Hospital Costs > In Indiana > Community Hospital North, 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 | 213 | 351 / 20 | $61.905,00 | 1765 / 49 | $15.234,70 | 1193 / 63 | $11.373,70 | 1165 / 45 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 173 | 343 / 20 | $42.724,00 | 1460 / 49 | $12.455,30 | 1554 / 53 | $11.124,70 | 1522 / 53 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 107 | 168 / 10 | $23.133,30 | 1732 / 61 | $5.885,07 | 1664 / 62 | $4.295,86 | 1651 / 60 |
| Renal Failure W Cc | 97 | 124 / 10 | $21.018,70 | 1080 / 31 | $6.919,68 | 1191 / 53 | $5.374,25 | 1183 / 42 |
| Renal Failure W Mcc | 96 | 99 / 9 | $32.655,80 | 926 / 28 | $10.102,40 | 944 / 34 | $8.805,94 | 944 / 31 |
| Heart Failure & Shock W Mcc | 96 | 188 / 21 | $27.167,00 | 916 / 33 | $9.942,10 | 1250 / 53 | $8.650,31 | 1247 / 50 |
| G.I. Hemorrhage W Cc | 89 | 129 / 8 | $23.570,10 | 1083 / 30 | $6.836,22 | 1550 / 44 | $6.052,08 | 1546 / 50 |
| Simple Pneumonia & Pleurisy W Cc | 86 | 117 / 12 | $21.090,30 | 1259 / 39 | $6.759,14 | 1548 / 56 | $5.564,17 | 1542 / 58 |
| Spinal Fusion Except Cervical W/O Mcc | 84 | 110 / 7 | $112.518,00 | 862 / 22 | $33.393,20 | 519 / 36 | $21.935,70 | 516 / 14 |
| Kidney & Urinary Tract Infections W Mcc | 75 | 69 / 3 | $20.873,70 | 630 / 22 | $7.548,57 | 978 / 42 | $6.339,91 | 975 / 38 |
| Kidney & Urinary Tract Infections W/O Mcc | 74 | 159 / 15 | $18.254,50 | 1378 / 52 | $5.549,49 | 1761 / 59 | $4.633,30 | 1750 / 63 |
| Chronic Obstructive Pulmonary Disease W Mcc | 67 | 135 / 22 | $23.222,00 | 999 / 34 | $8.083,12 | 1205 / 57 | $6.468,84 | 1199 / 47 |
| Cellulitis W/O Mcc | 64 | 125 / 13 | $19.549,90 | 1437 / 49 | $5.978,94 | 1473 / 56 | $4.693,50 | 1466 / 59 |
| Simple Pneumonia & Pleurisy W Mcc | 63 | 142 / 24 | $31.966,10 | 1169 / 42 | $9.166,06 | 982 / 41 | $7.856,90 | 982 / 40 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 62 | 120 / 15 | $26.410,60 | 885 / 34 | $6.980,71 | 1118 / 35 | $6.026,58 | 1115 / 45 |
| Respiratory Infections & Inflammations W Mcc | 62 | 74 / 5 | $35.411,20 | 601 / 18 | $12.370,80 | 754 / 30 | $11.039,80 | 746 / 28 |
| Chronic Obstructive Pulmonary Disease W Cc | 61 | 118 / 17 | $22.111,20 | 1215 / 52 | $6.858,62 | 1136 / 61 | $5.087,08 | 1132 / 47 |
| Heart Failure & Shock W Cc | 57 | 221 / 28 | $23.367,40 | 1528 / 57 | $6.845,65 | 1569 / 61 | $5.840,25 | 1564 / 64 |
| Pulmonary Edema & Respiratory Failure | 57 | 146 / 28 | $27.629,50 | 893 / 33 | $8.463,23 | 889 / 51 | $6.801,18 | 889 / 34 |
| Major Small & Large Bowel Procedures W Cc | 52 | 56 / 8 | $77.187,00 | 964 / 36 | $18.331,10 | 593 / 34 | $13.962,90 | 587 / 19 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 48 | 83 / 12 | $53.062,50 | 710 / 32 | $15.328,00 | 997 / 38 | $14.096,30 | 987 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 46 | 122 / 11 | $37.679,80 | 615 / 23 | $10.979,80 | 639 / 26 | $9.724,17 | 638 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 46 | 120 / 20 | $19.799,30 | 1540 / 57 | $5.128,72 | 1418 / 55 | $3.986,91 | 1413 / 50 |
| Major Small & Large Bowel Procedures W Mcc | 42 | 43 / 5 | $135.863,00 | 708 / 24 | $37.130,50 | 725 / 30 | $32.556,30 | 723 / 24 |
| Syncope & Collapse | 41 | 128 / 15 | $20.570,90 | 911 / 32 | $5.682,12 | 1152 / 42 | $4.310,12 | 1145 / 43 |
