 | 758 / 5 | $23.678,90 | 757 / 6 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 8 | $47.561,90 | 349 / 4 | $20.191,90 | 1005 / 11 | $15.907,60 | 994 / 10 |
| Craniotomy & Endovascular Intracranial Procedures W Cc | 17 | 38 / 2 | $74.897,10 | 81 / 2 | $25.756,60 | 186 / 2 | $25.065,90 | 186 / 2 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 5 | $56.818,40 | 266 / 5 | $22.958,50 | 778 / 8 | $21.862,10 | 775 / 9 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 15 | 80 / 4 | $40.456,90 | 44 / 2 | $14.450,80 | 411 / 3 | $13.229,80 | 407 / 4 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 15 | 42 / 3 | $25.878,50 | 26 / 1 | $15.808,40 | 568 / 4 | $14.834,30 | 567 / 4 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 15 | 40 / 3 | $40.592,90 | 150 / 2 | $14.623,30 | 485 / 4 | $13.629,10 | 481 / 5 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 3 | $93.660,40 | 182 / 2 | $39.759,20 | 625 / 4 | $38.923,10 | 625 / 5 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 3 | $98.436,60 | 244 / 1 | $40.413,50 | 783 / 4 | $39.665,80 | 782 / 4 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 4 | $40.823,00 | 87 / 3 | $19.533,50 | 741 / 5 | $18.490,90 | 738 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 9 | $17.199,00 | 1077 / 10 | $4.945,46 | 1162 / 10 | $3.912,31 | 1152 / 10 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 4 | $30.363,60 | 96 / 1 | $12.114,60 | 686 / 7 | $10.986,00 | 683 / 7 |
| Major Chest Procedures W Cc | 13 | 61 / 5 | $58.902,50 | 187 / 3 | $19.125,10 | 372 / 6 | $18.067,70 | 370 / 7 |
| Extracranial Procedures W/O Cc/Mcc | 12 | 86 / 7 | $28.526,60 | 397 / 5 | $7.660,17 | 730 / 7 | $6.839,67 | 727 / 8 |
| G.I. Obstruction W Cc | 12 | 80 / 8 | $24.795,80 | 982 / 9 | $6.508,00 | 1275 / 11 | $5.771,75 | 1270 / 11 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 3 | $121.110,00 | 320 / 2 | $46.066,80 | 846 / 3 | $44.894,80 | 845 / 3 |
| Transient Ischemia | 12 | 113 / 9 | $21.262,60 | 757 / 5 | $5.514,67 | 679 / 8 | $3.560,83 | 675 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 9 | $23.641,50 | 826 / 7 | $8.267,92 | 1440 / 9 | $7.441,67 | 1436 / 9 |
| Cervical Spinal Fusion W Cc | 12 | 41 / 3 | $55.297,10 | 104 / 1 | $22.024,80 | 297 / 3 | $20.801,00 | 296 / 4 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 9 | $22.048,70 | 770 / 8 | $5.600,09 | 642 / 8 | $3.930,82 | 641 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 4 | $63.269,30 | 104 / 2 | $23.273,60 | 737 / 4 | $22.594,20 | 732 / 5 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 7 | $21.336,80 | 463 / 7 | $7.102,09 | 771 / 7 | $6.085,55 | 768 / 7 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 9 | $34.494,30 | 486 / 3 | $13.685,30 | 1281 / 8 | $12.790,10 | 1271 / 9 |
| Coronary Bypass W Cardiac Cath W Mcc | 11 | 45 / 3 | $178.530,00 | 187 / 2 | $59.737,70 | 381 / 3 | $58.805,50 | 381 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 7 | $36.114,40 | 846 / 6 | $9.455,45 | 826 / 6 | $7.506,09 | 821 / 6 |
| Other Resp System O.R. Procedures W Cc | 11 | 36 / 3 | $50.854,90 | 162 / 4 | $15.531,20 | 267 / 5 | $14.613,20 | 267 / 5 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 11 | $14.318,60 | 380 / 2 | $5.869,00 | 1095 / 10 | $4.647,18 | 1088 / 9 | Total 75 procedures | 2.373 | 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.