Hospital Costs > In Indiana > Franciscan St Francis Health - Mooresville, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Bilateral Or Multiple Major Joint Procs Of Lower Extremity W/O Mcc | 44 | 21 / 2 | $73.839,50 | 106 / 4 | $22.420,50 | 98 / 6 | $18.495,70 | 98 / 5 |
| Cellulitis W/O Mcc | 22 | 167 / 33 | $17.240,90 | 1155 / 40 | $4.642,50 | 312 / 2 | $3.704,05 | 309 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 13 | 166 / 47 | $21.001,00 | 1107 / 44 | $5.292,38 | 252 / 3 | $4.264,54 | 252 / 5 |
| Chronic Obstructive Pulmonary Disease W Mcc | 32 | 170 / 43 | $24.534,20 | 1088 / 40 | $6.618,12 | 391 / 6 | $5.669,25 | 390 / 9 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 15 | 105 / 33 | $15.924,50 | 895 / 35 | $4.008,60 | 91 / 1 | $2.798,40 | 91 / 3 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 17 | 258 / 42 | $18.774,30 | 1246 / 37 | $4.706,12 | 115 / 18 | $2.980,35 | 115 / 4 |
| Heart Failure & Shock W Cc | 12 | 266 / 55 | $20.455,20 | 1229 / 39 | $5.597,75 | 304 / 6 | $4.690,42 | 304 / 5 |
| Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 39 | $18.016,50 | 429 / 11 | $5.664,00 | 14 / 1 | $4.561,45 | 14 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 39 | 194 / 33 | $17.916,40 | 1341 / 50 | $4.445,59 | 180 / 5 | $3.271,13 | 180 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 608 | 79 / 2 | $46.745,90 | 1125 / 23 | $13.151,40 | 424 / 29 | $10.215,50 | 422 / 10 |
| Major Small & Large Bowel Procedures W Cc | 20 | 88 / 19 | $42.897,40 | 257 / 5 | $15.791,50 | 150 / 25 | $12.206,80 | 150 / 3 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 11 | 53 / 14 | $34.339,70 | 206 / 2 | $9.091,36 | 205 / 1 | $8.093,73 | 205 / 7 |
| Renal Failure W Cc | 14 | 207 / 45 | $21.144,10 | 1090 / 33 | $5.957,93 | 185 / 25 | $4.349,79 | 184 / 2 |
| Revision Of Hip Or Knee Replacement W Cc | 58 | 32 / 1 | $64.459,60 | 173 / 4 | $20.541,60 | 189 / 4 | $17.875,50 | 189 / 8 |
| Revision Of Hip Or Knee Replacement W/O Cc/Mcc | 31 | 38 / 2 | $59.098,30 | 182 / 7 | $17.713,30 | 115 / 10 | $13.751,20 | 115 / 4 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 15 | 501 / 63 | $37.021,40 | 1153 / 35 | $10.556,50 | 666 / 11 | $9.746,80 | 665 / 19 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 17 | 190 / 42 | $23.132,90 | 1085 / 33 | $6.104,06 | 600 / 5 | $5.318,82 | 598 / 20 |
| Simple Pneumonia & Pleurisy W Cc | 44 | 159 / 28 | $23.489,80 | 1497 / 53 | $5.481,23 | 312 / 4 | $4.473,80 | 310 / 6 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 48 | $36.181,50 | 1417 / 52 | $8.023,29 | 437 / 4 | $7.234,71 | 437 / 10 | Total 19 procedures | 1.040 | 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.