Hospital Costs > In Indiana > Community Hospital Of Anderson And Madison County, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 131 | 385 / 30 | $27.435,90 | 663 / 16 | $11.455,80 | 1252 / 35 | $10.558,60 | 1231 / 39 |
| Simple Pneumonia & Pleurisy W Mcc | 118 | 87 / 7 | $16.375,20 | 189 / 2 | $8.606,20 | 941 / 22 | $7.813,58 | 941 / 38 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 114 | 450 / 37 | $53.264,60 | 1435 / 38 | $14.172,60 | 1132 / 51 | $11.272,20 | 1106 / 43 |
| Chronic Obstructive Pulmonary Disease W Mcc | 107 | 95 / 12 | $13.351,00 | 205 / 1 | $7.336,57 | 966 / 32 | $6.212,68 | 961 / 33 |
| Heart Failure & Shock W Mcc | 74 | 210 / 27 | $15.499,70 | 163 / 3 | $8.967,92 | 955 / 26 | $8.225,87 | 954 / 36 |
| Pulmonary Edema & Respiratory Failure | 58 | 145 / 27 | $16.114,80 | 197 / 4 | $7.630,79 | 817 / 26 | $6.729,19 | 817 / 32 |
| Spinal Fusion Except Cervical W/O Mcc | 51 | 143 / 14 | $123.321,00 | 955 / 28 | $34.997,30 | 1256 / 37 | $32.958,80 | 1251 / 39 |
| Kidney & Urinary Tract Infections W/O Mcc | 50 | 183 / 24 | $10.675,30 | 357 / 2 | $4.965,36 | 1198 / 36 | $4.084,92 | 1190 / 47 |
| Respiratory Infections & Inflammations W Mcc | 47 | 89 / 11 | $24.293,40 | 207 / 5 | $11.378,70 | 649 / 18 | $10.815,00 | 641 / 24 |
| Heart Failure & Shock W Cc | 47 | 231 / 35 | $12.414,60 | 305 / 2 | $5.925,72 | 822 / 20 | $5.156,36 | 821 / 30 |
| Cellulitis W/O Mcc | 41 | 148 / 23 | $11.689,70 | 427 / 8 | $5.331,78 | 1104 / 28 | $4.350,73 | 1098 / 45 |
| Renal Failure W Mcc | 38 | 157 / 25 | $22.261,20 | 330 / 6 | $9.222,18 | 844 / 19 | $8.620,08 | 844 / 27 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 37 | 129 / 25 | $8.817,41 | 214 / 2 | $4.549,08 | 1330 / 30 | $3.912,54 | 1325 / 49 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 36 | 239 / 29 | $11.825,20 | 367 / 4 | $5.150,39 | 1434 / 45 | $4.073,31 | 1423 / 53 |
| Kidney & Urinary Tract Infections W Mcc | 36 | 108 / 20 | $18.294,50 | 453 / 12 | $7.408,67 | 1078 / 35 | $6.531,33 | 1074 / 41 |
| Transient Ischemia | 36 | 89 / 14 | $14.620,00 | 275 / 5 | $4.565,78 | 541 / 21 | $3.415,33 | 538 / 25 |
| Renal Failure W Cc | 35 | 186 / 35 | $17.654,20 | 745 / 21 | $6.047,69 | 1033 / 29 | $5.219,34 | 1025 / 37 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 31 | 93 / 17 | $85.028,40 | 296 / 10 | $35.003,30 | 765 / 23 | $32.161,70 | 759 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 31 | 176 / 32 | $15.716,30 | 407 / 6 | $6.784,06 | 717 / 36 | $5.402,23 | 715 / 29 |
| G.I. Hemorrhage W Cc | 31 | 187 / 32 | $17.211,50 | 503 / 8 | $6.311,84 | 1161 / 26 | $5.531,45 | 1159 / 37 |
| Chest Pain | 31 | 120 / 11 | $13.360,60 | 341 / 11 | $4.005,19 | 561 / 17 | $2.981,71 | 557 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 30 | 152 / 30 | $18.716,80 | 399 / 10 | $6.789,53 | 681 / 31 | $5.413,60 | 680 / 28 |
| Chronic Obstructive Pulmonary Disease W Cc | 28 | 151 / 35 | $12.281,80 | 262 / 3 | $5.876,18 | 966 / 32 | $4.928,75 | 963 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 27 | 123 / 27 | $8.387,63 | 179 / 2 | $3.723,41 | 952 / 28 | $2.784,74 | 947 / 36 |
| Other Resp System O.R. Procedures W Mcc | 25 | 38 / 2 | $41.883,40 | 27 / 2 | $21.988,80 | 173 / 5 | $20.206,30 | 173 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 28 | $67.557,60 | 630 / 21 | $15.701,10 | 1067 / 38 | $12.987,70 | 1060 / 40 |
| Syncope & Collapse | 22 | 147 / 27 | $9.233,95 | 72 / 1 | $4.723,55 | 799 / 19 | $3.846,45 | 795 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 21 | 147 / 25 | $22.840,30 | 148 / 5 | $10.599,00 | 647 / 19 | $9.741,10 | 646 / 24 |
