Hospital Costs > In Ohio > Firelands Regional Medical Center, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Psychoses | 377 | 45 / 1 | $14.027,20 | 162 / 10 | $7.030,77 | 94 / 14 | $5.093,29 | 94 / 4 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 123 | 441 / 43 | $37.230,60 | 599 / 33 | $13.572,40 | 678 / 61 | $10.597,70 | 669 / 45 |
Heart Failure & Shock W Cc | 121 | 157 / 16 | $18.075,80 | 941 / 51 | $6.533,90 | 622 / 67 | $5.006,86 | 621 / 37 |
Chronic Obstructive Pulmonary Disease W Cc | 80 | 99 / 14 | $16.308,10 | 643 / 47 | $6.519,77 | 380 / 75 | $4.403,56 | 379 / 24 |
Simple Pneumonia & Pleurisy W Cc | 71 | 132 / 17 | $19.838,70 | 1118 / 65 | $6.543,21 | 830 / 74 | $4.935,96 | 827 / 55 |
Kidney & Urinary Tract Infections W/O Mcc | 70 | 163 / 28 | $13.543,30 | 720 / 45 | $5.320,09 | 510 / 73 | $3.630,89 | 510 / 29 |
Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 31 | $20.641,00 | 771 / 49 | $7.329,25 | 848 / 52 | $6.100,17 | 843 / 57 |
Cellulitis W/O Mcc | 63 | 126 / 24 | $13.482,80 | 661 / 45 | $5.487,98 | 596 / 50 | $3.968,35 | 593 / 37 |
Spinal Fusion Except Cervical W/O Mcc | 61 | 133 / 16 | $65.265,90 | 287 / 15 | $25.053,40 | 109 / 25 | $19.057,00 | 108 / 8 |
G.I. Hemorrhage W Cc | 58 | 160 / 31 | $20.632,70 | 803 / 46 | $6.459,59 | 663 / 53 | $5.056,97 | 662 / 48 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 58 | 217 / 42 | $14.621,40 | 702 / 46 | $5.282,17 | 637 / 73 | $3.521,98 | 633 / 36 |
Heart Failure & Shock W Mcc | 56 | 228 / 50 | $23.601,50 | 636 / 37 | $9.292,18 | 361 / 51 | $7.497,80 | 361 / 29 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 53 | 97 / 16 | $9.418,57 | 288 / 21 | $3.953,62 | 468 / 54 | $2.413,98 | 465 / 29 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 50 | 116 / 19 | $13.241,80 | 721 / 40 | $4.732,98 | 630 / 58 | $3.400,68 | 628 / 39 |
Simple Pneumonia & Pleurisy W Mcc | 43 | 162 / 37 | $25.457,10 | 735 / 50 | $9.980,16 | 411 / 81 | $7.200,02 | 411 / 35 |
Heart Failure & Shock W/O Cc/Mcc | 43 | 67 / 7 | $12.810,40 | 576 / 35 | $4.535,35 | 643 / 44 | $3.425,67 | 641 / 37 |
Renal Failure W Cc | 42 | 179 / 47 | $22.216,30 | 1198 / 67 | $6.706,88 | 913 / 69 | $5.094,19 | 905 / 61 |
Red Blood Cell Disorders W/O Mcc | 40 | 103 / 15 | $18.386,20 | 747 / 46 | $5.316,62 | 651 / 47 | $4.141,92 | 647 / 50 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 39 | 81 / 18 | $13.960,80 | 657 / 47 | $4.824,33 | 703 / 53 | $3.495,18 | 701 / 50 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 38 | 123 / 28 | $17.175,30 | 771 / 49 | $5.326,50 | 626 / 58 | $3.943,37 | 623 / 43 |
Kidney & Urinary Tract Infections W Mcc | 36 | 108 / 22 | $18.817,90 | 491 / 33 | $7.229,36 | 335 / 54 | $5.476,97 | 334 / 30 |
Other Vascular Procedures W/O Cc/Mcc | 34 | 22 / 1 | $39.724,20 | 174 / 6 | $10.253,10 | 189 / 5 | $9.075,47 | 188 / 6 |
Other Vascular Procedures W Cc | 33 | 69 / 13 | $61.108,70 | 385 / 17 | $16.823,30 | 203 / 21 | $13.377,70 | 203 / 12 |
Other Vascular Procedures W Mcc | 33 | 64 / 10 | $69.649,80 | 258 / 17 | $22.062,30 | 178 / 25 | $17.706,50 | 178 / 12 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 9 | $15.655,60 | 799 / 47 | $5.317,39 | 436 / 59 | $3.178,70 | 434 / 26 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 33 | 98 / 27 | $41.869,10 | 376 / 28 | $14.075,20 | 571 / 36 | $12.633,80 | 563 / 39 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 33 | 483 / 82 | $43.449,70 | 1501 / 79 | $12.921,90 | 1522 / 87 | $11.054,60 | 1491 / 83 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 32 | $26.026,60 | 334 / 21 | $7.829,17 | 369 / 49 | $5.269,93 | 368 / 21 |
