Hospital Costs > In Colorado > Denver Health Medical Center, 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 Mcc | 18 | 107 / 4 | $43.947,00 | 962 / 4 | $21.113,20 | 1785 / 13 | $19.206,10 | 1772 / 13 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 20 | 7 / 1 | $43.885,80 | 89 / 2 | $20.591,40 | 134 / 3 | $18.405,50 | 134 / 3 |
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 16 | 108 / 4 | $21.225,10 | 516 / 2 | $12.686,80 | 827 / 10 | $11.113,40 | 826 / 10 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 11 | 112 / 17 | $22.237,80 | 476 / 1 | $16.632,70 | 1897 / 20 | $15.107,30 | 1894 / 20 |
Cellulitis W Mcc | 11 | 47 / 4 | $24.646,90 | 237 / 2 | $18.647,60 | 956 / 8 | $17.073,90 | 954 / 8 |
Cellulitis W/O Mcc | 17 | 172 / 18 | $18.715,30 | 1329 / 4 | $13.871,10 | 2622 / 29 | $12.214,40 | 2614 / 29 |
Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 20 | $18.892,70 | 634 / 3 | $16.124,60 | 2556 / 27 | $14.447,60 | 2548 / 27 |
Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 6 | $25.518,10 | 494 / 3 | $14.638,20 | 956 / 11 | $12.722,20 | 953 / 11 |
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 16 | 65 / 2 | $452.161,00 | 231 / 2 | $149.438,00 | 342 / 3 | $138.848,00 | 341 / 4 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 22 | 253 / 26 | $21.589,10 | 1568 / 8 | $12.741,80 | 2714 / 33 | $10.888,20 | 2699 / 33 |
G.I. Hemorrhage W Mcc | 11 | 110 / 14 | $47.996,60 | 947 / 7 | $20.926,50 | 1620 / 19 | $18.626,60 | 1610 / 19 |
Heart Failure & Shock W Mcc | 37 | 247 / 12 | $34.409,20 | 1363 / 7 | $19.935,20 | 2590 / 32 | $17.833,00 | 2579 / 32 |
Hip & Femur Procedures Except Major Joint W Cc | 17 | 126 / 19 | $66.812,00 | 1485 / 17 | $22.027,20 | 2019 / 33 | $20.060,10 | 1997 / 33 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 7 | $108.828,00 | 744 / 9 | $35.231,50 | 949 / 13 | $32.624,30 | 946 / 13 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 21 | 103 / 13 | $127.730,00 | 807 / 8 | $49.436,00 | 1412 / 23 | $45.905,90 | 1402 / 23 |
Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 23 | $24.221,20 | 1928 / 15 | $13.267,50 | 2702 / 32 | $11.766,80 | 2691 / 32 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 24 | 540 / 41 | $55.712,60 | 1535 / 15 | $23.705,00 | 2650 / 44 | $21.929,90 | 2604 / 44 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 12 | $34.916,10 | 1161 / 9 | $17.012,60 | 1723 / 23 | $14.714,60 | 1719 / 23 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 13 | 153 / 21 | $28.931,30 | 2095 / 21 | $13.345,00 | 2536 / 31 | $11.694,50 | 2527 / 31 |
Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 4 | $32.060,00 | 310 / 4 | $15.168,40 | 462 / 9 | $13.069,40 | 462 / 9 |
Nonspecific Cerebrovascular Disorders W Mcc | 12 | 39 / 5 | $67.041,80 | 331 / 4 | $22.664,30 | 401 / 6 | $19.173,60 | 401 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 12 | 88 / 9 | $84.444,60 | 332 / 1 | $32.099,00 | 970 / 13 | $29.950,90 | 965 / 13 |
Poisoning & Toxic Effects Of Drugs W Mcc | 26 | 46 / 2 | $30.339,00 | 359 / 2 | $18.264,20 | 965 / 14 | $16.349,00 | 962 / 14 |
Psychoses | 13 | 262 / 4 | $25.885,10 | 429 / 3 | $15.670,50 | 602 / 6 | $13.392,20 | 602 / 6 |
Pulmonary Edema & Respiratory Failure | 39 | 164 / 15 | $26.318,10 | 813 / 6 | $16.917,10 | 2216 / 36 | $15.246,90 | 2210 / 36 |
Renal Failure W Cc | 22 | 199 / 16 | $26.521,20 | 1521 / 10 | $14.890,50 | 2424 / 31 | $13.206,70 | 2414 / 31 |
Seizures W/O Mcc | 14 | 94 / 9 | $26.114,60 | 817 / 6 | $13.190,20 | 1305 / 11 | $11.385,40 | 1303 / 11 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 110 | 406 / 16 | $45.882,90 | 1616 / 16 | $22.088,20 | 2756 / 40 | $19.926,60 | 2711 / 40 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 28 | 179 / 17 | $32.230,90 | 1744 / 20 | $16.267,00 | 2560 / 36 | $14.480,40 | 2550 / 36 |
Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 23 | $25.841,00 | 754 / 5 | $18.542,50 | 2498 / 34 | $16.762,40 | 2492 / 34 |
Syncope & Collapse | 11 | 158 / 17 | $23.270,00 | 1123 / 5 | $12.938,80 | 1920 / 20 | $11.378,00 | 1912 / 20 | Total 31 procedures | 638 | 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.