Hospital Costs > In Indiana > Dupont Hospital Llc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 30 | 486 / 59 | $61.792,50 | 2123 / 66 | $12.864,80 | 1879 / 61 | $11.975,20 | 1844 / 65 |
| Simple Pneumonia & Pleurisy W Cc | 22 | 181 / 41 | $37.735,30 | 2269 / 72 | $7.455,68 | 2080 / 68 | $6.328,86 | 2072 / 70 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 22 | 542 / 63 | $73.586,20 | 2085 / 62 | $14.922,00 | 1048 / 60 | $11.145,60 | 1025 / 36 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 43 | $26.926,20 | 1998 / 67 | $6.635,81 | 1753 / 68 | $4.406,62 | 1740 / 63 |
| Heart Failure & Shock W Cc | 16 | 262 / 53 | $22.666,60 | 1455 / 52 | $7.574,25 | 2187 / 68 | $6.968,25 | 2181 / 71 |
| Kidney & Urinary Tract Infections W/O Mcc | 16 | 217 / 51 | $24.977,20 | 1975 / 69 | $6.374,94 | 2210 / 69 | $5.466,94 | 2199 / 70 |
| Cellulitis W/O Mcc | 16 | 173 / 38 | $37.889,60 | 2363 / 72 | $7.022,50 | 2123 / 69 | $5.867,94 | 2115 / 70 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 45 | $26.939,90 | 1419 / 50 | $8.041,00 | 1957 / 62 | $7.172,43 | 1949 / 64 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 47 | $31.214,70 | 1781 / 66 | $7.251,92 | 1942 / 64 | $6.508,54 | 1935 / 65 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 35 | $22.165,10 | 1418 / 57 | $6.071,92 | 1809 / 60 | $5.367,92 | 1798 / 61 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 33 | $14.880,50 | 839 / 31 | $5.856,55 | 1617 / 54 | $4.762,73 | 1604 / 54 | Total 11 procedures | 188 | 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.