Hospital Costs > In Indiana > Franciscan St Anthony Health - Crown Point, 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 | 157 | 359 / 27 | $33.272,70 | 956 / 24 | $10.911,70 | 691 / 19 | $9.771,83 | 690 / 21 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 127 | 437 / 32 | $42.527,70 | 898 / 17 | $12.702,20 | 853 / 15 | $10.832,10 | 839 / 30 |
| Heart Failure & Shock W Mcc | 112 | 172 / 16 | $28.898,50 | 1017 / 39 | $8.834,91 | 649 / 20 | $7.874,79 | 649 / 18 |
| Simple Pneumonia & Pleurisy W Mcc | 110 | 95 / 11 | $27.684,90 | 881 / 29 | $8.484,32 | 555 / 16 | $7.386,52 | 555 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 89 | 186 / 14 | $15.286,30 | 793 / 19 | $4.948,51 | 26 / 36 | $2.756,39 | 26 / 1 |
| Heart Failure & Shock W Cc | 83 | 195 / 19 | $19.073,70 | 1055 / 32 | $5.896,82 | 454 / 18 | $4.846,67 | 454 / 12 |
| Renal Failure W Cc | 79 | 142 / 17 | $15.331,90 | 493 / 12 | $5.700,91 | 359 / 9 | $4.600,03 | 356 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 77 | 125 / 20 | $20.250,10 | 740 / 19 | $6.861,60 | 388 / 12 | $5.665,49 | 387 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 76 | 157 / 14 | $18.340,70 | 1390 / 53 | $4.547,91 | 304 / 6 | $3.443,61 | 304 / 8 |
| Pulmonary Edema & Respiratory Failure | 69 | 134 / 22 | $24.563,40 | 700 / 28 | $7.231,09 | 383 / 10 | $6.199,03 | 383 / 11 |
| G.I. Hemorrhage W Cc | 68 | 150 / 16 | $18.516,80 | 612 / 13 | $5.963,97 | 393 / 8 | $4.805,16 | 393 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 65 | 117 / 13 | $29.224,80 | 1101 / 44 | $6.425,28 | 419 / 15 | $5.127,83 | 418 / 13 |
| Renal Failure W Mcc | 63 | 132 / 18 | $24.676,70 | 441 / 11 | $8.917,87 | 579 / 13 | $8.169,83 | 579 / 17 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 61 | 146 / 17 | $21.342,40 | 906 / 26 | $6.254,62 | 444 / 13 | $5.141,54 | 442 / 11 |
| Cellulitis W/O Mcc | 56 | 133 / 15 | $14.559,50 | 799 / 23 | $4.907,43 | 201 / 7 | $3.557,71 | 200 / 7 |
| Simple Pneumonia & Pleurisy W Cc | 54 | 149 / 21 | $19.546,70 | 1081 / 28 | $5.818,26 | 335 / 12 | $4.489,61 | 333 / 7 |
| Chronic Obstructive Pulmonary Disease W Cc | 45 | 134 / 27 | $18.076,30 | 817 / 26 | $5.391,82 | 560 / 5 | $4.603,31 | 558 / 19 |
| Heart Failure & Shock W/O Cc/Mcc | 39 | 71 / 10 | $13.274,50 | 634 / 14 | $4.032,59 | 202 / 6 | $2.969,41 | 200 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 38 | 106 / 18 | $17.840,70 | 416 / 10 | $6.763,34 | 229 / 18 | $5.314,45 | 229 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 38 | 130 / 16 | $38.870,20 | 656 / 25 | $9.910,71 | 416 / 10 | $9.128,74 | 415 / 14 |
| Transient Ischemia | 36 | 89 / 14 | $23.429,00 | 879 / 37 | $4.274,97 | 144 / 5 | $2.905,33 | 144 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 36 | 107 / 15 | $39.707,80 | 626 / 18 | $11.692,00 | 469 / 23 | $10.022,40 | 468 / 12 |
