Hospital Costs > In Nebraska > Chi Health St Elizabeth, 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 | 541 | 104 / 1 | $39.390,10 | 721 / 5 | $13.684,10 | 691 / 11 | $10.610,90 | 681 / 9 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 122 | 394 / 7 | $45.053,10 | 1577 / 11 | $11.909,80 | 1044 / 5 | $10.254,10 | 1032 / 5 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 103 | 172 / 4 | $17.968,80 | 1122 / 5 | $5.314,04 | 576 / 10 | $3.468,07 | 574 / 5 |
Hip & Femur Procedures Except Major Joint W Cc | 97 | 46 / 2 | $34.855,20 | 404 / 2 | $11.720,00 | 511 / 5 | $10.081,20 | 510 / 3 |
Simple Pneumonia & Pleurisy W Cc | 86 | 117 / 2 | $22.861,20 | 1440 / 10 | $6.197,64 | 634 / 6 | $4.761,94 | 631 / 5 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 78 | 129 / 3 | $25.323,40 | 1282 / 11 | $6.729,77 | 1111 / 6 | $5.769,04 | 1107 / 9 |
Cellulitis W/O Mcc | 74 | 115 / 2 | $14.236,60 | 757 / 3 | $5.481,11 | 518 / 8 | $3.897,30 | 515 / 5 |
Heart Failure & Shock W Cc | 70 | 208 / 5 | $22.160,20 | 1414 / 11 | $6.033,87 | 823 / 8 | $5.156,44 | 822 / 8 |
G.I. Hemorrhage W Cc | 69 | 149 / 5 | $21.148,40 | 854 / 7 | $6.250,51 | 751 / 5 | $5.135,80 | 749 / 7 |
Kidney & Urinary Tract Infections W/O Mcc | 62 | 171 / 3 | $13.744,10 | 761 / 2 | $4.858,69 | 707 / 8 | $3.760,11 | 703 / 6 |
Major Small & Large Bowel Procedures W Cc | 61 | 47 / 3 | $60.066,80 | 638 / 10 | $16.372,30 | 372 / 6 | $13.120,20 | 369 / 4 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 58 | 124 / 3 | $21.583,50 | 574 / 3 | $6.568,38 | 603 / 4 | $5.334,36 | 602 / 6 |
Renal Failure W Cc | 58 | 163 / 3 | $18.959,60 | 876 / 5 | $6.224,93 | 541 / 7 | $4.794,00 | 537 / 6 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 44 | 58 / 2 | $18.933,20 | 506 / 4 | $4.914,70 | 519 / 6 | $3.659,20 | 515 / 6 |
Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 7 | $29.747,10 | 1018 / 4 | $8.641,66 | 502 / 3 | $7.330,18 | 502 / 2 |
Heart Failure & Shock W Mcc | 43 | 241 / 8 | $36.271,00 | 1468 / 11 | $9.113,60 | 727 / 4 | $7.966,88 | 727 / 3 |
Revision Of Hip Or Knee Replacement W Cc | 43 | 44 / 2 | $67.317,80 | 200 / 3 | $22.615,10 | 91 / 4 | $16.823,30 | 91 / 2 |
Other Digestive System Diagnoses W Cc | 42 | 55 / 2 | $19.107,30 | 358 / 2 | $6.366,45 | 320 / 3 | $4.894,69 | 317 / 4 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 41 | 52 / 1 | $16.141,00 | 844 / 6 | $4.510,37 | 626 / 7 | $3.342,41 | 623 / 7 |
Spinal Fusion Except Cervical W/O Mcc | 41 | 153 / 7 | $70.132,20 | 377 / 4 | $25.041,60 | 260 / 5 | $20.228,80 | 259 / 4 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 40 | 126 / 6 | $18.687,00 | 1416 / 14 | $5.126,20 | 786 / 11 | $3.511,85 | 783 / 7 |
Red Blood Cell Disorders W/O Mcc | 40 | 103 / 3 | $20.881,20 | 976 / 8 | $5.065,98 | 576 / 5 | $4.058,65 | 574 / 7 |
Pulmonary Edema & Respiratory Failure | 38 | 165 / 7 | $39.143,80 | 1480 / 12 | $8.289,03 | 1371 / 6 | $7.524,58 | 1367 / 8 |
Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 8 | $29.650,30 | 1452 / 10 | $7.129,66 | 569 / 4 | $5.839,39 | 568 / 5 |
G.I. Obstruction W Cc | 35 | 57 / 3 | $18.420,70 | 540 / 6 | $5.633,94 | 197 / 3 | $4.045,17 | 196 / 2 |
Chronic Obstructive Pulmonary Disease W Cc | 35 | 144 / 9 | $23.056,20 | 1309 / 7 | $6.262,31 | 347 / 9 | $4.373,23 | 346 / 3 |
Syncope & Collapse | 34 | 135 / 5 | $16.050,60 | 491 / 3 | $4.631,56 | 633 / 7 | $3.679,76 | 630 / 7 |
G.I. Obstruction W/O Cc/Mcc | 31 | 40 / 2 | $12.241,00 | 299 / 2 | $4.078,71 | 435 / 2 | $2.879,52 | 434 / 5 |
Heart Failure & Shock W/O Cc/Mcc | 30 | 80 / 1 | $16.342,40 | 1005 / 8 | $4.239,27 | 568 / 7 | $3.361,30 | 566 / 9 |
Signs & Symptoms W/O Mcc | 29 | 62 / 3 | $17.107,70 | 482 / 5 | $4.453,14 | 326 / 4 | $3.418,34 | 325 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 9 | $16.657,00 | 709 / 7 | $5.222,52 | 443 / 8 | $3.761,93 | 443 / 6 |
Transient Ischemia | 28 | 97 / 3 | $17.999,00 | 504 / 2 | $4.989,07 | 370 / 5 | $3.227,50 | 369 / 3 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 28 | 96 / 4 | $130.050,00 | 837 / 8 | $35.508,80 | 712 / 5 | $31.612,20 | 706 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 27 | 38 / 3 | $73.363,00 | 413 / 6 | $18.768,50 | 301 / 1 | $17.603,30 | 299 / 2 |
Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 27 | 42 / 1 | $52.828,40 | 134 / 3 | $16.513,70 | 172 / 2 | $14.488,00 | 172 / 2 |
Major Small & Large Bowel Procedures W Mcc | 27 | 58 / 4 | $97.828,00 | 357 / 1 | $32.627,20 | 89 / 2 | $24.777,30 | 89 / 1 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 4 | $19.530,80 | 1230 / 9 | $4.946,81 | 388 / 8 | $3.221,46 | 387 / 6 |
Renal Failure W Mcc | 25 | 170 / 8 | $39.331,60 | 1260 / 9 | $10.526,80 | 788 / 7 | $8.513,80 | 788 / 4 |
Respiratory Infections & Inflammations W Cc | 24 | 64 / 3 | $35.615,00 | 864 / 3 | $8.172,08 | 480 / 2 | $7.298,50 | 477 / 3 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 7 | $59.711,30 | 898 / 5 | $14.074,30 | 338 / 2 | $11.984,90 | 334 / 2 |
Other Circulatory System Diagnoses W Mcc | 23 | 93 / 2 | $36.759,70 | 393 / 4 | $13.216,90 | 324 / 4 | $10.082,10 | 323 / 2 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 4 | $26.019,80 | 214 / 3 | $6.675,18 | 293 / 2 | $5.559,00 | 292 / 3 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 4 | $14.991,40 | 149 / 1 | $6.510,50 | 210 / 1 | $5.553,95 | 208 / 1 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 7 | $38.262,00 | 886 / 11 | $7.603,59 | 622 / 10 | $5.616,82 | 620 / 8 |
G.I. Hemorrhage W Mcc | 22 | 99 / 5 | $35.648,60 | 536 / 5 | $11.472,70 | 11 / 5 | $7.624,00 | 11 / 1 |
Diabetes W Cc | 22 | 70 / 3 | $18.025,40 | 562 / 4 | $5.363,91 | 480 / 5 | $4.255,50 | 480 / 4 |
Other Vascular Procedures W Cc | 21 | 81 / 5 | $53.107,20 | 256 / 2 | $16.710,70 | 89 / 4 | $12.674,00 | 89 / 2 |
