Hospital Costs > In Arizona > Flagstaff 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 | 395 | 191 / 9 | $40.830,90 | 798 / 4 | $22.884,10 | 2632 / 48 | $20.956,60 | 2586 / 48 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 252 | 264 / 7 | $53.477,60 | 1905 / 19 | $19.926,50 | 2731 / 44 | $18.653,70 | 2686 / 44 |
| Spinal Fusion Except Cervical W/O Mcc | 200 | 29 / 2 | $61.169,50 | 231 / 4 | $43.052,90 | 1322 / 26 | $38.628,60 | 1317 / 26 |
| Simple Pneumonia & Pleurisy W Mcc | 79 | 126 / 8 | $45.974,50 | 1789 / 26 | $16.428,70 | 2469 / 43 | $15.220,10 | 2463 / 43 |
| Heart Failure & Shock W Mcc | 74 | 210 / 10 | $35.145,10 | 1405 / 11 | $16.262,80 | 2512 / 42 | $14.619,70 | 2501 / 42 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 73 | 134 / 13 | $31.655,50 | 1715 / 20 | $12.093,70 | 2418 / 41 | $9.615,32 | 2408 / 41 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 69 | 23 / 1 | $27.684,40 | 249 / 4 | $11.564,90 | 739 / 19 | $10.137,40 | 738 / 20 |
| Cervical Spinal Fusion W/O Cc/Mcc | 67 | 39 / 2 | $41.353,00 | 220 / 3 | $24.552,80 | 850 / 18 | $20.461,70 | 847 / 18 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 65 | 8 / 1 | $42.752,40 | 191 / 4 | $20.531,50 | 559 / 17 | $17.798,90 | 555 / 17 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 64 | 60 / 2 | $131.128,00 | 851 / 12 | $60.008,00 | 1551 / 29 | $57.261,80 | 1541 / 30 |
| Chronic Obstructive Pulmonary Disease W Mcc | 55 | 147 / 7 | $30.663,70 | 1518 / 14 | $12.506,30 | 2475 / 41 | $11.214,30 | 2467 / 42 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 54 | 221 / 25 | $22.126,60 | 1641 / 13 | $7.998,07 | 2507 / 39 | $6.576,43 | 2492 / 40 |
| G.I. Hemorrhage W Cc | 52 | 166 / 15 | $25.868,20 | 1279 / 8 | $10.642,30 | 2293 / 36 | $9.292,98 | 2289 / 37 |
| G.I. Hemorrhage W Mcc | 51 | 70 / 2 | $43.858,90 | 833 / 8 | $18.517,50 | 1603 / 29 | $17.571,90 | 1593 / 30 |
| Cellulitis W/O Mcc | 50 | 139 / 14 | $21.990,90 | 1658 / 24 | $8.896,16 | 2475 / 38 | $7.691,38 | 2467 / 39 |
| Pulmonary Edema & Respiratory Failure | 50 | 153 / 13 | $37.735,70 | 1416 / 18 | $13.510,10 | 2103 / 36 | $11.434,10 | 2097 / 36 |
| Hip & Femur Procedures Except Major Joint W Cc | 49 | 94 / 10 | $48.565,70 | 1001 / 7 | $20.985,80 | 2001 / 37 | $19.178,00 | 1979 / 38 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 40 | 128 / 11 | $48.158,90 | 920 / 13 | $18.284,70 | 1542 / 28 | $17.258,30 | 1535 / 29 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 40 | 56 / 4 | $41.308,20 | 193 / 4 | $24.175,20 | 797 / 20 | $20.559,40 | 793 / 20 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 39 | 157 / 15 | $60.249,90 | 455 / 2 | $24.014,20 | 1439 / 38 | $18.806,10 | 1431 / 37 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 38 | 144 / 15 | $28.604,10 | 1057 / 8 | $11.333,40 | 1981 / 32 | $10.221,80 | 1977 / 34 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 37 | 89 / 10 | $31.846,40 | 1035 / 18 | $11.709,90 | 1620 / 31 | $10.803,10 | 1617 / 33 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 35 | 61 / 3 | $25.642,80 | 460 / 1 | $12.601,70 | 1352 / 27 | $11.295,70 | 1347 / 29 |
