Hospital Costs > In Ohio > Flower Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Acute Myocardial Infarction, Discharged Alive W Cc | 16 | 75 / 21 | $26.493,20 | 594 / 36 | $5.824,19 | 217 / 7 | $4.987,12 | 217 / 17 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 38 | $61.251,60 | 1344 / 71 | $10.969,50 | 872 / 51 | $9.924,00 | 871 / 56 |
Biopsies Of Musculoskeletal System & Connective Tissue W Cc | 13 | 19 / 3 | $70.763,90 | 74 / 5 | $12.941,80 | 24 / 2 | $11.373,20 | 24 / 3 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 22 | 139 / 43 | $21.425,80 | 1156 / 69 | $5.085,59 | 932 / 39 | $4.226,32 | 929 / 62 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 30 | 93 / 31 | $38.356,40 | 1273 / 73 | $7.684,90 | 207 / 40 | $5.872,87 | 207 / 12 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 34 | $22.639,50 | 1535 / 87 | $3.833,58 | 780 / 46 | $2.657,83 | 776 / 52 |
Cellulitis W/O Mcc | 37 | 152 / 43 | $23.698,20 | 1794 / 102 | $5.565,81 | 771 / 58 | $4.101,97 | 766 / 49 |
Chest Pain | 16 | 135 / 33 | $28.547,80 | 1341 / 70 | $4.096,44 | 602 / 35 | $3.024,56 | 598 / 34 |
Chronic Obstructive Pulmonary Disease W Cc | 27 | 152 / 54 | $37.793,80 | 2014 / 110 | $6.059,96 | 1044 / 55 | $4.995,89 | 1040 / 66 |
Chronic Obstructive Pulmonary Disease W Mcc | 42 | 160 / 44 | $42.288,20 | 1997 / 107 | $7.908,31 | 688 / 74 | $5.966,38 | 684 / 46 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 24 | 96 / 30 | $29.193,70 | 1687 / 102 | $4.816,12 | 917 / 51 | $3.664,83 | 909 / 65 |
Disorders Of Pancreas Except Malignancy W Cc | 15 | 46 / 14 | $36.130,40 | 736 / 36 | $5.857,80 | 331 / 12 | $4.837,33 | 330 / 21 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 44 | 231 / 52 | $24.311,20 | 1827 / 93 | $4.886,34 | 1041 / 52 | $3.783,98 | 1033 / 64 |
G.I. Hemorrhage W Cc | 42 | 176 / 41 | $36.256,00 | 1830 / 94 | $6.395,93 | 826 / 50 | $5.197,64 | 824 / 59 |
G.I. Hemorrhage W Mcc | 16 | 105 / 35 | $52.448,70 | 1055 / 61 | $10.591,40 | 420 / 34 | $9.440,44 | 421 / 37 |
G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 17 | $21.440,10 | 882 / 48 | $4.174,21 | 481 / 24 | $2.944,43 | 480 / 30 |
Heart Failure & Shock W Cc | 45 | 233 / 62 | $30.604,20 | 1984 / 101 | $6.375,53 | 892 / 56 | $5.198,00 | 891 / 60 |
Heart Failure & Shock W Mcc | 65 | 219 / 44 | $49.995,10 | 1987 / 96 | $9.318,91 | 675 / 54 | $7.893,17 | 675 / 54 |
Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 30 | $18.098,10 | 1158 / 67 | $4.378,94 | 538 / 35 | $3.334,19 | 536 / 30 |
Hip & Femur Procedures Except Major Joint W Cc | 12 | 131 / 42 | $62.383,20 | 1414 / 74 | $11.874,10 | 773 / 42 | $10.565,20 | 765 / 50 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 13 | 43 / 8 | $58.502,50 | 696 / 22 | $10.030,20 | 340 / 12 | $8.612,77 | 339 / 9 |
Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 16 | 108 / 31 | $146.545,00 | 996 / 53 | $30.231,60 | 420 / 22 | $28.803,20 | 417 / 29 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 23 | 159 / 40 | $31.462,60 | 1226 / 64 | $6.765,57 | 703 / 44 | $5.437,78 | 702 / 49 |
Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 34 | $51.941,10 | 998 / 50 | $10.782,60 | 638 / 36 | $9.719,82 | 637 / 41 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 15 | 87 / 29 | $27.515,30 | 1002 / 53 | $4.922,33 | 578 / 30 | $3.713,20 | 574 / 37 |
Kidney & Urinary Tract Infections W Mcc | 21 | 123 / 33 | $36.653,60 | 1403 / 81 | $7.043,43 | 571 / 53 | $5.796,52 | 570 / 45 |
