Hospital Costs > In Nebraska > Chi Health Lakeside, 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 | 200 | 364 / 9 | $61.555,10 | 1751 / 19 | $12.977,40 | 411 / 7 | $10.186,10 | 409 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 105 | 411 / 9 | $52.068,60 | 1857 / 16 | $12.005,80 | 286 / 7 | $9.139,44 | 286 / 1 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 82 | 193 / 6 | $25.060,90 | 1892 / 15 | $4.462,61 | 122 / 4 | $2.990,39 | 122 / 1 |
Simple Pneumonia & Pleurisy W Cc | 67 | 136 / 6 | $40.891,20 | 2356 / 18 | $6.192,82 | 790 / 5 | $4.902,06 | 787 / 7 |
Renal Failure W Cc | 47 | 174 / 6 | $25.986,50 | 1487 / 14 | $5.890,28 | 31 / 5 | $3.977,53 | 31 / 1 |
Heart Failure & Shock W Cc | 44 | 234 / 12 | $30.305,80 | 1967 / 19 | $5.453,36 | 406 / 3 | $4.795,18 | 406 / 4 |
G.I. Hemorrhage W Cc | 40 | 178 / 8 | $28.244,00 | 1457 / 15 | $5.794,80 | 62 / 3 | $4.239,00 | 62 / 2 |
Syncope & Collapse | 39 | 130 / 3 | $25.557,80 | 1243 / 14 | $4.145,49 | 151 / 2 | $3.087,05 | 151 / 4 |
Renal Failure W Mcc | 39 | 156 / 3 | $47.581,10 | 1517 / 13 | $9.324,23 | 464 / 2 | $8.019,56 | 464 / 2 |
Chronic Obstructive Pulmonary Disease W Cc | 38 | 141 / 8 | $31.964,90 | 1809 / 14 | $5.615,00 | 432 / 6 | $4.465,29 | 431 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 37 | 145 / 6 | $30.533,90 | 1189 / 12 | $5.881,35 | 207 / 1 | $4.834,86 | 207 / 2 |
Simple Pneumonia & Pleurisy W Mcc | 37 | 168 / 8 | $52.616,70 | 1982 / 16 | $8.765,35 | 254 / 4 | $6.944,92 | 254 / 1 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 9 | $29.200,20 | 1567 / 15 | $6.466,46 | 150 / 2 | $4.762,43 | 150 / 1 |
Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 7 | $20.652,80 | 1642 / 15 | $4.264,94 | 131 / 2 | $3.193,80 | 131 / 1 |
Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 10 | $44.106,30 | 2047 / 18 | $8.411,76 | 91 / 10 | $5.123,36 | 91 / 1 |
Cellulitis W/O Mcc | 31 | 158 / 9 | $21.411,60 | 1618 / 13 | $4.866,52 | 199 / 3 | $3.557,61 | 198 / 2 |
Transient Ischemia | 29 | 96 / 2 | $23.996,10 | 915 / 9 | $4.239,97 | 30 / 1 | $2.593,14 | 30 / 1 |
Medical Back Problems W/O Mcc | 29 | 92 / 3 | $22.587,40 | 706 / 9 | $4.824,72 | 106 / 2 | $3.544,79 | 106 / 1 |
Heart Failure & Shock W Mcc | 28 | 256 / 12 | $50.515,40 | 1996 / 18 | $9.409,61 | 1437 / 6 | $8.935,32 | 1433 / 8 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 28 | 138 / 10 | $18.617,70 | 1400 / 13 | $3.893,75 | 253 / 2 | $3.075,46 | 253 / 4 |
Chest Pain | 26 | 125 / 1 | $23.605,20 | 1147 / 11 | $4.425,15 | 8 / 6 | $1.933,42 | 8 / 1 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 25 | 136 / 11 | $25.257,60 | 1410 / 16 | $4.814,96 | 61 / 5 | $3.193,40 | 61 / 1 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 23 | 70 / 5 | $23.273,30 | 1374 / 16 | $4.597,30 | 98 / 8 | $2.719,48 | 98 / 1 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 6 | $27.917,90 | 1016 / 11 | $5.303,00 | 56 / 7 | $2.853,17 | 56 / 1 |
Signs & Symptoms W/O Mcc | 22 | 69 / 6 | $28.938,90 | 1007 / 11 | $4.376,05 | 7 / 3 | $2.525,95 | 7 / 1 |
Peripheral Vascular Disorders W Cc | 21 | 63 / 3 | $20.564,80 | 435 / 5 | $5.151,19 | 14 / 1 | $3.805,00 | 14 / 1 |
Seizures W/O Mcc | 21 | 87 / 3 | $22.864,90 | 688 / 8 | $4.217,00 | 75 / 1 | $3.240,24 | 75 / 2 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 6 | $23.163,00 | 1459 / 12 | $3.969,24 | 157 / 1 | $2.933,05 | 157 / 2 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 12 | $51.415,90 | 1782 / 14 | $7.440,80 | 533 / 3 | $6.373,20 | 533 / 3 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 5 | $68.960,40 | 574 / 10 | $13.049,50 | 125 / 3 | $10.621,50 | 124 / 2 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 11 | $20.505,90 | 1423 / 16 | $3.076,00 | 189 / 2 | $2.109,60 | 188 / 5 |
Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 12 | $63.318,60 | 1435 / 14 | $11.059,70 | 433 / 1 | $9.970,10 | 432 / 1 |
Red Blood Cell Disorders W/O Mcc | 20 | 123 / 7 | $31.098,20 | 1541 / 14 | $4.789,30 | 133 / 3 | $3.496,20 | 133 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 8 | $32.331,60 | 1061 / 10 | $6.721,16 | 188 / 2 | $5.833,58 | 188 / 3 |
