Hospital Costs > In Indiana > Eskenazi Health, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 38 | 53 / 5 | $22.419,70 | 394 / 10 | $11.999,20 | 1383 / 33 | $10.361,30 | 1381 / 33 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 71 | 54 / 3 | $31.200,50 | 485 / 13 | $17.804,20 | 1727 / 48 | $16.407,90 | 1714 / 48 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 11 | $25.631,70 | 475 / 14 | $9.761,91 | 840 / 20 | $8.436,45 | 836 / 20 |
| Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc | 14 | 16 / 2 | $41.805,90 | 63 / 3 | $19.385,70 | 190 / 6 | $17.900,60 | 189 / 6 |
| Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 5 | $11.932,90 | 74 / 2 | $8.652,45 | 366 / 7 | $7.514,45 | 366 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 24 | $14.877,70 | 502 / 11 | $9.880,54 | 2099 / 55 | $8.634,15 | 2094 / 55 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 17 | 106 / 32 | $30.907,50 | 1002 / 37 | $13.914,20 | 1854 / 52 | $12.577,70 | 1851 / 52 |
| Cellulitis W Mcc | 12 | 46 / 13 | $35.623,80 | 500 / 22 | $18.714,20 | 959 / 27 | $17.307,20 | 957 / 27 |
| Cellulitis W/O Mcc | 36 | 153 / 27 | $12.397,40 | 522 / 11 | $10.115,00 | 2541 / 72 | $8.741,72 | 2533 / 72 |
| Chest Pain | 24 | 127 / 14 | $10.101,20 | 151 / 2 | $8.233,38 | 1639 / 41 | $7.243,50 | 1630 / 41 |
| Chronic Obstructive Pulmonary Disease W Cc | 57 | 122 / 20 | $15.725,90 | 580 / 16 | $10.642,90 | 2368 / 68 | $9.670,32 | 2361 / 68 |
| Chronic Obstructive Pulmonary Disease W Mcc | 35 | 167 / 41 | $17.828,00 | 555 / 13 | $12.768,70 | 2502 / 70 | $11.779,80 | 2494 / 70 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 31 | 89 / 20 | $12.842,20 | 529 / 12 | $8.880,87 | 2052 / 63 | $7.699,61 | 2040 / 63 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 15 | 173 / 35 | $28.806,40 | 458 / 12 | $12.161,30 | 1575 / 50 | $10.803,10 | 1572 / 50 |
| Diabetes W Cc | 29 | 63 / 10 | $18.077,30 | 566 / 20 | $10.198,80 | 1553 / 40 | $8.959,93 | 1548 / 40 |
| Diabetes W Mcc | 20 | 37 / 5 | $33.201,10 | 342 / 14 | $15.099,60 | 707 / 23 | $13.697,50 | 706 / 23 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 8 | $12.080,50 | 39 / 1 | $10.678,50 | 527 / 14 | $9.527,55 | 527 / 14 |
| Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 12 | $15.353,30 | 127 / 2 | $10.924,80 | 931 / 25 | $9.546,47 | 928 / 25 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 8 | $13.468,10 | 105 / 4 | $8.762,27 | 451 / 11 | $7.460,36 | 450 / 11 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 14 | 67 / 6 | $381.977,00 | 159 / 9 | $143.159,00 | 340 / 10 | $138.370,00 | 339 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 15 | 81 / 20 | $15.079,30 | 76 / 1 | $13.065,50 | 1389 / 33 | $11.972,70 | 1384 / 35 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 26 | $13.766,50 | 598 / 8 | $9.429,44 | 2651 / 70 | $8.408,90 | 2636 / 70 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 13 | 50 / 14 | $69.756,00 | 63 / 3 | $41.214,10 | 640 / 20 | $39.489,20 | 640 / 22 |
| G.I. Hemorrhage W Cc | 34 | 184 / 31 | $26.829,40 | 1352 / 43 | $11.805,80 | 2360 / 58 | $10.461,40 | 2356 / 58 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 16 | $34.883,40 | 505 / 15 | $17.133,80 | 1528 / 40 | $15.673,00 | 1518 / 40 |
| G.I. Obstruction W Cc | 11 | 81 / 25 | $17.353,40 | 456 / 12 | $10.800,60 | 1707 / 46 | $9.575,64 | 1702 / 46 |
| Heart Failure & Shock W Cc | 80 | 198 / 20 | $17.219,90 | 837 / 22 | $11.508,30 | 2672 / 74 | $10.364,00 | 2666 / 74 |
| Heart Failure & Shock W Mcc | 53 | 231 / 34 | $26.013,50 | 820 / 25 | $15.992,50 | 2524 / 70 | $14.848,20 | 2513 / 70 |
| Heart Failure & Shock W/O Cc/Mcc | 24 | 86 / 21 | $11.104,00 | 372 / 7 | $8.685,29 | 1948 / 57 | $7.289,88 | 1935 / 57 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 35 | $62.101,20 | 1403 / 48 | $19.735,60 | 1985 / 55 | $18.172,20 | 1964 / 55 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 37 | 87 / 13 | $100.825,00 | 501 / 15 | $42.737,60 | 1238 / 35 | $39.811,00 | 1228 / 35 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 27 | $30.760,40 | 1201 / 48 | $12.230,80 | 2004 / 55 | $10.769,40 | 2000 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 22 | $56.256,20 | 1072 / 38 | $19.991,60 | 1555 / 41 | $17.854,40 | 1548 / 41 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 25 | $22.314,70 | 738 / 34 | $9.489,20 | 1568 / 46 | $8.271,87 | 1564 / 46 |
