Hospital Costs > In Indiana > Elkhart General 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 | 268 | 298 / 14 | $67.108,30 | 1916 / 56 | $16.738,70 | 667 / 70 | $10.576,20 | 658 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 246 | 270 / 15 | $42.152,30 | 1423 / 45 | $11.570,90 | 1197 / 40 | $10.475,50 | 1178 / 36 |
| Pulmonary Edema & Respiratory Failure | 151 | 56 / 3 | $28.819,10 | 965 / 37 | $7.984,87 | 898 / 42 | $6.806,70 | 898 / 36 |
| Heart Failure & Shock W Cc | 135 | 143 / 8 | $20.422,90 | 1228 / 38 | $6.171,74 | 818 / 39 | $5.155,47 | 817 / 29 |
| Heart Failure & Shock W Mcc | 106 | 178 / 18 | $31.426,90 | 1181 / 44 | $9.263,28 | 858 / 39 | $8.117,84 | 858 / 32 |
| Chronic Obstructive Pulmonary Disease W Mcc | 93 | 109 / 16 | $18.983,10 | 644 / 15 | $7.180,60 | 658 / 24 | $5.935,26 | 654 / 22 |
| Simple Pneumonia & Pleurisy W Cc | 83 | 120 / 13 | $18.883,20 | 1010 / 26 | $6.318,40 | 806 / 39 | $4.915,01 | 803 / 29 |
| Kidney & Urinary Tract Infections W/O Mcc | 82 | 151 / 10 | $17.401,60 | 1274 / 43 | $4.860,61 | 953 / 28 | $3.923,93 | 946 / 36 |
| Chronic Obstructive Pulmonary Disease W Cc | 81 | 98 / 12 | $18.880,50 | 884 / 31 | $5.813,68 | 824 / 26 | $4.818,83 | 821 / 27 |
| Simple Pneumonia & Pleurisy W Mcc | 74 | 131 / 20 | $30.541,50 | 1072 / 39 | $9.429,37 | 626 / 45 | $7.461,53 | 626 / 18 |
| G.I. Hemorrhage W Cc | 73 | 145 / 13 | $27.374,10 | 1393 / 45 | $6.342,88 | 1224 / 28 | $5.602,56 | 1222 / 42 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 66 | 209 / 19 | $17.389,00 | 1046 / 28 | $4.865,59 | 931 / 29 | $3.717,06 | 925 / 33 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 66 | 84 / 8 | $13.133,40 | 731 / 27 | $4.132,53 | 530 / 41 | $2.470,79 | 526 / 16 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 62 | 145 / 16 | $23.591,60 | 1127 / 36 | $6.537,53 | 665 / 21 | $5.366,31 | 663 / 24 |
| Renal Failure W Cc | 58 | 163 / 25 | $21.851,60 | 1166 / 40 | $6.020,71 | 515 / 27 | $4.773,34 | 511 / 14 |
| Kidney & Urinary Tract Infections W Mcc | 57 | 87 / 8 | $23.838,50 | 846 / 32 | $6.573,23 | 489 / 12 | $5.693,32 | 488 / 17 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 53 | 78 / 10 | $58.092,70 | 870 / 40 | $14.682,20 | 616 / 31 | $12.744,30 | 608 / 22 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 51 | 115 / 18 | $15.812,80 | 1063 / 38 | $4.643,10 | 886 / 39 | $3.564,73 | 883 / 35 |
| Heart Failure & Shock W/O Cc/Mcc | 51 | 59 / 8 | $14.446,60 | 786 / 25 | $4.267,25 | 649 / 20 | $3.429,73 | 647 / 23 |
| Cellulitis W/O Mcc | 49 | 140 / 19 | $16.523,30 | 1055 / 34 | $5.211,90 | 906 / 20 | $4.206,75 | 900 / 30 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 48 | 113 / 13 | $18.451,90 | 897 / 32 | $4.952,92 | 726 / 20 | $4.037,08 | 723 / 22 |
| Renal Failure W Mcc | 46 | 149 / 23 | $32.228,80 | 902 / 26 | $9.124,15 | 774 / 16 | $8.501,04 | 774 / 25 |
| Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 11 | $52.578,30 | 1140 / 39 | $11.401,40 | 675 / 19 | $10.394,10 | 672 / 22 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 45 | 151 / 18 | $66.896,50 | 616 / 20 | $13.604,70 | 607 / 23 | $10.961,70 | 603 / 24 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 45 | 143 / 20 | $30.279,80 | 531 / 19 | $7.322,42 | 586 / 28 | $5.569,22 | 584 / 29 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 42 | 78 / 15 | $13.479,20 | 605 / 16 | $4.832,45 | 423 / 35 | $3.253,64 | 422 / 15 |
| Red Blood Cell Disorders W/O Mcc | 37 | 106 / 14 | $19.078,00 | 814 / 22 | $5.591,30 | 476 / 34 | $3.959,86 | 475 / 12 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 35 | 41 / 2 | $118.896,00 | 219 / 5 | $34.462,20 | 184 / 12 | $24.638,50 | 184 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 35 | 88 / 17 | $27.231,30 | 801 / 28 | $9.626,03 | 496 / 46 | $6.372,00 | 493 / 21 |
