Hospital Costs > In Indiana > Community Howard Regional Health Inc, 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 | 116 | 400 / 37 | $30.557,00 | 809 / 21 | $10.463,80 | 498 / 8 | $9.511,30 | 498 / 11 |
Psychoses | 109 | 184 / 9 | $14.461,10 | 170 / 4 | $5.910,73 | 91 / 1 | $5.078,00 | 91 / 3 |
Pulmonary Edema & Respiratory Failure | 83 | 120 / 16 | $27.362,30 | 878 / 31 | $7.478,71 | 646 / 18 | $6.511,12 | 646 / 22 |
Simple Pneumonia & Pleurisy W Cc | 54 | 149 / 21 | $18.411,40 | 959 / 23 | $5.639,35 | 487 / 7 | $4.634,91 | 484 / 13 |
Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 29 | $28.278,40 | 926 / 34 | $8.150,15 | 634 / 6 | $7.473,85 | 634 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 23 | $18.206,20 | 1164 / 35 | $4.532,92 | 752 / 5 | $3.599,56 | 747 / 24 |
Chronic Obstructive Pulmonary Disease W Mcc | 47 | 155 / 32 | $27.530,70 | 1310 / 53 | $7.091,21 | 1104 / 18 | $6.339,21 | 1099 / 43 |
G.I. Hemorrhage W Cc | 43 | 175 / 26 | $21.377,50 | 884 / 24 | $5.870,23 | 601 / 6 | $5.002,51 | 600 / 14 |
Heart Failure & Shock W Cc | 41 | 237 / 36 | $19.041,60 | 1051 / 31 | $5.858,83 | 578 / 15 | $4.971,51 | 578 / 17 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 20 | $93.963,00 | 1093 / 39 | $17.292,60 | 1317 / 40 | $15.605,20 | 1310 / 42 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 40 | 167 / 26 | $18.587,80 | 643 / 14 | $6.147,65 | 585 / 7 | $5.299,65 | 583 / 19 |
Chronic Obstructive Pulmonary Disease W Cc | 37 | 142 / 29 | $20.333,80 | 1036 / 38 | $5.570,78 | 428 / 11 | $4.461,97 | 427 / 13 |
Heart Failure & Shock W Mcc | 37 | 247 / 39 | $32.354,90 | 1237 / 45 | $9.156,62 | 934 / 33 | $8.195,68 | 933 / 35 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 35 | 529 / 56 | $48.704,70 | 1228 / 31 | $12.079,60 | 951 / 6 | $10.973,30 | 932 / 32 |
Renal Failure W Mcc | 33 | 162 / 27 | $31.880,30 | 874 / 24 | $9.704,70 | 1012 / 28 | $8.954,27 | 1012 / 32 |
Renal Failure W Cc | 31 | 190 / 37 | $19.677,70 | 951 / 28 | $5.438,61 | 410 / 4 | $4.661,32 | 407 / 9 |
Cellulitis W/O Mcc | 27 | 162 / 31 | $13.568,30 | 673 / 18 | $4.871,41 | 514 / 6 | $3.894,96 | 511 / 19 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 32 | $13.437,60 | 751 / 21 | $4.112,48 | 828 / 7 | $3.532,64 | 825 / 32 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 24 | 76 / 13 | $115.552,00 | 636 / 26 | $25.885,10 | 856 / 31 | $25.079,80 | 851 / 31 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 22 | 160 / 35 | $23.120,60 | 670 / 22 | $5.904,05 | 293 / 5 | $4.968,77 | 292 / 6 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 19 | 169 / 31 | $40.440,20 | 957 / 41 | $7.186,79 | 981 / 24 | $6.295,74 | 978 / 44 |
G.I. Obstruction W Cc | 18 | 74 / 19 | $24.428,80 | 955 / 39 | $5.618,33 | 685 / 22 | $4.679,67 | 684 / 25 |
Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 34 | $25.413,90 | 944 / 36 | $7.007,00 | 849 / 25 | $6.156,24 | 847 / 30 |
Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 50 | $13.128,90 | 662 / 13 | $4.614,76 | 712 / 8 | $3.762,06 | 708 / 20 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 32 | $36.981,30 | 494 / 10 | $10.883,80 | 305 / 5 | $9.744,94 | 304 / 7 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 24 | $117.348,00 | 709 / 27 | $35.418,10 | 953 / 24 | $34.658,10 | 947 / 29 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 28 | $19.128,10 | 364 / 7 | $6.318,73 | 322 / 3 | $5.751,27 | 319 / 7 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 15 | 135 / 35 | $12.541,30 | 659 / 23 | $3.445,60 | 659 / 8 | $2.562,40 | 655 / 26 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 26 | $43.793,30 | 957 / 32 | $10.166,20 | 683 / 17 | $9.393,57 | 682 / 26 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 14 | 78 / 17 | $105.081,00 | 217 / 4 | $33.293,50 | 267 / 2 | $32.687,90 | 266 / 9 |
Transient Ischemia | 14 | 111 / 26 | $17.709,90 | 466 / 17 | $4.226,00 | 488 / 4 | $3.362,00 | 486 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 26 | $19.250,60 | 524 / 20 | $4.496,29 | 660 / 5 | $3.810,57 | 656 / 32 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 35 | $19.394,40 | 1001 / 39 | $4.756,36 | 322 / 9 | $3.638,64 | 322 / 7 |
Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 18 | $109.741,00 | 669 / 24 | $30.069,90 | 929 / 29 | $29.123,60 | 928 / 30 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 13 | 107 / 34 | $16.388,80 | 950 / 39 | $4.327,54 | 590 / 8 | $3.399,54 | 589 / 26 |
Fractures Of Hip & Pelvis W/O Mcc | 13 | 48 / 7 | $13.553,30 | 225 / 5 | $4.206,31 | 148 / 4 | $3.098,62 | 149 / 4 |
Major Cardiovasc Procedures W Mcc | 13 | 55 / 11 | $112.046,00 | 172 / 9 | $34.292,70 | 324 / 10 | $33.453,50 | 324 / 12 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 31 | $16.934,90 | 1053 / 42 | $4.039,31 | 311 / 7 | $3.113,77 | 309 / 9 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 35 | $39.676,70 | 1314 / 50 | $8.850,46 | 1343 / 43 | $8.107,08 | 1340 / 48 |
Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 13 | 27 / 5 | $34.332,90 | 23 / 3 | $11.224,40 | 57 / 2 | $10.577,00 | 57 / 5 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 16 | $114.231,00 | 338 / 17 | $32.394,60 | 448 / 11 | $31.493,20 | 448 / 22 |
Respiratory Infections & Inflammations W Mcc | 12 | 124 / 34 | $37.353,10 | 670 / 26 | $10.703,70 | 419 / 5 | $10.301,00 | 418 / 14 |
Cellulitis W Mcc | 12 | 46 / 13 | $21.351,50 | 152 / 4 | $7.706,67 | 166 / 2 | $7.304,00 | 165 / 7 |
Medical Back Problems W/O Mcc | 11 | 110 / 25 | $14.709,20 | 211 / 4 | $4.866,00 | 255 / 3 | $3.879,82 | 255 / 8 |
G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 19 | $13.373,60 | 393 / 12 | $3.736,64 | 339 / 4 | $2.750,45 | 339 / 13 | Total 45 procedures | 1.299 | 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.