Hospital Costs > In Ohio > Fairfield 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 | 152 | 412 / 34 | $39.108,60 | 706 / 40 | $13.362,30 | 1371 / 56 | $11.742,20 | 1338 / 87 |
| Heart Failure & Shock W Cc | 112 | 166 / 20 | $9.733,17 | 115 / 4 | $6.115,26 | 841 / 41 | $5.165,35 | 840 / 56 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 110 | 406 / 55 | $21.204,50 | 321 / 17 | $11.247,70 | 932 / 52 | $10.098,90 | 928 / 62 |
| Heart Failure & Shock W Mcc | 94 | 190 / 32 | $16.062,10 | 199 / 10 | $9.256,95 | 1060 / 50 | $8.367,96 | 1058 / 67 |
| Chronic Obstructive Pulmonary Disease W Mcc | 79 | 123 / 21 | $12.459,40 | 147 / 7 | $7.392,52 | 916 / 54 | $6.169,11 | 911 / 61 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 72 | 203 / 32 | $10.680,60 | 262 / 10 | $4.963,14 | 952 / 58 | $3.732,74 | 944 / 58 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 65 | 66 / 8 | $25.409,90 | 66 / 5 | $14.082,40 | 715 / 37 | $13.010,10 | 707 / 49 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 63 | 125 / 13 | $17.334,80 | 58 / 3 | $6.932,49 | 736 / 30 | $5.788,83 | 734 / 41 |
| Simple Pneumonia & Pleurisy W Cc | 54 | 149 / 27 | $12.135,80 | 263 / 11 | $6.115,78 | 908 / 49 | $5.008,43 | 905 / 64 |
| Pulmonary Edema & Respiratory Failure | 54 | 149 / 32 | $14.591,10 | 132 / 9 | $7.786,20 | 697 / 45 | $6.587,06 | 697 / 49 |
| G.I. Hemorrhage W Cc | 53 | 165 / 36 | $12.529,40 | 136 / 7 | $6.419,74 | 1127 / 52 | $5.498,66 | 1125 / 69 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 53 | 154 / 22 | $13.378,30 | 238 / 11 | $6.786,04 | 1134 / 45 | $5.794,13 | 1130 / 68 |
| Kidney & Urinary Tract Infections W/O Mcc | 52 | 181 / 36 | $9.641,13 | 263 / 14 | $5.171,85 | 863 / 63 | $3.863,15 | 857 / 55 |
| Chronic Obstructive Pulmonary Disease W Cc | 49 | 130 / 32 | $10.264,30 | 116 / 5 | $6.042,47 | 772 / 54 | $4.776,27 | 770 / 50 |
| Psychoses | 45 | 232 / 16 | $8.462,82 | 33 / 2 | $6.608,67 | 154 / 10 | $5.336,51 | 154 / 8 |
| Cellulitis W/O Mcc | 43 | 146 / 38 | $9.106,28 | 168 / 8 | $5.665,28 | 825 / 66 | $4.141,70 | 820 / 53 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 22 | $7.483,12 | 109 / 6 | $3.807,44 | 965 / 45 | $2.794,05 | 960 / 65 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 41 | 79 / 17 | $8.128,24 | 101 / 4 | $4.736,98 | 863 / 46 | $3.620,85 | 858 / 61 |
| Renal Failure W Cc | 41 | 180 / 48 | $12.571,70 | 260 / 14 | $6.708,00 | 727 / 70 | $4.937,61 | 720 / 50 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 40 | 121 / 27 | $8.257,03 | 43 / 2 | $5.112,62 | 989 / 43 | $4.285,10 | 986 / 64 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 27 | $14.547,30 | 126 / 7 | $6.884,35 | 561 / 48 | $5.282,90 | 560 / 38 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 39 | 157 / 31 | $48.082,30 | 187 / 6 | $14.820,40 | 575 / 45 | $10.867,30 | 571 / 33 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 32 | 93 / 25 | $20.919,80 | 174 / 9 | $10.887,30 | 624 / 49 | $9.265,81 | 623 / 45 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 31 | 135 / 35 | $7.879,00 | 133 / 6 | $4.658,06 | 662 / 55 | $3.426,81 | 660 / 42 |
| Red Blood Cell Disorders W/O Mcc | 30 | 113 / 24 | $10.079,60 | 112 / 3 | $5.306,80 | 594 / 45 | $4.073,60 | 590 / 43 |
| Chest Pain | 30 | 121 / 20 | $8.271,90 | 79 / 2 | $4.055,43 | 709 / 32 | $3.148,10 | 704 / 44 |
| Syncope & Collapse | 28 | 141 / 30 | $11.223,10 | 160 / 10 | $5.010,21 | 585 / 52 | $3.638,68 | 582 / 44 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 28 | 95 / 33 | $13.527,60 | 80 / 6 | $7.704,46 | 742 / 42 | $6.717,89 | 739 / 52 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 26 | 43 / 4 | $42.629,20 | 80 / 5 | $11.304,90 | 241 / 11 | $10.031,60 | 241 / 16 |
