Hospital Costs > In Ohio > Genesis Healthcare System, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Acute Myocardial Infarction, Discharged Alive W Cc | 36 | 55 / 6 | $25.669,90 | 558 / 33 | $7.345,14 | 729 / 43 | $5.949,11 | 727 / 46 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 66 | 59 / 6 | $33.099,50 | 555 / 37 | $11.791,20 | 1103 / 57 | $10.680,60 | 1098 / 64 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 13 | 40 / 13 | $22.099,80 | 365 / 16 | $5.141,85 | 413 / 19 | $4.026,38 | 410 / 23 |
| Bronchitis & Asthma W Cc/Mcc | 24 | 52 / 7 | $16.180,80 | 242 / 18 | $5.943,25 | 518 / 24 | $4.838,21 | 514 / 29 |
| Bronchitis & Asthma W/O Cc/Mcc | 13 | 32 / 2 | $9.034,08 | 40 / 3 | $4.358,15 | 174 / 6 | $3.434,69 | 174 / 7 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 78 | 83 / 8 | $14.052,60 | 420 / 31 | $5.388,08 | 1010 / 60 | $4.305,33 | 1006 / 65 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 38 | 85 / 23 | $27.784,30 | 840 / 50 | $8.522,71 | 935 / 61 | $7.036,45 | 932 / 62 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 43 | 107 / 22 | $11.834,60 | 565 / 34 | $3.953,00 | 680 / 53 | $2.573,84 | 676 / 38 |
| Cellulitis W/O Mcc | 85 | 104 / 12 | $13.545,50 | 665 / 46 | $5.770,09 | 1319 / 72 | $4.551,65 | 1313 / 80 |
| Cervical Spinal Fusion W/O Cc/Mcc | 11 | 93 / 21 | $48.519,10 | 322 / 12 | $15.651,60 | 505 / 22 | $12.837,10 | 502 / 24 |
| Chest Pain | 50 | 101 / 6 | $13.652,30 | 366 / 19 | $4.215,06 | 694 / 41 | $3.129,94 | 689 / 42 |
| Chronic Obstructive Pulmonary Disease W Cc | 102 | 77 / 4 | $14.170,70 | 435 / 32 | $6.483,57 | 1307 / 73 | $5.277,60 | 1302 / 79 |
| Chronic Obstructive Pulmonary Disease W Mcc | 171 | 36 / 2 | $18.324,20 | 592 / 42 | $7.969,59 | 1608 / 75 | $7.008,21 | 1600 / 86 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 77 | 43 / 3 | $10.908,00 | 343 / 22 | $4.908,77 | 1025 / 61 | $3.762,13 | 1016 / 74 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 24 | 69 / 12 | $41.284,50 | 176 / 13 | $16.853,40 | 476 / 35 | $12.747,00 | 470 / 28 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 76 | 112 / 10 | $26.488,70 | 354 / 22 | $7.347,05 | 951 / 40 | $6.241,25 | 948 / 52 |
| Coronary Bypass W Cardiac Cath W Mcc | 14 | 42 / 10 | $173.091,00 | 173 / 9 | $50.380,90 | 303 / 17 | $49.104,40 | 303 / 20 |
| Coronary Bypass W Cardiac Cath W/O Mcc | 28 | 48 / 6 | $116.293,00 | 208 / 7 | $37.514,50 | 289 / 23 | $26.550,90 | 289 / 17 |
| Coronary Bypass W/O Cardiac Cath W/O Mcc | 16 | 72 / 8 | $97.061,20 | 239 / 5 | $25.583,20 | 423 / 8 | $24.435,00 | 422 / 18 |
| Depressive Neuroses | 26 | 24 / 2 | $7.554,54 | 25 / 1 | $4.480,46 | 55 / 4 | $3.578,00 | 55 / 4 |
| Diabetes W Cc | 20 | 72 / 21 | $16.625,60 | 456 / 33 | $5.647,15 | 746 / 38 | $4.601,15 | 744 / 45 |
| Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc | 11 | 59 / 12 | $16.662,60 | 118 / 6 | $6.958,64 | 85 / 12 | $4.731,82 | 85 / 6 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 12 | 26 / 8 | $12.556,20 | 84 / 4 | $4.437,58 | 124 / 6 | $3.051,67 | 124 / 8 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 18 | $20.845,50 | 236 / 17 | $8.091,43 | 799 / 37 | $7.394,38 | 794 / 52 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 151 | 124 / 6 | $14.303,10 | 654 / 44 | $5.156,60 | 1234 / 67 | $3.915,93 | 1223 / 78 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc | 12 | 32 / 7 | $54.287,80 | 83 / 2 | $19.679,30 | 273 / 5 | $18.648,20 | 271 / 8 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 24 | 39 / 7 | $97.594,30 | 199 / 12 | $35.428,20 | 523 / 24 | $34.108,00 | 523 / 27 |
