Hospital Costs > In Nebraska > Chi Health Midlands, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 66 | 450 / 12 | $42.763,30 | 1464 / 9 | $10.410,10 | 333 / 1 | $9.242,35 | 333 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 25 | 182 / 11 | $19.379,80 | 727 / 2 | $5.899,44 | 292 / 1 | $4.981,68 | 291 / 4 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 25 | 539 / 21 | $67.462,00 | 1928 / 22 | $14.274,80 | 126 / 12 | $9.464,64 | 126 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 24 | 142 / 13 | $18.109,30 | 1339 / 12 | $4.436,12 | 97 / 6 | $2.828,08 | 97 / 2 |
| Pulmonary Embolism W/O Mcc | 23 | 51 / 3 | $33.043,20 | 919 / 12 | $6.014,65 | 89 / 4 | $4.284,30 | 89 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 12 | $22.649,80 | 1263 / 6 | $5.243,26 | 124 / 1 | $4.053,53 | 124 / 1 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 7 | $22.281,10 | 1423 / 11 | $3.979,95 | 211 / 2 | $3.028,37 | 211 / 3 |
| Heart Failure & Shock W Cc | 19 | 259 / 19 | $23.872,30 | 1570 / 13 | $5.542,68 | 453 / 5 | $4.845,42 | 453 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 19 | 183 / 13 | $31.704,70 | 1570 / 13 | $6.528,16 | 483 / 1 | $5.766,89 | 482 / 4 |
| Simple Pneumonia & Pleurisy W Mcc | 19 | 186 / 12 | $48.530,30 | 1868 / 14 | $8.354,42 | 672 / 1 | $7.529,16 | 672 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 18 | 257 / 16 | $20.838,30 | 1490 / 10 | $4.134,00 | 209 / 1 | $3.126,00 | 209 / 2 |
| G.I. Hemorrhage W Cc | 18 | 200 / 15 | $31.120,70 | 1616 / 18 | $6.264,61 | 31 / 6 | $4.096,28 | 31 / 1 |
| Heart Failure & Shock W Mcc | 18 | 266 / 15 | $42.060,10 | 1744 / 14 | $8.606,17 | 486 / 1 | $7.671,06 | 486 / 2 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 8 | $22.231,10 | 1319 / 13 | $3.909,89 | 290 / 2 | $3.037,00 | 288 / 4 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 14 | $16.700,60 | 1179 / 7 | $4.102,67 | 193 / 1 | $3.295,56 | 193 / 3 |
| Cellulitis W/O Mcc | 15 | 174 / 15 | $15.700,00 | 950 / 4 | $4.905,40 | 33 / 4 | $3.206,47 | 33 / 1 |
| Renal Failure W Cc | 15 | 206 / 13 | $27.370,40 | 1569 / 15 | $5.324,07 | 147 / 2 | $4.278,73 | 147 / 3 |
| Chest Pain | 14 | 137 / 7 | $16.930,20 | 686 / 4 | $4.114,07 | 41 / 4 | $2.178,50 | 41 / 2 |
| Syncope & Collapse | 12 | 157 / 11 | $18.810,00 | 753 / 5 | $4.041,00 | 123 / 1 | $3.033,00 | 123 / 2 |
| Renal Failure W Mcc | 12 | 183 / 12 | $51.886,00 | 1616 / 15 | $11.093,20 | 1384 / 9 | $9.902,50 | 1384 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 11 | 192 / 17 | $28.055,40 | 1842 / 14 | $5.347,00 | 415 / 1 | $4.579,00 | 412 / 3 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 13 | $78.079,80 | 982 / 12 | $20.125,50 | 187 / 10 | $12.413,90 | 186 / 3 | Total 22 procedures | 438 | 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.