| Transient Ischemia | 34 | 91 / 15 | $13.651,90 | 219 / 3 | $4.444,71 | 497 / 15 | $3.373,71 | 495 / 21 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 29 | $20.108,20 | 486 / 14 | $7.058,53 | 443 / 38 | $5.152,12 | 442 / 15 |
| Syncope & Collapse | 31 | 138 / 21 | $19.624,80 | 818 / 29 | $4.578,16 | 551 / 12 | $3.598,00 | 548 / 16 |
| Major Small & Large Bowel Procedures W Cc | 30 | 78 / 13 | $55.401,70 | 540 / 18 | $19.838,20 | 312 / 41 | $12.937,90 | 310 / 7 |
| Diabetes W Cc | 29 | 63 / 10 | $20.526,40 | 732 / 25 | $5.164,10 | 573 / 8 | $4.360,28 | 573 / 21 |
| Extracranial Procedures W/O Cc/Mcc | 29 | 69 / 11 | $30.270,10 | 454 / 17 | $8.193,55 | 103 / 27 | $4.673,28 | 103 / 2 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 28 | 88 / 5 | $187.171,00 | 188 / 7 | $60.237,00 | 240 / 10 | $51.563,20 | 240 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 28 | 97 / 16 | $34.438,40 | 597 / 16 | $10.651,90 | 428 / 24 | $8.836,89 | 428 / 11 |
| Disorders Of Pancreas Except Malignancy W Cc | 28 | 33 / 5 | $19.619,00 | 290 / 9 | $5.636,54 | 313 / 5 | $4.808,39 | 312 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 18 | $32.112,50 | 1055 / 36 | $6.953,67 | 638 / 16 | $6.267,52 | 635 / 23 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 27 | 141 / 21 | $34.549,30 | 509 / 20 | $9.671,19 | 234 / 5 | $8.581,96 | 233 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 16 | $18.442,00 | 465 / 14 | $5.001,31 | 525 / 24 | $3.665,85 | 521 / 25 |
| Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 25 | $197.066,00 | 1268 / 42 | $57.353,30 | 1346 / 42 | $43.234,50 | 1341 / 42 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 16 | $41.319,00 | 743 / 27 | $10.202,70 | 480 / 10 | $9.607,04 | 481 / 18 |
| G.I. Obstruction W Cc | 25 | 67 / 13 | $18.669,90 | 561 / 18 | $5.376,76 | 556 / 9 | $4.534,04 | 555 / 21 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 21 | $100.647,00 | 498 / 14 | $32.221,80 | 652 / 13 | $31.017,60 | 646 / 18 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 24 | 69 / 13 | $15.316,50 | 766 / 21 | $5.078,88 | 395 / 39 | $3.137,71 | 393 / 11 |
| Respiratory Infections & Inflammations W Mcc | 23 | 113 / 26 | $44.497,90 | 922 / 35 | $12.886,00 | 943 / 36 | $11.546,60 | 933 / 33 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 23 | 73 / 12 | $74.653,20 | 630 / 16 | $12.975,90 | 335 / 6 | $11.761,30 | 332 / 12 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 13 | $21.665,40 | 364 / 8 | $6.344,74 | 521 / 12 | $5.498,91 | 520 / 15 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 22 | 79 / 14 | $30.400,50 | 398 / 16 | $9.272,27 | 305 / 10 | $8.377,45 | 305 / 11 |
| Other Digestive System Diagnoses W Cc | 22 | 75 / 13 | $23.769,80 | 606 / 20 | $5.901,55 | 487 / 8 | $5.176,86 | 484 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 15 | $28.449,00 | 580 / 18 | $7.182,29 | 455 / 6 | $6.535,62 | 452 / 11 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 21 | 32 / 3 | $36.987,40 | 292 / 10 | $8.696,10 | 292 / 11 | $7.988,62 | 292 / 10 |
| Red Blood Cell Disorders W Mcc | 20 | 51 / 9 | $28.764,60 | 423 / 16 | $11.569,00 | 245 / 24 | $6.690,40 | 245 / 10 |
| Pulmonary Embolism W/O Mcc | 20 | 54 / 11 | $18.775,20 | 327 / 6 | $6.655,50 | 366 / 23 | $4.926,20 | 366 / 10 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 12 | $23.701,80 | 578 / 20 | $6.037,16 | 245 / 13 | $4.737,26 | 244 / 6 |
| Respiratory Infections & Inflammations W Cc | 19 | 69 / 13 | $28.910,70 | 646 / 23 | $7.934,32 | 334 / 13 | $7.033,53 | 331 / 11 |
| Medical Back Problems W/O Mcc | 18 | 103 / 18 | $21.172,10 | 614 / 18 | $6.036,94 | 344 / 27 | $4.023,72 | 344 / 13 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 19 | $99.853,80 | 485 / 19 | $23.011,20 | 686 / 25 | $21.858,30 | 682 / 30 |
