Hospital Costs > In Minnesota > Douglas County Hospital, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 19 | 44 / 2 | $50.390,80 | 41 / 5 | $22.548,70 | 165 / 2 | $21.341,20 | 164 / 3 |
| Cellulitis W/O Mcc | 18 | 171 / 25 | $19.180,30 | 1394 / 35 | $6.603,44 | 847 / 25 | $4.161,00 | 841 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 12 | 167 / 21 | $23.544,60 | 1349 / 33 | $6.000,67 | 1038 / 4 | $4.992,67 | 1035 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 16 | $21.286,30 | 838 / 25 | $7.583,79 | 1160 / 7 | $6.407,15 | 1154 / 9 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 20 | 26 / 3 | $77.278,20 | 3 / 1 | $51.356,40 | 58 / 1 | $50.269,90 | 58 / 3 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 21 | 26 / 1 | $74.410,70 | 9 / 1 | $40.272,80 | 67 / 1 | $39.117,70 | 67 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 25 | 250 / 27 | $18.546,40 | 1220 / 38 | $4.752,76 | 1048 / 4 | $3.787,64 | 1040 / 7 |
| G.I. Hemorrhage W Cc | 27 | 191 / 21 | $18.377,30 | 596 / 20 | $6.432,41 | 1083 / 8 | $5.446,33 | 1081 / 7 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 10 | $15.428,30 | 557 / 16 | $3.891,33 | 390 / 2 | $2.817,56 | 389 / 3 |
| Heart Failure & Shock W Cc | 39 | 239 / 22 | $18.589,60 | 1004 / 26 | $6.356,95 | 1518 / 7 | $5.799,82 | 1513 / 14 |
| Heart Failure & Shock W Mcc | 42 | 242 / 22 | $25.639,90 | 792 / 22 | $9.610,62 | 1400 / 8 | $8.866,24 | 1396 / 11 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 21 | $15.884,30 | 943 / 21 | $4.321,00 | 659 / 2 | $3.442,45 | 657 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 28 | 115 / 18 | $36.578,20 | 473 / 18 | $12.636,60 | 1228 / 6 | $11.734,90 | 1213 / 16 |
| Hip & Femur Procedures Except Major Joint W Mcc | 16 | 46 / 9 | $44.936,60 | 92 / 5 | $19.580,80 | 525 / 9 | $18.518,80 | 522 / 11 |
| Kidney & Urinary Tract Infections W Mcc | 12 | 132 / 16 | $18.593,50 | 475 / 5 | $7.224,42 | 963 / 3 | $6.323,08 | 960 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 29 | 204 / 22 | $16.245,40 | 1112 / 26 | $4.941,59 | 1104 / 5 | $4.023,52 | 1096 / 7 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 17 | 48 / 12 | $53.176,70 | 156 / 5 | $21.817,20 | 620 / 12 | $20.896,70 | 617 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 276 | 291 / 17 | $37.390,90 | 607 / 24 | $14.401,10 | 1576 / 12 | $12.257,10 | 1540 / 12 |
| Major Small & Large Bowel Procedures W Cc | 17 | 91 / 19 | $48.110,10 | 358 / 10 | $16.981,00 | 740 / 10 | $14.509,80 | 732 / 6 |
| Major Small & Large Bowel Procedures W Mcc | 13 | 72 / 11 | $72.520,20 | 141 / 3 | $32.784,20 | 684 / 3 | $32.045,80 | 682 / 8 |
| Pulmonary Edema & Respiratory Failure | 20 | 183 / 22 | $24.643,60 | 707 / 15 | $7.798,40 | 1219 / 3 | $7.256,00 | 1217 / 6 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 16 | $15.616,60 | 507 / 8 | $5.130,20 | 672 / 2 | $4.159,53 | 668 / 3 |
| Renal Failure W Cc | 19 | 202 / 22 | $14.455,00 | 416 / 12 | $6.175,26 | 1388 / 7 | $5.602,63 | 1379 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 105 | 411 / 19 | $29.856,10 | 773 / 22 | $12.186,30 | 1573 / 14 | $11.158,30 | 1541 / 18 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 48 | 159 / 14 | $23.252,10 | 1096 / 36 | $6.881,73 | 1414 / 7 | $6.127,06 | 1409 / 17 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 14 | $13.836,50 | 265 / 5 | $4.427,91 | 553 / 2 | $3.770,45 | 552 / 4 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 26 | $19.020,90 | 1032 / 38 | $6.267,14 | 1276 / 6 | $5.279,50 | 1272 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 24 | $26.159,50 | 781 / 18 | $9.477,25 | 1123 / 11 | $8.021,75 | 1123 / 8 |
| Spinal Fus Exc Cerv W Spinal Curv/Malig/Infec Or 9+ Fus W Cc | 11 | 29 / 3 | $78.404,30 | 7 / 1 | $43.665,60 | 35 / 1 | $42.676,50 | 35 / 1 |
| Spinal Fusion Except Cervical W/O Mcc | 42 | 152 / 9 | $58.726,50 | 200 / 5 | $25.805,00 | 853 / 5 | $24.624,80 | 849 / 13 | Total 30 procedures | 1.010 | 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.