| Extracranial Procedures W/O Cc/Mcc | 31 | 67 / 8 | $21.780,90 | 195 / 9 | $7.035,00 | 605 / 18 | $6.124,06 | 603 / 27 |
| G.I. Hemorrhage W Cc | 87 | 131 / 16 | $17.393,30 | 525 / 28 | $6.841,93 | 1338 / 71 | $5.742,05 | 1335 / 80 |
| G.I. Hemorrhage W Mcc | 29 | 92 / 22 | $29.488,90 | 311 / 20 | $11.935,90 | 923 / 52 | $10.942,30 | 917 / 56 |
| G.I. Hemorrhage W/O Cc/Mcc | 17 | 51 / 10 | $10.185,10 | 109 / 4 | $4.736,94 | 410 / 18 | $3.578,06 | 406 / 24 |
| G.I. Obstruction W Cc | 30 | 62 / 14 | $16.881,20 | 430 / 29 | $6.052,07 | 858 / 45 | $4.894,07 | 856 / 53 |
| Heart Failure & Shock W Cc | 135 | 143 / 8 | $14.036,40 | 473 / 30 | $6.744,41 | 1594 / 77 | $5.866,09 | 1589 / 87 |
| Heart Failure & Shock W Mcc | 110 | 174 / 20 | $22.832,20 | 589 / 34 | $10.220,90 | 1676 / 80 | $9.424,96 | 1671 / 87 |
| Heart Failure & Shock W/O Cc/Mcc | 42 | 68 / 8 | $12.513,50 | 529 / 32 | $4.604,86 | 1050 / 48 | $3.783,81 | 1042 / 62 |
| Hip & Femur Procedures Except Major Joint W Cc | 56 | 87 / 8 | $36.989,20 | 496 / 32 | $13.327,10 | 1308 / 68 | $11.988,20 | 1291 / 73 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 13 | $53.614,30 | 221 / 14 | $21.299,50 | 696 / 33 | $20.455,10 | 693 / 39 |
| Hypertension W/O Mcc | 18 | 47 / 7 | $12.970,80 | 138 / 6 | $4.222,67 | 405 / 12 | $3.454,94 | 403 / 17 |
| Inborn And Other Disorders Of Metabolism | 12 | 2 / 2 | $20.559,80 | 2 / 2 | $7.357,75 | 2 / 1 | $7.106,00 | 2 / 1 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 12 | 24 / 6 | $41.377,80 | 64 / 3 | $17.227,10 | 162 / 7 | $14.455,20 | 162 / 8 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 29 | 95 / 20 | $81.388,50 | 261 / 19 | $39.186,00 | 1021 / 54 | $35.765,80 | 1015 / 56 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 41 | 141 / 26 | $22.092,80 | 602 / 32 | $7.312,68 | 1229 / 55 | $6.185,78 | 1226 / 67 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 18 | 150 / 33 | $37.324,90 | 600 / 33 | $11.975,70 | 954 / 45 | $10.869,50 | 950 / 50 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 27 | 75 / 17 | $17.044,30 | 371 / 19 | $5.350,44 | 738 / 42 | $3.914,30 | 734 / 46 |
| Kidney & Urinary Tract Infections W Mcc | 29 | 115 / 26 | $21.802,50 | 691 / 46 | $7.722,03 | 1149 / 65 | $6.654,48 | 1145 / 71 |
| Kidney & Urinary Tract Infections W/O Mcc | 133 | 100 / 7 | $15.154,80 | 960 / 56 | $5.283,89 | 1360 / 71 | $4.214,01 | 1351 / 77 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 20 | 36 / 5 | $29.100,00 | 77 / 3 | $11.201,00 | 565 / 20 | $9.952,20 | 563 / 29 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 14 | $31.020,90 | 49 / 4 | $13.392,80 | 398 / 15 | $12.297,30 | 395 / 18 |
| Major Cardiovasc Procedures W/O Mcc | 18 | 83 / 19 | $62.596,50 | 153 / 10 | $23.435,60 | 670 / 27 | $22.170,20 | 669 / 35 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 20 | 53 / 13 | $21.988,20 | 356 / 22 | $8.051,30 | 661 / 31 | $7.207,95 | 659 / 36 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 19 | 77 / 12 | $41.595,90 | 201 / 8 | $15.426,20 | 525 / 23 | $12.999,70 | 522 / 25 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 176 | 388 / 25 | $33.142,90 | 362 / 18 | $14.667,00 | 1780 / 85 | $12.827,00 | 1740 / 104 |