| Renal Failure W Mcc | 26 | 169 / 52 | $20.856,60 | 261 / 14 | $9.662,46 | 925 / 48 | $8.770,46 | 925 / 63 |
| Other Vascular Procedures W Cc | 26 | 76 / 17 | $42.567,60 | 115 / 6 | $15.442,80 | 404 / 11 | $14.406,20 | 402 / 18 |
| Hip & Femur Procedures Except Major Joint W Cc | 25 | 118 / 30 | $30.882,20 | 255 / 18 | $12.483,60 | 562 / 55 | $10.175,60 | 560 / 35 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 30 | $12.282,80 | 120 / 10 | $6.948,96 | 560 / 49 | $5.783,64 | 559 / 44 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 18 | $55.677,10 | 548 / 30 | $18.249,30 | 815 / 49 | $14.798,20 | 807 / 50 |
| Diabetes W Cc | 24 | 68 / 17 | $9.082,58 | 59 / 3 | $5.352,33 | 809 / 24 | $4.717,62 | 805 / 49 |
| Simple Pneumonia & Pleurisy W Mcc | 24 | 181 / 49 | $14.203,00 | 93 / 7 | $9.018,42 | 1171 / 58 | $8.095,46 | 1171 / 79 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 15 | $99.028,00 | 371 / 20 | $36.796,60 | 888 / 44 | $35.147,80 | 886 / 49 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 22 | 104 / 28 | $12.151,00 | 63 / 3 | $7.174,86 | 569 / 40 | $6.135,55 | 566 / 43 |
| Respiratory Infections & Inflammations W Mcc | 22 | 114 / 36 | $18.526,40 | 65 / 4 | $11.825,10 | 562 / 40 | $10.588,50 | 554 / 44 |
| G.I. Hemorrhage W Mcc | 20 | 101 / 31 | $24.078,30 | 149 / 10 | $11.118,20 | 664 / 39 | $10.097,00 | 665 / 44 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 20 | 104 / 28 | $77.736,90 | 233 / 15 | $32.330,30 | 650 / 35 | $30.982,90 | 644 / 43 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 6 | $40.170,00 | 262 / 11 | $10.692,00 | 286 / 14 | $8.614,84 | 286 / 16 |
| Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 19 | $63.100,20 | 158 / 11 | $21.683,90 | 506 / 21 | $20.429,30 | 506 / 30 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 18 | 75 / 23 | $7.791,67 | 81 / 1 | $4.699,11 | 777 / 38 | $3.481,94 | 773 / 41 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 23 | $15.586,70 | 169 / 13 | $6.306,56 | 223 / 24 | $4.716,78 | 221 / 17 |
| Permanent Cardiac Pacemaker Implant W Cc | 17 | 60 / 14 | $66.171,40 | 434 / 29 | $16.900,10 | 451 / 23 | $15.559,80 | 450 / 26 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 20 | $18.419,20 | 235 / 13 | $6.827,29 | 587 / 34 | $5.635,29 | 586 / 41 |
| G.I. Obstruction W Cc | 17 | 75 / 26 | $11.367,50 | 93 / 4 | $5.631,76 | 548 / 27 | $4.527,06 | 547 / 41 |
| Other Circulatory System Diagnoses W Cc | 16 | 50 / 12 | $9.646,12 | 23 / 1 | $6.144,00 | 247 / 14 | $5.309,31 | 246 / 19 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 5 | $28.343,50 | 157 / 7 | $10.297,40 | 225 / 13 | $8.239,75 | 225 / 5 |
| Transient Ischemia | 16 | 109 / 36 | $10.479,30 | 79 / 2 | $4.588,12 | 575 / 28 | $3.444,94 | 572 / 42 |
| Bronchitis & Asthma W Cc/Mcc | 16 | 60 / 13 | $9.313,38 | 42 / 2 | $5.745,38 | 301 / 21 | $4.326,94 | 297 / 19 |
| Major Chest Procedures W Mcc | 16 | 33 / 5 | $72.552,40 | 32 / 4 | $26.746,30 | 45 / 5 | $25.705,90 | 45 / 7 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 16 | 53 / 8 | $56.295,10 | 163 / 3 | $17.855,10 | 249 / 8 | $15.292,90 | 248 / 13 |
| Major Chest Procedures W Cc | 15 | 59 / 7 | $58.578,40 | 184 / 4 | $15.815,00 | 192 / 2 | $14.513,90 | 192 / 8 |
| Permanent Cardiac Pacemaker Implant W Mcc | 15 | 37 / 10 | $69.006,10 | 133 / 10 | $21.629,00 | 200 / 11 | $20.804,30 | 200 / 13 |
