Hospital Costs > In Indiana > Clark Memorial Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 18 | $18.540,20 | 237 / 5 | $6.338,76 | 370 / 11 | $5.265,65 | 369 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 17 | $26.690,00 | 328 / 9 | $9.621,46 | 481 / 7 | $8.956,04 | 481 / 12 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 10 | $16.204,40 | 173 / 2 | $4.741,00 | 95 / 8 | $3.313,83 | 95 / 4 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 26 | 98 / 7 | $9.413,58 | 113 / 4 | $4.123,65 | 111 / 2 | $3.259,04 | 111 / 4 |
| Atherosclerosis W/O Mcc | 14 | 44 / 6 | $11.184,60 | 69 / 2 | $4.002,43 | / 6 | $2.880,14 | / |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 59 | 102 / 10 | $12.235,80 | 249 / 3 | $4.882,51 | 858 / 14 | $4.156,64 | 855 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 42 | 81 / 14 | $14.738,70 | 115 / 2 | $7.164,19 | 467 / 12 | $6.322,31 | 464 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 33 | 117 / 22 | $10.563,40 | 400 / 11 | $3.665,33 | 603 / 24 | $2.521,06 | 599 / 22 |
| Cellulitis W Mcc | 13 | 45 / 12 | $16.148,20 | 58 / 1 | $8.403,69 | 277 / 7 | $7.740,38 | 276 / 14 |
| Cellulitis W/O Mcc | 39 | 150 / 25 | $8.833,56 | 151 / 1 | $5.173,10 | 553 / 17 | $3.933,54 | 550 / 20 |
| Chest Pain | 45 | 106 / 8 | $10.469,90 | 172 / 3 | $3.901,18 | 366 / 12 | $2.775,27 | 365 / 11 |
| Chronic Obstructive Pulmonary Disease W Cc | 60 | 119 / 18 | $14.591,80 | 476 / 12 | $5.674,68 | 683 / 16 | $4.710,30 | 681 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 106 | 96 / 13 | $15.991,80 | 389 / 6 | $6.891,13 | 470 / 13 | $5.756,19 | 469 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 26 | $9.449,22 | 188 / 3 | $4.484,22 | 625 / 15 | $3.425,22 | 624 / 28 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 34 | 59 / 4 | $36.495,60 | 110 / 2 | $11.934,60 | 187 / 5 | $10.994,00 | 183 / 9 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 62 | 126 / 13 | $22.458,60 | 170 / 4 | $6.475,77 | 367 / 10 | $5.260,53 | 366 / 16 |
| Complications Of Treatment W Cc | 12 | 40 / 5 | $12.158,90 | 12 / 1 | $5.686,75 | 48 / 1 | $4.934,08 | 48 / 2 |
| Diabetes W Cc | 12 | 80 / 22 | $13.667,40 | 250 / 5 | $5.097,50 | 344 / 7 | $4.079,00 | 344 / 11 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc | 12 | 64 / 9 | $34.323,20 | 149 / 4 | $11.111,50 | 140 / 3 | $10.385,50 | 140 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 16 | 45 / 11 | $15.957,70 | 149 / 3 | $5.519,19 | 101 / 4 | $4.173,62 | 101 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 25 | 71 / 13 | $20.364,00 | 216 / 4 | $7.480,12 | 472 / 13 | $6.570,76 | 469 / 13 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 114 | 161 / 9 | $11.809,80 | 366 / 3 | $4.610,52 | 638 / 6 | $3.522,53 | 634 / 20 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 15 | $67.835,60 | 57 / 1 | $25.766,20 | 84 / 3 | $24.860,10 | 84 / 4 |
| Extracranial Procedures W/O Cc/Mcc | 25 | 73 / 13 | $14.655,00 | 51 / 2 | $6.327,76 | 280 / 10 | $5.169,68 | 280 / 12 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 15 | 47 / 8 | $11.678,00 | 100 / 1 | $4.620,00 | 189 / 3 | $3.567,20 | 189 / 7 |
