Hospital Costs > In Minnesota > District One Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 78 | 486 / 35 | $29.192,10 | 193 / 6 | $16.500,90 | 2242 / 33 | $14.913,50 | 2198 / 39 |
| Heart Failure & Shock W Cc | 28 | 250 / 26 | $13.026,60 | 372 / 4 | $7.941,32 | 2271 / 38 | $7.207,61 | 2265 / 39 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 25 | 491 / 32 | $16.878,70 | 130 / 2 | $14.323,20 | 2279 / 33 | $13.559,00 | 2238 / 35 |
| Simple Pneumonia & Pleurisy W Cc | 24 | 179 / 24 | $11.759,40 | 237 / 2 | $7.855,17 | 2162 / 39 | $6.518,96 | 2154 / 36 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 26 | $15.373,00 | 380 / 10 | $8.451,76 | 2070 / 36 | $7.529,86 | 2062 / 39 |
| Cellulitis W/O Mcc | 19 | 170 / 24 | $10.482,10 | 297 / 3 | $6.952,32 | 2172 / 30 | $6.000,74 | 2164 / 34 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 33 | $11.092,70 | 298 / 2 | $6.265,44 | 2245 / 36 | $5.361,44 | 2230 / 40 |
| Hip & Femur Procedures Except Major Joint W Cc | 14 | 129 / 25 | $26.395,20 | 110 / 2 | $14.695,10 | 1539 / 23 | $12.997,10 | 1521 / 26 |
| Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 20 | $11.392,60 | 177 / 2 | $7.592,64 | 1986 / 29 | $6.637,21 | 1979 / 30 |
| Kidney & Urinary Tract Infections W/O Mcc | 12 | 221 / 31 | $11.134,10 | 412 / 9 | $6.271,75 | 2271 / 34 | $5.666,42 | 2260 / 37 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 19 | $9.529,64 | 87 / 1 | $6.669,82 | 1528 / 23 | $5.567,27 | 1519 / 23 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 12 | $9.697,00 | 210 / 4 | $6.077,00 | 1794 / 21 | $5.309,00 | 1783 / 22 | Total 12 procedures | 273 | 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.