Pulmonary Embolism W/O Mcc | 20 | 54 / 5 | $16.311,60 | 203 / 1 | $5.899,75 | 162 / 3 | $4.516,60 | 162 / 4 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 20 | 36 / 3 | $29.223,70 | 174 / 2 | $12.201,50 | 6 / 7 | $6.648,75 | 6 / 1 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 2 | $22.915,40 | 394 / 3 | $7.176,55 | 421 / 1 | $6.452,65 | 420 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 5 | $21.429,80 | 267 / 1 | $7.092,10 | 285 / 1 | $6.202,30 | 283 / 2 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 7 | $30.333,60 | 976 / 9 | $7.379,30 | 527 / 5 | $6.411,10 | 524 / 4 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 19 | 45 / 3 | $40.767,60 | 314 / 4 | $10.231,50 | 189 / 4 | $8.018,16 | 189 / 4 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 19 | 28 / 3 | $33.573,00 | 157 / 2 | $9.072,42 | 144 / 1 | $7.500,42 | 144 / 1 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 18 | 51 / 2 | $57.055,10 | 180 / 3 | $16.307,90 | 253 / 6 | $15.054,70 | 253 / 6 |
Infectious & Parasitic Diseases W O.R. Procedure W Cc | 17 | 19 / 1 | $51.831,20 | 128 / 2 | $15.340,10 | 39 / 2 | $12.234,50 | 39 / 1 |
Peritoneal Adhesiolysis W Cc | 17 | 22 / 2 | $54.310,20 | 114 / 3 | $15.384,20 | 7 / 3 | $10.206,80 | 7 / 1 |
O.R. Procedures For Obesity W/O Cc/Mcc | 17 | 60 / 2 | $41.940,80 | 194 / 3 | $10.287,50 | 78 / 2 | $7.706,59 | 78 / 3 |
Cervical Spinal Fusion W/O Cc/Mcc | 17 | 87 / 5 | $38.882,40 | 179 / 2 | $13.502,10 | 218 / 3 | $11.206,90 | 218 / 2 |
G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 1 | $9.977,82 | 102 / 1 | $5.058,18 | 109 / 2 | $2.961,24 | 109 / 1 |
Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 6 | $20.807,10 | 623 / 3 | $6.908,38 | 273 / 3 | $5.382,00 | 273 / 2 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 16 | 152 / 9 | $33.408,10 | 455 / 6 | $10.266,10 | 454 / 2 | $9.226,00 | 453 / 6 |
Other Vascular Procedures W Mcc | 16 | 81 / 3 | $80.153,20 | 379 / 2 | $22.914,00 | 599 / 4 | $22.076,60 | 596 / 4 |
Digestive Malignancy W Cc | 16 | 31 / 2 | $19.595,20 | 38 / 1 | $8.233,25 | 53 / 2 | $6.309,62 | 53 / 2 |
Extracranial Procedures W/O Cc/Mcc | 16 | 82 / 6 | $29.780,80 | 437 / 7 | $6.904,31 | 286 / 4 | $5.172,38 | 286 / 3 |
Other Digestive System Diagnoses W/O Cc/Mcc | 15 | 28 / 1 | $14.127,70 | 68 / 1 | $4.730,33 | 61 / 3 | $3.041,73 | 61 / 2 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 11 | $65.102,10 | 569 / 7 | $13.140,90 | 264 / 3 | $10.041,70 | 264 / 5 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 13 | $13.940,30 | 862 / 9 | $3.849,80 | 487 / 8 | $2.434,47 | 484 / 8 |
Bronchitis & Asthma W Cc/Mcc | 15 | 61 / 3 | $22.612,70 | 486 / 4 | $6.039,13 | 128 / 4 | $3.880,13 | 127 / 4 |
Medical Back Problems W/O Mcc | 14 | 107 / 7 | $13.848,00 | 163 / 1 | $5.377,00 | 309 / 4 | $3.965,50 | 309 / 4 |
Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 3 | $41.067,40 | 290 / 5 | $9.862,29 | 310 / 3 | $8.685,64 | 310 / 4 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 14 | 82 / 7 | $41.365,50 | 194 / 5 | $14.838,90 | 66 / 6 | $10.131,60 | 66 / 1 |
