Hospital Costs > In Indiana > Franciscan St Anthony Health - Michigan City, 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 | 118 | 398 / 36 | $36.400,00 | 1116 / 32 | $10.620,60 | 530 / 13 | $9.559,54 | 529 / 14 |
| Heart Failure & Shock W Mcc | 97 | 187 / 20 | $25.092,50 | 744 / 22 | $8.658,37 | 530 / 13 | $7.718,77 | 530 / 12 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 92 | 472 / 41 | $50.416,50 | 1310 / 35 | $12.816,40 | 901 / 18 | $10.896,70 | 882 / 31 |
| Chronic Obstructive Pulmonary Disease W Cc | 61 | 118 / 17 | $15.602,40 | 574 / 15 | $5.710,43 | 372 / 20 | $4.394,08 | 371 / 10 |
| Chronic Obstructive Pulmonary Disease W Mcc | 60 | 142 / 23 | $20.414,40 | 758 / 21 | $7.054,30 | 365 / 17 | $5.628,40 | 364 / 6 |
| Cellulitis W/O Mcc | 54 | 135 / 16 | $15.004,60 | 856 / 24 | $5.204,67 | 492 / 18 | $3.870,93 | 489 / 18 |
| Pulmonary Edema & Respiratory Failure | 54 | 149 / 30 | $22.006,40 | 540 / 21 | $7.109,87 | 377 / 7 | $6.191,35 | 377 / 10 |
| Heart Failure & Shock W Cc | 53 | 225 / 30 | $16.636,50 | 765 / 19 | $5.814,81 | 817 / 11 | $5.154,89 | 816 / 28 |
| Simple Pneumonia & Pleurisy W Mcc | 52 | 153 / 29 | $27.545,80 | 874 / 27 | $8.526,12 | 501 / 18 | $7.330,13 | 501 / 14 |
| Renal Failure W Cc | 49 | 172 / 30 | $17.156,10 | 684 / 20 | $5.653,06 | 603 / 7 | $4.841,31 | 597 / 18 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 47 | 228 / 24 | $17.606,70 | 1076 / 30 | $4.637,13 | 605 / 11 | $3.487,00 | 602 / 16 |
| Renal Failure W Mcc | 44 | 151 / 24 | $32.964,20 | 944 / 30 | $9.373,48 | 893 / 23 | $8.715,30 | 893 / 29 |
| Syncope & Collapse | 40 | 129 / 16 | $17.671,80 | 642 / 21 | $4.793,23 | 244 / 23 | $3.257,45 | 242 / 4 |
| G.I. Hemorrhage W Cc | 40 | 178 / 28 | $20.862,70 | 821 / 21 | $6.257,50 | 403 / 22 | $4.814,35 | 402 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 38 | 195 / 34 | $14.225,20 | 826 / 22 | $4.617,32 | 483 / 9 | $3.609,53 | 483 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 34 | 173 / 31 | $20.777,60 | 859 / 25 | $6.236,35 | 749 / 10 | $5.439,15 | 747 / 30 |
| Simple Pneumonia & Pleurisy W Cc | 31 | 172 / 35 | $22.322,10 | 1384 / 49 | $6.066,90 | 628 / 26 | $4.759,23 | 625 / 18 |
| Respiratory Infections & Inflammations W Mcc | 30 | 106 / 19 | $36.238,90 | 632 / 22 | $10.839,00 | 387 / 7 | $10.232,00 | 386 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 30 | 158 / 25 | $23.527,90 | 222 / 5 | $6.448,90 | 449 / 9 | $5.360,90 | 447 / 21 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 30 | 95 / 15 | $39.280,60 | 783 / 21 | $9.790,80 | 565 / 9 | $9.147,63 | 564 / 18 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 28 | 168 / 26 | $54.467,20 | 323 / 9 | $12.132,70 | 320 / 8 | $10.202,10 | 320 / 9 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 27 | 93 / 22 | $15.506,90 | 842 / 32 | $4.344,41 | 484 / 9 | $3.314,48 | 483 / 20 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 27 | 96 / 23 | $21.292,20 | 408 / 14 | $7.198,67 | 217 / 14 | $5.897,56 | 217 / 4 |