| Syncope & Collapse | 35 | 134 / 19 | $15.399,20 | 431 / 11 | $4.369,54 | 122 / 4 | $3.027,89 | 122 / 1 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 34 | 132 / 28 | $12.643,20 | 628 / 13 | $4.035,03 | 281 / 5 | $3.106,06 | 281 / 7 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 34 | 97 / 19 | $49.598,90 | 605 / 26 | $13.307,70 | 594 / 7 | $12.682,20 | 586 / 19 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 33 | 128 / 19 | $15.829,50 | 607 / 15 | $4.575,24 | 469 / 5 | $3.793,03 | 468 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 31 | 119 / 24 | $10.858,60 | 435 / 15 | $3.337,65 | 114 / 5 | $1.962,61 | 114 / 2 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 30 | 94 / 18 | $110.781,00 | 623 / 20 | $35.741,60 | 966 / 26 | $35.016,40 | 960 / 30 |
| G.I. Hemorrhage W/O Cc/Mcc | 29 | 39 / 2 | $15.183,80 | 343 / 8 | $4.017,66 | 86 / 1 | $2.887,76 | 86 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 29 | 159 / 26 | $29.403,60 | 483 / 15 | $6.308,62 | 393 / 5 | $5.301,55 | 391 / 17 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 29 | 64 / 9 | $14.255,40 | 641 / 13 | $4.073,38 | 321 / 4 | $3.068,76 | 319 / 8 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 26 | 76 / 16 | $26.083,50 | 953 / 42 | $4.339,42 | 209 / 2 | $3.214,62 | 207 / 5 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 26 | 99 / 17 | $34.131,90 | 584 / 14 | $10.832,70 | 504 / 26 | $9.006,96 | 503 / 15 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 26 | 170 / 27 | $61.303,30 | 486 / 17 | $13.837,50 | 389 / 26 | $10.367,90 | 389 / 11 |
| G.I. Hemorrhage W Mcc | 25 | 96 / 16 | $33.446,70 | 445 / 12 | $11.118,80 | 50 / 23 | $8.197,20 | 50 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 25 | $19.077,30 | 284 / 8 | $7.198,00 | 220 / 13 | $5.900,80 | 220 / 5 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 25 | 95 / 24 | $13.358,20 | 590 / 15 | $4.099,20 | 212 / 3 | $3.029,76 | 212 / 6 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 16 | $50.473,70 | 434 / 13 | $14.485,40 | 457 / 9 | $13.451,20 | 453 / 13 |
| Diabetes W Cc | 24 | 68 / 13 | $15.348,90 | 357 / 9 | $4.946,12 | 149 / 3 | $3.714,04 | 149 / 5 |
| Seizures W/O Mcc | 21 | 87 / 12 | $20.961,80 | 601 / 21 | $4.306,95 | 126 / 2 | $3.378,90 | 125 / 3 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 21 | 74 / 8 | $57.549,10 | 158 / 5 | $11.348,40 | 123 / 3 | $10.244,60 | 121 / 5 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 20 | 20 / 3 | $42.756,40 | 54 / 1 | $14.357,30 | 131 / 3 | $13.555,80 | 130 / 7 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 19 | 37 / 8 | $35.417,60 | 174 / 3 | $9.588,89 | 309 / 4 | $8.682,74 | 309 / 7 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 25 | $14.028,80 | 357 / 5 | $4.641,05 | 285 / 3 | $3.744,95 | 285 / 6 |
| Spinal Fusion Except Cervical W/O Mcc | 19 | 175 / 28 | $66.178,30 | 306 / 9 | $25.775,20 | 170 / 19 | $19.669,50 | 169 / 5 |
| G.I. Obstruction W/O Cc/Mcc | 19 | 52 / 11 | $11.508,00 | 245 / 6 | $3.646,11 | 61 / 3 | $2.201,11 | 61 / 1 |
| Medical Back Problems W/O Mcc | 19 | 102 / 17 | $21.039,90 | 608 / 17 | $4.910,21 | 334 / 4 | $4.012,11 | 334 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 18 | 108 / 26 | $20.947,10 | 455 / 13 | $6.173,56 | 101 / 1 | $5.282,78 | 100 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 12 | $39.285,40 | 145 / 3 | $12.200,10 | 264 / 8 | $11.352,40 | 259 / 15 |
| Respiratory Infections & Inflammations W Mcc | 17 | 119 / 29 | $32.744,20 | 505 / 14 | $11.715,10 | 138 / 21 | $9.534,18 | 138 / 3 |
