Hospital Costs > In North Dakota > Essentia Health-Fargo, 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 | 117 | 447 / 6 | $34.153,30 | 406 / 3 | $13.478,30 | 1202 / 1 | $11.391,90 | 1173 / 2 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 79 | 437 / 5 | $29.908,50 | 778 / 4 | $11.436,90 | 940 / 1 | $10.110,50 | 935 / 1 |
| Renal Failure W Cc | 73 | 148 / 3 | $12.088,50 | 217 / 2 | $6.186,01 | 989 / 3 | $5.173,10 | 981 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 67 | 129 / 5 | $54.027,80 | 309 / 4 | $14.117,30 | 500 / 5 | $10.647,80 | 498 / 2 |
| Heart Failure & Shock W Cc | 65 | 213 / 4 | $12.759,40 | 347 / 3 | $6.336,89 | 1312 / 2 | $5.563,23 | 1308 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 55 | 127 / 2 | $22.096,30 | 603 / 5 | $6.911,82 | 890 / 2 | $5.673,40 | 888 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 55 | 139 / 3 | $61.859,70 | 240 / 1 | $24.281,40 | 600 / 1 | $22.465,50 | 596 / 2 |
| G.I. Hemorrhage W Cc | 48 | 170 / 4 | $16.073,30 | 399 / 5 | $7.584,69 | 578 / 6 | $4.978,48 | 577 / 1 |
| Heart Failure & Shock W Mcc | 46 | 238 / 5 | $17.773,90 | 290 / 2 | $9.160,13 | 1200 / 1 | $8.583,46 | 1197 / 3 |
| Simple Pneumonia & Pleurisy W Mcc | 46 | 159 / 6 | $20.291,80 | 408 / 4 | $8.520,09 | 710 / 1 | $7.570,54 | 710 / 1 |
| Simple Pneumonia & Pleurisy W Cc | 42 | 161 / 4 | $14.924,50 | 550 / 6 | $6.132,90 | 1174 / 2 | $5.211,00 | 1170 / 3 |
| Renal Failure W Mcc | 42 | 153 / 3 | $19.280,00 | 202 / 2 | $9.375,52 | 773 / 1 | $8.500,86 | 773 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 38 | 112 / 1 | $7.659,71 | 122 / 2 | $3.821,32 | 964 / 3 | $2.793,50 | 959 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 37 | 106 / 5 | $31.494,60 | 272 / 2 | $11.814,30 | 889 / 1 | $10.773,00 | 876 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 36 | 152 / 2 | $22.907,50 | 193 / 4 | $6.885,22 | 818 / 2 | $5.946,56 | 816 / 4 |
| Extracranial Procedures W/O Cc/Mcc | 34 | 64 / 3 | $21.273,70 | 175 / 5 | $6.761,03 | 420 / 1 | $5.527,24 | 419 / 3 |
| Kidney & Urinary Tract Infections W/O Mcc | 33 | 200 / 3 | $10.963,40 | 380 / 3 | $5.293,21 | 694 / 3 | $3.749,67 | 690 / 1 |
| Major Small & Large Bowel Procedures W Cc | 33 | 75 / 2 | $46.610,20 | 324 / 6 | $16.281,80 | 657 / 3 | $14.179,30 | 651 / 4 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 33 | 135 / 4 | $36.645,80 | 568 / 6 | $12.138,50 | 1014 / 6 | $11.110,70 | 1009 / 6 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 33 | 174 / 5 | $15.214,50 | 369 / 2 | $6.650,45 | 848 / 1 | $5.520,91 | 846 / 1 |
| Pulmonary Edema & Respiratory Failure | 31 | 172 / 5 | $14.540,40 | 127 / 1 | $7.537,71 | 886 / 1 | $6.798,61 | 886 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 3 | $13.010,90 | 326 / 3 | $6.086,10 | 922 / 2 | $4.890,67 | 919 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 3 | $13.733,60 | 393 / 5 | $5.308,93 | 1215 / 2 | $4.518,86 | 1210 / 5 |
| Coronary Bypass W Cardiac Cath W Mcc | 27 | 29 / 2 | $114.571,00 | 30 / 2 | $44.305,40 | 214 / 3 | $43.101,30 | 214 / 3 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 26 | 140 / 4 | $10.682,90 | 391 / 3 | $4.715,96 | 966 / 3 | $3.630,15 | 963 / 4 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 26 | 249 / 5 | $14.466,00 | 682 / 5 | $4.974,35 | 996 / 2 | $3.762,62 | 988 / 2 |
| Cellulitis W/O Mcc | 26 | 163 / 5 | $14.188,30 | 749 / 5 | $5.708,58 | 910 / 3 | $4.208,81 | 904 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 4 | $14.409,40 | 102 / 3 | $7.464,12 | 719 / 1 | $6.692,28 | 716 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 3 | $14.926,00 | 145 / 2 | $7.155,21 | 363 / 2 | $5.812,96 | 360 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 24 | 92 / 2 | $117.752,00 | 28 / 1 | $46.605,40 | 114 / 1 | $45.754,80 | 114 / 1 |
| Chronic Obstructive Pulmonary Disease W Mcc | 24 | 178 / 5 | $16.794,80 | 461 / 5 | $7.212,62 | 1117 / 1 | $6.356,62 | 1112 / 3 |
| G.I. Hemorrhage W Mcc | 23 | 98 / 3 | $23.419,10 | 140 / 3 | $10.448,00 | 539 / 1 | $9.763,52 | 540 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 4 | $37.685,50 | 269 / 2 | $14.028,90 | 772 / 2 | $13.204,20 | 764 / 2 |
| Major Small & Large Bowel Procedures W Mcc | 22 | 63 / 3 | $79.908,00 | 194 / 3 | $32.653,00 | 674 / 3 | $31.880,60 | 672 / 4 |
