Hospital Costs > In Indiana > Community Hospital East, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 751 | 9 / 1 | $17.932,60 | 266 / 8 | $7.668,64 | 352 / 14 | $6.309,19 | 352 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 158 | 358 / 26 | $36.340,40 | 1112 / 31 | $12.622,30 | 1798 / 58 | $11.739,90 | 1763 / 64 |
| Chronic Obstructive Pulmonary Disease W Mcc | 132 | 70 / 6 | $19.813,70 | 700 / 17 | $8.376,12 | 1744 / 64 | $7.310,43 | 1736 / 64 |
| Chronic Obstructive Pulmonary Disease W Cc | 104 | 75 / 6 | $18.154,70 | 825 / 27 | $6.948,86 | 1674 / 62 | $5.827,35 | 1667 / 62 |
| Heart Failure & Shock W Cc | 91 | 187 / 18 | $21.367,80 | 1336 / 47 | $7.310,96 | 1806 / 66 | $6.157,88 | 1801 / 67 |
| Renal Failure W Cc | 90 | 131 / 15 | $25.152,80 | 1437 / 51 | $7.327,63 | 1783 / 59 | $6.372,26 | 1773 / 58 |
| Heart Failure & Shock W Mcc | 90 | 194 / 23 | $27.761,10 | 958 / 35 | $10.403,60 | 1578 / 63 | $9.217,34 | 1573 / 60 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 85 | 479 / 45 | $61.861,70 | 1764 / 48 | $15.352,20 | 1754 / 66 | $12.704,50 | 1714 / 65 |
| Simple Pneumonia & Pleurisy W Cc | 80 | 123 / 14 | $19.732,60 | 1105 / 29 | $7.235,84 | 1935 / 64 | $6.052,31 | 1927 / 67 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 75 | 200 / 17 | $19.794,50 | 1363 / 45 | $5.915,59 | 1955 / 63 | $4.694,87 | 1941 / 65 |
| Simple Pneumonia & Pleurisy W Mcc | 69 | 136 / 22 | $27.825,80 | 895 / 30 | $10.157,10 | 1562 / 58 | $8.823,86 | 1562 / 55 |
| Renal Failure W Mcc | 62 | 133 / 19 | $29.922,50 | 759 / 18 | $10.561,30 | 1347 / 44 | $9.780,23 | 1347 / 47 |
| G.I. Hemorrhage W Cc | 62 | 156 / 20 | $23.725,20 | 1099 / 31 | $7.535,48 | 1604 / 53 | $6.170,16 | 1600 / 52 |
| Depressive Neuroses | 58 | 4 / 1 | $17.822,50 | 111 / 5 | $5.505,48 | 72 / 6 | $3.869,66 | 72 / 5 |
| Kidney & Urinary Tract Infections W/O Mcc | 57 | 176 / 22 | $17.828,90 | 1328 / 48 | $5.902,14 | 1957 / 64 | $4.930,61 | 1946 / 66 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 56 | 75 / 9 | $47.251,90 | 544 / 20 | $16.011,20 | 954 / 44 | $13.917,50 | 945 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 54 | 128 / 19 | $27.515,50 | 962 / 37 | $8.103,78 | 1343 / 52 | $6.437,30 | 1340 / 50 |
| Pulmonary Edema & Respiratory Failure | 51 | 152 / 32 | $23.441,70 | 622 / 25 | $8.780,06 | 1555 / 55 | $7.974,02 | 1550 / 57 |
| Cellulitis W/O Mcc | 50 | 139 / 18 | $18.256,40 | 1272 / 44 | $6.411,10 | 1798 / 63 | $5.141,64 | 1790 / 66 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 49 | 71 / 11 | $14.582,30 | 739 / 27 | $5.576,33 | 1586 / 52 | $4.621,71 | 1575 / 58 |
| Kidney & Urinary Tract Infections W Mcc | 49 | 95 / 11 | $21.820,60 | 692 / 24 | $8.095,57 | 1253 / 48 | $6.898,61 | 1249 / 47 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 22 | $18.738,40 | 1425 / 54 | $5.538,64 | 1908 / 61 | $4.679,38 | 1902 / 62 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 27 | $23.913,70 | 1153 / 37 | $7.586,59 | 1569 / 60 | $6.384,54 | 1562 / 58 |