| G.I. Hemorrhage W Cc | 65 | 153 / 18 | $14.795,40 | 287 / 3 | $5.973,32 | 666 / 10 | $5.058,65 | 665 / 17 |
| G.I. Hemorrhage W Mcc | 28 | 93 / 14 | $26.439,20 | 210 / 6 | $10.547,80 | 526 / 13 | $9.734,82 | 527 / 20 |
| G.I. Hemorrhage W/O Cc/Mcc | 11 | 57 / 13 | $10.503,00 | 118 / 1 | $4.383,55 | 319 / 8 | $3.396,36 | 316 / 12 |
| G.I. Obstruction W Cc | 25 | 67 / 13 | $12.685,60 | 147 / 2 | $5.305,76 | 323 / 7 | $4.232,12 | 322 / 11 |
| G.I. Obstruction W Mcc | 12 | 30 / 10 | $22.845,20 | 55 / 1 | $9.363,83 | 125 / 3 | $8.643,33 | 125 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 15 | $10.880,90 | 199 / 5 | $3.903,40 | 537 / 11 | $3.008,87 | 536 / 19 |
| Heart Failure & Shock W Cc | 65 | 213 / 24 | $14.687,40 | 543 / 11 | $6.021,42 | 667 / 25 | $5.039,57 | 666 / 21 |
| Heart Failure & Shock W Mcc | 126 | 158 / 13 | $22.218,20 | 548 / 12 | $8.592,90 | 556 / 10 | $7.762,14 | 556 / 14 |
| Heart Failure & Shock W/O Cc/Mcc | 23 | 87 / 22 | $11.095,10 | 371 / 6 | $4.195,22 | 430 / 15 | $3.240,43 | 428 / 14 |
| Hip & Femur Procedures Except Major Joint W Cc | 35 | 108 / 16 | $31.023,40 | 259 / 2 | $10.999,70 | 302 / 8 | $9.737,17 | 301 / 6 |
| Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 10 | $39.733,20 | 55 / 2 | $16.249,90 | 134 / 4 | $15.360,40 | 134 / 3 |
| Hypertension W/O Mcc | 11 | 54 / 10 | $11.826,10 | 105 / 1 | $3.975,36 | 233 / 4 | $2.977,27 | 231 / 6 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 45 | 79 / 10 | $73.580,80 | 205 / 6 | $29.527,30 | 181 / 7 | $26.717,30 | 181 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 33 | $21.001,60 | 534 / 16 | $6.357,24 | 749 / 12 | $5.480,00 | 747 / 34 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 28 | $26.164,50 | 238 / 7 | $10.041,40 | 253 / 12 | $8.650,60 | 252 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 31 | 71 / 13 | $17.379,30 | 389 / 12 | $4.758,39 | 470 / 13 | $3.594,23 | 467 / 18 |
| Kidney & Urinary Tract Infections W Mcc | 24 | 120 / 27 | $12.681,20 | 138 / 2 | $6.539,04 | 478 / 8 | $5.683,04 | 477 / 15 |
| Kidney & Urinary Tract Infections W/O Mcc | 68 | 165 / 17 | $12.080,40 | 524 / 9 | $4.705,19 | 726 / 14 | $3.771,56 | 721 / 22 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 14 | $26.530,00 | 52 / 1 | $9.537,64 | 158 / 3 | $8.121,82 | 158 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 17 | 23 / 5 | $58.687,10 | 160 / 6 | $17.868,40 | 340 / 14 | $16.670,00 | 339 / 15 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 11 | 36 / 10 | $23.281,90 | 68 / 1 | $7.251,55 | 199 / 4 | $6.144,18 | 199 / 6 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 8 | $27.167,20 | 22 / 1 | $11.423,50 | 199 / 3 | $10.527,30 | 199 / 5 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 19 | $51.883,50 | 68 / 2 | $18.763,70 | 188 / 2 | $17.728,00 | 188 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 12 | $16.404,40 | 161 / 2 | $6.571,36 | 49 / 3 | $5.331,79 | 49 / 1 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 19 | 37 / 7 | $28.017,30 | 109 / 3 | $11.202,80 | 236 / 6 | $10.868,30 | 235 / 10 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 