| Heart Failure & Shock W Cc | 34 | 244 / 23 | $20.490,10 | 1235 / 8 | $10.445,40 | 2646 / 41 | $9.737,65 | 2640 / 44 |
| Chest Pain | 33 | 118 / 4 | $20.441,90 | 952 / 5 | $6.426,76 | 1495 / 24 | $5.222,52 | 1486 / 24 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 31 | 38 / 3 | $47.663,00 | 112 / 4 | $28.240,80 | 467 / 14 | $25.805,20 | 467 / 14 |
| Hip & Femur Procedures Except Major Joint W Mcc | 30 | 32 / 2 | $53.987,60 | 226 / 2 | $32.124,80 | 940 / 23 | $31.122,10 | 937 / 23 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 29 | 132 / 13 | $16.550,10 | 691 / 1 | $8.496,86 | 2011 / 36 | $7.118,66 | 2006 / 36 |
| Renal Failure W Mcc | 28 | 167 / 17 | $39.231,00 | 1254 / 10 | $15.867,90 | 2058 / 33 | $15.122,70 | 2054 / 34 |
| Renal Failure W Cc | 27 | 194 / 21 | $25.469,00 | 1462 / 16 | $10.158,20 | 2312 / 37 | $9.130,63 | 2302 / 39 |
| Syncope & Collapse | 26 | 143 / 11 | $26.954,70 | 1308 / 14 | $8.916,00 | 1770 / 34 | $6.582,08 | 1762 / 33 |
| Respiratory Infections & Inflammations W Mcc | 26 | 110 / 14 | $46.541,20 | 989 / 7 | $21.373,80 | 1779 / 29 | $19.408,50 | 1763 / 29 |
| Hypertension W/O Mcc | 25 | 40 / 1 | $18.081,70 | 341 / 2 | $6.930,76 | 666 / 13 | $5.019,16 | 664 / 12 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 25 | 163 / 14 | $36.606,30 | 824 / 7 | $11.427,10 | 1562 / 34 | $10.413,40 | 1559 / 37 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 25 | 106 / 10 | $82.865,20 | 1338 / 22 | $25.407,40 | 1803 / 33 | $24.487,00 | 1789 / 33 |
| Kidney & Urinary Tract Infections W Mcc | 25 | 119 / 12 | $27.106,10 | 1047 / 11 | $11.857,20 | 1881 / 30 | $11.082,80 | 1877 / 31 |
| Seizures W Mcc | 24 | 42 / 3 | $35.293,80 | 270 / 2 | $16.176,70 | 710 / 10 | $15.271,30 | 710 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 24 | 41 / 3 | $73.776,20 | 425 / 4 | $36.039,00 | 906 / 17 | $35.032,40 | 902 / 17 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 23 | 100 / 15 | $38.622,30 | 1278 / 16 | $13.073,50 | 1816 / 33 | $11.543,60 | 1813 / 34 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 22 | 76 / 7 | $98.669,50 | 181 / 3 | $47.278,40 | 489 / 11 | $46.782,40 | 489 / 11 |
| Transient Ischemia | 22 | 103 / 13 | $24.712,50 | 943 / 10 | $7.677,05 | 1508 / 28 | $5.938,45 | 1500 / 28 |
| G.I. Obstruction W Cc | 21 | 71 / 14 | $22.780,90 | 847 / 5 | $9.313,86 | 1660 / 32 | $8.338,62 | 1655 / 34 |
| Major Small & Large Bowel Procedures W Mcc | 20 | 65 / 10 | $120.029,00 | 555 / 5 | $54.996,40 | 1246 / 29 | $50.597,80 | 1243 / 29 |
| Other Circulatory System Diagnoses W Mcc | 20 | 96 / 12 | $44.461,10 | 616 / 3 | $19.996,50 | 1299 / 26 | $18.331,30 | 1291 / 27 |
| Seizures W/O Mcc | 19 | 89 / 9 | $21.266,40 | 615 / 3 | $7.959,58 | 1199 / 14 | $7.073,68 | 1197 / 17 |
