Hospital Costs > In Minnesota > Essentia Health Duluth, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Psychoses | 285 | 72 / 4 | $20.790,60 | 346 / 6 | $11.057,80 | 566 / 14 | $9.861,72 | 566 / 15 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 56 | 40 / 4 | $42.278,40 | 213 / 11 | $17.814,90 | 696 / 16 | $15.756,00 | 692 / 17 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 37 | 32 / 5 | $47.333,50 | 109 / 7 | $22.480,30 | 410 / 14 | $19.362,30 | 410 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 21 | 184 / 26 | $15.392,50 | 136 / 1 | $11.345,60 | 2041 / 28 | $10.298,70 | 2040 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 21 | 495 / 35 | $45.229,00 | 1585 / 39 | $23.193,80 | 2790 / 45 | $22.657,90 | 2745 / 46 |
| Pulmonary Edema & Respiratory Failure | 19 | 184 / 23 | $18.733,40 | 328 / 2 | $10.645,40 | 2016 / 29 | $10.316,80 | 2010 / 31 |
| Neuroses Except Depressive | 13 | 14 / 4 | $18.186,40 | 35 / 4 | $9.989,62 | 39 / 6 | $9.040,46 | 39 / 6 |
| Renal Failure W Mcc | 12 | 183 / 21 | $25.801,70 | 504 / 7 | $13.955,80 | 1973 / 21 | $13.437,80 | 1969 / 24 |
| Renal Failure W Cc | 12 | 209 / 26 | $12.502,30 | 256 / 6 | $8.185,50 | 2077 / 31 | $7.369,83 | 2067 / 33 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 15 | $28.242,70 | 180 / 3 | $14.656,00 | 1032 / 10 | $13.749,80 | 1025 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 18 | $13.848,30 | 115 / 1 | $9.056,91 | 1374 / 13 | $8.500,09 | 1371 / 16 | Total 11 procedures | 499 | 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.