Hospital Costs > In Nebraska > Chi Health St Francis, 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 | 187 | 377 / 10 | $36.481,40 | 550 / 4 | $13.405,80 | 696 / 8 | $10.618,30 | 686 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 169 | 347 / 4 | $47.931,30 | 1709 / 14 | $12.895,50 | 1485 / 9 | $10.995,00 | 1455 / 8 |
| Heart Failure & Shock W Mcc | 79 | 205 / 2 | $40.492,80 | 1683 / 12 | $9.201,70 | 1154 / 5 | $8.509,85 | 1151 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 77 | 126 / 4 | $25.336,10 | 1647 / 13 | $6.909,96 | 266 / 9 | $4.422,51 | 266 / 2 |
| Chronic Obstructive Pulmonary Disease W Mcc | 71 | 131 / 2 | $30.682,90 | 1520 / 12 | $7.357,34 | 742 / 7 | $6.002,39 | 737 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 60 | 215 / 8 | $17.045,30 | 1007 / 4 | $4.512,17 | 679 / 6 | $3.553,90 | 675 / 7 |
| Heart Failure & Shock W Cc | 60 | 218 / 7 | $26.171,40 | 1757 / 15 | $5.890,98 | 712 / 6 | $5.073,75 | 711 / 7 |
| Renal Failure W Cc | 57 | 164 / 4 | $22.142,10 | 1192 / 10 | $6.331,74 | 751 / 8 | $4.964,88 | 744 / 7 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 55 | 152 / 6 | $24.502,70 | 1210 / 10 | $6.635,29 | 469 / 4 | $5.168,96 | 467 / 5 |
| Cellulitis W/O Mcc | 52 | 137 / 4 | $23.011,20 | 1738 / 16 | $5.107,38 | 793 / 6 | $4.121,85 | 788 / 7 |
| Simple Pneumonia & Pleurisy W Mcc | 50 | 155 / 5 | $38.161,70 | 1496 / 10 | $9.091,90 | 988 / 5 | $7.864,90 | 988 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 49 | 130 / 5 | $24.461,40 | 1415 / 9 | $5.584,35 | 585 / 4 | $4.625,25 | 583 / 7 |
| G.I. Hemorrhage W Cc | 46 | 172 / 6 | $18.926,40 | 656 / 2 | $5.980,50 | 641 / 4 | $5.044,67 | 640 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 6 | $16.888,70 | 1212 / 8 | $4.685,50 | 633 / 6 | $3.712,55 | 631 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 39 | 104 / 6 | $35.345,20 | 425 / 4 | $11.227,30 | 533 / 3 | $10.126,10 | 532 / 4 |
| Respiratory Infections & Inflammations W Cc | 39 | 49 / 2 | $33.968,20 | 814 / 2 | $9.533,72 | 372 / 3 | $7.115,33 | 369 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 7 | $16.674,00 | 1161 / 9 | $4.404,77 | 706 / 5 | $3.454,60 | 704 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 33 | 149 / 8 | $27.852,60 | 989 / 6 | $6.255,21 | 507 / 2 | $5.226,12 | 506 / 5 |
| Renal Failure W Mcc | 29 | 166 / 6 | $40.287,40 | 1301 / 10 | $9.880,52 | 805 / 5 | $8.553,03 | 805 / 5 |
| Major Small & Large Bowel Procedures W Cc | 29 | 79 / 6 | $52.283,40 | 477 / 8 | $15.208,70 | 697 / 1 | $14.331,60 | 691 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 27 | 167 / 8 | $82.161,00 | 557 / 9 | $23.595,20 | 608 / 3 | $22.502,40 | 604 / 8 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 8 | $13.473,60 | 792 / 8 | $3.659,22 | 310 / 6 | $2.271,26 | 308 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 27 | 66 / 4 | $17.795,40 | 995 / 8 | $4.315,56 | 390 / 5 | $3.133,63 | 388 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 5 | $19.356,60 | 1220 / 8 | $4.381,84 | 470 / 6 | $3.296,72 | 469 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 12 | $21.679,80 | 1177 / 14 | $5.178,17 | 348 / 7 | $3.667,17 | 348 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 23 | 78 / 2 | $40.365,10 | 636 / 4 | $9.614,74 | 369 / 2 | $8.642,30 | 369 / 2 |
| Red Blood Cell Disorders W/O Mcc | 23 | 120 / 5 | $21.964,20 | 1065 / 9 | $5.170,09 | 145 / 7 | $3.510,65 | 145 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 23 | 79 / 6 | $19.973,40 | 569 / 6 | $4.549,48 | 352 / 4 | $3.436,78 | 349 / 5 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 4 | $45.648,10 | 882 / 7 | $11.221,80 | 724 / 4 | $10.291,40 | 724 / 5 |