Endocrine Disorders W Cc | 14 | 24 / 2 | $19.637,20 | 66 / 1 | $6.320,79 | 44 / 1 | $5.136,29 | 44 / 1 |
Other Circulatory System Diagnoses W Cc | 14 | 52 / 4 | $15.570,80 | 94 / 1 | $5.763,36 | 180 / 1 | $5.038,14 | 179 / 3 |
Other O.R. Procedures For Injuries W Cc | 13 | 22 / 2 | $41.530,20 | 40 / 1 | $11.171,70 | 24 / 1 | $10.447,00 | 24 / 1 |
Other Resp System O.R. Procedures W Mcc | 13 | 50 / 2 | $47.152,60 | 46 / 1 | $15.735,20 | 6 / 1 | $14.744,40 | 6 / 1 |
Other Digestive System Diagnoses W Mcc | 13 | 49 / 3 | $30.680,80 | 170 / 1 | $12.253,10 | 12 / 2 | $7.743,23 | 12 / 1 |
Skin Graft For Skin Ulcer Or Cellulitis W Mcc | 13 | 9 / 1 | $63.860,20 | 6 / 1 | $23.086,20 | 4 / 1 | $15.554,00 | 4 / 1 |
Seizures W/O Mcc | 13 | 95 / 6 | $17.306,10 | 387 / 2 | $5.922,23 | 106 / 7 | $3.325,62 | 106 / 3 |
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc | 12 | 28 / 1 | $20.944,00 | 61 / 2 | $7.663,83 | 25 / 3 | $5.309,25 | 25 / 1 |
Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 4 | $16.486,70 | 135 / 1 | $6.122,67 | 23 / 1 | $4.313,00 | 23 / 1 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 12 | 54 / 4 | $38.573,70 | 148 / 1 | $11.123,90 | 182 / 1 | $10.092,70 | 181 / 1 |
Bone Diseases & Arthropathies W/O Mcc | 12 | 32 / 1 | $10.309,40 | 47 / 1 | $4.593,00 | 75 / 1 | $3.768,25 | 75 / 1 |
Complications Of Treatment W Cc | 11 | 41 / 3 | $24.533,90 | 153 / 1 | $6.208,64 | 32 / 1 | $4.812,82 | 32 / 1 |
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 2 | $15.974,90 | 106 / 1 | $6.470,82 | 100 / 2 | $4.831,55 | 100 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 4 | $71.762,00 | 67 / 1 | $27.769,70 | 33 / 1 | $22.873,00 | 33 / 1 |
Postoperative Or Post-Traumatic Infections W O.R. Proc W Cc | 11 | 27 / 1 | $32.204,00 | 18 / 1 | $10.187,70 | 4 / 1 | $8.522,64 | 4 / 1 |
Other Resp System O.R. Procedures W Cc | 11 | 36 / 3 | $37.748,70 | 67 / 1 | $14.408,90 | 6 / 4 | $8.954,27 | 6 / 1 |
Respiratory Infections & Inflammations W Mcc | 11 | 125 / 9 | $43.696,90 | 897 / 7 | $11.423,00 | 643 / 3 | $10.791,70 | 635 / 5 |
Kidney & Urinary Tract Signs & Symptoms W/O Mcc | 11 | 18 / 3 | $10.472,50 | 21 / 1 | $4.756,45 | 3 / 2 | $2.717,82 | 3 / 1 |
Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 2 | $22.032,70 | 136 / 2 | $5.480,00 | 49 / 2 | $3.894,73 | 49 / 2 |
Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 4 | $45.282,70 | 240 / 3 | $11.524,80 | 86 / 4 | $8.364,55 | 86 / 3 |
Rectal Resection W Cc | 11 | 13 / 1 | $60.632,90 | 19 / 1 | $13.864,50 | 10 / 1 | $12.775,00 | 10 / 1 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 5 | $37.683,30 | 113 / 1 | $11.886,50 | 180 / 1 | $10.398,20 | 180 / 1 |
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 4 | $51.904,70 | 62 / 1 | $17.028,30 | 34 / 2 | $13.767,60 | 33 / 1 | Total 95 procedures | 3.242 | 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.