Hospital Costs > In Minnesota > Essentia Health St Joseph's 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 | 262 | 303 / 20 | $37.983,20 | 639 / 25 | $14.299,70 | 1788 / 10 | $12.842,90 | 1748 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 62 | 454 / 24 | $29.121,50 | 741 / 21 | $12.579,90 | 1749 / 18 | $11.617,70 | 1716 / 23 |
| Simple Pneumonia & Pleurisy W Mcc | 53 | 152 / 13 | $30.684,80 | 1081 / 28 | $10.670,50 | 1820 / 25 | $9.473,51 | 1820 / 25 |
| Heart Failure & Shock W Cc | 53 | 225 / 18 | $15.504,10 | 629 / 10 | $6.581,36 | 1244 / 10 | $5.494,25 | 1240 / 5 |
| Renal Failure W Cc | 49 | 172 / 15 | $13.994,10 | 384 / 9 | $6.322,88 | 1373 / 9 | $5.583,61 | 1364 / 11 |
| Heart Failure & Shock W Mcc | 47 | 237 / 20 | $27.162,00 | 913 / 25 | $10.001,30 | 1626 / 16 | $9.331,32 | 1621 / 19 |
| Hip & Femur Procedures Except Major Joint W Cc | 45 | 98 / 10 | $37.142,90 | 508 / 20 | $12.967,60 | 1223 / 12 | $11.701,40 | 1208 / 15 |
| G.I. Hemorrhage W Cc | 41 | 177 / 17 | $16.572,10 | 445 / 12 | $6.588,32 | 1332 / 9 | $5.733,68 | 1329 / 13 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 41 | 84 / 4 | $17.381,70 | 95 / 3 | $11.361,90 | 1076 / 7 | $10.568,10 | 1072 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 39 | 163 / 13 | $16.505,80 | 438 / 10 | $7.686,69 | 1267 / 9 | $6.542,08 | 1261 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 18 | $13.295,80 | 681 / 18 | $5.045,68 | 1368 / 6 | $4.220,42 | 1359 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 38 | 165 / 17 | $18.269,20 | 947 / 32 | $6.421,08 | 1486 / 8 | $5.498,97 | 1480 / 12 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 35 | 172 / 21 | $21.221,70 | 898 / 29 | $7.112,83 | 1161 / 11 | $5.821,86 | 1156 / 8 |
| G.I. Obstruction W Cc | 33 | 59 / 12 | $14.936,40 | 285 / 9 | $5.819,52 | 865 / 6 | $4.904,12 | 863 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 32 | 243 / 23 | $15.822,60 | 854 / 23 | $5.019,59 | 910 / 6 | $3.701,78 | 905 / 6 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 31 | 130 / 15 | $14.644,20 | 481 / 14 | $5.167,35 | 1095 / 5 | $4.388,00 | 1091 / 8 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 15 | $11.651,90 | 509 / 10 | $4.630,77 | 1090 / 3 | $3.713,23 | 1087 / 6 |
| Pulmonary Edema & Respiratory Failure | 28 | 175 / 18 | $21.665,50 | 514 / 13 | $9.133,79 | 780 / 19 | $6.687,82 | 780 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 28 | 154 / 18 | $18.151,80 | 361 / 8 | $7.074,75 | 1098 / 7 | $5.993,61 | 1095 / 10 |
| Cellulitis W/O Mcc | 27 | 162 / 18 | $15.025,40 | 863 / 18 | $5.525,19 | 1224 / 4 | $4.447,85 | 1218 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 25 | 66 / 10 | $15.646,80 | 132 / 3 | $6.910,60 | 745 / 4 | $5.990,28 | 743 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 17 | $18.743,60 | 276 / 5 | $7.938,29 | 1025 / 4 | $7.191,62 | 1022 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 14 | $24.197,70 | 253 / 3 | $7.284,00 | 811 / 5 | $5.935,90 | 809 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 20 | 81 / 11 | $21.505,10 | 153 / 3 | $10.291,80 | 593 / 10 | $9.507,75 | 591 / 10 |
| Major Small & Large Bowel Procedures W Cc | 19 | 89 / 17 | $50.337,90 | 428 / 12 | $18.510,30 | 1046 / 15 | $16.151,20 | 1034 / 17 |
| Renal Failure W Mcc | 19 | 176 / 17 | $20.268,40 | 234 / 4 | $10.109,50 | 1109 / 6 | $9.152,84 | 1109 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 16 | $17.845,10 | 788 / 22 | $6.141,68 | 1279 / 6 | $5.252,42 | 1274 / 11 |
| Diabetes W Cc | 19 | 73 / 9 | $13.454,40 | 232 / 2 | $5.424,16 | 778 / 1 | $4.666,26 | 775 / 5 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 17 | $31.271,90 | 429 / 8 | $13.032,30 | 1124 / 13 | $12.162,90 | 1110 / 16 |
| Alcohol/Drug Abuse Or Dependence W Rehabilitation Therapy | 17 | 59 / 3 | $24.809,90 | 51 / 1 | $7.835,12 | 33 / 1 | $7.057,71 | 33 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 15 | $10.721,80 | 418 / 8 | $3.632,76 | 765 / 2 | $2.642,65 | 761 / 3 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 14 | $18.231,40 | 447 / 6 | $4.977,12 | 741 / 3 | $3.919,12 | 737 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 16 | 180 / 19 | $45.696,40 | 142 / 4 | $13.623,90 | 1011 / 5 | $12.570,00 | 1004 / 13 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 8 | $12.228,10 | 469 / 9 | $4.689,40 | 791 / 3 | $3.567,27 | 787 / 3 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 15 | 81 / 10 | $47.253,40 | 287 / 17 | $14.724,10 | 552 / 8 | $13.268,50 | 549 / 12 |
| Syncope & Collapse | 14 | 155 / 18 | $12.056,20 | 202 / 3 | $4.753,21 | 930 / 4 | $3.978,36 | 924 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 14 | 79 / 13 | $11.038,10 | 319 / 6 | $4.610,57 | 690 / 3 | $3.408,29 | 686 / 3 |
| Red Blood Cell Disorders W/O Mcc | 12 | 131 / 18 | $18.937,80 | 799 / 14 | $5.505,33 | 794 / 5 | $4.291,92 | 789 / 4 |
| Pulmonary Embolism W/O Mcc | 11 | 63 / 16 | $15.430,70 | 169 / 3 | $6.499,00 | 618 / 3 | $5.402,27 | 615 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 11 | 92 / 13 | $17.526,40 | 172 / 5 | $6.490,82 | 394 / 3 | $5.839,18 | 394 / 6 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 17 | $21.301,20 | 314 / 11 | $9.141,27 | 785 / 10 | $7.945,64 | 780 / 6 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 8 | $29.331,60 | 99 / 5 | $10.125,80 | 295 / 3 | $8.667,00 | 295 / 4 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 11 | $40.074,10 | 140 / 6 | $13.139,90 | 397 / 5 | $12.261,40 | 394 / 8 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 13 | $42.729,80 | 111 / 2 | $17.529,10 | 586 / 5 | $16.647,60 | 585 / 8 |
| G.I. Hemorrhage W Mcc | 11 | 110 / 19 | $26.707,30 | 216 / 4 | $11.516,70 | 988 / 5 | $11.188,00 | 981 / 9 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 14 | $12.360,10 | 213 / 4 | $4.459,91 | 305 / 1 | $3.808,27 | 305 / 4 | Total 46 procedures | 1.416 | 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.