| G.I. Hemorrhage W Mcc | 40 | 81 / 8 | $39.016,20 | 660 / 25 | $10.782,00 | 677 / 19 | $10.137,70 | 678 / 27 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 39 | 168 / 27 | $24.275,90 | 1186 / 40 | $7.888,67 | 1397 / 61 | $6.112,87 | 1392 / 53 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 37 | 65 / 11 | $20.953,10 | 644 / 27 | $5.614,41 | 910 / 38 | $4.140,54 | 906 / 39 |
| Transient Ischemia | 37 | 88 / 13 | $24.217,80 | 927 / 38 | $5.846,54 | 735 / 42 | $3.639,54 | 731 / 30 |
| Diabetes W Cc | 37 | 55 / 5 | $21.342,80 | 785 / 27 | $6.317,86 | 634 / 36 | $4.428,27 | 633 / 23 |
| Hip & Femur Procedures Except Major Joint W Cc | 34 | 109 / 17 | $51.553,90 | 1104 / 37 | $12.989,30 | 872 / 45 | $10.739,90 | 859 / 35 |
| Other Digestive System Diagnoses W Cc | 32 | 65 / 10 | $24.544,50 | 651 / 24 | $6.860,53 | 799 / 32 | $5.787,34 | 795 / 32 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 16 | $116.938,00 | 704 / 26 | $40.347,40 | 604 / 34 | $30.420,80 | 599 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 31 | 95 / 16 | $30.463,90 | 983 / 33 | $8.435,00 | 1120 / 35 | $7.388,55 | 1117 / 36 |
| Nonspecific Cerebrovascular Disorders W Cc | 31 | 25 / 1 | $23.512,30 | 193 / 8 | $6.583,32 | 265 / 8 | $5.862,61 | 265 / 10 |
| Bronchitis & Asthma W Cc/Mcc | 28 | 48 / 4 | $22.609,70 | 485 / 12 | $6.778,61 | 475 / 17 | $4.727,57 | 471 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 27 | 69 / 12 | $30.848,00 | 670 / 23 | $9.134,52 | 590 / 27 | $6.840,26 | 585 / 18 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 26 | 40 / 3 | $64.923,20 | 379 / 6 | $13.950,20 | 312 / 5 | $11.373,00 | 310 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 26 | 94 / 23 | $14.986,40 | 780 / 30 | $5.597,46 | 1249 / 54 | $4.017,23 | 1240 / 50 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 26 | 51 / 3 | $51.886,80 | 276 / 5 | $10.235,20 | 215 / 6 | $9.016,54 | 215 / 7 |
| Pulmonary Embolism W/O Mcc | 24 | 50 / 9 | $22.988,00 | 550 / 17 | $6.861,79 | 737 / 26 | $5.648,12 | 734 / 26 |
| Respiratory Infections & Inflammations W Cc | 24 | 64 / 9 | $25.362,00 | 486 / 19 | $8.843,08 | 620 / 31 | $7.608,25 | 617 / 26 |
| Seizures W/O Mcc | 23 | 85 / 11 | $24.136,20 | 740 / 27 | $5.389,78 | 745 / 22 | $4.585,35 | 742 / 26 |
| G.I. Obstruction W Cc | 23 | 69 / 15 | $20.808,20 | 705 / 27 | $6.156,61 | 1043 / 36 | $5.189,74 | 1040 / 41 |
| Medical Back Problems W/O Mcc | 23 | 98 / 15 | $21.488,80 | 634 / 20 | $5.787,09 | 878 / 22 | $4.929,87 | 875 / 30 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 23 | 41 / 5 | $50.405,90 | 463 / 13 | $12.893,20 | 386 / 18 | $9.079,87 | 386 / 14 |
| Red Blood Cell Disorders W/O Mcc | 22 | 121 / 22 | $23.433,10 | 1150 / 34 | $5.680,50 | 1221 / 35 | $4.844,18 | 1213 / 41 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 22 | 34 / 5 | $49.470,60 | 448 / 11 | $11.307,50 | 436 / 12 | $9.199,41 | 436 / 12 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 13 | $50.837,90 | 764 / 30 | $12.709,40 | 554 / 26 | $10.954,70 | 552 / 18 |
| Signs & Symptoms W/O Mcc | 21 | 70 / 9 | $21.207,90 | 712 / 21 | $5.207,95 | 617 / 22 | $3.892,95 | 616 / 18 |