Medical Back Problems W/O Mcc | 30 | 91 / 19 | $15.939,60 | 269 / 16 | $5.488,13 | 342 / 32 | $4.023,17 | 342 / 22 |
Degenerative Nervous System Disorders W/O Mcc | 30 | 48 / 7 | $13.426,50 | 79 / 4 | $6.746,17 | 230 / 21 | $5.072,57 | 230 / 17 |
Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 26 | $29.855,10 | 217 / 15 | $11.427,10 | 271 / 30 | $9.663,66 | 270 / 19 |
Pulmonary Edema & Respiratory Failure | 27 | 176 / 51 | $24.523,90 | 695 / 40 | $8.111,15 | 391 / 57 | $6.209,89 | 391 / 27 |
Renal Failure W Mcc | 26 | 169 / 52 | $31.587,50 | 855 / 52 | $9.668,81 | 644 / 49 | $8.274,65 | 644 / 51 |
Pulmonary Embolism W/O Mcc | 25 | 49 / 12 | $18.834,50 | 333 / 16 | $6.206,12 | 269 / 21 | $4.740,00 | 269 / 21 |
Diabetes W Cc | 25 | 67 / 16 | $15.693,30 | 375 / 22 | $5.527,64 | 335 / 33 | $4.067,08 | 335 / 27 |
Syncope & Collapse | 25 | 144 / 33 | $12.541,40 | 227 / 14 | $4.788,88 | 511 / 43 | $3.563,36 | 509 / 41 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 38 | $18.157,20 | 362 / 18 | $6.788,76 | 411 / 45 | $5.118,44 | 410 / 33 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 20 | $16.110,70 | 317 / 13 | $5.181,79 | 328 / 38 | $3.409,71 | 325 / 19 |
Major Cardiovasc Procedures W/O Mcc | 23 | 78 / 14 | $66.378,60 | 208 / 15 | $19.848,10 | 316 / 10 | $18.713,30 | 316 / 19 |
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 23 | 173 / 44 | $49.217,00 | 210 / 10 | $14.142,20 | 183 / 35 | $9.748,00 | 183 / 11 |
Extracranial Procedures W/O Cc/Mcc | 22 | 76 / 13 | $25.268,10 | 293 / 12 | $6.452,82 | 348 / 8 | $5.320,18 | 348 / 18 |
Other Circulatory System Diagnoses W Mcc | 22 | 94 / 26 | $24.408,70 | 108 / 8 | $12.038,00 | 7 / 37 | $8.002,05 | 7 / 1 |
Respiratory Infections & Inflammations W Cc | 22 | 66 / 19 | $25.410,50 | 489 / 33 | $9.876,41 | 397 / 51 | $7.161,86 | 394 / 20 |
Transient Ischemia | 21 | 104 / 31 | $16.208,00 | 367 / 18 | $4.965,05 | 343 / 41 | $3.206,05 | 343 / 27 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 20 | 51 / 15 | $80.531,50 | 114 / 14 | $30.991,80 | 2 / 15 | $21.222,90 | 2 / 1 |
Chest Pain | 19 | 132 / 31 | $9.986,89 | 146 / 7 | $4.097,00 | 284 / 36 | $2.664,42 | 283 / 19 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 19 | 37 / 4 | $22.197,80 | 53 / 2 | $9.699,58 | 284 / 7 | $8.411,53 | 283 / 8 |
G.I. Hemorrhage W Mcc | 19 | 102 / 32 | $41.280,50 | 742 / 44 | $11.094,00 | 579 / 38 | $9.859,89 | 580 / 43 |
G.I. Hemorrhage W/O Cc/Mcc | 18 | 50 / 9 | $12.997,70 | 217 / 9 | $4.605,78 | 313 / 13 | $3.384,61 | 310 / 20 |
Respiratory Infections & Inflammations W Mcc | 18 | 118 / 40 | $33.122,00 | 519 / 33 | $12.062,20 | 611 / 46 | $10.701,80 | 603 / 47 |
Major Small & Large Bowel Procedures W Cc | 17 | 91 / 25 | $43.528,40 | 263 / 15 | $14.713,40 | 331 / 21 | $12.991,80 | 329 / 27 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 16 | 110 / 33 | $31.805,40 | 1033 / 59 | $8.584,00 | 1003 / 60 | $7.084,75 | 1000 / 61 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 15 | 54 / 12 | $46.231,70 | 112 / 6 | $12.800,30 | 70 / 19 | $8.788,00 | 70 / 6 |
