Hospital Costs > In Idaho > Eastern Idaho Regional Medical Center, 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 | 95 | 469 / 10 | $62.311,40 | 1775 / 12 | $13.891,00 | 1393 / 5 | $11.798,40 | 1360 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 81 | 194 / 2 | $20.132,60 | 1408 / 6 | $5.902,88 | 1585 / 6 | $4.205,69 | 1572 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 74 | 442 / 9 | $62.169,80 | 2134 / 10 | $14.055,70 | 1436 / 9 | $10.916,20 | 1408 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 67 | 127 / 4 | $170.990,00 | 1200 / 10 | $30.111,70 | 863 / 6 | $24.697,00 | 859 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 67 | 166 / 2 | $16.792,70 | 1196 / 7 | $5.532,76 | 1503 / 5 | $4.355,54 | 1492 / 2 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 63 | 133 / 2 | $80.977,00 | 886 / 7 | $14.360,60 | 578 / 5 | $10.876,70 | 574 / 2 |
| Simple Pneumonia & Pleurisy W Cc | 59 | 144 / 2 | $26.141,60 | 1712 / 8 | $7.418,22 | 1417 / 6 | $5.435,37 | 1411 / 1 |
| G.I. Hemorrhage W Cc | 56 | 162 / 3 | $22.513,50 | 986 / 6 | $7.649,71 | 1417 / 7 | $5.841,05 | 1414 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 53 | 135 / 1 | $38.868,50 | 913 / 7 | $7.847,06 | 752 / 5 | $5.816,64 | 750 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 51 | 154 / 4 | $29.331,40 | 994 / 5 | $9.125,75 | 1223 / 4 | $8.177,67 | 1223 / 4 |
| Renal Failure W Cc | 50 | 171 / 4 | $23.622,40 | 1321 / 10 | $6.796,90 | 1304 / 6 | $5.498,96 | 1296 / 3 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 6 | $35.158,50 | 1868 / 10 | $7.251,02 | 1514 / 4 | $6.275,28 | 1508 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 44 | 138 / 4 | $25.749,60 | 841 / 7 | $6.946,59 | 1064 / 2 | $5.929,14 | 1061 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 43 | 50 / 1 | $21.010,30 | 1261 / 5 | $5.344,21 | 1101 / 4 | $3.784,74 | 1095 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 42 | 124 / 3 | $13.537,60 | 762 / 3 | $5.340,95 | 1055 / 5 | $3.685,79 | 1052 / 3 |
| Pulmonary Edema & Respiratory Failure | 39 | 164 / 5 | $30.989,90 | 1096 / 8 | $8.052,51 | 1058 / 4 | $7.032,13 | 1056 / 5 |
| Cellulitis W/O Mcc | 36 | 153 / 3 | $26.401,10 | 1957 / 6 | $6.865,64 | 1360 / 5 | $4.585,00 | 1354 / 3 |
| Chronic Obstructive Pulmonary Disease W Mcc | 33 | 169 / 3 | $34.123,00 | 1697 / 7 | $8.460,39 | 1155 / 5 | $6.405,15 | 1149 / 3 |
| Renal Failure W Mcc | 32 | 163 / 5 | $43.201,90 | 1391 / 8 | $11.131,80 | 1402 / 5 | $9.946,47 | 1402 / 5 |
| Transurethral Prostatectomy W/O Cc/Mcc | 32 | 5 / 1 | $14.194,90 | 9 / 1 | $6.269,53 | 48 / 1 | $4.061,41 | 48 / 1 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 31 | 41 / 4 | $36.011,70 | 493 / 7 | $9.264,23 | 447 / 5 | $8.328,97 | 446 / 5 |
| Heart Failure & Shock W Mcc | 31 | 253 / 7 | $39.530,80 | 1630 / 9 | $9.988,39 | 1534 / 6 | $9.128,52 | 1530 / 6 |
| Heart Failure & Shock W Cc | 31 | 247 / 7 | $28.343,80 | 1874 / 9 | $6.757,48 | 1686 / 5 | $5.978,13 | 1681 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 30 | 113 / 4 | $52.516,70 | 1132 / 8 | $12.657,00 | 919 / 5 | $10.830,40 | 906 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 4 | $82.765,60 | 1337 / 7 | $19.142,50 | 1140 / 6 | $14.788,60 | 1127 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 27 | 77 / 5 | $65.176,70 | 527 / 7 | $14.220,90 | 337 / 3 | $11.807,80 | 336 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 3 | $21.637,80 | 691 / 5 | $5.412,96 | 1000 / 2 | $4.340,37 | 996 / 4 |
