Hospital Costs > In Minnesota > Essentia Health St Marys - Detroit Lakes, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 12 | 112 / 13 | $11.021,30 | 165 / 2 | $5.860,17 | 544 / 13 | $4.614,00 | 543 / 12 |
| Cellulitis W/O Mcc | 14 | 175 / 28 | $14.874,10 | 844 / 16 | $7.057,86 | 2173 / 32 | $6.015,57 | 2165 / 35 |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 18 | $16.694,80 | 679 / 20 | $7.850,19 | 2045 / 30 | $6.874,19 | 2038 / 31 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 20 | 100 / 4 | $15.525,70 | 845 / 16 | $6.004,00 | 1690 / 19 | $4.916,00 | 1679 / 20 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 15 | 260 / 34 | $13.851,90 | 605 / 15 | $6.359,27 | 2139 / 37 | $5.090,33 | 2125 / 38 |
| G.I. Hemorrhage W Cc | 15 | 203 / 29 | $16.110,80 | 402 / 10 | $8.354,27 | 2097 / 33 | $7.710,00 | 2093 / 34 |
| Heart Failure & Shock W Mcc | 11 | 273 / 34 | $20.433,30 | 446 / 7 | $12.753,10 | 2290 / 35 | $11.764,00 | 2280 / 37 |
| Hip & Femur Procedures Except Major Joint W Cc | 18 | 125 / 23 | $35.500,20 | 431 / 15 | $16.580,50 | 1861 / 32 | $15.640,10 | 1841 / 34 |
| Kidney & Urinary Tract Infections W/O Mcc | 21 | 212 / 26 | $11.763,70 | 483 / 12 | $6.459,24 | 2118 / 35 | $5.246,29 | 2107 / 35 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 11 | 36 / 8 | $24.922,50 | 47 / 3 | $12.694,80 | 458 / 10 | $11.592,30 | 458 / 12 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 12 | 84 / 13 | $35.484,40 | 104 / 5 | $19.173,30 | 758 / 20 | $18.064,00 | 754 / 21 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 109 | 455 / 29 | $33.454,50 | 373 / 12 | $18.474,60 | 2428 / 44 | $16.566,60 | 2382 / 46 |
| Medical Back Problems W/O Mcc | 11 | 110 / 18 | $15.287,50 | 243 / 4 | $7.220,45 | 1227 / 17 | $6.150,18 | 1223 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 20 | $10.783,80 | 404 / 4 | $5.898,05 | 2019 / 30 | $4.930,05 | 2011 / 30 |
| Renal Failure W Cc | 11 | 210 / 27 | $10.815,80 | 140 / 1 | $8.102,09 | 2068 / 30 | $7.334,09 | 2058 / 32 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 11 | 505 / 38 | $23.903,20 | 472 / 11 | $15.861,90 | 2180 / 40 | $13.096,40 | 2142 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 12 | 195 / 32 | $17.667,30 | 578 / 17 | $8.954,08 | 2205 / 38 | $8.047,42 | 2196 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 29 | $16.247,80 | 714 / 20 | $8.204,17 | 2393 / 40 | $7.197,94 | 2384 / 43 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 12 | $12.651,10 | 470 / 12 | $5.903,80 | 1643 / 20 | $4.862,73 | 1635 / 22 | Total 19 procedures | 372 | 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.