| Diabetes W Mcc | 17 | 40 / 7 | $32.279,90 | 321 / 12 | $8.668,53 | 245 / 11 | $7.804,18 | 245 / 12 |
| Cellulitis W Mcc | 17 | 41 / 9 | $31.348,90 | 408 / 16 | $10.486,10 | 63 / 24 | $6.783,35 | 63 / 2 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 16 | 47 / 11 | $126.103,00 | 372 / 17 | $42.064,50 | 305 / 22 | $28.813,40 | 305 / 14 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 16 | 53 / 8 | $71.492,90 | 269 / 8 | $21.489,90 | 149 / 14 | $14.293,30 | 149 / 7 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 12 | $18.134,10 | 550 / 15 | $4.328,81 | 204 / 5 | $3.244,62 | 204 / 4 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 14 | $24.070,10 | 204 / 10 | $8.320,13 | 255 / 7 | $7.501,20 | 254 / 12 |
| Major Small & Large Bowel Procedures W Mcc | 15 | 70 / 20 | $93.959,50 | 328 / 13 | $28.310,50 | 302 / 6 | $27.478,90 | 300 / 7 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 15 | 73 / 14 | $106.435,00 | 294 / 10 | $23.309,90 | 324 / 6 | $22.162,10 | 323 / 11 |
| Nonspecific Cerebrovascular Disorders W Mcc | 14 | 37 / 7 | $24.838,50 | 63 / 3 | $9.024,71 | 58 / 2 | $8.405,29 | 58 / 2 |
| Nonspecific Cerebrovascular Disorders W Cc | 14 | 42 / 5 | $23.306,00 | 187 / 7 | $7.150,14 | 48 / 12 | $4.571,36 | 48 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 16 | $41.573,70 | 180 / 7 | $12.250,60 | 217 / 9 | $11.119,50 | 212 / 10 |
| Other Vascular Procedures W Cc | 13 | 89 / 22 | $54.811,20 | 275 / 9 | $15.835,50 | 149 / 11 | $13.057,50 | 149 / 5 |
| Seizures W/O Mcc | 13 | 95 / 16 | $14.052,00 | 213 / 7 | $4.786,08 | 356 / 11 | $3.853,38 | 354 / 14 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 13 | 105 / 12 | $150.828,00 | 290 / 11 | $41.374,30 | 290 / 14 | $33.180,20 | 290 / 10 |
| Respiratory Neoplasms W Mcc | 13 | 39 / 12 | $38.754,40 | 249 / 8 | $11.623,50 | 62 / 14 | $8.581,23 | 62 / 2 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 12 | 49 / 14 | $12.664,50 | 202 / 11 | $4.061,83 | 307 / 10 | $3.349,17 | 306 / 15 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 16 | $92.590,40 | 196 / 5 | $29.248,70 | 253 / 6 | $28.515,40 | 253 / 12 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 19 | $137.849,00 | 438 / 19 | $40.946,20 | 615 / 22 | $38.910,20 | 614 / 25 |
| Peripheral Vascular Disorders W Mcc | 12 | 37 / 10 | $27.226,90 | 152 / 7 | $8.274,08 | 182 / 4 | $7.552,50 | 182 / 8 |
| G.I. Hemorrhage W/O Cc/Mcc | 12 | 56 / 12 | $19.770,20 | 539 / 16 | $5.411,00 | 162 / 20 | $3.104,00 | 162 / 3 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 12 | 52 / 13 | $50.629,80 | 466 / 14 | $12.290,30 | 142 / 17 | $7.781,67 | 142 / 4 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 12 | 34 / 6 | $25.164,10 | 86 / 2 | $6.075,17 | 69 / 1 | $4.959,17 | 69 / 3 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 20 | $33.169,60 | 293 / 12 | $10.911,30 | 396 / 8 | $10.347,60 | 395 / 15 |
| Chest Pain | 11 | 140 / 26 | $19.973,50 | 921 / 33 | $3.930,18 | 693 / 15 | $3.129,91 | 688 / 22 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 5 | $122.067,00 | 271 / 7 | $34.902,60 | 142 / 9 | $25.208,50 | 142 / 6 |
| Other Vascular Procedures W/O Cc/Mcc | 11 | 45 / 12 | $47.718,90 | 268 / 6 | $11.097,60 | 297 / 9 | $9.884,18 | 296 / 10 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 11 | 58 / 5 | $220.355,00 | 101 / 4 | $63.191,70 | 143 / 6 | $61.944,80 | 143 / 7 |
| Bronchitis & Asthma W Cc/Mcc | 11 | 65 / 13 | $20.072,20 | 382 / 10 | $6.407,45 | 143 / 14 | $3.915,91 | 141 / 3 |
| G.I. Obstruction W/O Cc/Mcc | 11 | 60 / 19 | $14.792,20 | 515 / 20 | $3.942,55 | 656 / 12 | $3.168,18 | 654 / 26 | Total 88 procedures | 3.405 | 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.