| Chest Pain | 16 | 135 / 21 | $11.004,90 | 188 / 4 | $3.489,44 | 151 / 3 | $2.463,25 | 150 / 4 |
| Fractures Of Hip & Pelvis W/O Mcc | 16 | 45 / 5 | $12.403,00 | 177 / 2 | $3.957,75 | 105 / 1 | $2.964,88 | 106 / 1 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 15 | 41 / 10 | $31.587,10 | 225 / 5 | $9.462,47 | 231 / 10 | $8.260,20 | 231 / 9 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 21 | $70.156,20 | 167 / 7 | $18.532,30 | 95 / 4 | $16.358,60 | 95 / 4 |
| Degenerative Nervous System Disorders W/O Mcc | 15 | 63 / 10 | $26.281,90 | 420 / 11 | $6.795,73 | 220 / 11 | $5.046,93 | 220 / 7 |
| Major Small & Large Bowel Procedures W Mcc | 14 | 71 / 21 | $88.242,90 | 281 / 11 | $31.615,90 | 592 / 14 | $30.631,10 | 590 / 17 |
| Permanent Cardiac Pacemaker Implant W Cc | 14 | 63 / 15 | $63.661,90 | 393 / 15 | $14.799,00 | 119 / 5 | $13.468,20 | 119 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 21 | $31.992,50 | 444 / 18 | $8.643,08 | 129 / 4 | $7.688,69 | 129 / 4 |
| Transurethral Procedures W Cc | 13 | 28 / 5 | $28.578,40 | 105 / 1 | $7.690,08 | 118 / 3 | $6.741,69 | 118 / 3 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 13 | 48 / 13 | $13.114,70 | 221 / 12 | $3.638,38 | 74 / 1 | $2.796,31 | 74 / 1 |
| Kidney & Ureter Procedures For Neoplasm W Cc | 13 | 31 / 3 | $39.442,20 | 27 / 1 | $12.748,80 | 18 / 2 | $10.085,50 | 18 / 1 |
| G.I. Obstruction W Cc | 13 | 79 / 24 | $23.299,50 | 884 / 34 | $5.400,15 | 416 / 11 | $4.370,62 | 415 / 14 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 15 | $23.555,60 | 569 / 19 | $5.433,31 | 172 / 2 | $4.577,23 | 172 / 5 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 14 | $24.617,20 | 465 / 10 | $6.389,58 | 128 / 1 | $5.670,25 | 128 / 4 |
| Peritoneal Adhesiolysis W Cc | 12 | 27 / 5 | $40.934,60 | 41 / 1 | $15.338,90 | 9 / 3 | $10.532,30 | 9 / 1 |
| Other Vascular Procedures W Mcc | 12 | 85 / 17 | $71.428,60 | 278 / 6 | $18.547,20 | 181 / 3 | $17.717,30 | 181 / 6 |
| Other Vascular Procedures W Cc | 11 | 91 / 24 | $69.746,50 | 513 / 20 | $17.984,80 | 371 / 25 | $14.247,70 | 369 / 12 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 11 | 61 / 18 | $23.892,30 | 194 / 9 | $9.623,45 | 15 / 18 | $6.118,82 | 15 / 1 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 9 | $18.986,60 | 67 / 1 | $6.111,27 | 57 / 1 | $5.334,18 | 57 / 1 |
| Pulmonary Embolism W Mcc | 11 | 32 / 10 | $43.055,80 | 359 / 16 | $9.110,00 | 171 / 9 | $8.093,73 | 171 / 10 |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 17 | $47.302,50 | 119 / 4 | $17.411,20 | 291 / 7 | $16.505,20 | 288 / 11 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 21 | $22.744,50 | 379 / 13 | $7.623,27 | 235 / 8 | $6.835,18 | 233 / 7 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 11 | 42 / 11 | $14.671,90 | 128 / 1 | $4.392,55 | 126 / 2 | $3.396,09 | 126 / 5 |
| Craniotomy & Endovascular Intracranial Procedures W Mcc | 11 | 87 / 5 | $91.073,10 | 158 / 4 | $26.536,50 | 162 / 3 | $25.732,50 | 162 / 7 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 15 | $88.504,10 | 142 / 8 | $42.914,00 | 128 / 23 | $25.845,50 | 128 / 6 | Total 75 procedures | 2.590 | 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.