Hospital Costs > In Ohio > Euclid Hospital, 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 | 287 | 280 / 11 | $35.682,90 | 504 / 28 | $12.934,20 | 445 / 40 | $10.243,40 | 442 / 36 |
Heart Failure & Shock W Mcc | 73 | 211 / 41 | $25.205,80 | 752 / 41 | $8.517,38 | 581 / 22 | $7.791,89 | 581 / 43 |
Simple Pneumonia & Pleurisy W Mcc | 54 | 151 / 28 | $28.976,60 | 976 / 66 | $8.260,67 | 343 / 21 | $7.104,37 | 343 / 28 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 49 | 467 / 76 | $42.582,30 | 1447 / 75 | $10.395,40 | 654 / 24 | $9.733,25 | 653 / 48 |
Chronic Obstructive Pulmonary Disease W Mcc | 45 | 157 / 42 | $25.291,50 | 1148 / 66 | $7.058,04 | 452 / 33 | $5.741,96 | 451 / 33 |
Chronic Obstructive Pulmonary Disease W Cc | 42 | 137 / 39 | $21.031,10 | 1112 / 70 | $5.638,90 | 708 / 31 | $4.732,05 | 706 / 45 |
Renal Failure W Mcc | 42 | 153 / 41 | $26.370,20 | 539 / 29 | $8.760,38 | 301 / 22 | $7.736,71 | 301 / 26 |
Renal Failure W Cc | 37 | 184 / 51 | $20.487,30 | 1026 / 56 | $5.823,03 | 564 / 28 | $4.814,19 | 560 / 36 |
G.I. Hemorrhage W Cc | 37 | 181 / 44 | $23.902,10 | 1112 / 64 | $5.965,81 | 298 / 22 | $4.702,70 | 298 / 19 |
Heart Failure & Shock W Cc | 36 | 242 / 65 | $18.932,20 | 1042 / 56 | $5.790,39 | 521 / 22 | $4.912,92 | 521 / 31 |
Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 44 | $18.702,50 | 990 / 59 | $5.744,68 | 680 / 23 | $4.803,24 | 677 / 43 |
Kidney & Urinary Tract Infections W/O Mcc | 34 | 199 / 49 | $16.262,80 | 1115 / 65 | $4.636,21 | 921 / 23 | $3.901,26 | 914 / 57 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 29 | 246 / 65 | $19.590,10 | 1335 / 78 | $4.684,66 | 617 / 31 | $3.498,52 | 614 / 35 |
Cellulitis W/O Mcc | 28 | 161 / 51 | $16.735,40 | 1087 / 73 | $5.134,93 | 688 / 26 | $4.036,75 | 684 / 45 |
Respiratory Infections & Inflammations W Mcc | 27 | 109 / 31 | $38.731,90 | 733 / 47 | $11.747,00 | 655 / 39 | $10.830,10 | 647 / 50 |
Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 29 | $43.891,10 | 800 / 49 | $11.427,80 | 579 / 31 | $10.217,40 | 576 / 38 |
Major Joint/Limb Reattachment Procedure Of Upper Extremities | 24 | 45 / 9 | $44.965,30 | 89 / 7 | $15.779,30 | 118 / 10 | $13.229,00 | 118 / 8 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 24 | 107 / 35 | $51.315,60 | 657 / 41 | $12.868,10 | 296 / 9 | $11.874,50 | 293 / 20 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 24 | 99 / 37 | $26.591,80 | 764 / 46 | $7.218,79 | 515 / 24 | $6.392,54 | 512 / 41 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 22 | 98 / 32 | $15.964,90 | 902 / 60 | $4.464,64 | 650 / 22 | $3.442,64 | 648 / 46 |
G.I. Hemorrhage W Mcc | 20 | 101 / 31 | $37.423,90 | 602 / 35 | $10.154,80 | 319 / 23 | $9.209,90 | 319 / 32 |
Pulmonary Edema & Respiratory Failure | 20 | 183 / 58 | $27.512,60 | 889 / 49 | $7.287,10 | 254 / 21 | $6.027,40 | 254 / 13 |
Kidney & Urinary Tract Infections W Mcc | 19 | 125 / 35 | $19.606,60 | 551 / 37 | $6.671,47 | 512 / 35 | $5.719,26 | 511 / 41 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 48 | $20.006,40 | 1555 / 89 | $4.394,69 | 955 / 31 | $3.621,38 | 952 / 59 |
Red Blood Cell Disorders W/O Mcc | 16 | 127 / 38 | $18.587,50 | 764 / 51 | $4.996,62 | 339 / 25 | $3.803,56 | 338 / 26 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 16 | 145 / 49 | $20.872,20 | 1114 / 67 | $4.883,94 | 485 / 26 | $3.807,38 | 484 / 32 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 16 | 166 / 46 | $26.771,00 | 910 / 46 | $6.048,62 | 251 / 13 | $4.911,81 | 251 / 20 |
Syncope & Collapse | 15 | 154 / 42 | $14.553,30 | 357 / 22 | $4.449,33 | 382 / 22 | $3.429,87 | 380 / 31 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 15 | 192 / 52 | $23.726,30 | 1137 / 62 | $6.219,73 | 640 / 18 | $5.346,33 | 638 / 39 |
Revision Of Hip Or Knee Replacement W Cc | 14 | 72 / 13 | $46.764,10 | 54 / 1 | $20.249,70 | 29 / 5 | $15.609,90 | 29 / 2 |
Respiratory Infections & Inflammations W Cc | 13 | 75 / 28 | $26.254,20 | 528 / 36 | $8.108,69 | 533 / 23 | $7.423,31 | 530 / 30 |
Seizures W/O Mcc | 13 | 95 / 27 | $13.863,20 | 202 / 12 | $4.529,69 | 120 / 9 | $3.362,69 | 119 / 8 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 21 | $15.719,80 | 210 / 14 | $5.799,54 | 365 / 15 | $5.047,85 | 363 / 25 |
Red Blood Cell Disorders W Mcc | 12 | 59 / 18 | $31.541,10 | 495 / 34 | $7.451,33 | 195 / 12 | $6.532,83 | 195 / 19 |
Cellulitis W Mcc | 12 | 46 / 18 | $32.839,00 | 436 / 32 | $8.370,75 | 216 / 13 | $7.510,42 | 215 / 26 |
Transient Ischemia | 12 | 113 / 40 | $27.069,60 | 1056 / 57 | $4.372,00 | 325 / 19 | $3.183,83 | 325 / 23 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 36 | $53.688,10 | 824 / 51 | $11.127,20 | 243 / 27 | $9.765,25 | 243 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 37 | $25.499,80 | 738 / 46 | $6.637,73 | 371 / 22 | $5.824,18 | 368 / 26 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 11 | 82 / 30 | $14.028,50 | 617 / 36 | $4.265,18 | 471 / 14 | $3.214,36 | 469 / 27 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 11 | 85 / 27 | $23.169,50 | 348 / 26 | $6.946,00 | 196 / 11 | $5.983,82 | 195 / 19 |
Diabetes W Cc | 11 | 81 / 28 | $19.909,50 | 692 / 44 | $5.073,00 | 376 / 16 | $4.122,73 | 376 / 32 | Total 41 procedures | 1.272 | 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.