Hospital Costs > In Indiana > Dekalb Health, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 30 | 173 / 36 | $21.962,80 | 1345 / 48 | $7.080,90 | 1520 / 60 | $5.535,27 | 1514 / 56 |
| Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 39 | $15.015,40 | 938 / 28 | $5.853,14 | 1498 / 63 | $4.348,59 | 1487 / 55 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 28 | 536 / 59 | $49.785,50 | 1277 / 33 | $13.753,30 | 1729 / 42 | $12.628,70 | 1689 / 64 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 26 | 67 / 12 | $16.547,20 | 888 / 31 | $5.156,62 | 1277 / 42 | $4.010,58 | 1270 / 45 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 31 | $13.005,20 | 676 / 16 | $5.089,38 | 1768 / 53 | $4.417,38 | 1763 / 60 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 37 | $13.117,50 | 521 / 7 | $5.672,29 | 1589 / 57 | $4.208,12 | 1576 / 56 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 25 | $15.924,60 | 896 / 36 | $5.121,96 | 1329 / 44 | $4.119,29 | 1318 / 52 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 38 | $20.560,90 | 832 / 23 | $7.140,68 | 1214 / 47 | $5.895,36 | 1209 / 48 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 16 | 22 / 6 | $7.484,12 | 17 / 1 | $4.759,00 | 365 / 6 | $4.457,00 | 364 / 9 |
| Heart Failure & Shock W Cc | 16 | 262 / 53 | $15.932,40 | 681 / 16 | $5.961,00 | 778 / 21 | $5.127,00 | 777 / 27 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 45 | $18.609,80 | 855 / 28 | $6.394,12 | 1665 / 51 | $5.792,12 | 1658 / 61 |
| Cellulitis W/O Mcc | 15 | 174 / 39 | $15.901,20 | 983 / 32 | $6.106,93 | 1350 / 60 | $4.577,80 | 1344 / 54 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 30 | $16.244,80 | 986 / 40 | $4.930,43 | 1352 / 45 | $4.153,29 | 1341 / 48 |
| Chest Pain | 13 | 138 / 24 | $11.487,80 | 222 / 5 | $4.492,77 | 1104 / 30 | $3.749,38 | 1097 / 35 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 31 | $14.634,60 | 417 / 9 | $5.692,15 | 1048 / 37 | $4.579,54 | 1041 / 35 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 19 | $9.797,82 | 124 / 3 | $4.530,36 | 849 / 25 | $3.538,36 | 846 / 29 | Total 16 procedures | 323 | 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.