| Other Vascular Procedures W Cc | 21 | 81 / 3 | $49.367,30 | 198 / 2 | $16.950,70 | 544 / 4 | $15.229,30 | 541 / 3 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 21 | 79 / 6 | $68.634,00 | 152 / 3 | $20.034,10 | 434 / 2 | $19.109,10 | 430 / 2 |
| Major Cardiovasc Procedures W/O Mcc | 20 | 81 / 4 | $87.374,00 | 471 / 5 | $23.830,20 | 707 / 5 | $22.807,90 | 706 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 20 | 82 / 3 | $14.218,20 | 205 / 4 | $4.983,80 | 680 / 2 | $3.836,60 | 676 / 4 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 20 | 49 / 1 | $47.207,10 | 124 / 1 | $11.304,50 | 261 / 1 | $10.157,20 | 261 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 19 | 105 / 5 | $84.601,70 | 293 / 5 | $35.482,10 | 754 / 3 | $32.020,10 | 748 / 2 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 1 | $14.149,30 | 366 / 3 | $5.215,05 | 934 / 3 | $4.450,42 | 928 / 3 |
| Syncope & Collapse | 19 | 150 / 3 | $10.901,40 | 138 / 2 | $4.783,63 | 848 / 2 | $3.892,68 | 844 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 18 | 73 / 4 | $21.299,30 | 344 / 4 | $7.877,00 | 419 / 5 | $5.336,33 | 418 / 2 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 3 | $13.481,20 | 108 / 3 | $6.189,11 | 564 / 1 | $5.318,00 | 561 / 2 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 2 | $14.378,70 | 124 / 2 | $4.973,72 | 361 / 2 | $3.899,94 | 358 / 2 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 2 | $47.205,00 | 174 / 5 | $16.341,90 | 168 / 1 | $13.843,00 | 168 / 2 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 4 | $13.665,30 | 174 / 2 | $6.990,25 | 911 / 2 | $6.234,25 | 908 / 3 |
| Extracranial Procedures W Cc | 16 | 30 / 2 | $24.114,40 | 38 / 2 | $9.843,94 | 163 / 1 | $8.791,94 | 163 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 2 | $27.171,10 | 57 / 2 | $10.496,80 | 248 / 2 | $8.489,56 | 248 / 1 |
| Transient Ischemia | 16 | 109 / 2 | $14.739,00 | 284 / 3 | $4.625,12 | 617 / 1 | $3.493,12 | 613 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 14 | 41 / 4 | $35.418,60 | 87 / 3 | $14.488,90 | 124 / 3 | $10.026,40 | 124 / 1 |
| Pulmonary Embolism W/O Mcc | 14 | 60 / 4 | $14.963,50 | 152 / 5 | $6.313,64 | 685 / 3 | $5.531,93 | 682 / 5 |
| Other Vascular Procedures W Mcc | 14 | 83 / 2 | $81.857,70 | 403 / 3 | $24.550,90 | 696 / 3 | $23.607,00 | 693 / 3 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 3 | $29.207,40 | 122 / 3 | $10.084,80 | 356 / 1 | $8.876,15 | 356 / 2 |
| G.I. Obstruction W Cc | 13 | 79 / 6 | $12.261,60 | 132 / 3 | $5.723,38 | 702 / 2 | $4.699,38 | 701 / 1 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 12 | 57 / 2 | $169.913,00 | 37 / 2 | $58.665,90 | 94 / 1 | $57.663,30 | 94 / 1 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 12 | 64 / 5 | $97.264,60 | 106 / 4 | $27.024,30 | 249 / 1 | $25.912,30 | 249 / 1 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 3 | $31.352,70 | 249 / 2 | $11.675,10 | 172 / 1 | $9.504,50 | 172 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 6 | $25.364,20 | 297 / 4 | $10.040,80 | 587 / 1 | $9.191,83 | 586 / 1 |
| Respiratory Infections & Inflammations W Mcc | 12 | 124 / 6 | $20.031,20 | 104 / 1 | $11.771,50 | 820 / 2 | $11.171,50 | 810 / 4 |
| Chest Pain | 12 | 139 / 3 | $9.170,42 | 112 / 3 | $4.184,00 | 589 / 2 | $3.014,17 | 585 / 2 |
| Hernia Procedures Except Inguinal & Femoral W Cc | 11 | 23 / 1 | $22.465,60 | 6 / 1 | $10.091,30 | 50 / 1 | $9.108,00 | 50 / 1 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 11 | 35 / 1 | $18.378,40 | 36 / 1 | $6.330,82 | 79 / 1 | $5.117,73 | 79 / 1 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 3 | $37.677,50 | 155 / 3 | $15.649,40 | 65 / 3 | $10.119,90 | 65 / 1 |
| Medical Back Problems W/O Mcc | 11 | 110 / 5 | $15.272,50 | 242 / 4 | $5.343,36 | 582 / 1 | $4.363,00 | 580 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 11 | 54 / 5 | $61.460,10 | 277 / 5 | $21.855,70 | 598 / 2 | $20.618,00 | 595 / 4 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 11 | 29 / 4 | $49.551,40 | 94 / 4 | $20.168,50 | 409 / 4 | $19.290,00 | 408 / 4 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 3 | $62.035,20 | 39 / 1 | $26.522,30 | 111 / 1 | $25.539,00 | 111 / 1 | Total 68 procedures | 1.882 | 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.