| Pulmonary Embolism W/O Mcc | 19 | 55 / 11 | $26.025,10 | 693 / 8 | $10.607,40 | 1223 / 33 | $8.840,37 | 1220 / 35 |
| Cervical Spinal Fusion W Cc | 18 | 35 / 3 | $45.052,80 | 61 / 1 | $30.843,50 | 376 / 9 | $29.363,30 | 375 / 9 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 18 | 18 / 3 | $59.571,80 | 165 / 3 | $26.154,40 | 354 / 10 | $25.011,30 | 353 / 10 |
| Simple Pneumonia & Pleurisy W Cc | 18 | 185 / 32 | $30.487,80 | 1971 / 24 | $10.599,30 | 2644 / 44 | $8.700,33 | 2635 / 44 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 18 | 148 / 28 | $25.133,00 | 1895 / 25 | $7.353,17 | 2366 / 37 | $6.480,28 | 2357 / 38 |
| Atherosclerosis W/O Mcc | 17 | 41 / 2 | $20.815,70 | 328 / 2 | $6.433,12 | / 3 | $5.130,24 | / |
| Revision Of Hip Or Knee Replacement W Cc | 17 | 69 / 10 | $65.483,80 | 183 / 3 | $35.864,50 | 655 / 18 | $34.942,20 | 653 / 18 |
| Medical Back Problems W/O Mcc | 17 | 104 / 18 | $26.696,50 | 904 / 12 | $8.909,53 | 1405 / 25 | $7.915,65 | 1400 / 26 |
| Spinal Fusion Except Cervical W Mcc | 17 | 8 / 2 | $105.296,00 | 13 / 1 | $71.555,00 | 73 / 2 | $70.418,10 | 73 / 2 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 17 | 59 / 5 | $167.150,00 | 413 / 6 | $50.679,90 | 610 / 11 | $49.469,60 | 610 / 11 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 16 | 24 / 4 | $49.080,40 | 89 / 1 | $26.042,40 | 453 / 11 | $25.212,40 | 452 / 11 |
| Pulmonary Embolism W Mcc | 16 | 27 / 6 | $27.827,40 | 133 / 1 | $17.656,50 | 531 / 12 | $12.547,90 | 530 / 12 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 16 | 38 / 5 | $21.331,40 | 180 / 3 | $7.733,88 | 358 / 7 | $6.599,88 | 358 / 7 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 16 | 50 / 6 | $41.531,00 | 359 / 7 | $11.682,10 | 493 / 9 | $10.624,10 | 492 / 10 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 15 | 62 / 6 | $38.402,50 | 166 / 1 | $17.565,30 | 396 / 6 | $14.349,50 | 395 / 6 |
| Coronary Bypass W Cardiac Cath W Mcc | 15 | 41 / 2 | $203.908,00 | 245 / 3 | $78.810,40 | 435 / 6 | $77.598,70 | 435 / 6 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 15 | 41 / 10 | $45.167,20 | 372 / 7 | $17.385,60 | 857 / 22 | $16.182,40 | 853 / 22 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 15 | 110 / 15 | $44.103,50 | 966 / 11 | $18.316,50 | 1762 / 30 | $17.595,40 | 1749 / 30 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 12 | $107.246,00 | 567 / 15 | $34.617,70 | 1001 / 27 | $33.570,20 | 996 / 26 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 14 | 136 / 26 | $17.401,40 | 1231 / 16 | $6.192,57 | 1764 / 34 | $4.352,93 | 1758 / 31 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 19 | $20.998,70 | 649 / 1 | $7.966,64 | 1502 / 29 | $6.839,79 | 1498 / 31 |
| Diabetes W Mcc | 13 | 44 / 4 | $37.074,90 | 415 / 3 | $14.603,20 | 704 / 8 | $13.493,10 | 703 / 9 |
