Hospital Costs > In Indiana > Franciscan St Elizabeth Health - Crawfordsville, 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 | 42 | 474 / 52 | $29.410,00 | 755 / 20 | $11.383,50 | 1264 / 31 | $10.575,10 | 1243 / 41 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 41 | 523 / 54 | $64.631,10 | 1850 / 53 | $14.809,10 | 2000 / 59 | $13.602,40 | 1958 / 71 |
| Heart Failure & Shock W Mcc | 33 | 251 / 42 | $22.593,90 | 573 / 14 | $8.911,24 | 815 / 25 | $8.069,55 | 815 / 28 |
| Chronic Obstructive Pulmonary Disease W Cc | 30 | 149 / 33 | $17.111,50 | 710 / 22 | $6.256,93 | 444 / 47 | $4.479,53 | 443 / 14 |
| Kidney & Urinary Tract Infections W/O Mcc | 30 | 203 / 38 | $15.421,50 | 1000 / 34 | $4.626,83 | 449 / 10 | $3.578,30 | 449 / 13 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 37 | $20.707,40 | 1200 / 36 | $5.835,59 | 672 / 14 | $4.798,34 | 669 / 21 |
| Heart Failure & Shock W Cc | 26 | 252 / 46 | $18.524,00 | 993 / 29 | $5.968,42 | 723 / 22 | $5.085,96 | 722 / 22 |
| Renal Failure W Cc | 23 | 198 / 41 | $18.937,00 | 873 / 26 | $5.797,52 | 613 / 15 | $4.852,83 | 607 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 23 | 184 / 37 | $18.673,00 | 652 / 15 | $6.276,35 | 816 / 15 | $5.488,87 | 814 / 32 |
| Chronic Obstructive Pulmonary Disease W Mcc | 18 | 184 / 49 | $21.194,10 | 828 / 24 | $8.079,17 | 423 / 56 | $5.720,00 | 422 / 10 |
| Renal Failure W Mcc | 13 | 182 / 35 | $26.553,20 | 547 / 15 | $10.138,70 | 1051 / 37 | $9.018,69 | 1051 / 35 |
| Cellulitis W/O Mcc | 13 | 176 / 41 | $15.389,90 | 906 / 27 | $5.066,62 | 939 / 13 | $4.232,15 | 933 / 32 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 36 | $14.916,90 | 771 / 29 | $4.299,18 | 481 / 7 | $3.313,00 | 480 / 18 | Total 13 procedures | 332 | 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.