Hospital Costs > In Indiana > Franciscan St Margaret Health - Dyer, 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 | 140 | 424 / 30 | $48.128,50 | 1202 / 30 | $13.181,80 | 1061 / 30 | $11.165,20 | 1038 / 38 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 101 | 415 / 40 | $41.489,20 | 1386 / 44 | $11.379,10 | 961 / 30 | $10.138,70 | 954 / 31 |
| Heart Failure & Shock W Mcc | 91 | 193 / 22 | $31.015,20 | 1151 / 42 | $9.070,51 | 990 / 30 | $8.286,96 | 989 / 39 |
| Heart Failure & Shock W Cc | 64 | 214 / 25 | $19.598,90 | 1135 / 33 | $5.869,16 | 529 / 16 | $4.916,58 | 529 / 15 |
| Chronic Obstructive Pulmonary Disease W Mcc | 55 | 147 / 26 | $24.655,20 | 1100 / 41 | $6.849,73 | 591 / 11 | $5.858,25 | 590 / 20 |
| Renal Failure W Cc | 49 | 172 / 30 | $22.293,90 | 1209 / 42 | $5.879,20 | 758 / 21 | $4.968,61 | 751 / 25 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 48 | 148 / 16 | $76.720,20 | 810 / 32 | $13.868,50 | 760 / 27 | $11.441,00 | 755 / 30 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 47 | 141 / 18 | $34.472,30 | 733 / 32 | $6.654,81 | 493 / 13 | $5.433,81 | 491 / 22 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 46 | 104 / 16 | $13.364,20 | 773 / 30 | $3.535,37 | 300 / 14 | $2.260,98 | 298 / 8 |
| Syncope & Collapse | 46 | 123 / 13 | $19.121,10 | 768 / 27 | $4.440,35 | 314 / 6 | $3.356,48 | 312 / 6 |
| Kidney & Urinary Tract Infections W/O Mcc | 42 | 191 / 31 | $17.776,30 | 1317 / 47 | $4.772,45 | 396 / 20 | $3.539,24 | 396 / 11 |
| Transient Ischemia | 40 | 85 / 11 | $22.670,20 | 836 / 35 | $4.279,83 | 306 / 6 | $3.159,68 | 306 / 7 |
| G.I. Hemorrhage W Cc | 40 | 178 / 28 | $25.828,80 | 1275 / 37 | $6.255,08 | 571 / 21 | $4.971,90 | 570 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 39 | 166 / 36 | $35.941,20 | 1407 / 51 | $8.664,92 | 472 / 25 | $7.289,72 | 472 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 34 | 241 / 31 | $20.724,00 | 1478 / 52 | $4.658,00 | 498 / 13 | $3.403,91 | 496 / 10 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 20 | $19.315,90 | 987 / 38 | $5.062,00 | 172 / 28 | $3.435,03 | 172 / 3 |
| Chronic Obstructive Pulmonary Disease W Cc | 32 | 147 / 32 | $21.989,40 | 1206 / 51 | $6.128,47 | 845 / 42 | $4.839,53 | 842 / 28 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 32 | 150 / 29 | $27.537,40 | 964 / 38 | $6.422,41 | 653 / 14 | $5.384,72 | 652 / 26 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 28 | 140 / 20 | $38.081,10 | 631 / 24 | $10.562,20 | 527 / 18 | $9.406,39 | 526 / 20 |
| Pulmonary Edema & Respiratory Failure | 27 | 176 / 42 | $29.253,30 | 996 / 39 | $7.399,48 | 644 / 14 | $6.508,41 | 644 / 21 |
| Renal Failure W Mcc | 27 | 168 / 29 | $36.442,30 | 1124 / 39 | $9.931,00 | 1025 / 32 | $8.972,63 | 1025 / 33 |
| Simple Pneumonia & Pleurisy W Cc | 25 | 178 / 40 | $25.315,10 | 1644 / 57 | $5.979,60 | 981 / 19 | $5.062,52 | 978 / 39 |
| G.I. Hemorrhage W Mcc | 24 | 97 / 17 | $46.134,50 | 900 / 32 | $11.036,50 | 584 / 22 | $9.875,83 | 585 / 24 |
| Kidney & Urinary Tract Infections W Mcc | 23 | 121 / 28 | $19.742,20 | 560 / 17 | $6.561,87 | 395 / 10 | $5.561,30 | 394 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 20 | 123 / 29 | $42.656,90 | 748 / 23 | $11.285,30 | 498 / 16 | $10.065,70 | 497 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 39 | $30.147,80 | 1624 / 57 | $9.163,80 | 172 / 66 | $4.809,10 | 172 / 4 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 20 | 80 / 16 | $106.754,00 | 564 / 24 | $22.878,20 | 618 / 24 | $20.988,30 | 614 / 29 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 19 | 82 / 17 | $38.010,30 | 590 / 23 | $9.549,37 | 321 / 14 | $8.437,42 | 321 / 12 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 25 | $24.058,50 | 1190 / 36 | $4.886,32 | 360 / 8 | $3.830,63 | 359 / 7 |