| Cellulitis W Mcc | 13 | 45 / 10 | $54.249,60 | 764 / 15 | $19.626,00 | 960 / 15 | $17.782,20 | 958 / 15 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 13 | 59 / 12 | $49.629,80 | 701 / 17 | $16.150,50 | 951 / 22 | $15.407,10 | 948 / 22 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 7 | $20.357,20 | 522 / 4 | $6.908,46 | 744 / 14 | $5.146,46 | 743 / 13 |
| Major Cardiovasc Procedures W/O Mcc | 13 | 88 / 15 | $81.129,70 | 390 / 5 | $35.271,90 | 983 / 26 | $34.250,40 | 982 / 26 |
| Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 5 | $83.420,80 | 228 / 3 | $39.742,20 | 600 / 9 | $38.720,60 | 600 / 9 |
| Other Vascular Procedures W Cc | 13 | 89 / 10 | $74.291,80 | 577 / 7 | $27.506,20 | 1083 / 25 | $23.621,10 | 1078 / 25 |
| Fractures Of Hip & Pelvis W/O Mcc | 12 | 49 / 10 | $36.392,80 | 825 / 16 | $7.998,83 | 892 / 16 | $7.092,17 | 891 / 16 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 12 | 58 / 6 | $27.849,80 | 336 / 5 | $9.757,00 | 509 / 8 | $9.053,00 | 509 / 10 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 15 | $20.599,10 | 306 / 2 | $12.339,00 | 1082 / 23 | $11.432,30 | 1080 / 24 |
| Other Resp System O.R. Procedures W Mcc | 12 | 51 / 9 | $180.813,00 | 528 / 14 | $50.840,20 | 596 / 14 | $50.029,80 | 595 / 14 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 12 | 81 / 9 | $56.102,20 | 414 / 3 | $22.135,70 | 864 / 11 | $20.922,30 | 856 / 13 |
| Diabetes W Cc | 12 | 80 / 13 | $28.968,80 | 1141 / 17 | $8.680,08 | 1507 / 23 | $7.880,08 | 1502 / 25 |
| Major Chest Procedures W Mcc | 11 | 38 / 5 | $95.251,90 | 78 / 2 | $53.505,50 | 324 / 12 | $52.737,50 | 323 / 12 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 9 | $48.696,00 | 406 / 8 | $20.666,00 | 623 / 18 | $17.411,30 | 622 / 18 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W Mcc | 11 | 16 / 2 | $51.279,00 | 106 / 2 | $17.896,60 | 128 / 2 | $15.999,20 | 128 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 9 | $46.602,50 | 410 / 5 | $17.217,80 | 728 / 12 | $16.339,30 | 728 / 12 |
| Permanent Cardiac Pacemaker Implant W Cc | 11 | 66 / 15 | $49.278,60 | 208 / 2 | $28.080,20 | 955 / 23 | $26.864,20 | 951 / 23 |
| Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R. | 11 | 70 / 8 | $476.073,00 | 254 / 8 | $200.314,00 | 439 / 10 | $199.349,00 | 438 / 10 |
| Peripheral Vascular Disorders W Cc | 11 | 73 / 17 | $26.867,40 | 702 / 10 | $10.165,00 | 1180 / 23 | $9.289,36 | 1177 / 25 |
| Kidney & Urinary Tract Infections W/O Mcc | 11 | 222 / 33 | $24.571,50 | 1955 / 26 | $10.023,40 | 2062 / 41 | $5.122,91 | 2051 / 27 |
| Peripheral Vascular Disorders W Mcc | 11 | 38 / 9 | $31.458,80 | 229 / 3 | $14.345,50 | 552 / 15 | $13.359,30 | 552 / 15 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 11 | 46 / 11 | $33.505,40 | 69 / 1 | $22.715,70 | 706 / 17 | $21.502,60 | 704 / 17 |
| Traumatic Stupor & Coma, Coma <1 Hr W Mcc | 11 | 40 / 6 | $57.398,70 | 191 / 4 | $22.193,20 | 336 / 7 | $21.535,70 | 336 / 7 | Total 90 procedures | 3.114 | 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.