Hospital Costs > In Iowa > Chi Health Mercy Council Bluffs, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 254 | 82 / 4 | $16.512,80 | 229 / 10 | $7.028,09 | 325 / 12 | $6.133,41 | 325 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 222 | 342 / 13 | $51.830,00 | 1374 / 30 | $13.651,20 | 1432 / 23 | $11.874,20 | 1399 / 26 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 57 | 459 / 22 | $47.358,90 | 1679 / 27 | $12.386,70 | 1574 / 25 | $11.159,50 | 1542 / 25 |
| Simple Pneumonia & Pleurisy W Cc | 48 | 155 / 10 | $25.640,70 | 1672 / 30 | $6.513,33 | 1541 / 22 | $5.558,67 | 1535 / 25 |
| Heart Failure & Shock W Cc | 47 | 231 / 13 | $29.423,60 | 1927 / 30 | $6.636,81 | 1450 / 22 | $5.711,53 | 1445 / 23 |
| Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 8 | $46.340,10 | 901 / 22 | $12.615,90 | 989 / 21 | $11.009,20 | 976 / 21 |
| Cellulitis W/O Mcc | 43 | 146 / 10 | $21.442,20 | 1620 / 30 | $6.092,19 | 1235 / 27 | $4.457,56 | 1229 / 23 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 15 | $22.637,50 | 1680 / 27 | $5.250,42 | 1756 / 22 | $4.409,53 | 1743 / 27 |
| Kidney & Urinary Tract Infections W/O Mcc | 35 | 198 / 8 | $22.576,80 | 1815 / 31 | $5.299,14 | 1578 / 25 | $4.420,51 | 1567 / 28 |
| Heart Failure & Shock W Mcc | 33 | 251 / 21 | $46.923,80 | 1906 / 27 | $9.792,12 | 1535 / 21 | $9.134,67 | 1531 / 25 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 33 | 87 / 2 | $17.352,70 | 1045 / 17 | $5.169,64 | 1290 / 16 | $4.053,09 | 1279 / 16 |
| Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 11 | $32.929,20 | 1846 / 25 | $6.754,12 | 1245 / 24 | $5.218,47 | 1240 / 18 |
| Renal Failure W Cc | 29 | 192 / 17 | $23.966,10 | 1344 / 24 | $8.214,10 | 1023 / 25 | $5.208,62 | 1015 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 28 | 174 / 17 | $37.988,90 | 1859 / 28 | $7.644,68 | 1421 / 21 | $6.738,39 | 1415 / 24 |
| Medical Back Problems W/O Mcc | 22 | 99 / 8 | $24.873,00 | 825 / 15 | $6.050,59 | 653 / 15 | $4.484,59 | 651 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 17 | $21.020,40 | 1646 / 25 | $5.010,05 | 1506 / 21 | $4.077,68 | 1501 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 21 | $26.309,10 | 1361 / 25 | $7.024,50 | 1374 / 22 | $6.087,77 | 1369 / 24 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 20 | 162 / 17 | $31.454,20 | 1225 / 23 | $7.756,45 | 735 / 23 | $5.469,65 | 734 / 15 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 19 | 112 / 10 | $57.775,30 | 859 / 13 | $17.989,70 | 416 / 18 | $12.214,30 | 411 / 5 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 23 | $43.387,40 | 1614 / 25 | $9.551,06 | 336 / 25 | $6.132,18 | 336 / 6 |
| Syncope & Collapse | 17 | 152 / 14 | $21.227,90 | 958 / 16 | $5.277,18 | 1003 / 17 | $4.065,71 | 996 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 17 | $23.526,40 | 1321 / 21 | $5.522,12 | 1271 / 17 | $4.597,88 | 1266 / 19 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 21 | $45.612,60 | 1779 / 28 | $9.538,29 | 1424 / 22 | $8.546,29 | 1424 / 23 |
| Renal Failure W Mcc | 16 | 179 / 21 | $56.525,40 | 1700 / 24 | $10.309,50 | 1250 / 21 | $9.553,50 | 1250 / 23 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 18 | $95.182,90 | 1111 / 23 | $13.721,20 | 712 / 21 | $11.277,50 | 708 / 17 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 11 | $63.644,30 | 299 / 15 | $19.604,30 | 405 / 12 | $18.403,20 | 403 / 11 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 10 | $12.199,50 | 206 / 10 | $4.912,07 | 420 / 11 | $4.162,20 | 419 / 12 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 9 | $20.298,10 | 670 / 11 | $5.199,14 | 541 / 14 | $3.741,64 | 540 / 11 |
| Hip & Femur Procedures Except Major Joint W Mcc | 13 | 49 / 11 | $56.401,20 | 261 / 9 | $17.555,20 | 295 / 6 | $16.533,60 | 292 / 7 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 13 | 76 / 9 | $38.575,70 | 440 / 10 | $7.499,85 | 357 / 8 | $5.809,69 | 356 / 9 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 8 | $16.176,00 | 352 / 7 | $4.623,15 | 466 / 7 | $3.783,77 | 465 / 8 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 16 | $20.393,50 | 1226 / 25 | $5.013,17 | 1206 / 20 | $3.911,83 | 1200 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 12 | $52.906,70 | 1015 / 16 | $11.666,90 | 929 / 13 | $10.762,90 | 926 / 15 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 12 | 50 / 5 | $17.850,00 | 301 / 3 | $5.214,08 | 332 / 3 | $4.003,42 | 332 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 16 | $45.442,50 | 1005 / 16 | $10.560,20 | 850 / 13 | $9.858,83 | 849 / 15 |
| G.I. Hemorrhage W Cc | 11 | 207 / 28 | $37.046,90 | 1855 / 31 | $7.315,18 | 1685 / 28 | $6.340,64 | 1681 / 29 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 7 | $28.991,20 | 595 / 9 | $7.211,27 | 136 / 7 | $4.297,64 | 136 / 2 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 14 | $34.163,60 | 949 / 19 | $6.715,36 | 772 / 15 | $5.726,27 | 769 / 18 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 15 | $21.268,70 | 1379 / 21 | $4.857,73 | 1120 / 16 | $3.868,64 | 1111 / 18 |
| G.I. Obstruction W Cc | 11 | 81 / 16 | $21.844,70 | 785 / 20 | $6.100,00 | 1119 / 19 | $5.329,09 | 1116 / 23 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 11 | 177 / 19 | $43.065,50 | 1031 / 21 | $7.185,91 | 883 / 14 | $6.092,09 | 880 / 19 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 8 | $46.739,00 | 222 / 8 | $14.310,20 | 76 / 10 | $9.659,64 | 76 / 1 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 14 | $39.752,60 | 682 / 16 | $11.116,10 | 375 / 13 | $9.352,27 | 375 / 9 | Total 43 procedures | 1.365 | 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.