Red Blood Cell Disorders W Mcc | 15 | 56 / 15 | $29.737,30 | 453 / 31 | $9.672,40 | 34 / 42 | $5.748,67 | 34 / 2 |
Carotid Artery Stent Procedure W/O Cc/Mcc | 15 | 17 / 3 | $26.849,80 | 7 / 1 | $10.158,50 | 33 / 1 | $8.932,27 | 33 / 4 |
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 14 | 75 / 17 | $21.360,70 | 108 / 8 | $7.387,36 | 164 / 12 | $5.083,29 | 164 / 12 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 14 | 193 / 53 | $23.190,60 | 1091 / 58 | $7.584,14 | 280 / 67 | $4.967,79 | 279 / 15 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 14 | 111 / 43 | $32.117,80 | 515 / 33 | $10.347,60 | 464 / 37 | $8.904,07 | 464 / 36 |
Seizures W/O Mcc | 14 | 94 / 26 | $11.910,90 | 129 / 7 | $4.911,43 | 327 / 19 | $3.805,43 | 325 / 22 |
Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 15 | $13.610,60 | 147 / 11 | $5.671,86 | 261 / 18 | $4.245,07 | 258 / 16 |
G.I. Obstruction W Cc | 14 | 78 / 29 | $21.146,90 | 734 / 50 | $5.856,86 | 505 / 38 | $4.483,00 | 504 / 37 |
Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 25 | $24.609,20 | 417 / 31 | $7.885,08 | 416 / 35 | $6.456,54 | 414 / 33 |
Organic Disturbances & Mental Retardation | 13 | 46 / 7 | $17.318,30 | 135 / 4 | $6.932,15 | 103 / 6 | $5.100,38 | 103 / 4 |
Cranial & Peripheral Nerve Disorders W/O Mcc | 13 | 55 / 14 | $16.788,40 | 135 / 11 | $6.075,54 | 47 / 17 | $3.851,92 | 47 / 5 |
Other Circulatory System Diagnoses W Cc | 13 | 53 / 15 | $12.144,90 | 49 / 3 | $6.018,15 | 93 / 10 | $4.677,77 | 93 / 6 |
Disorders Of Pancreas Except Malignancy W Cc | 13 | 48 / 16 | $17.150,90 | 185 / 6 | $5.729,08 | 131 / 8 | $4.283,54 | 131 / 8 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 47 | $21.642,90 | 429 / 27 | $7.752,62 | 460 / 44 | $6.312,92 | 457 / 38 |
Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 24 | $22.321,20 | 388 / 25 | $7.589,38 | 218 / 46 | $4.989,23 | 218 / 18 |
Perc Cardiovasc Proc W Non-Drug-Eluting Stent W Mcc Or 4+ Ves/Stents | 13 | 32 / 5 | $75.609,40 | 86 / 2 | $18.502,70 | 93 / 3 | $17.178,90 | 93 / 4 |
Cervical Spinal Fusion W Cc | 12 | 41 / 11 | $39.390,70 | 37 / 1 | $16.911,20 | 105 / 3 | $15.504,80 | 104 / 5 |
Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 26 | $81.915,10 | 209 / 11 | $24.081,80 | 20 / 2 | $22.287,70 | 20 / 6 |
Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 14 | $33.611,70 | 92 / 5 | $12.167,50 | 54 / 8 | $9.000,27 | 54 / 4 |
Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 20 | $19.902,40 | 111 / 5 | $8.471,82 | 132 / 11 | $6.955,18 | 132 / 6 |
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 11 | 85 / 19 | $38.523,60 | 152 / 7 | $12.896,60 | 295 / 8 | $11.566,20 | 292 / 15 |
Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 15 | $42.575,80 | 338 / 10 | $10.271,30 | 286 / 6 | $8.528,27 | 286 / 9 |
Seizures W Mcc | 11 | 55 / 20 | $26.502,50 | 117 / 7 | $9.519,36 | 167 / 13 | $8.190,73 | 167 / 13 |
Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R. | 11 | 53 / 16 | $129.896,00 | 33 / 5 | $61.384,80 | 29 / 11 | $46.339,80 | 29 / 4 |
Bronchitis & Asthma W/O Cc/Mcc | 11 | 34 / 4 | $14.428,90 | 122 / 6 | $4.845,18 | 43 / 7 | $2.563,91 | 43 / 4 |
Complications Of Treatment W Cc | 11 | 41 / 12 | $18.199,50 | 69 / 4 | $6.327,82 | 23 / 4 | $4.684,73 | 23 / 2 | Total 79 procedures | 2.705 | 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.