Hospital Costs > In Indiana > Franciscan St Elizabeth Health - Lafayette East, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 419 | 170 / 7 | $63.005,40 | 1803 / 52 | $13.879,40 | 1249 / 44 | $11.481,20 | 1218 / 47 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 134 | 382 / 28 | $40.615,10 | 1345 / 42 | $11.636,80 | 1349 / 42 | $10.723,50 | 1322 / 45 |
| Spinal Fusion Except Cervical W/O Mcc | 86 | 108 / 5 | $148.830,00 | 1108 / 35 | $31.787,20 | 997 / 35 | $26.407,00 | 992 / 34 |
| Heart Failure & Shock W Mcc | 72 | 212 / 29 | $33.594,00 | 1318 / 53 | $9.235,17 | 1248 / 38 | $8.648,50 | 1245 / 49 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 64 | 132 / 13 | $73.672,90 | 752 / 26 | $14.384,30 | 536 / 33 | $10.728,50 | 533 / 19 |
| Psychoses | 56 | 223 / 13 | $18.698,40 | 295 / 11 | $6.557,12 | 227 / 6 | $5.634,43 | 227 / 7 |
| G.I. Hemorrhage W Cc | 55 | 163 / 22 | $27.964,70 | 1439 / 46 | $6.668,24 | 1129 / 39 | $5.503,20 | 1127 / 34 |
| Heart Failure & Shock W Cc | 53 | 225 / 30 | $23.248,90 | 1513 / 55 | $6.526,25 | 1412 / 50 | $5.659,83 | 1407 / 55 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 51 | 131 / 21 | $34.582,20 | 1341 / 51 | $7.361,06 | 899 / 48 | $5.684,78 | 897 / 39 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 50 | 157 / 19 | $25.608,70 | 1298 / 44 | $7.081,10 | 788 / 42 | $5.465,56 | 786 / 31 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 50 | 111 / 12 | $19.007,70 | 960 / 35 | $5.448,94 | 1014 / 40 | $4.314,58 | 1010 / 39 |
| Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 10 | $54.824,10 | 1202 / 40 | $11.700,80 | 847 / 24 | $10.693,50 | 836 / 33 |
| Renal Failure W Mcc | 44 | 151 / 24 | $36.417,80 | 1120 / 38 | $9.768,89 | 740 / 29 | $8.440,39 | 740 / 24 |
| Renal Failure W Cc | 38 | 183 / 33 | $24.622,10 | 1394 / 49 | $6.330,29 | 1322 / 41 | $5.532,82 | 1314 / 48 |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 37 | 27 / 3 | $97.102,00 | 165 / 5 | $24.018,20 | 97 / 7 | $18.480,10 | 97 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 35 | 153 / 23 | $38.736,20 | 906 / 38 | $8.598,60 | 573 / 45 | $5.550,26 | 571 / 26 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 33 | 242 / 32 | $22.561,00 | 1677 / 58 | $6.367,18 | 903 / 67 | $3.698,91 | 898 / 30 |
| Cervical Spinal Fusion W/O Cc/Mcc | 33 | 71 / 5 | $76.062,80 | 642 / 21 | $13.926,00 | 494 / 12 | $12.716,80 | 491 / 18 |
| G.I. Hemorrhage W Mcc | 33 | 88 / 13 | $43.595,40 | 826 / 31 | $10.743,10 | 706 / 17 | $10.230,20 | 706 / 28 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 32 | 92 / 16 | $110.884,00 | 625 / 21 | $32.667,20 | 744 / 14 | $31.911,20 | 738 / 22 |
| Chronic Obstructive Pulmonary Disease W Mcc | 31 | 171 / 44 | $22.775,20 | 954 / 29 | $7.413,35 | 1317 / 35 | $6.593,74 | 1311 / 52 |