| Pulmonary Edema & Respiratory Failure | 22 | 181 / 11 | $38.907,00 | 1464 / 11 | $7.701,59 | 1046 / 4 | $7.013,45 | 1044 / 6 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 22 | 67 / 4 | $24.051,10 | 167 / 2 | $7.127,09 | 222 / 3 | $5.291,14 | 222 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 7 | $27.809,50 | 416 / 3 | $6.268,73 | 368 / 3 | $5.266,27 | 367 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 22 | 174 / 8 | $50.246,60 | 229 / 2 | $14.814,00 | 131 / 7 | $9.585,68 | 131 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 8 | $78.084,30 | 1290 / 12 | $19.571,20 | 1391 / 11 | $16.450,50 | 1377 / 8 |
| G.I. Obstruction W Cc | 19 | 73 / 6 | $18.204,20 | 529 / 5 | $5.612,16 | 237 / 2 | $4.104,84 | 236 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 18 | 105 / 9 | $26.507,30 | 758 / 4 | $6.967,72 | 100 / 3 | $5.620,94 | 100 / 2 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 6 | $41.085,70 | 824 / 5 | $11.709,10 | 171 / 5 | $9.643,89 | 171 / 1 |
| Syncope & Collapse | 18 | 151 / 9 | $14.176,60 | 336 / 1 | $4.429,67 | 558 / 4 | $3.606,78 | 555 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 7 | $40.932,30 | 722 / 10 | $13.938,30 | 301 / 12 | $8.791,33 | 300 / 3 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 5 | $60.320,30 | 262 / 3 | $19.492,70 | 393 / 4 | $18.302,30 | 391 / 4 |
| Fever | 15 | 31 / 2 | $18.308,20 | 78 / 1 | $5.111,60 | 52 / 1 | $4.123,33 | 52 / 1 |
| Medical Back Problems W/O Mcc | 15 | 106 / 6 | $17.790,40 | 376 / 4 | $5.512,07 | 155 / 5 | $3.669,27 | 155 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 7 | $27.698,50 | 357 / 1 | $8.601,43 | 72 / 1 | $7.715,43 | 72 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 7 | $40.727,90 | 212 / 3 | $12.888,90 | 313 / 2 | $11.666,50 | 312 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 14 | 48 / 6 | $57.516,10 | 274 / 7 | $18.102,90 | 374 / 2 | $17.107,60 | 371 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 14 | 26 / 3 | $34.416,00 | 21 / 1 | $13.535,00 | 57 / 1 | $12.473,00 | 57 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 5 | $29.016,80 | 115 / 1 | $9.528,46 | 240 / 2 | $8.295,54 | 240 / 6 |
| Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 4 | $14.410,50 | 263 / 2 | $4.361,08 | 239 / 2 | $3.327,38 | 240 / 2 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 9 | $23.236,90 | 1465 / 15 | $4.164,46 | 491 / 5 | $3.301,85 | 489 / 8 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 12 | 54 / 4 | $20.140,10 | 81 / 1 | $6.592,50 | 73 / 1 | $5.465,17 | 73 / 1 |
| Bronchitis & Asthma W Cc/Mcc | 12 | 64 / 4 | $22.807,30 | 495 / 5 | $6.074,75 | 44 / 5 | $3.608,17 | 44 / 1 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 11 | $21.766,60 | 484 / 6 | $6.833,58 | 201 / 7 | $4.603,00 | 201 / 5 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 7 | $19.102,90 | 357 / 1 | $5.791,42 | 246 / 1 | $4.760,58 | 243 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 12 | 44 / 5 | $30.420,80 | 98 / 2 | $9.208,33 | 226 / 1 | $8.387,50 | 226 / 2 |
| Chest Pain | 12 | 139 / 9 | $15.130,40 | 504 / 1 | $4.489,00 | 128 / 8 | $2.419,75 | 128 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 7 | $11.786,30 | 266 / 1 | $4.827,91 | 17 / 5 | $2.014,82 | 17 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 11 | 113 / 7 | $83.164,30 | 277 / 1 | $29.344,80 | 381 / 1 | $28.517,30 | 381 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 5 | $37.702,40 | 57 / 2 | $14.995,70 | 211 / 3 | $14.099,20 | 210 / 3 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 3 | $103.288,00 | 205 / 2 | $32.840,20 | 165 / 2 | $25.854,10 | 165 / 2 | Total 59 procedures | 1.938 | 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.