| Hip & Femur Procedures Except Major Joint W Cc | 26 | 117 / 24 | $35.983,80 | 451 / 7 | $11.138,00 | 501 / 12 | $10.068,40 | 500 / 15 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 25 | 157 / 33 | $23.359,60 | 680 / 23 | $6.473,52 | 329 / 19 | $5.015,72 | 328 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 25 | $44.805,80 | 476 / 17 | $13.587,80 | 577 / 12 | $12.640,30 | 569 / 17 |
| Diabetes W Cc | 22 | 70 / 15 | $17.422,50 | 507 / 16 | $5.001,86 | 511 / 4 | $4.292,05 | 511 / 19 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 22 | 144 / 34 | $12.644,00 | 629 / 14 | $4.263,27 | 527 / 12 | $3.328,00 | 525 / 15 |
| Other Vascular Procedures W Mcc | 22 | 75 / 11 | $60.724,90 | 166 / 2 | $18.684,50 | 233 / 4 | $18.192,90 | 232 / 7 |
| Other Vascular Procedures W Cc | 21 | 81 / 16 | $56.893,40 | 308 / 10 | $14.642,20 | 292 / 6 | $13.897,00 | 291 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 20 | 141 / 29 | $15.672,80 | 589 / 13 | $4.794,30 | 569 / 11 | $3.885,50 | 567 / 16 |
| Transient Ischemia | 20 | 105 / 21 | $17.908,20 | 494 / 19 | $4.289,60 | 457 / 7 | $3.323,20 | 456 / 17 |
| Medical Back Problems W/O Mcc | 19 | 102 / 17 | $24.200,30 | 786 / 24 | $5.111,63 | 390 / 8 | $4.091,00 | 390 / 15 |
| Chest Pain | 19 | 132 / 18 | $16.935,60 | 687 / 20 | $3.929,32 | 200 / 14 | $2.549,00 | 199 / 6 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 21 | $42.313,10 | 248 / 4 | $14.525,10 | 545 / 11 | $13.783,70 | 539 / 17 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 16 | $31.438,40 | 250 / 9 | $10.766,80 | 374 / 7 | $10.267,90 | 373 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 17 | 133 / 34 | $14.432,10 | 913 / 37 | $3.501,53 | 486 / 12 | $2.434,24 | 483 / 14 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 17 | 151 / 27 | $29.301,90 | 318 / 10 | $9.110,82 | 172 / 3 | $8.399,29 | 171 / 5 |
| G.I. Obstruction W Cc | 16 | 76 / 21 | $21.466,80 | 753 / 30 | $5.341,12 | 308 / 8 | $4.211,12 | 307 / 10 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 16 | 45 / 10 | $9.454,50 | 78 / 1 | $3.868,81 | 233 / 3 | $3.192,81 | 232 / 11 |
| Red Blood Cell Disorders W/O Mcc | 16 | 127 / 28 | $19.212,50 | 826 / 23 | $5.176,19 | 401 / 21 | $3.870,06 | 400 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 16 | 86 / 24 | $19.500,40 | 539 / 22 | $4.525,44 | 431 / 6 | $3.543,44 | 428 / 16 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 16 | 77 / 19 | $17.987,70 | 1024 / 35 | $4.246,00 | 294 / 7 | $3.040,00 | 292 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 16 | 128 / 35 | $22.404,00 | 736 / 27 | $6.595,44 | 727 / 13 | $5.989,44 | 726 / 24 |
| Other Vascular Procedures W/O Cc/Mcc | 16 | 40 / 8 | $39.076,80 | 161 / 5 | $10.583,40 | 77 / 7 | $8.307,81 | 77 / 2 |
