Hospital Costs > In Minnesota > Essentia Health Virginia, 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 | 36 | 528 / 44 | $34.206,80 | 409 / 15 | $14.971,80 | 2057 / 16 | $13.834,10 | 2015 / 29 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 23 | $14.212,80 | 293 / 6 | $7.043,96 | 1426 / 9 | $6.139,96 | 1421 / 18 |
| Heart Failure & Shock W Cc | 24 | 254 / 30 | $13.643,40 | 429 / 5 | $7.160,58 | 1863 / 24 | $6.253,92 | 1858 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 21 | 495 / 35 | $21.610,40 | 346 / 5 | $11.485,50 | 1382 / 6 | $10.795,20 | 1355 / 10 |
| G.I. Hemorrhage W Cc | 21 | 197 / 24 | $17.531,00 | 535 / 19 | $7.320,14 | 1683 / 21 | $6.340,38 | 1679 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 16 | 259 / 33 | $11.515,40 | 329 / 6 | $5.588,31 | 1983 / 21 | $4.758,31 | 1969 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 16 | 187 / 30 | $15.351,90 | 600 / 17 | $7.096,00 | 1826 / 24 | $5.888,00 | 1818 / 27 |
| Red Blood Cell Disorders W/O Mcc | 15 | 128 / 16 | $13.693,90 | 328 / 5 | $5.980,13 | 1421 / 18 | $5.259,07 | 1412 / 22 |
| Heart Failure & Shock W Mcc | 14 | 270 / 32 | $22.058,10 | 535 / 12 | $10.363,30 | 1813 / 20 | $9.757,57 | 1808 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 30 | $11.157,60 | 417 / 10 | $5.570,23 | 1697 / 16 | $4.546,23 | 1686 / 21 |
| Chronic Obstructive Pulmonary Disease W Mcc | 12 | 190 / 29 | $16.416,80 | 427 / 9 | $8.437,83 | 1839 / 25 | $7.531,17 | 1831 / 28 |
| Major Small & Large Bowel Procedures W Cc | 11 | 97 / 22 | $38.997,80 | 173 / 4 | $17.408,70 | 1081 / 11 | $16.419,60 | 1068 / 18 | Total 12 procedures | 223 | 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.