| Major Small & Large Bowel Procedures W Cc | 18 | 90 / 21 | $67.833,20 | 816 / 29 | $15.293,70 | 601 / 18 | $13.998,70 | 595 / 20 |
| Respiratory Infections & Inflammations W Mcc | 18 | 118 / 28 | $45.926,70 | 967 / 36 | $12.335,90 | 846 / 29 | $11.244,50 | 836 / 30 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 17 | 76 / 12 | $61.010,90 | 481 / 20 | $14.299,90 | 371 / 21 | $11.974,60 | 366 / 19 |
| Cellulitis W/O Mcc | 17 | 172 / 37 | $15.138,20 | 876 / 25 | $4.981,47 | 345 / 9 | $3.744,06 | 342 / 13 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 15 | 109 / 13 | $12.926,70 | 246 / 8 | $4.504,93 | 9 / 7 | $2.474,67 | 9 / 1 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 15 | 48 / 12 | $129.470,00 | 389 / 18 | $30.899,90 | 337 / 13 | $29.496,50 | 337 / 16 |
| Seizures W/O Mcc | 15 | 93 / 14 | $19.532,50 | 527 / 19 | $4.646,53 | 64 / 8 | $3.189,93 | 64 / 2 |
| Chest Pain | 14 | 137 / 23 | $21.894,40 | 1048 / 38 | $3.791,14 | 265 / 7 | $2.637,86 | 264 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 14 | 88 / 26 | $24.088,50 | 845 / 37 | $4.540,93 | 348 / 8 | $3.431,36 | 345 / 9 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 14 | 152 / 41 | $13.584,20 | 774 / 23 | $4.498,36 | 108 / 28 | $2.851,29 | 108 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 13 | 181 / 32 | $72.267,20 | 404 / 12 | $23.234,80 | 539 / 7 | $22.048,40 | 536 / 16 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 13 | 111 / 27 | $120.482,00 | 744 / 28 | $34.725,10 | 809 / 22 | $32.820,70 | 803 / 25 |
| Other Vascular Procedures W Cc | 13 | 89 / 22 | $91.596,50 | 762 / 25 | $17.031,30 | 630 / 22 | $15.768,10 | 627 / 26 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 13 | $20.549,80 | 248 / 6 | $5.792,17 | 166 / 3 | $4.856,08 | 166 / 4 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 12 | 81 / 22 | $17.306,40 | 950 / 33 | $4.283,58 | 551 / 8 | $3.280,25 | 549 / 18 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 12 | 59 / 16 | $135.025,00 | 478 / 26 | $32.574,50 | 445 / 14 | $31.440,80 | 445 / 21 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 12 | 108 / 35 | $15.271,20 | 812 / 31 | $4.354,08 | 318 / 10 | $3.155,33 | 318 / 11 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 12 | 113 / 28 | $50.126,60 | 1146 / 41 | $11.695,20 | 1126 / 37 | $10.766,20 | 1121 / 42 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 32 | $15.065,70 | 858 / 33 | $4.043,92 | 333 / 8 | $3.142,17 | 331 / 10 |
| Peripheral Vascular Disorders W Cc | 12 | 72 / 16 | $18.351,20 | 334 / 11 | $5.673,92 | 256 / 5 | $4.762,00 | 255 / 7 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 12 | 44 / 13 | $35.269,10 | 308 / 7 | $9.858,00 | 342 / 12 | $8.627,83 | 341 / 16 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 12 | 61 / 14 | $22.460,60 | 372 / 8 | $6.473,50 | 143 / 2 | $5.721,00 | 143 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 12 | 91 / 17 | $20.539,90 | 264 / 10 | $5.842,17 | 22 / 2 | $4.291,08 | 22 / 1 |
| Renal Failure W/O Cc/Mcc | 11 | 45 / 13 | $15.357,60 | 383 / 15 | $3.822,18 | 159 / 4 | $2.843,73 | 158 / 6 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 22 | $26.383,60 | 317 / 8 | $6.292,27 | 322 / 8 | $5.261,27 | 322 / 15 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 11 | 66 / 6 | $47.696,60 | 247 / 3 | $9.501,27 | 152 / 3 | $8.325,73 | 152 / 4 | Total 55 procedures | 1.579 | 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.