Hospital Costs > In Indiana > Franciscan St Elizabeth Health - Lafayette Central, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Cellulitis W/O Mcc | 27 | 162 / 31 | $15.466,80 | 916 / 28 | $5.315,04 | 347 / 26 | $3.745,00 | 344 / 14 |
| Chronic Obstructive Pulmonary Disease W Cc | 52 | 127 / 23 | $17.349,20 | 739 / 23 | $6.331,85 | 278 / 49 | $4.290,46 | 277 / 7 |
| Chronic Obstructive Pulmonary Disease W Mcc | 38 | 164 / 38 | $20.922,30 | 805 / 23 | $7.381,05 | 432 / 33 | $5.726,21 | 431 / 11 |
| Diabetes W Cc | 23 | 69 / 14 | $15.461,40 | 366 / 10 | $5.501,22 | 170 / 22 | $3.768,22 | 170 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 12 | 263 / 46 | $16.233,10 | 901 / 23 | $4.825,50 | 508 / 26 | $3.408,00 | 506 / 12 |
| Heart Failure & Shock W Cc | 14 | 264 / 54 | $13.911,80 | 457 / 9 | $6.036,21 | 493 / 26 | $4.891,86 | 493 / 13 |
| Heart Failure & Shock W Mcc | 36 | 248 / 40 | $27.022,60 | 898 / 32 | $9.218,83 | 583 / 37 | $7.795,31 | 583 / 16 |
| Kidney & Urinary Tract Infections W Mcc | 17 | 127 / 34 | $19.112,20 | 520 / 16 | $7.127,12 | 363 / 30 | $5.515,47 | 362 / 11 |
| Kidney & Urinary Tract Infections W/O Mcc | 20 | 213 / 47 | $12.165,20 | 532 / 10 | $4.907,05 | 167 / 32 | $3.258,35 | 167 / 4 |
| Major Hematol/Immun Diag Exc Sickle Cell Crisis & Coagul W Cc | 11 | 42 / 9 | $22.813,50 | 101 / 4 | $7.572,27 | 82 / 3 | $6.074,55 | 82 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 19 | 107 / 25 | $23.939,50 | 642 / 18 | $7.493,00 | 142 / 27 | $5.407,47 | 141 / 2 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 20 | 146 / 35 | $14.301,40 | 874 / 27 | $4.590,05 | 593 / 34 | $3.374,20 | 591 / 20 |
| Other Circulatory System Diagnoses W Mcc | 17 | 99 / 16 | $38.053,20 | 432 / 16 | $11.214,90 | 227 / 11 | $9.676,06 | 227 / 8 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 15 | 57 / 14 | $28.866,90 | 323 / 13 | $7.768,20 | 28 / 3 | $6.290,07 | 28 / 2 |
| Pulmonary Edema & Respiratory Failure | 28 | 175 / 41 | $23.116,10 | 604 / 24 | $7.640,54 | 208 / 27 | $5.941,36 | 208 / 5 |
| Renal Failure W Cc | 42 | 179 / 32 | $19.570,50 | 941 / 27 | $6.422,26 | 583 / 45 | $4.830,83 | 578 / 15 |
| Renal Failure W Mcc | 58 | 137 / 21 | $30.432,60 | 786 / 22 | $9.925,74 | 423 / 31 | $7.958,36 | 423 / 10 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 22 | 109 / 26 | $34.126,60 | 186 / 6 | $13.665,30 | 538 / 16 | $12.536,10 | 530 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 130 | 386 / 31 | $32.668,40 | 920 / 23 | $11.337,80 | 422 / 28 | $9.383,72 | 422 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 49 | 158 / 20 | $22.364,20 | 1008 / 29 | $6.732,06 | 301 / 32 | $4.993,78 | 300 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 33 | $16.030,20 | 687 / 15 | $6.120,29 | 360 / 30 | $4.524,24 | 358 / 8 |
| Simple Pneumonia & Pleurisy W Mcc | 44 | 161 / 33 | $25.000,20 | 701 / 20 | $8.792,61 | 314 / 31 | $7.051,32 | 314 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 22 | $11.158,20 | 331 / 6 | $4.373,33 | 136 / 11 | $2.789,83 | 135 / 1 |
| Transient Ischemia | 11 | 114 / 28 | $21.820,90 | 790 / 34 | $5.082,91 | 76 / 32 | $2.728,09 | 76 / 2 | Total 24 procedures | 751 | 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.