18 | 47 / 9 | $44.711,60 | 74 / 2 | $17.954,20 | 213 / 7 | $16.867,90 | 212 / 8 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 204 | 360 / 23 | $36.495,60 | 552 / 7 | $12.270,20 | 558 / 8 | $10.409,50 | 553 / 15 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 14 | 55 / 5 | $41.543,70 | 71 / 3 | $14.729,10 | 70 / 3 | $12.641,30 | 70 / 3 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 22 | $31.265,30 | 63 / 2 | $14.477,80 | 443 / 8 | $13.395,30 | 440 / 12 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 19 | $66.382,60 | 105 / 4 | $27.668,20 | 234 / 5 | $26.723,60 | 232 / 5 |
| Medical Back Problems W Mcc | 11 | 28 / 7 | $27.124,60 | 54 / 3 | $8.818,64 | 28 / 2 | $7.814,91 | 28 / 3 |
| Medical Back Problems W/O Mcc | 30 | 91 / 12 | $10.847,50 | 71 / 1 | $5.140,40 | 263 / 9 | $3.899,67 | 263 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 20 | 106 / 24 | $12.206,40 | 66 / 2 | $6.487,95 | 381 / 6 | $5.843,70 | 378 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 31 | $11.286,90 | 464 / 7 | $4.220,04 | 556 / 11 | $3.348,00 | 554 / 18 |
| Other Circulatory System Diagnoses W Mcc | 29 | 87 / 9 | $27.969,80 | 173 / 6 | $10.736,40 | 305 / 4 | $10.008,90 | 304 / 12 |
| Other Digestive System Diagnoses W Cc | 20 | 77 / 14 | $16.193,80 | 196 / 7 | $5.852,50 | 340 / 7 | $4.932,45 | 337 / 11 |
| Other Digestive System Diagnoses W Mcc | 12 | 50 / 12 | $22.916,60 | 71 / 2 | $9.584,75 | 90 / 2 | $8.765,58 | 90 / 5 |
| Other Disorders Of Nervous System W Cc | 15 | 41 / 7 | $13.257,90 | 52 / 1 | $5.443,53 | 134 / 2 | $4.554,60 | 134 / 4 |
| Other Disorders Of Nervous System W Mcc | 23 | 17 / 2 | $19.105,00 | 14 / 1 | $9.002,52 | 74 / 3 | $8.564,39 | 74 / 4 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 26 | 75 / 12 | $20.945,90 | 143 / 3 | $8.887,73 | 261 / 8 | $8.240,62 | 261 / 8 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 20 | 20 / 2 | $28.081,10 | 9 / 1 | $11.264,40 | 12 / 3 | $9.675,45 | 12 / 1 |
| Other Vascular Procedures W Cc | 16 | 86 / 20 | $33.729,10 | 47 / 1 | $14.503,10 | 90 / 4 | $12.677,60 | 90 / 3 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 12 | $23.949,70 | 28 / 1 | $9.822,27 | 145 / 3 | $8.822,09 | 144 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 18 | 82 / 18 | $55.173,70 | 51 / 2 | $17.354,30 | 124 / 2 | $16.537,10 | 124 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 46 | 150 / 17 | $43.760,00 | 111 / 2 | $11.714,70 | 414 / 5 | $10.430,50 | 414 / 15 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 14 | 55 / 9 | $40.773,70 | 63 / 2 | $10.554,20 | 113 / 3 | $9.053,29 | 113 / 4 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 16 | $17.745,20 | 303 / 10 | $5.788,58 | 307 / 8 | $4.871,58 | 305 / 10 |
| Peripheral Vascular Disorders W Mcc | 15 | 34 / 8 | $17.807,30 | 43 / 1 | $7.971,80 | 36 / 2 | $6.386,13 | 36 / 1 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 16 | $40.510,80 | 85 / 3 | $15.062,70 | 200 / 6 | $14.030,30 | 199 / 9 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 20 | 52 / 10 | $31.730,10 | 387 / 17 | $8.715,50 | 279 / 12 | $7.595,50 | 278 / 14 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 14 | 47 / 12 | $13.131,10 | 222 / 13 | $4.052,36 | 266 / 9 | $3.265,14 | 265 / 14 |