| Major Small & Large Bowel Procedures W Cc | 23 | 85 / 19 | $34.450,30 | 103 / 4 | $17.847,00 | 817 / 46 | $14.800,50 | 809 / 51 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 19 | $55.093,60 | 48 / 3 | $34.174,60 | 746 / 38 | $32.901,10 | 744 / 47 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 14 | 50 / 12 | $23.505,90 | 46 / 3 | $11.089,90 | 512 / 11 | $10.065,40 | 512 / 22 |
| Medical Back Problems W/O Mcc | 16 | 105 / 31 | $16.912,60 | 328 / 20 | $6.192,25 | 464 / 44 | $4.183,75 | 464 / 33 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 24 | 102 / 26 | $16.117,10 | 194 / 13 | $7.513,71 | 828 / 48 | $6.642,17 | 825 / 57 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 57 | 109 / 14 | $12.728,20 | 642 / 37 | $5.055,39 | 1050 / 74 | $3.684,51 | 1047 / 66 |
| Other Circulatory System Diagnoses W Cc | 22 | 44 / 7 | $16.851,50 | 119 / 12 | $6.465,91 | 324 / 18 | $5.635,68 | 323 / 26 |
| Other Circulatory System Diagnoses W Mcc | 18 | 98 / 30 | $27.159,80 | 156 / 13 | $13.048,00 | 604 / 44 | $11.139,70 | 602 / 49 |
| Other Digestive System Diagnoses W Cc | 13 | 84 / 28 | $18.458,10 | 313 / 20 | $6.596,00 | 800 / 32 | $5.789,92 | 796 / 46 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 15 | 88 / 15 | $16.605,90 | 140 / 6 | $6.755,67 | 401 / 16 | $5.859,13 | 401 / 20 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 13 | 88 / 26 | $26.139,90 | 277 / 19 | $10.843,20 | 671 / 39 | $9.976,85 | 669 / 46 |
| Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc | 12 | 28 / 4 | $44.207,40 | 62 / 1 | $13.558,70 | 147 / 2 | $12.614,60 | 147 / 5 |
| Other Resp System O.R. Procedures W Cc | 16 | 31 / 5 | $34.933,50 | 46 / 1 | $13.396,80 | 202 / 5 | $12.389,80 | 202 / 6 |
| Other Vascular Procedures W Cc | 40 | 62 / 8 | $46.839,10 | 159 / 8 | $17.073,20 | 674 / 23 | $16.189,20 | 671 / 35 |
| Other Vascular Procedures W Mcc | 22 | 75 / 17 | $62.208,60 | 182 / 13 | $21.260,30 | 460 / 20 | $20.307,80 | 458 / 27 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 44 | 56 / 7 | $77.599,70 | 250 / 20 | $22.837,70 | 535 / 32 | $20.006,30 | 531 / 31 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 124 | 72 / 4 | $55.458,20 | 357 / 28 | $14.364,10 | 824 / 38 | $11.748,20 | 819 / 48 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 25 | 70 / 7 | $56.304,20 | 148 / 8 | $14.022,60 | 239 / 16 | $11.332,80 | 237 / 13 |
| Peripheral Vascular Disorders W Cc | 25 | 59 / 9 | $16.903,60 | 268 / 22 | $6.683,04 | 553 / 30 | $5.441,96 | 551 / 34 |
| Permanent Cardiac Pacemaker Implant W Cc | 21 | 56 / 11 | $64.988,40 | 414 / 28 | $18.527,90 | 663 / 30 | $17.398,40 | 662 / 34 |
| Permanent Cardiac Pacemaker Implant W Mcc | 13 | 39 / 12 | $80.299,20 | 205 / 16 | $26.156,90 | 398 / 25 | $24.388,40 | 398 / 25 |
| Permanent Cardiac Pacemaker Implant W/O Cc/Mcc | 14 | 43 / 11 | $59.423,10 | 388 / 23 | $14.527,50 | 461 / 19 | $13.281,40 | 460 / 22 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 19 | $20.954,40 | 131 / 6 | $9.551,08 | 488 / 19 | $8.494,17 | 486 / 26 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 25 | 36 / 5 | $9.027,04 | 66 / 3 | $4.328,12 | 208 / 10 | $3.147,88 | 207 / 11 |