| G.I. Obstruction W Cc | 21 | 71 / 16 | $13.325,00 | 182 / 4 | $5.475,33 | 825 / 13 | $4.844,48 | 823 / 32 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 21 | 140 / 28 | $10.200,60 | 117 / 1 | $4.925,81 | 746 / 18 | $4.061,81 | 743 / 24 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 27 | $37.914,80 | 276 / 12 | $13.676,20 | 370 / 17 | $12.062,80 | 366 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 25 | $21.798,30 | 512 / 14 | $8.118,37 | 714 / 32 | $6.416,84 | 711 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 30 | $17.376,30 | 216 / 5 | $7.953,89 | 437 / 27 | $6.270,68 | 434 / 17 |
| Simple Pneumonia & Pleurisy W Cc | 19 | 184 / 43 | $15.016,30 | 566 / 8 | $6.069,89 | 897 / 27 | $4.993,68 | 894 / 33 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 18 | 170 / 32 | $20.933,10 | 129 / 3 | $7.291,67 | 645 / 26 | $5.658,50 | 643 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 18 | 84 / 22 | $13.911,60 | 184 / 5 | $5.291,72 | 460 / 32 | $3.581,61 | 457 / 17 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 18 | 107 / 23 | $20.324,60 | 157 / 3 | $9.206,33 | 353 / 4 | $8.671,22 | 353 / 9 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 18 | 74 / 14 | $100.539,00 | 184 / 2 | $42.851,80 | 548 / 25 | $37.699,80 | 547 / 21 |
| Cervical Spinal Fusion W Cc | 18 | 35 / 3 | $87.294,10 | 251 / 3 | $25.719,40 | 320 / 5 | $22.489,60 | 319 / 5 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 17 | 79 / 18 | $16.647,60 | 104 / 2 | $7.459,88 | 577 / 12 | $6.821,76 | 572 / 16 |
| Heart Failure & Shock W/O Cc/Mcc | 17 | 93 / 27 | $10.358,40 | 296 / 2 | $4.430,82 | 654 / 30 | $3.435,06 | 652 / 24 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 10 | $58.342,60 | 224 / 8 | $18.140,90 | 227 / 8 | $17.004,00 | 226 / 9 |
| Hip & Femur Procedures Except Major Joint W Cc | 16 | 127 / 33 | $39.416,20 | 610 / 17 | $11.830,30 | 817 / 31 | $10.638,80 | 807 / 28 |
| Cervical Spinal Fusion W/O Cc/Mcc | 16 | 88 / 14 | $67.090,90 | 547 / 18 | $19.311,80 | 546 / 25 | $13.164,20 | 543 / 22 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 30 | $9.323,57 | 77 / 1 | $5.168,14 | 639 / 20 | $4.130,43 | 635 / 20 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 14 | 58 / 15 | $17.354,60 | 60 / 1 | $8.562,79 | 118 / 9 | $6.906,50 | 118 / 6 |
| Peripheral Vascular Disorders W Cc | 14 | 70 / 14 | $12.747,40 | 102 / 1 | $6.269,00 | 478 / 17 | $5.270,57 | 476 / 18 |
| Medical Back Problems W/O Mcc | 14 | 107 / 22 | $15.947,10 | 270 / 7 | $5.296,21 | 462 / 12 | $4.183,07 | 462 / 16 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 13 | 51 / 9 | $87.097,10 | 9 / 1 | $48.325,90 | 3 / 1 | $37.798,10 | 3 / 1 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 7 | $34.332,20 | 77 / 2 | $13.474,20 | 139 / 12 | $10.125,80 | 139 / 3 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 15 | $14.736,50 | 57 / 2 | $7.789,25 | 392 / 11 | $7.090,58 | 390 / 18 |
| Diabetes W Mcc | 12 | 45 / 12 | $17.513,10 | 50 / 1 | $8.001,50 | 146 / 4 | $7.218,83 | 146 / 4 |
| Spinal Fusion Except Cervical W Mcc | 12 | 13 / 1 | $133.660,00 | 24 / 1 | $45.900,70 | 47 / 1 | $44.991,40 | 47 / 1 |
| Other Digestive System Diagnoses W Cc | 11 | 86 / 20 | $13.033,50 | 89 / 2 | $5.918,36 | 396 / 9 | $5.042,73 | 393 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 36 | $10.064,60 | 249 / 5 | $4.663,73 | 938 / 28 | $3.683,36 | 929 / 41 |
| Major Small & Large Bowel Procedures W Mcc | 11 | 74 / 24 | $62.460,10 | 79 / 2 | $29.525,70 | 406 / 8 | $28.542,50 | 404 / 11 |
| Other Circulatory System Diagnoses W Mcc | 11 | 105 / 21 | $29.241,10 | 201 / 7 | $11.553,40 | 568 / 12 | $11.006,50 | 566 / 20 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 17 | $73.168,50 | 82 / 2 | $31.988,80 | 419 / 10 | $30.996,80 | 419 / 18 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 16 | $10.784,90 | 119 / 2 | $4.941,45 | 372 / 20 | $3.482,27 | 371 / 10 | Total 59 procedures | 1.831 | 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.