Hospital Costs > In Indiana > Dearborn County Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 14 | 77 / 20 | $15.889,60 | 140 / 2 | $5.718,93 | 201 / 3 | $4.944,07 | 201 / 6 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 18 | $24.808,30 | 287 / 8 | $9.634,78 | 503 / 8 | $9.003,13 | 502 / 14 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 21 | 103 / 10 | $5.651,29 | 31 / 1 | $4.249,29 | 115 / 3 | $3.274,05 | 115 / 5 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 24 | $12.553,00 | 278 / 4 | $4.778,42 | 623 / 10 | $3.941,50 | 620 / 18 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 12 | 111 / 36 | $21.150,70 | 399 / 13 | $7.146,25 | 550 / 10 | $6.439,58 | 547 / 26 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 19 | 131 / 32 | $8.879,53 | 222 / 4 | $3.525,63 | 678 / 13 | $2.572,37 | 674 / 27 |
Cellulitis W/O Mcc | 33 | 156 / 29 | $10.004,10 | 244 / 3 | $5.010,21 | 657 / 10 | $4.016,79 | 654 / 23 |
Chest Pain | 23 | 128 / 15 | $12.867,70 | 301 / 10 | $3.792,35 | 330 / 8 | $2.727,65 | 329 / 10 |
Chronic Obstructive Pulmonary Disease W Cc | 62 | 117 / 16 | $12.056,20 | 238 / 2 | $5.509,56 | 561 / 8 | $4.603,39 | 559 / 20 |
Chronic Obstructive Pulmonary Disease W Mcc | 34 | 168 / 42 | $20.320,50 | 750 / 20 | $7.417,88 | 1173 / 36 | $6.423,50 | 1167 / 46 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 27 | $8.509,91 | 120 / 1 | $4.570,86 | 336 / 19 | $3.171,55 | 336 / 12 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 37 | $25.446,80 | 300 / 6 | $6.326,92 | 341 / 6 | $5.211,85 | 341 / 14 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 38 | 237 / 27 | $10.846,90 | 275 / 2 | $4.633,97 | 648 / 10 | $3.526,63 | 644 / 21 |
G.I. Hemorrhage W Cc | 27 | 191 / 34 | $17.076,60 | 489 / 7 | $5.914,59 | 672 / 7 | $5.063,63 | 671 / 18 |
G.I. Hemorrhage W Mcc | 13 | 108 / 22 | $37.751,50 | 614 / 23 | $11.370,80 | 800 / 28 | $10.541,20 | 797 / 33 |
Heart Failure & Shock W Cc | 35 | 243 / 42 | $13.199,90 | 385 / 6 | $5.825,69 | 1023 / 14 | $5.307,29 | 1021 / 39 |
Heart Failure & Shock W Mcc | 61 | 223 / 32 | $20.951,60 | 475 / 9 | $8.507,48 | 676 / 7 | $7.893,71 | 676 / 19 |
Hip & Femur Procedures Except Major Joint W Cc | 24 | 119 / 25 | $31.141,50 | 264 / 3 | $11.240,30 | 536 / 14 | $10.132,30 | 535 / 18 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 24 | 158 / 34 | $20.160,10 | 490 / 15 | $6.375,92 | 773 / 13 | $5.517,25 | 771 / 35 |
Kidney & Urinary Tract Infections W Mcc | 14 | 130 / 36 | $15.679,40 | 291 / 5 | $6.356,29 | 230 / 5 | $5.316,29 | 230 / 8 |
Kidney & Urinary Tract Infections W/O Mcc | 43 | 190 / 30 | $11.068,30 | 399 / 4 | $4.690,40 | 715 / 13 | $3.764,63 | 711 / 21 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 75 | 489 / 47 | $34.306,90 | 413 / 4 | $12.416,80 | 999 / 10 | $11.050,30 | 979 / 35 |
Medical Back Problems W/O Mcc | 15 | 106 / 21 | $14.382,30 | 190 / 3 | $5.155,27 | 466 / 10 | $4.186,73 | 466 / 18 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 36 | 130 / 26 | $10.241,10 | 335 / 5 | $4.305,69 | 321 / 14 | $3.160,81 | 321 / 8 |
Other Circulatory System Diagnoses W Mcc | 14 | 102 / 19 | $25.626,00 | 126 / 3 | $10.761,10 | 186 / 6 | $9.546,57 | 186 / 5 |
Other Digestive System Diagnoses W Cc | 11 | 86 / 20 | $15.115,90 | 157 / 4 | $5.742,64 | 190 / 5 | $4.645,91 | 188 / 4 |
Poisoning & Toxic Effects Of Drugs W/O Mcc | 26 | 35 / 3 | $10.494,50 | 119 / 4 | $3.937,12 | 221 / 4 | $3.166,65 | 220 / 9 |
Pulmonary Edema & Respiratory Failure | 93 | 110 / 13 | $18.890,80 | 333 / 9 | $7.378,43 | 586 / 13 | $6.436,44 | 586 / 18 |
Pulmonary Embolism W/O Mcc | 11 | 63 / 19 | $17.878,40 | 284 / 5 | $5.616,45 | 273 / 4 | $4.743,73 | 273 / 7 |
Red Blood Cell Disorders W/O Mcc | 13 | 130 / 31 | $12.760,00 | 263 / 4 | $4.801,00 | 835 / 6 | $4.335,77 | 830 / 27 |
Renal Failure W Cc | 46 | 175 / 31 | $13.773,40 | 363 / 9 | $5.623,50 | 494 / 5 | $4.757,41 | 490 / 13 |
Renal Failure W Mcc | 26 | 169 / 30 | $15.435,70 | 78 / 3 | $8.570,88 | 357 / 4 | $7.840,12 | 357 / 8 |
Respiratory Infections & Inflammations W Cc | 11 | 77 / 21 | $19.272,70 | 236 / 3 | $7.553,18 | 371 / 6 | $7.113,91 | 368 / 14 |
Respiratory Infections & Inflammations W Mcc | 30 | 106 / 19 | $24.084,20 | 201 / 4 | $10.622,70 | 182 / 4 | $9.681,10 | 182 / 4 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 11 | 81 / 20 | $79.266,10 | 83 / 1 | $34.380,20 | 345 / 6 | $33.885,60 | 344 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 107 | 409 / 38 | $23.967,00 | 480 / 11 | $10.595,70 | 777 / 12 | $9.883,36 | 776 / 24 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 29 | $14.881,20 | 340 / 3 | $6.123,49 | 436 / 6 | $5.134,24 | 434 / 10 |
Simple Pneumonia & Pleurisy W Cc | 21 | 182 / 42 | $15.279,00 | 592 / 9 | $5.876,71 | 655 / 16 | $4.779,57 | 652 / 19 |
Simple Pneumonia & Pleurisy W Mcc | 34 | 171 / 39 | $17.440,60 | 234 / 4 | $8.412,82 | 687 / 14 | $7.545,06 | 687 / 23 |
Syncope & Collapse | 15 | 154 / 33 | $12.412,70 | 221 / 3 | $4.470,80 | 531 / 7 | $3.583,33 | 529 / 14 |
Transient Ischemia | 12 | 113 / 27 | $15.886,80 | 349 / 10 | $4.318,75 | 444 / 8 | $3.308,08 | 443 / 16 | Total 41 procedures | 1.225 | 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.