Hospital Costs > In Minnesota > Fairview Lakes 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 | 103 | 461 / 30 | $32.772,80 | 346 / 11 | $14.540,50 | 1237 / 14 | $11.460,40 | 1206 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 73 | 443 / 22 | $35.386,50 | 1075 / 28 | $11.910,80 | 701 / 9 | $9.792,71 | 700 / 1 |
| Heart Failure & Shock W Mcc | 42 | 242 / 22 | $23.904,60 | 656 / 16 | $9.049,33 | 949 / 4 | $8.221,14 | 948 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 41 | 161 / 12 | $18.925,40 | 637 / 17 | $7.947,66 | 906 / 16 | $6.157,39 | 901 / 6 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 28 | 247 / 25 | $16.224,00 | 899 / 24 | $5.389,86 | 1716 / 13 | $4.356,21 | 1703 / 17 |
| Pulmonary Edema & Respiratory Failure | 28 | 175 / 18 | $28.714,80 | 957 / 23 | $8.296,43 | 1314 / 11 | $7.435,86 | 1310 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 25 | 180 / 23 | $22.453,60 | 537 / 11 | $8.894,04 | 953 / 5 | $7.829,08 | 953 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 21 | 186 / 26 | $18.631,00 | 645 / 21 | $7.044,14 | 972 / 10 | $5.637,57 | 969 / 6 |
| Heart Failure & Shock W Cc | 20 | 258 / 33 | $13.783,90 | 439 / 7 | $6.154,15 | 1302 / 3 | $5.552,55 | 1298 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 17 | 149 / 22 | $15.567,50 | 1028 / 20 | $4.747,88 | 1223 / 6 | $3.825,53 | 1219 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 16 | 85 / 13 | $19.830,80 | 119 / 2 | $9.306,00 | 387 / 1 | $8.700,00 | 386 / 4 |
| Cellulitis W/O Mcc | 16 | 173 / 26 | $13.360,90 | 639 / 12 | $5.619,19 | 1338 / 6 | $4.565,19 | 1332 / 9 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 31 | $18.052,00 | 918 / 31 | $6.816,33 | 793 / 19 | $4.904,00 | 790 / 4 |
| Renal Failure W Cc | 15 | 206 / 24 | $20.291,00 | 1008 / 26 | $6.046,53 | 1145 / 6 | $5.323,33 | 1137 / 6 |
| G.I. Obstruction W Cc | 14 | 78 / 22 | $16.313,10 | 389 / 13 | $5.889,86 | 890 / 7 | $4.941,29 | 888 / 7 |
| G.I. Hemorrhage W Cc | 14 | 204 / 30 | $16.734,70 | 464 / 15 | $6.232,79 | 589 / 6 | $4.989,36 | 588 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 14 | 109 / 21 | $24.585,00 | 628 / 12 | $7.579,79 | 743 / 2 | $6.718,07 | 740 / 4 |
| Respiratory Infections & Inflammations W Mcc | 14 | 122 / 19 | $21.503,60 | 135 / 2 | $12.356,60 | 351 / 7 | $10.131,60 | 351 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 15 | $12.946,50 | 363 / 11 | $4.170,69 | 587 / 3 | $3.063,00 | 586 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 13 | 220 / 30 | $16.281,10 | 1118 / 27 | $5.527,08 | 973 / 14 | $3.944,46 | 966 / 5 |
| Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 26 | $31.093,30 | 262 / 7 | $12.139,00 | 1040 / 5 | $11.128,30 | 1027 / 7 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 11 | 114 / 18 | $15.550,90 | 58 / 1 | $9.654,91 | 30 / 2 | $7.215,91 | 30 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 25 | $21.001,30 | 532 / 14 | $6.909,18 | 1053 / 6 | $5.914,27 | 1050 / 7 | Total 23 procedures | 576 | 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.