Hospital Costs > In Indiana > Community Hospital South, 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 | 257 | 308 / 15 | $55.954,40 | 1544 / 43 | $13.487,60 | 736 / 36 | $10.680,70 | 726 / 24 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 105 | 411 / 39 | $37.168,20 | 1162 / 36 | $10.934,60 | 746 / 21 | $9.845,63 | 745 / 22 |
| Heart Failure & Shock W Mcc | 81 | 203 / 26 | $32.717,00 | 1267 / 48 | $9.055,01 | 549 / 29 | $7.751,25 | 549 / 13 |
| Simple Pneumonia & Pleurisy W Mcc | 67 | 138 / 23 | $32.222,70 | 1182 / 43 | $8.783,21 | 658 / 30 | $7.511,55 | 658 / 21 |
| G.I. Hemorrhage W Cc | 64 | 154 / 19 | $24.418,00 | 1156 / 34 | $6.709,39 | 583 / 41 | $4.982,83 | 582 / 13 |
| Renal Failure W Cc | 59 | 162 / 24 | $21.583,10 | 1135 / 38 | $6.327,12 | 406 / 39 | $4.657,51 | 403 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 55 | 220 / 22 | $21.321,40 | 1532 / 54 | $4.625,78 | 1011 / 7 | $3.768,76 | 1003 / 42 |
| Renal Failure W Mcc | 52 | 143 / 22 | $41.616,50 | 1327 / 44 | $10.739,00 | 375 / 48 | $7.866,00 | 375 / 9 |
| Pulmonary Edema & Respiratory Failure | 51 | 152 / 32 | $24.292,10 | 680 / 27 | $7.478,53 | 443 / 17 | $6.281,53 | 443 / 13 |
| Heart Failure & Shock W Cc | 51 | 227 / 31 | $28.778,10 | 1893 / 70 | $6.239,69 | 651 / 43 | $5.026,39 | 650 / 20 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 45 | 137 / 22 | $29.876,60 | 1149 / 45 | $6.541,49 | 663 / 22 | $5.392,69 | 662 / 27 |
| Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 36 | $23.866,80 | 1044 / 38 | $7.291,33 | 459 / 30 | $5.748,52 | 458 / 13 |
| Kidney & Urinary Tract Infections W/O Mcc | 41 | 192 / 32 | $19.524,00 | 1518 / 56 | $4.712,88 | 855 / 16 | $3.859,80 | 850 / 27 |
| Respiratory Infections & Inflammations W Mcc | 39 | 97 / 15 | $36.567,50 | 639 / 23 | $11.154,50 | 428 / 14 | $10.322,10 | 426 / 15 |
| Simple Pneumonia & Pleurisy W Cc | 39 | 164 / 31 | $21.319,80 | 1282 / 41 | $6.097,85 | 899 / 28 | $4.997,90 | 896 / 34 |
| Cellulitis W/O Mcc | 37 | 152 / 26 | $20.895,40 | 1566 / 53 | $5.657,00 | 428 / 45 | $3.816,59 | 425 / 16 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 17 | $47.714,10 | 559 / 23 | $14.363,30 | 541 / 24 | $12.547,60 | 533 / 15 |
| Kidney & Urinary Tract Infections W Mcc | 32 | 112 / 22 | $23.249,50 | 803 / 30 | $6.969,78 | 532 / 23 | $5.749,72 | 531 / 18 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 29 | $17.831,30 | 1301 / 47 | $4.558,68 | 372 / 31 | $3.209,87 | 372 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 31 | 165 / 25 | $78.426,10 | 842 / 34 | $15.063,00 | 154 / 35 | $9.654,61 | 154 / 3 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 28 | 160 / 27 | $42.804,90 | 1025 / 43 | $8.635,04 | 155 / 46 | $4.876,61 | 155 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 27 | 116 / 23 | $47.356,80 | 947 / 31 | $11.121,20 | 520 / 10 | $10.100,20 | 519 / 16 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 24 | $18.370,20 | 891 / 31 | $5.139,19 | 502 / 31 | $3.817,08 | 500 / 13 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 35 | $28.186,50 | 1513 / 54 | $7.203,77 | 630 / 51 | $5.338,46 | 628 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 22 | $28.387,30 | 296 / 9 | $10.019,90 | 409 / 11 | $9.099,60 | 408 / 13 |
| Chronic Obstructive Pulmonary Disease W Cc | 23 | 156 / 39 | $19.868,50 | 986 / 35 | $5.706,61 | 897 / 19 | $4.869,04 | 894 / 34 |
| Syncope & Collapse | 22 | 147 / 27 | $26.379,40 | 1289 / 45 | $4.986,73 | 677 / 32 | $3.723,36 | 674 / 21 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 20 | $41.338,90 | 866 / 28 | $11.150,20 | 171 / 30 | $8.213,00 | 171 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 20 | 130 / 31 | $15.732,70 | 1080 / 43 | $3.743,60 | 605 / 30 | $2.522,10 | 601 / 23 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 18 | 51 / 7 | $72.922,20 | 369 / 11 | $11.012,20 | 249 / 6 | $10.071,70 | 249 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 26 | $18.608,90 | 1200 / 47 | $4.189,11 | 591 / 14 | $3.382,00 | 589 / 21 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 32 | $29.315,80 | 921 / 35 | $7.313,65 | 466 / 18 | $6.321,65 | 463 / 19 |