| Kidney & Urinary Tract Infections W Mcc | 27 | 117 / 25 | $20.122,90 | 582 / 18 | $12.457,60 | 1882 / 52 | $11.083,10 | 1878 / 52 |
| Kidney & Urinary Tract Infections W/O Mcc | 22 | 211 / 45 | $14.864,10 | 910 / 26 | $9.617,18 | 2628 / 72 | $8.300,14 | 2617 / 72 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 46 | 518 / 50 | $52.556,30 | 1400 / 36 | $20.872,90 | 2556 / 74 | $18.786,90 | 2510 / 75 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 27 | $59.398,20 | 620 / 21 | $23.937,80 | 1441 / 43 | $22.093,90 | 1427 / 44 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 74 | 52 / 3 | $10.175,80 | 25 / 1 | $12.211,40 | 1655 / 41 | $11.591,10 | 1651 / 41 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 33 | $13.056,60 | 689 / 19 | $8.999,43 | 2459 / 67 | $7.819,87 | 2450 / 67 |
| Non-Extensive Burns | 21 | 9 / 1 | $110.704,00 | 40 / 1 | $32.109,20 | 42 / 1 | $30.155,50 | 42 / 1 |
| Nonspecific Cerebrovascular Disorders W Mcc | 24 | 27 / 3 | $28.328,40 | 99 / 4 | $15.733,50 | 374 / 13 | $14.365,60 | 374 / 14 |
| Other Circulatory System Diagnoses W Mcc | 22 | 94 / 12 | $34.392,50 | 331 / 14 | $18.279,10 | 1244 / 35 | $16.918,50 | 1236 / 36 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 19 | $15.872,40 | 183 / 5 | $11.337,80 | 1389 / 38 | $10.182,30 | 1385 / 38 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 23 | $23.175,20 | 194 / 6 | $15.078,00 | 984 / 30 | $13.539,20 | 980 / 30 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 19 | 177 / 31 | $74.532,90 | 765 / 28 | $19.091,30 | 1412 / 42 | $17.677,30 | 1404 / 43 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 51 | 21 / 2 | $34.321,40 | 454 / 20 | $15.977,10 | 933 / 26 | $14.455,00 | 930 / 26 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 21 | 40 / 6 | $13.208,00 | 224 / 14 | $8.524,00 | 881 / 27 | $7.453,86 | 880 / 27 |
| Pulmonary Edema & Respiratory Failure | 120 | 83 / 6 | $22.835,70 | 590 / 23 | $13.307,10 | 2137 / 63 | $12.145,10 | 2131 / 63 |
| Red Blood Cell Disorders W/O Mcc | 36 | 107 / 15 | $14.053,50 | 360 / 6 | $9.969,67 | 1923 / 48 | $8.902,72 | 1914 / 48 |
| Renal Failure W Cc | 64 | 157 / 22 | $15.974,70 | 559 / 17 | $10.937,10 | 2353 / 63 | $9.736,12 | 2343 / 63 |
| Renal Failure W Mcc | 61 | 134 / 20 | $26.659,50 | 555 / 16 | $15.699,10 | 2028 / 54 | $14.262,00 | 2024 / 55 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 13 | $13.660,40 | 293 / 7 | $8.561,64 | 842 / 24 | $7.149,18 | 840 / 24 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 34 | $24.945,30 | 230 / 7 | $16.733,80 | 1609 / 48 | $15.440,90 | 1593 / 49 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 20 | $54.206,40 | 747 / 33 | $22.058,70 | 1708 / 47 | $20.678,60 | 1694 / 48 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 22 | 49 / 10 | $126.066,00 | 418 / 21 | $48.889,70 | 906 / 29 | $46.896,30 | 905 / 30 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 26 | 66 / 8 | $150.528,00 | 525 / 24 | $54.033,10 | 974 / 28 | $51.308,90 | 973 / 28 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 166 | 350 / 25 | $35.149,10 | 1064 / 29 | $18.209,30 | 2627 / 69 | $16.639,70 | 2582 / 70 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 26 | 181 / 35 | $20.705,30 | 846 / 24 | $11.810,00 | 2476 / 67 | $10.330,10 | 2466 / 68 |
| Signs & Symptoms W/O Mcc | 11 | 80 / 16 | $15.882,50 | 395 / 9 | $9.073,45 | 1283 / 28 | $7.690,82 | 1280 / 28 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 45 | $13.513,60 | 396 / 4 | $11.349,60 | 2732 / 73 | $10.034,70 | 2723 / 73 |
| Simple Pneumonia & Pleurisy W Mcc | 36 | 169 / 38 | $23.363,10 | 590 / 16 | $14.454,80 | 2382 / 64 | $13.161,20 | 2376 / 64 |
| Syncope & Collapse | 32 | 137 / 20 | $14.947,10 | 389 / 8 | $9.334,94 | 1857 / 48 | $8.033,44 | 1849 / 48 |
| Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 11 | $242.452,00 | 233 / 10 | $88.786,40 | 451 / 13 | $85.619,60 | 450 / 13 |
| Transient Ischemia | 14 | 111 / 26 | $16.862,90 | 405 / 13 | $9.015,64 | 1623 / 45 | $7.708,71 | 1615 / 45 | Total 65 procedures | 1.996 | 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.