Hospital Costs > In Iowa > Covenant Medical Center Waterloo, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 195 | 121 / 6 | $7.187,32 | 9 / 1 | $6.859,48 | 244 / 11 | $5.674,05 | 244 / 9 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 112 | 452 / 20 | $36.491,10 | 551 / 9 | $13.258,60 | 1440 / 20 | $11.887,00 | 1407 / 27 |
Spinal Fusion Except Cervical W/O Mcc | 68 | 126 / 5 | $65.079,00 | 283 / 7 | $23.517,50 | 581 / 8 | $22.349,00 | 578 / 12 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 65 | 131 / 4 | $65.919,40 | 592 / 17 | $12.862,30 | 735 / 16 | $11.343,70 | 731 / 19 |
Heart Failure & Shock W Mcc | 55 | 229 / 16 | $32.539,30 | 1251 / 22 | $9.476,07 | 1329 / 19 | $8.756,45 | 1326 / 20 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 52 | 464 / 23 | $25.062,20 | 535 / 9 | $11.176,70 | 1049 / 16 | $10.257,10 | 1036 / 18 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 51 | 74 / 2 | $11.808,30 | 196 / 9 | $5.211,94 | 470 / 13 | $4.336,84 | 469 / 14 |
Chronic Obstructive Pulmonary Disease W Mcc | 50 | 152 / 8 | $19.262,50 | 656 / 10 | $7.579,88 | 1265 / 20 | $6.539,00 | 1259 / 20 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 48 | 227 / 10 | $14.647,40 | 708 / 11 | $5.344,31 | 1817 / 25 | $4.516,33 | 1804 / 28 |
Simple Pneumonia & Pleurisy W Cc | 46 | 157 / 11 | $15.322,80 | 599 / 11 | $6.622,50 | 1591 / 25 | $5.600,22 | 1584 / 28 |
Renal Failure W Cc | 46 | 175 / 11 | $18.524,00 | 825 / 16 | $6.396,74 | 1243 / 19 | $5.438,59 | 1235 / 20 |
Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 14 | $27.890,70 | 900 / 19 | $9.199,80 | 1296 / 20 | $8.305,52 | 1296 / 21 |
G.I. Hemorrhage W Cc | 41 | 177 / 13 | $22.126,00 | 951 / 23 | $6.719,39 | 1531 / 25 | $6.021,00 | 1527 / 27 |
Pulmonary Edema & Respiratory Failure | 40 | 163 / 15 | $20.835,30 | 453 / 12 | $8.014,67 | 1220 / 17 | $7.256,20 | 1218 / 24 |
Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 37 | 47 / 1 | $11.578,30 | 20 / 1 | $7.950,86 | 32 / 1 | $7.046,22 | 32 / 1 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 9 | $11.229,20 | 456 / 11 | $5.114,83 | 1502 / 23 | $4.072,54 | 1497 / 22 |
Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 10 | $11.291,20 | 431 / 11 | $5.496,73 | 1584 / 27 | $4.431,48 | 1573 / 29 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 31 | 69 / 4 | $91.840,50 | 398 / 13 | $20.049,30 | 277 / 6 | $17.724,90 | 275 / 8 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 11 | $31.116,10 | 570 / 13 | $7.338,40 | 677 / 16 | $5.701,13 | 675 / 13 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 27 | 180 / 19 | $22.850,00 | 1052 / 21 | $7.015,33 | 1456 / 21 | $6.188,63 | 1450 / 25 |
Cellulitis W/O Mcc | 26 | 163 / 16 | $14.112,20 | 743 / 18 | $5.984,50 | 1527 / 24 | $4.757,62 | 1520 / 28 |
Red Blood Cell Disorders W/O Mcc | 26 | 117 / 5 | $19.757,00 | 882 / 13 | $5.669,73 | 1125 / 12 | $4.696,08 | 1117 / 13 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 26 | 105 / 7 | $40.026,00 | 331 / 4 | $13.434,50 | 608 / 5 | $12.717,80 | 600 / 8 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 17 | $43.370,20 | 778 / 20 | $12.132,00 | 966 / 18 | $10.952,20 | 953 / 20 |
Heart Failure & Shock W Cc | 23 | 255 / 21 | $19.065,10 | 1054 / 21 | $6.782,04 | 1421 / 25 | $5.676,91 | 1416 / 21 |
Alcohol/Drug Abuse Or Dependence, Left Ama | 22 | 27 / 1 | $7.106,09 | 47 / 1 | $3.725,41 | 31 / 1 | $2.908,05 | 30 / 1 |