| Spinal Fusion Except Cervical W/O Mcc | 17 | 177 / 30 | $145.846,00 | 1092 / 34 | $25.836,00 | 865 / 21 | $24.700,90 | 861 / 28 |
| Extracranial Procedures W Cc | 17 | 29 / 5 | $36.303,20 | 132 / 4 | $10.335,60 | 93 / 5 | $8.075,94 | 93 / 3 |
| G.I. Obstruction W Cc | 17 | 75 / 20 | $17.836,40 | 498 / 16 | $5.557,94 | 214 / 18 | $4.078,18 | 213 / 5 |
| Diabetes W Cc | 16 | 76 / 19 | $22.848,50 | 872 / 34 | $5.510,00 | 267 / 24 | $3.946,75 | 267 / 10 |
| Medical Back Problems W/O Mcc | 16 | 105 / 20 | $26.104,10 | 878 / 29 | $5.879,69 | 50 / 23 | $3.395,12 | 50 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 15 | 78 / 14 | $53.898,70 | 386 / 17 | $13.124,90 | 63 / 13 | $10.197,00 | 63 / 3 |
| Revision Of Hip Or Knee Replacement W Cc | 15 | 71 / 8 | $81.717,70 | 307 / 7 | $22.255,70 | 110 / 7 | $17.092,90 | 110 / 3 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 15 | 51 / 6 | $62.850,10 | 368 / 5 | $11.186,10 | 189 / 1 | $10.142,90 | 188 / 2 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 18 | $49.424,90 | 728 / 27 | $11.961,60 | 152 / 17 | $9.378,20 | 152 / 2 |
| Transient Ischemia | 14 | 111 / 26 | $20.508,40 | 696 / 31 | $4.371,64 | 466 / 11 | $3.340,79 | 465 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 21 | $34.630,10 | 790 / 25 | $9.097,57 | 998 / 26 | $8.149,00 | 993 / 31 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 16 | $15.331,90 | 550 / 21 | $3.882,21 | 186 / 8 | $2.512,21 | 186 / 4 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 12 | $25.839,20 | 513 / 15 | $7.710,00 | 168 / 19 | $5.830,36 | 168 / 7 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 16 | $24.239,00 | 620 / 20 | $6.821,71 | 53 / 25 | $4.145,64 | 53 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 11 | $35.501,80 | 313 / 8 | $9.736,07 | 339 / 11 | $8.611,50 | 338 / 15 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 31 | $26.626,90 | 1343 / 42 | $4.958,54 | 806 / 10 | $4.303,77 | 801 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 27 | $18.585,30 | 476 / 15 | $4.901,23 | 488 / 19 | $3.620,77 | 485 / 21 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 16 | $66.255,00 | 436 / 17 | $15.690,80 | 311 / 8 | $14.674,20 | 310 / 12 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 18 | $26.996,80 | 757 / 30 | $6.408,08 | 188 / 20 | $4.631,38 | 186 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 13 | 83 / 17 | $57.255,60 | 445 / 11 | $14.371,40 | 223 / 14 | $11.221,40 | 221 / 8 |
| Chest Pain | 13 | 138 / 24 | $18.018,70 | 770 / 26 | $4.503,38 | 34 / 31 | $2.152,85 | 34 / 2 |
| Other Vascular Procedures W Cc | 13 | 89 / 22 | $64.017,70 | 431 / 15 | $17.134,20 | 226 / 23 | $13.508,20 | 226 / 8 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 17 | $29.939,90 | 344 / 15 | $8.177,25 | 179 / 6 | $7.166,58 | 178 / 9 |
| Pulmonary Embolism W Mcc | 12 | 31 / 9 | $44.641,60 | 376 / 17 | $13.373,40 | 1 / 21 | $6.075,00 | 1 / 1 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 12 | $23.267,20 | 643 / 24 | $4.760,50 | 82 / 18 | $2.620,33 | 81 / 3 |
| Major Small & Large Bowel Procedures W Cc | 12 | 96 / 26 | $56.273,90 | 563 / 19 | $14.122,50 | 397 / 4 | $13.215,80 | 394 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 12 | 114 / 30 | $25.660,80 | 745 / 22 | $7.145,83 | 152 / 20 | $5.433,33 | 151 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 12 | 35 / 9 | $37.003,80 | 268 / 5 | $8.659,25 | 148 / 11 | $5.880,50 | 148 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 24 | $101.626,00 | 507 / 21 | $20.410,70 | 173 / 16 | $16.993,50 | 173 / 8 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 11 | 60 / 17 | $80.573,60 | 115 / 4 | $28.620,60 | 191 / 5 | $27.855,50 | 191 / 10 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 10 | $34.702,70 | 170 / 5 | $10.044,30 | 120 / 5 | $7.322,36 | 120 / 5 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 11 | 52 / 8 | $97.603,90 | 168 / 6 | $20.564,50 | 123 / 1 | $19.357,20 | 123 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 15 | $70.380,60 | 382 / 14 | $17.375,40 | 167 / 4 | $16.496,80 | 167 / 4 | Total 65 procedures | 1.932 | 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.