| Diabetes W Mcc | 15 | 42 / 9 | $23.616,00 | 146 / 5 | $7.544,27 | 86 / 1 | $6.897,87 | 86 / 3 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 21 | $35.205,40 | 514 / 18 | $10.057,90 | 311 / 6 | $9.172,60 | 311 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 15 | 111 / 28 | $20.905,20 | 451 / 11 | $6.374,93 | 359 / 4 | $5.807,47 | 356 / 8 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 15 | 85 / 21 | $65.232,90 | 119 / 6 | $18.543,50 | 257 / 5 | $17.577,10 | 256 / 11 |
| Respiratory Infections & Inflammations W Cc | 15 | 73 / 17 | $23.582,80 | 405 / 15 | $7.468,27 | 222 / 4 | $6.799,47 | 220 / 6 |
| Heart Failure & Shock W/O Cc/Mcc | 15 | 95 / 29 | $14.258,50 | 756 / 22 | $4.162,53 | 560 / 13 | $3.354,00 | 558 / 20 |
| Major Cardiovasc Procedures W/O Mcc | 14 | 87 / 18 | $65.458,70 | 193 / 6 | $20.719,30 | 71 / 12 | $16.634,40 | 71 / 1 |
| Other Digestive System Diagnoses W Cc | 14 | 83 / 17 | $16.490,60 | 216 / 10 | $5.614,29 | 241 / 3 | $4.752,57 | 238 / 7 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 15 | $15.392,20 | 198 / 3 | $6.144,46 | 304 / 14 | $4.868,69 | 302 / 9 |
| Degenerative Nervous System Disorders W/O Mcc | 13 | 65 / 12 | $19.245,00 | 207 / 4 | $6.172,15 | 57 / 7 | $4.313,54 | 57 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 13 | 80 / 16 | $40.295,00 | 160 / 5 | $12.017,10 | 50 / 6 | $10.086,00 | 50 / 2 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 21 | $21.728,30 | 368 / 9 | $6.108,69 | 275 / 8 | $5.092,08 | 275 / 8 |
| Cellulitis W Mcc | 13 | 45 / 12 | $25.385,70 | 255 / 10 | $8.253,92 | 196 / 5 | $7.419,46 | 195 / 9 |
| Spinal Fusion Except Cervical W/O Mcc | 12 | 182 / 33 | $129.999,00 | 1006 / 30 | $25.786,00 | 849 / 20 | $24.575,40 | 845 / 27 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 14 | $21.553,40 | 338 / 7 | $6.833,83 | 185 / 7 | $5.871,17 | 185 / 8 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 12 | 80 / 19 | $110.412,00 | 261 / 7 | $40.999,20 | 8 / 23 | $25.700,80 | 8 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 12 | 112 / 28 | $72.612,80 | 194 / 4 | $25.913,20 | 68 / 2 | $25.006,60 | 68 / 3 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 12 | $14.138,70 | 317 / 9 | $4.389,17 | 76 / 13 | $2.600,67 | 75 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 12 | 59 / 18 | $14.061,80 | 462 / 15 | $3.794,33 | 367 / 6 | $2.791,67 | 367 / 14 |
| Major Small & Large Bowel Procedures W Mcc | 12 | 73 / 23 | $60.431,40 | 72 / 1 | $26.521,50 | 17 / 3 | $21.914,00 | 17 / 2 |
| Atherosclerosis W/O Mcc | 11 | 47 / 8 | $15.757,50 | 195 / 8 | $3.784,91 | / 3 | $2.903,45 | / |
| Hip & Femur Procedures Except Major Joint W Mcc | 11 | 51 / 17 | $52.559,00 | 206 / 8 | $16.638,60 | 165 / 5 | $15.649,50 | 165 / 5 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 12 | $24.698,50 | 349 / 14 | $5.297,18 | 173 / 5 | $4.529,18 | 173 / 10 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 16 | $13.721,50 | 281 / 12 | $4.756,82 | 20 / 12 | $2.669,00 | 20 / 2 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 13 | $28.377,50 | 117 / 4 | $10.035,70 | 90 / 1 | $9.704,09 | 90 / 5 | Total 70 procedures | 1.878 | 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.