Hospital Costs > In Nebraska > Faith Regional Health Services, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 215 | 301 / 3 | $33.865,40 | 993 / 2 | $13.560,30 | 2068 / 13 | $12.633,00 | 2031 / 13 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 126 | 438 / 14 | $43.187,30 | 939 / 8 | $15.917,40 | 2004 / 16 | $13.623,50 | 1962 / 16 |
Psychoses | 96 | 195 / 3 | $28.174,80 | 453 / 4 | $8.174,73 | 439 / 4 | $7.163,08 | 439 / 4 |
Heart Failure & Shock W Mcc | 41 | 243 / 9 | $26.787,10 | 882 / 4 | $10.667,70 | 1883 / 11 | $9.978,88 | 1878 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 36 | 171 / 8 | $21.970,60 | 972 / 6 | $7.705,25 | 1781 / 13 | $6.763,92 | 1774 / 13 |
Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 8 | $34.918,90 | 406 / 3 | $13.996,10 | 1507 / 11 | $12.825,10 | 1489 / 13 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 2 | $45.919,00 | 1020 / 6 | $14.590,90 | 1564 / 8 | $13.662,90 | 1551 / 9 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 29 | 121 / 6 | $15.804,60 | 1085 / 14 | $3.931,03 | 1039 / 10 | $2.856,28 | 1034 / 12 |
Heart Failure & Shock W Cc | 29 | 249 / 15 | $17.306,00 | 847 / 3 | $7.059,48 | 1934 / 12 | $6.394,10 | 1929 / 15 |
G.I. Hemorrhage W Cc | 29 | 189 / 10 | $20.415,60 | 780 / 4 | $7.194,48 | 1678 / 10 | $6.319,45 | 1674 / 12 |
Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 27 | 36 / 1 | $74.933,60 | 111 / 2 | $25.038,20 | 194 / 2 | $23.831,70 | 193 / 2 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 25 | 99 / 6 | $100.364,00 | 493 / 3 | $45.762,70 | 1385 / 9 | $44.892,40 | 1375 / 9 |
Respiratory Infections & Inflammations W Mcc | 21 | 115 / 5 | $38.444,70 | 720 / 3 | $14.837,70 | 1471 / 9 | $14.027,00 | 1455 / 9 |
Chronic Obstructive Pulmonary Disease W Mcc | 21 | 181 / 12 | $25.683,80 | 1177 / 6 | $8.361,71 | 1751 / 9 | $7.325,52 | 1743 / 13 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 6 | $27.964,90 | 853 / 8 | $8.579,95 | 1235 / 10 | $7.717,48 | 1232 / 11 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 9 | $64.479,90 | 552 / 6 | $15.169,90 | 1196 / 9 | $14.022,70 | 1189 / 10 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 20 | 168 / 8 | $38.760,10 | 909 / 12 | $9.279,40 | 1091 / 13 | $6.670,90 | 1088 / 13 |
Simple Pneumonia & Pleurisy W Cc | 20 | 183 / 16 | $15.479,20 | 620 / 2 | $6.939,30 | 1919 / 10 | $6.024,90 | 1911 / 14 |
Renal Failure W Cc | 19 | 202 / 12 | $14.653,60 | 432 / 1 | $6.863,11 | 1586 / 12 | $5.908,16 | 1577 / 13 |
G.I. Hemorrhage W Mcc | 18 | 103 / 6 | $34.322,20 | 476 / 2 | $13.374,10 | 1260 / 7 | $12.634,60 | 1252 / 7 |
Renal Failure W Mcc | 18 | 177 / 10 | $29.403,30 | 727 / 4 | $12.145,00 | 1707 / 13 | $11.199,20 | 1705 / 14 |
Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 5 | $27.560,70 | 363 / 4 | $7.435,11 | 663 / 5 | $6.357,78 | 660 / 6 |
Pulmonary Edema & Respiratory Failure | 18 | 185 / 13 | $21.925,20 | 530 / 1 | $9.138,06 | 1715 / 12 | $8.535,39 | 1710 / 15 |
Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 13 | $29.888,40 | 1029 / 5 | $10.465,70 | 1882 / 10 | $9.660,39 | 1882 / 14 |
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 18 | 100 / 7 | $108.249,00 | 107 / 3 | $39.764,70 | 422 / 6 | $38.758,40 | 422 / 6 |
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 17 | 83 / 2 | $81.966,20 | 298 / 4 | $24.148,20 | 765 / 5 | $23.009,40 | 760 / 6 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 17 | 144 / 15 | $16.197,40 | 649 / 6 | $5.593,53 | 1311 / 10 | $4.671,18 | 1306 / 13 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 16 | $13.013,40 | 678 / 2 | $4.971,38 | 1727 / 8 | $4.367,38 | 1722 / 14 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 14 | 154 / 11 | $22.761,70 | 146 / 1 | $12.328,60 | 1100 / 8 | $11.551,50 | 1094 / 12 |
Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 7 | $46.096,40 | 90 / 1 | $24.236,10 | 748 / 6 | $23.113,90 | 745 / 7 |
Chronic Obstructive Pulmonary Disease W Cc | 14 | 165 / 14 | $17.129,90 | 714 / 2 | $6.645,29 | 1508 / 11 | $5.523,00 | 1502 / 11 |
Coronary Bypass W Cardiac Cath W/O Mcc | 14 | 62 / 6 | $119.312,00 | 222 / 4 | $37.410,40 | 557 / 4 | $36.292,70 | 557 / 6 |
Major Chest Procedures W Cc | 12 | 62 / 6 | $45.805,60 | 80 / 2 | $18.526,80 | 351 / 5 | $17.316,20 | 349 / 6 |
Major Small & Large Bowel Procedures W Cc | 12 | 96 / 12 | $58.201,10 | 595 / 9 | $20.385,20 | 1328 / 12 | $19.385,20 | 1314 / 13 |
G.I. Obstruction W Cc | 12 | 80 / 8 | $15.437,50 | 321 / 1 | $6.290,67 | 1176 / 8 | $5.480,00 | 1173 / 10 |
Cellulitis W/O Mcc | 11 | 178 / 16 | $18.788,40 | 1337 / 8 | $7.202,64 | 1324 / 16 | $4.556,73 | 1318 / 10 |
Revision Of Hip Or Knee Replacement W Cc | 11 | 75 / 8 | $54.551,10 | 103 / 1 | $24.406,50 | 516 / 5 | $23.312,50 | 514 / 7 |
Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 8 | $51.391,30 | 192 / 3 | $21.954,50 | 744 / 6 | $21.180,60 | 741 / 7 |
Peripheral Vascular Disorders W Cc | 11 | 73 / 7 | $20.172,20 | 421 / 4 | $6.866,91 | 830 / 5 | $6.320,00 | 827 / 8 |
Spinal Fusion Except Cervical W/O Mcc | 11 | 183 / 11 | $60.488,50 | 224 / 2 | $28.728,50 | 1069 / 9 | $27.631,70 | 1064 / 11 | Total 40 procedures | 1.162 | 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.