| Transient Ischemia | 30 | 95 / 17 | $26.109,50 | 1013 / 42 | $5.015,60 | 839 / 31 | $3.765,67 | 835 / 32 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 30 | 138 / 18 | $44.224,50 | 817 / 35 | $11.125,10 | 763 / 29 | $10.075,50 | 762 / 32 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 28 | 41 / 4 | $72.446,40 | 279 / 9 | $19.856,90 | 178 / 12 | $14.544,80 | 178 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 28 | 122 / 26 | $11.643,00 | 542 / 21 | $4.157,57 | 1124 / 42 | $2.929,54 | 1119 / 44 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 26 | 70 / 10 | $62.892,00 | 512 / 12 | $15.290,70 | 309 / 18 | $11.594,00 | 306 / 11 |
| G.I. Obstruction W Cc | 26 | 66 / 12 | $19.637,80 | 623 / 22 | $6.208,92 | 981 / 38 | $5.087,00 | 978 / 39 |
| Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 42 | $19.611,70 | 1529 / 57 | $5.356,36 | 1058 / 51 | $3.997,84 | 1050 / 42 |
| Other Vascular Procedures W Cc | 25 | 77 / 14 | $123.817,00 | 989 / 33 | $20.879,40 | 978 / 34 | $20.248,30 | 973 / 35 |
| Other Vascular Procedures W Mcc | 25 | 72 / 9 | $119.097,00 | 723 / 22 | $24.273,00 | 693 / 21 | $23.547,30 | 690 / 23 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 23 | 68 / 13 | $29.804,40 | 730 / 22 | $6.937,74 | 791 / 22 | $6.097,39 | 789 / 26 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 23 | 108 / 25 | $50.954,30 | 649 / 29 | $14.189,60 | 862 / 23 | $13.572,20 | 854 / 35 |
| Cellulitis W/O Mcc | 21 | 168 / 34 | $17.098,30 | 1135 / 38 | $5.410,67 | 1494 / 32 | $4.720,38 | 1487 / 60 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 18 | $82.277,90 | 1035 / 38 | $15.757,40 | 838 / 22 | $14.895,00 | 830 / 34 |
| Spinal Procedures W/O Cc/Mcc | 21 | 9 / 1 | $66.722,80 | 26 / 2 | $11.329,40 | 5 / 1 | $10.121,00 | 5 / 1 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 20 | $40.417,20 | 819 / 26 | $10.518,70 | 712 / 22 | $9.482,52 | 711 / 27 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 21 | 102 / 28 | $22.599,40 | 496 / 18 | $8.218,62 | 500 / 34 | $6.374,38 | 497 / 22 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 19 | 81 / 17 | $99.802,10 | 483 / 18 | $23.582,80 | 479 / 27 | $19.466,30 | 475 / 22 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 16 | $144.700,00 | 774 / 26 | $35.214,50 | 677 / 26 | $31.921,10 | 675 / 23 |
| Chronic Obstructive Pulmonary Disease W Cc | 19 | 160 / 43 | $22.681,80 | 1267 / 53 | $6.088,37 | 908 / 41 | $4.882,47 | 905 / 35 |
| Chest Pain | 18 | 133 / 19 | $19.784,20 | 908 / 31 | $4.297,89 | 912 / 28 | $3.410,33 | 907 / 28 |
| Hip & Femur Procedures Except Major Joint W Mcc | 18 | 44 / 10 | $72.569,80 | 449 / 17 | $17.451,10 | 309 / 8 | $16.642,20 | 306 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 18 | 187 / 47 | $41.676,60 | 1624 / 55 | $8.805,11 | 1157 / 32 | $8.067,33 | 1157 / 47 |
| Extracranial Procedures W/O Cc/Mcc | 17 | 81 / 18 | $54.941,50 | 805 / 28 | $6.884,94 | 596 / 17 | $6.101,88 | 594 / 25 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 17 | 39 / 8 | $46.419,80 | 514 / 17 | $10.216,10 | 463 / 17 | $9.079,18 | 461 / 21 |
