Hospital Costs > In Colorado > Community Hospital Grand Junction, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 12 | 177 / 22 | $19.107,10 | 1380 / 5 | $4.603,42 | 31 / 1 | $3.201,17 | 31 / 1 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 13 | $16.613,80 | 669 / 1 | $5.131,53 | 143 / 1 | $4.081,93 | 143 / 2 |
| G.I. Hemorrhage W Cc | 14 | 204 / 24 | $22.225,60 | 956 / 5 | $5.367,57 | 86 / 1 | $4.329,86 | 86 / 1 |
| Heart Failure & Shock W Cc | 29 | 249 / 16 | $18.915,60 | 1038 / 7 | $5.506,72 | 231 / 3 | $4.591,97 | 231 / 3 |
| Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 20 | $37.479,90 | 516 / 4 | $10.671,40 | 225 / 1 | $9.549,27 | 224 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 19 | 214 / 19 | $19.310,10 | 1496 / 8 | $4.677,47 | 469 / 7 | $3.599,58 | 469 / 9 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 95 | 469 / 26 | $45.553,90 | 1059 / 6 | $14.162,80 | 221 / 13 | $9.775,80 | 221 / 4 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 17 | $58.105,30 | 591 / 3 | $14.654,70 | 456 / 1 | $13.441,60 | 452 / 5 |
| Pulmonary Edema & Respiratory Failure | 16 | 187 / 26 | $28.897,20 | 971 / 9 | $6.748,44 | 136 / 1 | $5.762,44 | 136 / 2 |
| Renal Failure W Cc | 21 | 200 / 17 | $20.252,70 | 1003 / 4 | $5.133,05 | 232 / 1 | $4.438,19 | 231 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 24 | 492 / 33 | $32.697,80 | 924 / 8 | $9.942,92 | 202 / 1 | $8.936,29 | 202 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 50 | 153 / 11 | $18.186,30 | 939 / 7 | $5.246,74 | 122 / 2 | $4.183,06 | 122 / 2 |
| Simple Pneumonia & Pleurisy W Mcc | 30 | 175 / 19 | $25.982,60 | 769 / 6 | $8.327,10 | 96 / 6 | $6.578,73 | 96 / 1 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 9 | $13.666,50 | 573 / 3 | $3.886,80 | 108 / 1 | $2.733,20 | 107 / 2 | Total 14 procedures | 371 | 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.