| Pulmonary Embolism W/O Mcc | 27 | 47 / 2 | $23.015,20 | 551 / 7 | $6.985,44 | 604 / 3 | $5.374,48 | 601 / 3 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 26 | 35 / 1 | $17.359,70 | 416 / 5 | $4.888,77 | 442 / 3 | $3.693,92 | 441 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 4 | $47.529,50 | 907 / 6 | $12.889,80 | 760 / 3 | $10.070,20 | 759 / 2 |
| Syncope & Collapse | 24 | 145 / 3 | $16.364,90 | 518 / 5 | $5.220,54 | 1066 / 4 | $4.163,21 | 1059 / 3 |
| Medical Back Problems W/O Mcc | 24 | 97 / 2 | $18.613,20 | 429 / 4 | $6.018,67 | 792 / 3 | $4.731,67 | 789 / 3 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 23 | 33 / 2 | $40.078,00 | 411 / 4 | $10.391,10 | 513 / 2 | $9.344,87 | 511 / 2 |
| Chronic Obstructive Pulmonary Disease W Cc | 22 | 157 / 3 | $17.997,90 | 807 / 2 | $6.391,68 | 1381 / 2 | $5.347,32 | 1376 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 22 | 74 / 1 | $27.645,90 | 552 / 4 | $11.479,10 | 597 / 4 | $6.861,95 | 592 / 4 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 4 | $166.432,00 | 899 / 7 | $33.801,30 | 765 / 3 | $33.091,40 | 763 / 4 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 5 | $70.088,90 | 860 / 7 | $17.408,00 | 710 / 3 | $14.395,70 | 704 / 1 |
| G.I. Obstruction W Cc | 21 | 71 / 3 | $20.932,50 | 720 / 6 | $9.806,86 | 699 / 7 | $4.695,24 | 698 / 1 |
| Signs & Symptoms W/O Mcc | 20 | 71 / 2 | $20.175,70 | 665 / 4 | $4.985,05 | 769 / 2 | $4.197,85 | 766 / 3 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 3 | $18.683,80 | 918 / 7 | $5.912,75 | 1164 / 7 | $4.460,90 | 1160 / 3 |
| Permanent Cardiac Pacemaker Implant W Cc | 18 | 59 / 1 | $79.817,30 | 621 / 3 | $16.325,90 | 436 / 1 | $15.449,50 | 435 / 1 |
| G.I. Obstruction W/O Cc/Mcc | 18 | 53 / 3 | $13.507,50 | 407 / 5 | $4.544,83 | 817 / 3 | $3.479,94 | 814 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 18 | 132 / 3 | $16.398,60 | 1142 / 6 | $4.242,44 | 1405 / 4 | $3.298,44 | 1399 / 5 |
| G.I. Hemorrhage W Mcc | 17 | 104 / 4 | $43.406,80 | 821 / 6 | $11.054,60 | 753 / 2 | $10.416,50 | 751 / 2 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 3 | $188.108,00 | 472 / 4 | $38.694,80 | 151 / 4 | $24.212,20 | 151 / 1 |
| Transient Ischemia | 17 | 108 / 3 | $17.039,60 | 419 / 5 | $5.059,88 | 968 / 4 | $3.992,59 | 963 / 4 |
| Diabetes W Cc | 16 | 76 / 2 | $17.820,60 | 543 / 2 | $6.140,19 | 776 / 2 | $4.661,81 | 773 / 2 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 2 | $15.120,60 | 292 / 3 | $5.451,44 | 454 / 3 | $3.828,62 | 454 / 2 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 3 | $14.825,20 | 758 / 3 | $5.164,44 | 1267 / 2 | $4.028,44 | 1257 / 2 |
| Hypertension W/O Mcc | 16 | 49 / 1 | $19.654,10 | 403 / 1 | $4.625,00 | 394 / 1 | $3.419,00 | 392 / 1 |
| Chest Pain | 16 | 135 / 2 | $16.200,90 | 604 / 5 | $5.050,56 | 737 / 4 | $3.190,06 | 732 / 2 |
| Transurethral Prostatectomy W Cc/Mcc | 15 | 9 / 1 | $20.722,70 | 6 / 1 | $8.978,13 | 22 / 1 | $8.090,67 | 22 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 6 | $16.262,70 | 205 / 1 | $7.427,93 | 737 / 1 | $6.465,80 | 734 / 2 |
| Seizures W/O Mcc | 15 | 93 / 3 | $19.051,10 | 505 / 5 | $5.348,80 | 616 / 4 | $4.307,73 | 613 / 3 |
| Other Digestive System Diagnoses W Cc | 15 | 82 / 4 | $18.635,30 | 330 / 3 | $6.592,47 | 854 / 2 | $5.952,47 | 850 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc | 15 | 32 / 1 | $37.419,20 | 270 / 3 | $8.761,13 | 288 / 2 | $6.572,13 | 288 / 1 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 4 | $45.467,30 | 638 / 4 | $13.121,90 | 381 / 2 | $10.296,30 | 380 / 1 |