| Diabetes W Cc | 39 | 53 / 4 | $21.462,00 | 792 / 28 | $6.228,62 | 1133 / 35 | $5.487,49 | 1128 / 37 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 37 | 88 / 10 | $40.260,50 | 814 / 24 | $11.737,70 | 1180 / 39 | $10.955,20 | 1175 / 44 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 36 | 132 / 17 | $32.810,60 | 432 / 16 | $12.137,10 | 858 / 36 | $10.460,20 | 856 / 34 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 34 | 127 / 18 | $21.963,50 | 1205 / 46 | $6.010,06 | 1584 / 49 | $5.165,00 | 1579 / 52 |
| Spinal Fusion Except Cervical W/O Mcc | 32 | 162 / 23 | $107.409,00 | 813 / 19 | $28.784,20 | 923 / 30 | $25.311,10 | 918 / 31 |
| Seizures W/O Mcc | 31 | 77 / 9 | $22.655,80 | 678 / 24 | $6.018,35 | 812 / 27 | $4.799,19 | 809 / 28 |
| Signs & Symptoms W/O Mcc | 30 | 61 / 6 | $21.005,80 | 700 / 20 | $6.065,40 | 713 / 26 | $4.072,87 | 710 / 23 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 18 | $108.840,00 | 595 / 18 | $33.070,70 | 731 / 15 | $31.759,40 | 725 / 21 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 29 | 97 / 17 | $24.483,30 | 669 / 20 | $8.041,34 | 1086 / 30 | $7.304,10 | 1083 / 35 |
| Seizures W Mcc | 28 | 38 / 4 | $29.817,00 | 164 / 5 | $10.573,40 | 426 / 12 | $9.760,71 | 426 / 14 |
| Red Blood Cell Disorders W/O Mcc | 25 | 118 / 20 | $23.922,20 | 1182 / 35 | $6.637,84 | 1135 / 42 | $4.705,84 | 1127 / 37 |
| Syncope & Collapse | 24 | 145 / 25 | $19.962,00 | 848 / 30 | $5.794,50 | 1198 / 45 | $4.387,62 | 1191 / 44 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 24 | 47 / 9 | $106.775,00 | 296 / 14 | $34.741,10 | 435 / 22 | $31.293,00 | 435 / 19 |
| Hip & Femur Procedures Except Major Joint W Cc | 23 | 120 / 26 | $45.442,20 | 860 / 25 | $13.423,50 | 1362 / 49 | $12.225,60 | 1344 / 50 |
| Nonspecific Cerebrovascular Disorders W Cc | 23 | 33 / 3 | $26.101,40 | 241 / 10 | $7.047,17 | 321 / 11 | $6.351,35 | 321 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 22 | 80 / 19 | $21.819,20 | 703 / 29 | $5.844,05 | 1109 / 41 | $4.590,95 | 1105 / 42 |
| G.I. Hemorrhage W Mcc | 22 | 99 / 18 | $47.781,70 | 939 / 33 | $12.001,00 | 972 / 34 | $11.122,50 | 966 / 37 |
| Respiratory Infections & Inflammations W Mcc | 21 | 115 / 27 | $37.061,30 | 658 / 25 | $13.073,40 | 1132 / 39 | $12.196,90 | 1118 / 40 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 21 | 72 / 15 | $17.765,20 | 990 / 34 | $5.544,48 | 1523 / 46 | $4.499,71 | 1515 / 47 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 20 | 71 / 16 | $36.435,00 | 945 / 29 | $7.860,55 | 842 / 30 | $6.226,95 | 840 / 29 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 20 | 103 / 29 | $24.359,80 | 618 / 22 | $8.543,05 | 1212 / 40 | $7.637,85 | 1209 / 43 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 19 | 42 / 7 | $20.176,50 | 518 / 26 | $5.146,58 | 599 / 24 | $4.245,95 | 598 / 24 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 11 | $40.813,50 | 585 / 23 | $10.585,10 | 646 / 23 | $9.434,79 | 644 / 24 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 19 | 105 / 11 | $16.392,80 | 391 / 16 | $5.368,11 | 537 / 18 | $4.587,05 | 536 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 19 | 91 / 25 | $18.477,30 | 1191 / 46 | $5.593,84 | 1390 / 53 | $4.207,37 | 1379 / 51 |