Kidney & Urinary Tract Infections W/O Mcc | 46 | 187 / 40 | $29.301,20 | 2188 / 111 | $5.096,37 | 961 / 58 | $3.936,30 | 954 / 60 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 82 | 482 / 57 | $72.006,50 | 2043 / 116 | $13.187,50 | 807 / 50 | $10.771,30 | 793 / 55 |
Major Small & Large Bowel Procedures W Cc | 20 | 88 / 22 | $83.503,40 | 1046 / 53 | $14.540,20 | 352 / 15 | $13.050,00 | 349 / 28 |
Major Small & Large Bowel Procedures W Mcc | 31 | 54 / 8 | $149.517,00 | 807 / 44 | $27.149,30 | 128 / 12 | $25.425,70 | 128 / 19 |
Medical Back Problems W/O Mcc | 15 | 106 / 32 | $35.035,90 | 1149 / 63 | $7.156,40 | 387 / 53 | $4.087,80 | 387 / 29 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 35 | $34.525,80 | 1149 / 68 | $7.461,38 | 441 / 44 | $5.947,31 | 438 / 37 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 25 | 141 / 41 | $23.945,60 | 1835 / 97 | $4.669,48 | 959 / 57 | $3.624,20 | 956 / 60 |
Other Circulatory System Diagnoses W Mcc | 12 | 104 / 36 | $50.509,00 | 753 / 50 | $10.025,80 | 73 / 6 | $8.966,58 | 73 / 7 |
Other Digestive System Diagnoses W Cc | 12 | 85 / 29 | $30.232,70 | 872 / 48 | $6.299,25 | 415 / 23 | $5.060,83 | 412 / 27 |
Peripheral Vascular Disorders W Cc | 13 | 71 / 21 | $31.126,50 | 838 / 54 | $6.221,08 | 110 / 26 | $4.433,62 | 110 / 9 |
Peripheral Vascular Disorders W/O Cc/Mcc | 12 | 33 / 9 | $21.373,80 | 241 / 16 | $4.504,92 | 140 / 7 | $3.437,08 | 140 / 10 |
Pulmonary Edema & Respiratory Failure | 42 | 161 / 41 | $49.162,20 | 1739 / 88 | $7.867,43 | 662 / 46 | $6.536,14 | 662 / 47 |
Red Blood Cell Disorders W/O Mcc | 28 | 115 / 26 | $34.620,40 | 1649 / 88 | $5.541,79 | 627 / 54 | $4.119,25 | 623 / 46 |
Renal Failure W Cc | 44 | 177 / 46 | $35.362,50 | 1911 / 99 | $6.227,48 | 677 / 55 | $4.900,70 | 670 / 45 |
Renal Failure W Mcc | 34 | 161 / 45 | $49.873,60 | 1577 / 86 | $10.209,70 | 1005 / 62 | $8.946,29 | 1005 / 70 |
Respiratory Infections & Inflammations W Mcc | 21 | 115 / 37 | $70.701,00 | 1411 / 79 | $12.266,90 | 817 / 50 | $11.164,00 | 807 / 56 |
Respiratory Neoplasms W Mcc | 11 | 41 / 12 | $49.991,60 | 379 / 15 | $10.554,30 | 182 / 8 | $9.370,09 | 182 / 13 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 18 | 113 / 38 | $93.380,50 | 1443 / 74 | $14.845,90 | 889 / 45 | $13.689,30 | 881 / 55 |
Respiratory System Diagnosis W Ventilator Support 96+ Hours | 13 | 58 / 21 | $183.556,00 | 687 / 38 | $31.296,80 | 329 / 19 | $29.570,70 | 329 / 22 |
Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 23 | $175.786,00 | 657 / 35 | $33.550,10 | 223 / 14 | $32.030,70 | 223 / 21 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 74 | 442 / 66 | $68.095,60 | 2257 / 107 | $11.683,30 | 642 / 65 | $9.724,65 | 641 / 46 |
Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 43 | $32.770,00 | 2094 / 111 | $6.290,53 | 853 / 62 | $4.951,33 | 850 / 57 |
Simple Pneumonia & Pleurisy W Mcc | 76 | 129 / 16 | $46.880,50 | 1809 / 100 | $9.130,26 | 1104 / 62 | $7.995,96 | 1104 / 74 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 26 | $26.599,10 | 1520 / 76 | $4.876,87 | 658 / 44 | $3.382,53 | 655 / 36 |
Syncope & Collapse | 35 | 134 / 26 | $31.135,70 | 1478 / 86 | $4.917,86 | 358 / 48 | $3.399,40 | 356 / 28 |
Transient Ischemia | 19 | 106 / 33 | $24.223,40 | 928 / 52 | $4.604,16 | 509 / 30 | $3.384,11 | 507 / 36 | Total 52 procedures | 1.403 | 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.