| Other Digestive System Diagnoses W Cc | 17 | 80 / 16 | $22.702,30 | 547 / 19 | $6.423,88 | 665 / 23 | $5.499,65 | 661 / 25 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 28 | $16.094,10 | 966 / 39 | $4.666,81 | 1033 / 41 | $3.764,81 | 1025 / 42 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 9 | $71.018,40 | 642 / 20 | $10.505,40 | 436 / 7 | $9.447,50 | 436 / 16 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 16 | 49 / 11 | $81.617,90 | 495 / 16 | $19.176,00 | 374 / 12 | $18.190,00 | 372 / 14 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc | 14 | 33 / 7 | $57.679,10 | 383 / 13 | $11.367,20 | 171 / 12 | $7.685,57 | 171 / 7 |
| Other Circulatory System Diagnoses W Mcc | 14 | 102 / 19 | $34.327,60 | 326 / 13 | $10.739,40 | 272 / 5 | $9.877,71 | 272 / 10 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 10 | $150.268,00 | 351 / 14 | $35.181,60 | 349 / 13 | $34.233,10 | 348 / 15 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 13 | $115.447,00 | 322 / 16 | $29.100,70 | 273 / 7 | $28.410,50 | 273 / 11 |
| G.I. Obstruction W/O Cc/Mcc | 14 | 57 / 16 | $13.902,40 | 442 / 14 | $4.684,00 | 598 / 28 | $3.075,43 | 597 / 23 |
| Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 10 | $89.420,90 | 265 / 15 | $22.133,40 | 222 / 9 | $21.111,80 | 222 / 11 |
| Syncope & Collapse | 13 | 156 / 35 | $29.913,20 | 1426 / 48 | $4.978,08 | 1053 / 31 | $4.143,62 | 1046 / 39 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 13 | 89 / 27 | $30.235,80 | 1105 / 45 | $5.567,54 | 725 / 37 | $3.889,85 | 721 / 34 |
| Pulmonary Embolism W/O Mcc | 13 | 61 / 17 | $20.916,10 | 431 / 11 | $6.897,23 | 416 / 28 | $5.025,15 | 415 / 13 |
| Red Blood Cell Disorders W/O Mcc | 13 | 130 / 31 | $26.896,30 | 1357 / 43 | $5.457,31 | 1013 / 31 | $4.531,77 | 1007 / 33 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 37 | $29.019,80 | 1136 / 43 | $7.274,15 | 1022 / 33 | $6.434,77 | 1019 / 40 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 13 | 83 / 22 | $26.345,60 | 498 / 14 | $7.730,15 | 609 / 15 | $6.895,69 | 604 / 20 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 13 | 113 / 29 | $31.832,90 | 1034 / 35 | $7.225,23 | 701 / 21 | $6.393,23 | 698 / 25 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 12 | 154 / 43 | $18.404,50 | 1366 / 52 | $4.586,67 | 1604 / 33 | $4.184,00 | 1599 / 55 |
| Simple Pneumonia & Pleurisy W Cc | 12 | 191 / 47 | $18.213,40 | 940 / 22 | $6.502,25 | 1386 / 47 | $5.400,92 | 1380 / 47 |
| Perc Cardiovasc Proc W Non-Drug-Eluting Stent W/O Mcc | 12 | 57 / 11 | $74.379,20 | 378 / 12 | $11.675,00 | 329 / 8 | $10.768,30 | 328 / 14 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 7 | $68.404,70 | 422 / 12 | $12.394,80 | 280 / 9 | $11.181,50 | 280 / 7 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 18 | $70.417,00 | 588 / 24 | $12.897,60 | 405 / 11 | $12.240,20 | 400 / 20 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 9 | $19.987,60 | 78 / 2 | $7.219,82 | 188 / 6 | $6.120,18 | 188 / 5 |
| Major Cardiovasc Procedures W/O Mcc | 11 | 90 / 21 | $117.489,00 | 725 / 26 | $21.391,50 | 531 / 15 | $20.620,70 | 531 / 20 | Total 69 procedures | 2.313 | 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.