| Disorders Of Pancreas Except Malignancy W Cc | 14 | 47 / 2 | $25.903,10 | 506 / 4 | $7.189,93 | 292 / 3 | $4.728,00 | 291 / 1 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 14 | 74 / 4 | $136.932,00 | 429 / 4 | $22.762,90 | 304 / 1 | $21.732,10 | 303 / 2 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 4 | $41.296,70 | 485 / 4 | $7.940,14 | 331 / 2 | $5.717,07 | 330 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 7 | $36.017,70 | 1193 / 8 | $9.830,07 | 1527 / 8 | $8.790,07 | 1524 / 7 |
| Heart Failure & Shock W/O Cc/Mcc | 14 | 96 / 3 | $26.151,40 | 1598 / 5 | $4.938,29 | 996 / 3 | $3.729,14 | 988 / 1 |
| Diabetes W Mcc | 14 | 43 / 2 | $26.400,10 | 206 / 1 | $8.688,36 | 287 / 1 | $8.041,50 | 287 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 6 | $181.230,00 | 1181 / 8 | $56.453,70 | 1123 / 8 | $37.394,40 | 1115 / 6 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 2 | $228.759,00 | 822 / 2 | $51.294,50 | 569 / 2 | $33.954,70 | 568 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 13 | 60 / 3 | $30.292,20 | 655 / 3 | $8.172,46 | 280 / 2 | $6.095,15 | 279 / 1 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 4 | $113.210,00 | 699 / 7 | $20.727,90 | 429 / 2 | $19.699,20 | 429 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 4 | $28.884,40 | 1130 / 4 | $7.358,08 | 975 / 3 | $6.334,08 | 972 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 3 | $34.128,60 | 884 / 4 | $7.119,85 | 748 / 1 | $5.999,85 | 746 / 2 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 13 | 57 / 1 | $15.685,20 | 100 / 1 | $6.379,23 | 287 / 1 | $5.914,00 | 287 / 1 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 7 | $33.707,80 | 545 / 5 | $12.400,90 | 1001 / 4 | $11.694,20 | 988 / 3 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 5 | $19.616,30 | 478 / 4 | $4.990,42 | 361 / 3 | $3.977,08 | 361 / 4 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 4 | $45.644,30 | 1070 / 4 | $10.610,50 | 589 / 3 | $7.533,25 | 586 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 5 | $45.136,60 | 995 / 6 | $11.200,70 | 1027 / 5 | $10.398,00 | 1024 / 5 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 3 | $73.074,90 | 533 / 4 | $17.369,90 | 212 / 4 | $11.405,80 | 211 / 1 |
| Pneumothorax W Cc | 11 | 14 / 1 | $25.856,30 | 33 / 1 | $7.399,27 | 30 / 1 | $5.138,64 | 30 / 1 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 11 | 45 / 3 | $64.369,40 | 612 / 4 | $10.531,90 | 474 / 1 | $9.426,45 | 472 / 3 |
| Cervical Spinal Fusion W Cc | 11 | 42 / 3 | $89.295,60 | 259 / 3 | $18.782,30 | 124 / 2 | $15.687,90 | 123 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 11 | 89 / 6 | $134.736,00 | 750 / 7 | $25.332,10 | 515 / 5 | $19.774,10 | 511 / 3 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 3 | $39.630,50 | 218 / 3 | $13.104,20 | 55 / 3 | $6.835,55 | 55 / 1 |
| Craniotomy & Endovascular Intracranial Procedures W/O Cc/Mcc | 11 | 63 / 3 | $60.231,80 | 105 / 3 | $15.903,80 | 37 / 3 | $11.886,20 | 37 / 1 |
| Red Blood Cell Disorders W/O Mcc | 11 | 132 / 3 | $15.970,40 | 535 / 1 | $5.650,36 | 1184 / 2 | $4.771,82 | 1176 / 2 |
| Pleural Effusion W Cc | 11 | 17 / 1 | $27.093,50 | 42 / 1 | $7.018,64 | 25 / 1 | $5.785,45 | 25 / 1 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 2 | $27.044,50 | 510 / 4 | $5.389,91 | 526 / 3 | $4.397,91 | 522 / 2 | Total 84 procedures | 2.177 | 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.