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 19 | 43 / 3 | $17.420,10 | 277 / 2 | $4.199,05 | 76 / 1 | $3.180,11 | 76 / 1 |
Revision Of Hip Or Knee Replacement W Cc | 19 | 67 / 6 | $85.280,30 | 334 / 7 | $21.584,50 | 46 / 3 | $16.069,90 | 46 / 1 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 9 | $57.794,10 | 861 / 4 | $12.559,80 | 235 / 1 | $11.688,70 | 233 / 1 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 7 | $22.736,80 | 1438 / 14 | $3.743,38 | 222 / 3 | $2.991,38 | 220 / 5 |
Pulmonary Embolism W/O Mcc | 16 | 58 / 9 | $24.289,50 | 624 / 8 | $5.608,81 | 45 / 1 | $4.105,19 | 45 / 1 |
G.I. Obstruction W Cc | 15 | 77 / 7 | $29.766,30 | 1188 / 12 | $6.023,80 | 8 / 6 | $3.307,87 | 8 / 1 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 6 | $98.015,40 | 637 / 9 | $19.243,60 | 403 / 2 | $18.358,30 | 401 / 5 |
Dysequilibrium | 15 | 50 / 2 | $21.705,50 | 284 / 2 | $3.715,07 | 12 / 1 | $2.172,33 | 12 / 1 |
Kidney & Urinary Tract Infections W Mcc | 15 | 129 / 7 | $22.458,90 | 743 / 6 | $5.816,13 | 98 / 1 | $5.011,87 | 98 / 1 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 4 | $78.612,90 | 409 / 6 | $11.156,30 | 37 / 2 | $8.416,80 | 37 / 1 |
Other Digestive System Diagnoses W Cc | 14 | 83 / 6 | $24.482,50 | 647 / 4 | $6.187,57 | 73 / 2 | $4.296,36 | 72 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 11 | $51.654,70 | 989 / 12 | $12.394,90 | 24 / 9 | $7.624,43 | 24 / 1 |
Diabetes W Cc | 13 | 79 / 5 | $25.478,60 | 1015 / 7 | $4.587,54 | 313 / 1 | $4.026,31 | 313 / 2 |
Respiratory Infections & Inflammations W Mcc | 13 | 123 / 8 | $63.372,00 | 1326 / 9 | $10.635,10 | 277 / 1 | $9.960,00 | 277 / 2 |
Other Disorders Of Nervous System W Cc | 13 | 43 / 3 | $20.828,10 | 193 / 3 | $4.778,08 | 38 / 1 | $3.946,08 | 38 / 2 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 13 | 112 / 8 | $46.018,70 | 1028 / 8 | $9.083,85 | 156 / 2 | $8.158,31 | 156 / 2 |
Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 8 | $160.924,00 | 872 / 7 | $43.851,20 | 331 / 6 | $27.856,20 | 329 / 2 |
Major Small & Large Bowel Procedures W Cc | 13 | 95 / 11 | $82.619,50 | 1037 / 13 | $19.112,10 | 18 / 9 | $10.908,20 | 18 / 1 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 13 | 43 / 4 | $48.005,50 | 425 / 6 | $10.498,80 | 20 / 5 | $7.105,08 | 20 / 1 |
G.I. Obstruction W Mcc | 12 | 30 / 5 | $65.616,90 | 437 / 5 | $10.463,20 | 225 / 2 | $9.488,42 | 225 / 3 |
Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 4 | $20.685,80 | 410 / 3 | $4.832,83 | 108 / 1 | $3.819,50 | 107 / 2 |
Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 7 | $102.173,00 | 705 / 9 | $18.396,70 | 239 / 4 | $16.141,40 | 237 / 2 |
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc | 12 | 35 / 3 | $19.416,30 | 144 / 2 | $3.938,67 | 11 / 1 | $2.930,67 | 11 / 1 |
Renal Failure W/O Cc/Mcc | 12 | 44 / 3 | $21.380,60 | 592 / 3 | $3.463,67 | 64 / 1 | $2.554,33 | 63 / 1 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 11 | 185 / 12 | $88.688,50 | 1030 / 11 | $12.875,50 | 101 / 2 | $9.424,82 | 101 / 1 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 7 | $122.672,00 | 766 / 5 | $32.320,60 | 65 / 2 | $24.863,90 | 65 / 1 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 11 | 45 / 6 | $48.777,40 | 552 / 6 | $9.061,64 | 178 / 1 | $8.072,55 | 178 / 3 |
Acute Myocardial Infarction, Discharged Alive W Cc | 11 | 80 / 8 | $43.766,80 | 1096 / 9 | $5.687,18 | 189 / 1 | $4.916,27 | 189 / 3 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 13 | $46.572,00 | 1112 / 14 | $5.854,00 | 399 / 1 | $5.307,09 | 397 / 5 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 6 | $53.280,90 | 501 / 6 | $9.032,73 | 153 / 1 | $7.825,45 | 153 / 3 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 11 | 58 / 4 | $67.267,60 | 260 / 6 | $14.710,80 | 145 / 2 | $13.617,00 | 145 / 3 | Total 65 procedures | 1.743 | 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.