G.I. Obstruction W Cc | 22 | 70 / 9 | $12.267,00 | 133 / 3 | $6.171,00 | 950 / 20 | $5.024,00 | 947 / 18 |
Renal Failure W Mcc | 20 | 175 / 19 | $36.429,10 | 1121 / 21 | $10.098,80 | 1120 / 18 | $9.182,30 | 1120 / 18 |
Syncope & Collapse | 20 | 149 / 11 | $19.280,90 | 789 / 14 | $5.258,30 | 1102 / 16 | $4.236,20 | 1095 / 17 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 19 | 104 / 11 | $22.187,50 | 473 / 13 | $7.640,42 | 723 / 14 | $6.695,21 | 720 / 14 |
Chronic Obstructive Pulmonary Disease W Cc | 18 | 161 / 17 | $19.623,80 | 958 / 20 | $6.267,72 | 1194 / 19 | $5.150,72 | 1190 / 16 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 18 | 102 / 9 | $13.144,50 | 567 / 11 | $5.188,00 | 1372 / 17 | $4.200,06 | 1361 / 18 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 18 | 143 / 16 | $12.423,50 | 262 / 4 | $5.522,50 | 1324 / 18 | $4.690,50 | 1319 / 20 |
G.I. Obstruction W/O Cc/Mcc | 17 | 54 / 9 | $8.211,59 | 62 / 1 | $4.658,06 | 776 / 12 | $3.391,35 | 773 / 13 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 13 | $9.817,18 | 335 / 11 | $4.269,53 | 1370 / 22 | $3.249,82 | 1365 / 22 |
Respiratory Infections & Inflammations W Mcc | 16 | 120 / 16 | $27.202,90 | 302 / 7 | $12.341,40 | 890 / 16 | $11.364,70 | 880 / 16 |
Signs & Symptoms W/O Mcc | 16 | 75 / 8 | $10.953,70 | 130 / 3 | $4.955,00 | 681 / 11 | $4.001,19 | 678 / 14 |
Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 16 | 41 / 5 | $37.351,10 | 111 / 2 | $13.135,80 | 302 / 6 | $11.966,10 | 301 / 6 |
Medical Back Problems W/O Mcc | 15 | 106 / 13 | $13.552,50 | 147 / 4 | $5.555,07 | 683 / 12 | $4.541,40 | 680 / 13 |
Major Cardiovasc Procedures W/O Mcc | 15 | 86 / 9 | $58.980,00 | 121 / 3 | $19.966,30 | 337 / 3 | $18.892,10 | 337 / 4 |
Cervical Spinal Fusion W/O Cc/Mcc | 14 | 90 / 6 | $45.460,90 | 277 / 3 | $14.036,90 | 300 / 3 | $11.609,90 | 299 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 12 | $87.334,20 | 327 / 9 | $29.958,20 | 429 / 4 | $28.873,40 | 426 / 6 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 14 | 57 / 6 | $93.682,60 | 206 / 1 | $29.956,10 | 238 / 1 | $28.375,60 | 238 / 1 |
Circulatory Disorders Except Ami, W Card Cath W Mcc | 14 | 79 / 5 | $44.510,80 | 232 / 2 | $12.354,60 | 281 / 1 | $11.422,00 | 276 / 2 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 15 | $16.385,30 | 871 / 20 | $5.028,92 | 1241 / 21 | $3.957,46 | 1235 / 23 |
Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 14 | $13.108,40 | 622 / 11 | $4.970,17 | 1168 / 17 | $3.917,17 | 1158 / 19 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 12 | 170 / 20 | $17.955,70 | 345 / 10 | $7.170,50 | 1186 / 20 | $6.112,83 | 1183 / 22 |
Pulmonary Embolism W/O Mcc | 12 | 62 / 13 | $17.728,90 | 271 / 9 | $6.438,42 | 557 / 11 | $5.286,42 | 554 / 13 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 8 | $22.502,90 | 377 / 10 | $7.459,73 | 679 / 7 | $7.266,00 | 677 / 11 |
Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 13 | $21.485,20 | 186 / 3 | $7.025,00 | 512 / 8 | $5.795,91 | 511 / 11 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 8 | $32.992,10 | 80 / 3 | $12.146,80 | 48 / 8 | $8.886,27 | 48 / 4 |
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 8 | $37.161,10 | 109 / 5 | $12.388,20 | 290 / 6 | $11.238,30 | 290 / 9 |
Transurethral Procedures W Cc | 11 | 30 / 3 | $23.848,50 | 54 / 4 | $8.657,27 | 32 / 4 | $6.010,27 | 32 / 2 | Total 53 procedures | 1.662 | 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.