| Psychoses | 261 | 79 / 3 | $9.826,83 | 55 / 4 | $6.860,75 | 264 / 11 | $5.752,38 | 264 / 16 |
| Pulmonary Edema & Respiratory Failure | 130 | 73 / 3 | $22.753,70 | 581 / 35 | $8.353,70 | 1229 / 62 | $7.272,45 | 1227 / 71 |
| Pulmonary Embolism W/O Mcc | 33 | 41 / 5 | $21.423,80 | 464 / 26 | $6.806,30 | 727 / 30 | $5.621,21 | 724 / 39 |
| Red Blood Cell Disorders W/O Mcc | 39 | 104 / 16 | $15.940,50 | 533 / 32 | $5.520,36 | 968 / 53 | $4.484,10 | 962 / 63 |
| Renal Failure W Cc | 113 | 108 / 13 | $17.278,90 | 702 / 37 | $6.714,15 | 1405 / 71 | $5.623,53 | 1396 / 81 |
| Renal Failure W Mcc | 54 | 141 / 31 | $26.842,30 | 569 / 33 | $10.504,00 | 1287 / 67 | $9.630,09 | 1287 / 77 |
| Renal Failure W/O Cc/Mcc | 24 | 32 / 3 | $13.620,50 | 290 / 17 | $4.270,29 | 274 / 17 | $3.091,12 | 273 / 14 |
| Respiratory Infections & Inflammations W Cc | 36 | 52 / 7 | $17.322,10 | 168 / 12 | $9.436,42 | 956 / 45 | $8.495,47 | 951 / 52 |
| Respiratory Infections & Inflammations W Mcc | 25 | 111 / 33 | $24.785,00 | 223 / 15 | $13.438,30 | 1232 / 60 | $12.650,80 | 1217 / 69 |
| Respiratory Signs & Symptoms | 13 | 33 / 5 | $14.720,30 | 48 / 2 | $4.636,31 | 106 / 3 | $3.693,69 | 106 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 42 | 89 / 20 | $43.897,00 | 438 / 34 | $15.475,50 | 1088 / 51 | $14.510,10 | 1078 / 59 |
| Respiratory System Diagnosis W Ventilator Support 96+ Hours | 23 | 48 / 14 | $78.000,20 | 104 / 12 | $35.439,00 | 595 / 26 | $34.491,10 | 594 / 35 |
| Seizures W/O Mcc | 22 | 86 / 18 | $14.182,90 | 218 / 14 | $5.126,95 | 580 / 24 | $4.218,68 | 577 / 33 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 159 | 357 / 34 | $32.330,70 | 905 / 47 | $12.626,90 | 1668 / 79 | $11.377,70 | 1636 / 90 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 72 | 135 / 9 | $19.384,50 | 729 / 39 | $7.396,17 | 1298 / 64 | $5.978,43 | 1293 / 73 |
| Signs & Symptoms W Mcc | 11 | 30 / 8 | $21.132,60 | 61 / 1 | $7.629,09 | 123 / 3 | $7.073,36 | 123 / 7 |
| Signs & Symptoms W/O Mcc | 40 | 51 / 4 | $16.027,70 | 406 / 29 | $4.717,30 | 580 / 28 | $3.815,75 | 579 / 38 |
| Simple Pneumonia & Pleurisy W Cc | 138 | 66 / 2 | $17.711,70 | 881 / 54 | $6.687,93 | 1588 / 78 | $5.597,55 | 1581 / 90 |
| Simple Pneumonia & Pleurisy W Mcc | 122 | 83 / 7 | $27.688,00 | 882 / 57 | $10.016,50 | 1553 / 83 | $8.796,70 | 1553 / 92 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 50 | 43 / 2 | $12.847,80 | 496 / 28 | $4.798,60 | 990 / 41 | $3.666,24 | 985 / 51 |
| Spinal Fusion Except Cervical W/O Mcc | 25 | 169 / 30 | $67.230,10 | 318 / 16 | $27.334,20 | 860 / 35 | $24.675,80 | 856 / 49 |
| Syncope & Collapse | 64 | 105 / 11 | $16.001,40 | 482 / 32 | $4.946,03 | 842 / 49 | $3.888,70 | 838 / 61 |
| Transient Ischemia | 49 | 76 / 11 | $19.196,70 | 598 / 29 | $5.060,53 | 523 / 44 | $3.402,27 | 520 / 37 |
| Transurethral Procedures W Cc | 13 | 28 / 7 | $19.853,20 | 25 / 1 | $8.660,23 | 190 / 7 | $7.253,92 | 190 / 9 |
| Traumatic Stupor & Coma, Coma <1 Hr W Cc | 11 | 55 / 17 | $19.371,50 | 69 / 4 | $7.273,00 | 147 / 4 | $5.854,09 | 147 / 6 |
| Urinary Stones W/O Esw Lithotripsy W/O Mcc | 13 | 33 / 7 | $11.960,60 | 37 / 3 | $4.682,69 | 188 / 11 | $3.670,23 | 187 / 15 | Total 102 procedures | 4.587 | 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.