| Headaches W/O Mcc | 21 | 22 / 1 | $20.576,40 | 111 / 5 | $5.854,62 | 44 / 6 | $3.091,76 | 44 / 4 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 21 | 43 / 4 | $186.769,00 | 117 / 6 | $60.883,30 | 56 / 9 | $49.111,20 | 56 / 3 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 20 | 73 / 16 | $16.076,60 | 835 / 29 | $5.532,85 | 1125 / 45 | $3.803,75 | 1119 / 39 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 20 | 76 / 13 | $63.506,00 | 518 / 13 | $14.911,70 | 405 / 15 | $12.206,50 | 402 / 16 |
| Nonspecific Cerebrovascular Disorders W Mcc | 20 | 31 / 4 | $41.502,80 | 203 / 11 | $17.283,70 | 156 / 14 | $9.583,80 | 156 / 8 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 20 | 105 / 21 | $42.011,90 | 901 / 29 | $14.179,50 | 893 / 45 | $9.974,35 | 892 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 30 | $35.796,30 | 1185 / 46 | $7.775,00 | 908 / 25 | $6.988,79 | 905 / 34 |
| Diabetes W Mcc | 19 | 38 / 6 | $29.836,20 | 274 / 11 | $8.634,05 | 205 / 10 | $7.579,37 | 205 / 9 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 19 | 53 / 11 | $29.123,90 | 325 / 14 | $9.127,79 | 418 / 15 | $8.219,63 | 417 / 18 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 18 | 26 / 2 | $62.279,60 | 105 / 4 | $12.980,80 | 67 / 3 | $11.948,70 | 67 / 4 |
| Hip & Femur Procedures Except Major Joint W Mcc | 17 | 45 / 11 | $63.132,80 | 339 / 12 | $19.934,10 | 280 / 19 | $16.426,40 | 278 / 8 |
| G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 13 | $15.599,10 | 564 / 22 | $5.076,82 | 636 / 30 | $3.145,88 | 635 / 24 |
| Dysequilibrium | 17 | 48 / 6 | $19.095,90 | 222 / 7 | $4.696,00 | 271 / 8 | $3.480,41 | 271 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 17 | 84 / 18 | $38.712,20 | 609 / 24 | $10.171,20 | 544 / 19 | $9.272,82 | 542 / 22 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 9 | $48.838,10 | 553 / 19 | $10.334,90 | 548 / 19 | $9.483,06 | 546 / 25 |
| Major Bladder Procedures W Cc | 16 | 22 / 2 | $106.515,00 | 49 / 2 | $19.294,60 | 17 / 1 | $18.276,60 | 17 / 1 |
| Seizures W Mcc | 16 | 50 / 8 | $37.755,90 | 317 / 13 | $10.519,80 | 425 / 11 | $9.744,75 | 425 / 13 |
| Renal Failure W/O Cc/Mcc | 16 | 40 / 9 | $14.109,20 | 315 / 8 | $4.921,56 | 499 / 20 | $3.578,88 | 498 / 18 |
| Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 14 | $63.191,00 | 503 / 13 | $15.337,60 | 415 / 20 | $12.196,80 | 414 / 15 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 11 | $69.199,90 | 369 / 12 | $18.163,60 | 251 / 9 | $17.233,60 | 249 / 10 |
| Peritoneal Adhesiolysis W Cc | 16 | 23 / 3 | $56.179,20 | 124 / 5 | $16.261,90 | 39 / 6 | $11.462,00 | 39 / 3 |
| Respiratory Neoplasms W Mcc | 16 | 36 / 10 | $36.513,20 | 201 / 5 | $10.978,30 | 309 / 10 | $10.275,30 | 309 / 15 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 11 | $30.362,90 | 659 / 24 | $7.806,00 | 652 / 21 | $7.178,19 | 650 / 24 |
| Other Digestive System Diagnoses W Mcc | 16 | 46 / 8 | $36.912,80 | 274 / 11 | $11.359,80 | 196 / 14 | $9.446,69 | 196 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 14 | $15.806,50 | 119 / 3 | $6.790,00 | 473 / 19 | $6.126,60 | 473 / 21 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 15 | 77 / 16 | $149.131,00 | 514 / 22 | $40.065,50 | 611 / 18 | $38.819,70 | 610 / 24 |
| Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 8 | $98.947,30 | 435 / 10 | $24.762,30 | 147 / 13 | $17.444,00 | 147 / 5 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 10 | $42.345,10 | 505 / 11 | $10.130,60 | 219 / 11 | $5.282,21 | 219 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 14 | 42 / 10 | $46.994,60 | 386 / 15 | $11.587,00 | 198 / 9 | $10.548,90 | 198 / 8 |
| Other Disorders Of Nervous System W Mcc | 13 | 27 / 5 | $25.790,80 | 47 / 3 | $9.890,85 | 123 / 5 | $9.501,46 | 123 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 31 | $14.036,20 | 727 / 20 | $4.644,77 | 1416 / 40 | $4.262,31 | 1405 / 52 |
| Stomach, Esophageal & Duodenal Proc W Cc | 13 | 37 / 4 | $71.142,20 | 115 / 1 | $18.475,40 | 52 / 2 | $14.657,60 | 52 / 1 |
| Stomach, Esophageal & Duodenal Proc W/O Cc/Mcc | 13 | 35 / 3 | $47.800,00 | 137 / 2 | $11.582,20 | 80 / 4 | $8.151,23 | 80 / 3 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 12 | 61 / 5 | $53.301,50 | 260 / 6 | $9.183,42 | 174 / 5 | $6.739,08 | 174 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 9 | $40.286,90 | 314 / 7 | $9.022,83 | 267 / 12 | $6.471,92 | 267 / 9 |
| Other Disorders Of Nervous System W Cc | 12 | 44 / 10 | $26.004,30 | 304 / 9 | $6.699,17 | 172 / 10 | $4.723,25 | 172 / 5 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 12 | 69 / 7 | $308.490,00 | 92 / 4 | $118.339,00 | 34 / 9 | $78.409,80 | 34 / 2 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 16 | $152.536,00 | 569 / 28 | $58.921,30 | 24 / 30 | $24.234,20 | 24 / 1 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 11 | $56.538,60 | 90 / 4 | $21.370,70 | 214 / 4 | $20.737,40 | 213 / 6 |
| Disorders Of Pancreas Except Malignancy W Cc | 11 | 50 / 14 | $20.489,40 | 316 / 10 | $6.368,18 | 558 / 15 | $5.471,91 | 555 / 21 |
| Degenerative Nervous System Disorders W/O Mcc | 11 | 67 / 14 | $59.171,80 | 820 / 18 | $9.212,27 | 723 / 16 | $7.971,55 | 723 / 18 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 5 | $84.201,60 | 115 / 2 | $27.432,70 | 81 / 4 | $23.521,50 | 81 / 4 |
| Fever | 11 | 35 / 4 | $21.262,10 | 125 / 2 | $7.785,45 | 18 / 5 | $3.652,36 | 18 / 1 |
| Major Chest Procedures W Mcc | 11 | 38 / 7 | $101.341,00 | 96 / 2 | $35.244,50 | 6 / 7 | $22.189,50 | 6 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 11 | 150 / 37 | $28.905,50 | 1587 / 53 | $5.504,55 | 1192 / 43 | $4.496,18 | 1188 / 45 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 9 | $54.723,00 | 139 / 5 | $15.517,60 | 200 / 5 | $14.397,70 | 199 / 8 |
| Pulmonary Embolism W Mcc | 11 | 32 / 10 | $40.196,80 | 324 / 15 | $12.150,00 | 68 / 20 | $7.481,00 | 68 / 5 |
| Minor Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 6 / 1 | $32.194,00 | 5 / 1 | $9.061,09 | 4 / 1 | $6.498,36 | 4 / 1 |
| Other Respiratory System Diagnoses W/O Mcc | 11 | 35 / 8 | $17.723,40 | 90 / 2 | $5.635,18 | 135 / 4 | $4.634,45 | 135 / 6 |
| Kidney & Ureter Procedures For Non-Neoplasm W Cc | 11 | 34 / 3 | $56.349,80 | 108 / 2 | $14.772,20 | 15 / 2 | $9.378,91 | 15 / 1 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 17 | $17.733,80 | 302 / 9 | $6.174,00 | 532 / 15 | $5.396,82 | 530 / 20 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 11 | 33 / 7 | $75.750,00 | 207 / 5 | $18.514,80 | 245 / 7 | $17.872,90 | 243 / 8 | Total 102 procedures | 3.432 | 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.