| Psychoses | 202 | 116 / 4 | $7.310,76 | 11 / 1 | $6.070,27 | 120 / 2 | $5.229,65 | 120 / 4 |
| Pulmonary Edema & Respiratory Failure | 47 | 156 / 34 | $22.248,90 | 555 / 22 | $7.654,11 | 872 / 28 | $6.784,02 | 872 / 33 |
| Pulmonary Embolism W Mcc | 16 | 27 / 5 | $26.212,10 | 112 / 4 | $8.797,19 | 195 / 7 | $8.251,19 | 195 / 12 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 17 | $19.159,60 | 348 / 8 | $5.981,62 | 422 / 10 | $5.039,85 | 421 / 15 |
| Red Blood Cell Disorders W Mcc | 13 | 58 / 14 | $21.458,20 | 191 / 8 | $7.375,15 | 355 / 4 | $6.988,69 | 353 / 16 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 22 | $15.276,30 | 477 / 12 | $4.948,77 | 620 / 9 | $4.113,45 | 616 / 18 |
| Renal Failure W Cc | 54 | 167 / 27 | $13.694,50 | 358 / 8 | $5.759,93 | 768 / 11 | $4.977,35 | 761 / 26 |
| Renal Failure W Mcc | 72 | 123 / 15 | $26.765,40 | 563 / 17 | $9.227,96 | 695 / 20 | $8.359,15 | 695 / 21 |
| Respiratory Infections & Inflammations W Cc | 22 | 66 / 11 | $20.128,30 | 264 / 5 | $8.000,36 | 258 / 15 | $6.874,18 | 256 / 8 |
| Respiratory Infections & Inflammations W Mcc | 81 | 56 / 1 | $33.955,30 | 552 / 15 | $11.149,40 | 389 / 13 | $10.234,60 | 388 / 12 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 12 | $39.085,80 | 255 / 9 | $10.361,70 | 173 / 6 | $9.314,92 | 173 / 8 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 61 | 70 / 8 | $51.059,40 | 651 / 30 | $14.103,70 | 699 / 22 | $12.974,90 | 691 / 25 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 19 | 52 / 12 | $97.785,90 | 240 / 8 | $28.075,10 | 144 / 3 | $27.076,70 | 144 / 8 |
| Seizures W/O Mcc | 11 | 97 / 17 | $12.829,70 | 166 / 6 | $4.642,64 | 191 / 7 | $3.537,45 | 190 / 8 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 28 | 64 / 7 | $107.017,00 | 232 / 5 | $33.982,30 | 263 / 5 | $32.587,90 | 262 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 315 | 203 / 8 | $32.155,80 | 895 / 22 | $10.726,00 | 776 / 15 | $9.882,57 | 775 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 75 | 132 / 10 | $17.243,10 | 535 / 11 | $6.350,24 | 533 / 18 | $5.243,37 | 531 / 15 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 15 | $12.248,50 | 192 / 3 | $4.294,54 | 345 / 4 | $3.451,77 | 344 / 8 |
| Simple Pneumonia & Pleurisy W Cc | 53 | 150 / 22 | $15.828,50 | 664 / 14 | $5.918,09 | 660 / 18 | $4.785,57 | 657 / 20 |
| Simple Pneumonia & Pleurisy W Mcc | 99 | 106 / 13 | $21.810,80 | 495 / 14 | $8.385,33 | 771 / 12 | $7.623,60 | 771 / 26 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 19 | $11.126,10 | 329 / 5 | $4.460,88 | 304 / 14 | $3.051,44 | 302 / 7 |
| Spinal Fusion Except Cervical W/O Mcc | 45 | 149 / 17 | $44.029,20 | 64 / 1 | $22.157,80 | 295 / 4 | $20.526,10 | 294 / 7 |
| Syncope & Collapse | 51 | 118 / 10 | $15.070,80 | 399 / 9 | $4.541,00 | 537 / 9 | $3.585,78 | 535 / 15 |
| Transient Ischemia | 19 | 106 / 22 | $15.503,10 | 323 / 7 | $4.428,16 | 401 / 13 | $3.269,37 | 400 / 12 | Total 100 procedures | 3.631 | 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.