Hospital Costs > In Nebraska > Fremont Health Medical Center, 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 | 61 | 503 / 18 | $63.400,40 | 1822 / 20 | $16.647,30 | 2055 / 17 | $13.821,20 | 2013 / 20 |
| Cellulitis W/O Mcc | 49 | 140 / 5 | $19.454,20 | 1422 / 10 | $5.945,04 | 1533 / 10 | $4.761,55 | 1526 / 11 |
| Pulmonary Edema & Respiratory Failure | 46 | 157 / 5 | $37.783,00 | 1419 / 9 | $8.974,74 | 1517 / 10 | $7.880,35 | 1512 / 11 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 45 | 121 / 5 | $17.221,10 | 1232 / 10 | $5.023,89 | 1398 / 9 | $3.969,36 | 1393 / 10 |
| Chronic Obstructive Pulmonary Disease W Cc | 41 | 138 / 7 | $26.633,70 | 1556 / 11 | $6.531,78 | 1580 / 10 | $5.642,90 | 1573 / 12 |
| Simple Pneumonia & Pleurisy W Cc | 36 | 167 / 12 | $24.267,40 | 1562 / 12 | $6.947,78 | 1853 / 11 | $5.933,94 | 1845 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 7 | $19.636,70 | 1030 / 12 | $5.505,34 | 1193 / 9 | $4.496,60 | 1189 / 12 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 8 | $51.509,30 | 1098 / 13 | $13.796,10 | 1482 / 10 | $12.694,20 | 1464 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 30 | 120 / 5 | $11.893,10 | 571 / 4 | $3.862,10 | 1085 / 9 | $2.895,50 | 1080 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 29 | 173 / 11 | $30.239,10 | 1492 / 11 | $8.872,93 | 1406 / 14 | $6.717,07 | 1400 / 11 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 28 | 488 / 16 | $38.871,60 | 1269 / 5 | $12.983,20 | 1951 / 10 | $12.196,20 | 1915 / 11 |
| Heart Failure & Shock W Cc | 28 | 250 / 16 | $20.814,00 | 1271 / 10 | $6.942,00 | 1665 / 11 | $5.944,57 | 1660 / 12 |
| Renal Failure W Cc | 26 | 195 / 10 | $20.267,00 | 1006 / 8 | $6.744,00 | 1530 / 10 | $5.805,46 | 1521 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 24 | 251 / 15 | $19.026,00 | 1285 / 7 | $5.170,42 | 1675 / 8 | $4.309,58 | 1662 / 11 |
| Heart Failure & Shock W Mcc | 23 | 261 / 14 | $34.853,40 | 1385 / 8 | $11.920,90 | 2194 / 14 | $11.226,40 | 2184 / 15 |
| G.I. Hemorrhage W Cc | 22 | 196 / 12 | $19.446,60 | 701 / 3 | $7.382,00 | 1449 / 13 | $5.893,95 | 1445 / 10 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 22 | 185 / 13 | $23.243,30 | 1094 / 8 | $7.455,73 | 1770 / 9 | $6.730,55 | 1763 / 12 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 19 | 163 / 10 | $24.504,20 | 762 / 4 | $8.062,47 | 1179 / 11 | $6.100,58 | 1176 / 8 |
| Kidney & Urinary Tract Infections W/O Mcc | 18 | 215 / 14 | $17.442,10 | 1281 / 10 | $5.672,67 | 1395 / 12 | $4.242,61 | 1386 / 11 |
| Simple Pneumonia & Pleurisy W Mcc | 17 | 188 / 14 | $33.433,60 | 1248 / 6 | $10.179,60 | 1750 / 9 | $9.241,47 | 1750 / 12 |
| Syncope & Collapse | 17 | 152 / 10 | $22.645,90 | 1080 / 11 | $5.055,65 | 1047 / 9 | $4.129,76 | 1040 / 9 |
| Major Male Pelvic Procedures W Cc/Mcc | 15 | 15 / 1 | $40.139,40 | 18 / 2 | $15.409,30 | 26 / 2 | $10.847,00 | 26 / 2 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 10 | $28.433,70 | 785 / 9 | $10.335,90 | 446 / 11 | $5.091,60 | 444 / 7 |
| Chest Pain | 13 | 138 / 8 | $19.087,20 | 850 / 5 | $4.199,08 | 658 / 5 | $3.083,23 | 654 / 7 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 4 | $49.779,40 | 210 / 5 | $18.585,40 | 677 / 4 | $17.567,50 | 676 / 4 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 12 | $29.648,30 | 501 / 4 | $7.580,62 | 1090 / 9 | $6.655,85 | 1087 / 12 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 13 | 80 / 10 | $19.639,30 | 1174 / 12 | $4.902,62 | 1099 / 9 | $3.783,23 | 1093 / 10 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 12 | 119 / 12 | $63.953,90 | 1007 / 9 | $17.556,20 | 1416 / 8 | $16.641,60 | 1402 / 9 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 10 | $22.190,10 | 1420 / 10 | $4.981,73 | 1382 / 9 | $4.215,00 | 1371 / 10 |
| G.I. Obstruction W Cc | 11 | 81 / 9 | $29.090,80 | 1167 / 11 | $6.201,45 | 923 / 7 | $4.977,82 | 920 / 7 |
| Transient Ischemia | 11 | 114 / 10 | $22.559,10 | 831 / 7 | $6.587,00 | 554 / 11 | $3.427,45 | 551 / 4 | Total 31 procedures | 775 | 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.