| Medical Back Problems W/O Mcc | 15 | 106 / 32 | $10.052,30 | 56 / 3 | $5.300,27 | 382 / 24 | $4.082,93 | 382 / 28 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 15 | 61 / 15 | $113.229,00 | 190 / 6 | $33.047,50 | 481 / 16 | $31.458,50 | 481 / 25 |
| Respiratory Infections & Inflammations W Cc | 15 | 73 / 26 | $18.256,20 | 200 / 17 | $8.758,33 | 637 / 34 | $7.643,20 | 634 / 38 |
| Other Circulatory System Diagnoses W Mcc | 15 | 101 / 33 | $14.818,70 | 11 / 1 | $11.525,60 | 546 / 30 | $10.930,30 | 544 / 44 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 15 | 86 / 24 | $19.378,10 | 107 / 5 | $9.755,20 | 451 / 26 | $8.932,20 | 450 / 34 |
| Respiratory Neoplasms W Mcc | 15 | 37 / 8 | $20.880,70 | 41 / 1 | $10.800,10 | 140 / 9 | $9.118,60 | 140 / 11 |
| Other Vascular Procedures W Mcc | 15 | 82 / 23 | $50.586,50 | 84 / 2 | $19.256,10 | 214 / 7 | $18.054,90 | 213 / 13 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 13 | $63.060,20 | 41 / 2 | $29.047,90 | 247 / 9 | $28.008,40 | 247 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 14 | 82 / 24 | $10.667,50 | 21 / 2 | $7.430,14 | 310 / 26 | $6.262,43 | 308 / 23 |
| G.I. Hemorrhage W/O Cc/Mcc | 14 | 54 / 13 | $9.846,21 | 96 / 3 | $4.660,64 | 487 / 17 | $3.745,21 | 483 / 27 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 17 | $10.037,40 | 139 / 9 | $4.249,29 | 395 / 29 | $2.823,50 | 394 / 23 |
| Seizures W/O Mcc | 13 | 95 / 27 | $8.892,00 | 49 / 1 | $4.963,77 | 540 / 20 | $4.134,31 | 537 / 32 |
| Diabetes W Mcc | 13 | 44 / 11 | $15.185,80 | 32 / 1 | $8.633,77 | 118 / 14 | $7.094,46 | 118 / 14 |
| Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 16 | $12.824,30 | 68 / 2 | $5.771,77 | 229 / 11 | $4.574,92 | 229 / 15 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 13 | 111 / 17 | $7.228,54 | 61 / 3 | $4.577,31 | 143 / 12 | $3.376,92 | 143 / 9 |
| Signs & Symptoms W/O Mcc | 13 | 78 / 22 | $10.627,40 | 112 / 8 | $4.645,00 | 435 / 27 | $3.572,31 | 434 / 32 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 21 | $25.970,90 | 31 / 1 | $12.890,20 | 211 / 12 | $11.096,10 | 207 / 15 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 22 | $42.178,20 | 8 / 1 | $31.678,10 | 381 / 20 | $30.387,20 | 381 / 27 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 12 | 45 / 13 | $55.639,40 | 351 / 20 | $13.561,70 | 364 / 9 | $12.423,80 | 363 / 16 |
| Red Blood Cell Disorders W Mcc | 12 | 59 / 18 | $14.942,20 | 63 / 3 | $7.931,75 | 251 / 20 | $6.707,75 | 251 / 25 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 13 | $7.964,25 | 56 / 2 | $4.272,58 | 326 / 18 | $3.187,42 | 325 / 18 |
| Hip & Femur Procedures Except Major Joint W Mcc | 12 | 50 / 16 | $38.475,70 | 46 / 3 | $18.135,40 | 317 / 18 | $16.682,30 | 314 / 21 |
| Diabetes W/O Cc/Mcc | 12 | 26 / 5 | $6.567,67 | 15 / 1 | $3.887,83 | 105 / 3 | $3.106,83 | 105 / 5 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 11 | $8.422,17 | 40 / 2 | $4.665,00 | 300 / 17 | $3.477,33 | 301 / 17 |
| Respiratory Neoplasms W Cc | 11 | 36 / 8 | $14.319,50 | 23 / 1 | $7.472,64 | 149 / 6 | $6.386,09 | 148 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 22 | $11.064,30 | 39 / 1 | $7.216,45 | 456 / 19 | $6.551,00 | 455 / 29 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 11 | 157 / 40 | $16.222,70 | 39 / 2 | $9.550,09 | 240 / 13 | $8.606,36 | 239 / 21 |
| Heart Failure & Shock W/O Cc/Mcc | 11 | 99 / 35 | $7.475,73 | 85 / 4 | $4.414,36 | 949 / 37 | $3.687,27 | 941 / 56 | Total 84 procedures | 2.497 | 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.