| Renal Failure W/O Cc/Mcc | 18 | 38 / 7 | $18.858,90 | 518 / 20 | $5.258,61 | 564 / 22 | $3.775,67 | 563 / 20 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 15 | $38.520,00 | 442 / 18 | $12.275,30 | 673 / 21 | $11.469,50 | 671 / 26 |
| Transient Ischemia | 17 | 108 / 24 | $24.435,40 | 937 / 39 | $5.842,71 | 1012 / 41 | $4.070,12 | 1007 / 37 |
| Chest Pain | 17 | 134 / 20 | $21.896,80 | 1049 / 39 | $4.893,29 | 1251 / 37 | $4.142,71 | 1244 / 38 |
| G.I. Obstruction W Cc | 17 | 75 / 20 | $20.075,10 | 662 / 24 | $6.725,41 | 1226 / 42 | $5.644,94 | 1222 / 42 |
| Medical Back Problems W/O Mcc | 17 | 104 / 19 | $19.540,60 | 485 / 12 | $6.534,18 | 884 / 30 | $4.942,00 | 881 / 31 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 16 | 172 / 34 | $46.475,10 | 1110 / 45 | $8.223,44 | 1050 / 42 | $6.492,50 | 1047 / 46 |
| G.I. Hemorrhage W/O Cc/Mcc | 16 | 52 / 10 | $16.344,20 | 392 / 10 | $5.485,00 | 720 / 21 | $4.460,50 | 716 / 22 |
| Pulmonary Embolism W/O Mcc | 16 | 58 / 15 | $25.309,80 | 653 / 23 | $7.366,62 | 961 / 31 | $6.389,12 | 958 / 33 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 12 | $27.536,80 | 556 / 18 | $7.114,33 | 562 / 21 | $5.493,00 | 559 / 22 |
| Major Small & Large Bowel Procedures W Cc | 15 | 93 / 24 | $69.082,70 | 840 / 30 | $16.891,80 | 1022 / 31 | $15.985,10 | 1011 / 41 |
| Cervical Spinal Fusion W/O Cc/Mcc | 15 | 89 / 15 | $74.496,10 | 624 / 20 | $15.284,80 | 640 / 19 | $14.041,90 | 637 / 24 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 15 | 53 / 9 | $21.793,30 | 261 / 11 | $6.650,60 | 466 / 18 | $5.782,07 | 466 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 21 | $29.885,40 | 635 / 19 | $8.650,50 | 923 / 24 | $7.851,64 | 918 / 30 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 14 | $15.969,50 | 223 / 4 | $6.666,93 | 666 / 25 | $5.753,21 | 663 / 24 |
| Other Disorders Of Nervous System W Cc | 13 | 43 / 9 | $28.182,10 | 345 / 10 | $9.934,38 | 293 / 13 | $5.248,31 | 293 / 10 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 16 | $62.108,80 | 496 / 22 | $18.415,40 | 245 / 26 | $11.243,50 | 240 / 14 |
| Other Digestive System Diagnoses W Mcc | 13 | 49 / 11 | $38.760,20 | 305 / 13 | $11.533,50 | 252 / 15 | $9.819,77 | 252 / 10 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 10 | $18.148,00 | 152 / 3 | $7.078,69 | 407 / 13 | $6.101,46 | 406 / 10 |
| Diabetes W Mcc | 13 | 44 / 11 | $34.665,30 | 372 / 16 | $10.911,40 | 546 / 20 | $9.893,23 | 545 / 19 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 19 | $102.401,00 | 195 / 3 | $38.002,90 | 236 / 13 | $32.173,80 | 235 / 6 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 20 | $24.641,20 | 461 / 18 | $9.601,42 | 986 / 35 | $8.619,08 | 981 / 35 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 20 | $31.223,70 | 905 / 34 | $7.792,91 | 721 / 35 | $5.613,82 | 717 / 27 |
| G.I. Obstruction W Mcc | 11 | 31 / 11 | $36.746,00 | 209 / 12 | $11.455,10 | 282 / 15 | $10.012,10 | 282 / 14 | Total 72 procedures | 3.352 | 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.