Hospital Costs > In Ohio > Good Samaritan Hospital Cincinnati, 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 Mcc | 20 | 105 / 37 | $48.289,10 | 1093 / 64 | $12.732,70 | 827 / 70 | $9.792,30 | 826 / 54 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 11 | 55 / 14 | $75.336,60 | 442 / 19 | $14.541,90 | 393 / 16 | $12.518,40 | 390 / 17 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 16 | 73 / 15 | $43.523,60 | 516 / 23 | $8.991,31 | 502 / 23 | $6.561,19 | 501 / 23 |
| Bronchitis & Asthma W Cc/Mcc | 14 | 62 / 15 | $27.288,80 | 645 / 40 | $7.806,21 | 776 / 38 | $5.819,07 | 772 / 40 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 35 | 126 / 31 | $28.312,40 | 1557 / 93 | $7.329,89 | 1619 / 91 | $5.244,54 | 1614 / 87 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 49 | 74 / 14 | $43.832,00 | 1415 / 80 | $10.888,70 | 1130 / 78 | $7.440,88 | 1127 / 70 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 22 | 128 / 36 | $20.134,10 | 1398 / 81 | $5.580,09 | 1484 / 85 | $3.502,68 | 1478 / 83 |
| Cardiac Defibrillator Implant W/O Cardiac Cath W/O Mcc | 11 | 39 / 8 | $112.500,00 | 73 / 3 | $36.208,40 | 127 / 5 | $34.122,50 | 127 / 7 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W Card Cath W Mcc | 17 | 52 / 5 | $254.688,00 | 141 / 4 | $68.815,50 | 32 / 6 | $49.652,50 | 32 / 3 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc | 20 | 98 / 8 | $141.024,00 | 257 / 6 | $35.270,80 | 175 / 9 | $30.167,80 | 175 / 5 |
| Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Mcc | 42 | 74 / 7 | $197.455,00 | 215 / 5 | $53.151,70 | 98 / 8 | $44.987,00 | 98 / 5 |
| Cellulitis W Mcc | 17 | 41 / 13 | $27.355,60 | 314 / 27 | $11.202,10 | 595 / 40 | $9.324,82 | 593 / 41 |
| Cellulitis W/O Mcc | 60 | 129 / 26 | $17.963,70 | 1239 / 79 | $7.597,25 | 2031 / 101 | $5.642,27 | 2023 / 99 |
| Cervical Spinal Fusion W/O Cc/Mcc | 19 | 85 / 15 | $41.879,30 | 227 / 6 | $17.470,30 | 374 / 28 | $11.991,90 | 373 / 16 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 14 | 77 / 7 | $42.033,20 | 274 / 7 | $10.522,30 | 10 / 7 | $5.118,57 | 10 / 1 |
| Chest Pain | 16 | 135 / 33 | $28.787,00 | 1350 / 73 | $5.776,31 | 1263 / 65 | $4.171,00 | 1256 / 65 |
| Chronic Obstructive Pulmonary Disease W Cc | 64 | 115 / 22 | $28.506,10 | 1654 / 99 | $8.298,86 | 1758 / 100 | $5.997,92 | 1751 / 95 |
| Chronic Obstructive Pulmonary Disease W Mcc | 67 | 135 / 30 | $33.801,30 | 1679 / 93 | $9.729,76 | 1757 / 98 | $7.339,33 | 1749 / 92 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 19 | 101 / 35 | $16.306,10 | 940 / 65 | $6.573,79 | 1416 / 94 | $4.269,21 | 1405 / 85 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 27 | 66 / 10 | $64.174,70 | 525 / 30 | $15.922,10 | 580 / 32 | $13.501,70 | 574 / 35 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 48 | 140 / 21 | $46.942,90 | 1123 / 58 | $9.640,60 | 1175 / 61 | $6.920,98 | 1172 / 61 |
| Coronary Bypass W Cardiac Cath W Mcc | 17 | 39 / 8 | $190.180,00 | 213 / 12 | $45.676,10 | 197 / 11 | $42.164,80 | 197 / 15 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 12 | 56 / 15 | $23.758,30 | 318 / 22 | $7.313,67 | 260 / 29 | $4.892,00 | 260 / 21 |
| Diabetes W Cc | 19 | 73 / 22 | $20.567,40 | 737 / 47 | $7.214,26 | 1196 / 60 | $5.740,00 | 1191 / 64 |
| Diabetes W Mcc | 11 | 46 / 13 | $35.597,90 | 390 / 24 | $11.483,40 | 89 / 36 | $6.915,18 | 89 / 8 |
| Digestive Malignancy W Cc | 11 | 36 / 8 | $33.526,90 | 183 / 7 | $10.515,00 | 257 / 9 | $8.553,82 | 255 / 10 |
| Disorders Of Pancreas Except Malignancy W/O Cc/Mcc | 11 | 27 / 9 | $15.849,80 | 151 / 11 | $6.183,36 | 350 / 17 | $4.306,00 | 349 / 15 |
| Disorders Of The Biliary Tract W Cc | 11 | 43 / 8 | $28.056,70 | 180 / 11 | $8.870,82 | 309 / 12 | $7.064,91 | 309 / 14 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 20 | 76 / 19 | $26.031,30 | 475 / 36 | $10.201,00 | 780 / 57 | $7.324,50 | 775 / 50 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 61 | 214 / 40 | $18.713,80 | 1239 / 73 | $6.985,61 | 1775 / 104 | $4.441,20 | 1762 / 92 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 14 | 49 / 13 | $140.286,00 | 443 / 22 | $41.327,30 | 372 / 26 | $30.198,90 | 372 / 21 |
| Extracranial Procedures W/O Cc/Mcc | 11 | 87 / 22 | $41.530,90 | 656 / 27 | $8.223,55 | 760 / 28 | $7.055,36 | 757 / 33 |
| G.I. Hemorrhage W Cc | 57 | 161 / 32 | $28.175,30 | 1454 / 74 | $8.495,14 | 1816 / 92 | $6.692,91 | 1812 / 92 |
| G.I. Hemorrhage W Mcc | 40 | 81 / 14 | $46.864,00 | 916 / 53 | $13.609,70 | 990 / 65 | $11.230,50 | 983 / 60 |
| G.I. Obstruction W Cc | 17 | 75 / 26 | $18.079,80 | 517 / 37 | $7.727,47 | 1409 / 66 | $6.263,71 | 1404 / 69 |
| Heart Failure & Shock W Cc | 108 | 170 / 22 | $30.776,00 | 1998 / 102 | $8.653,94 | 2071 / 103 | $6.666,63 | 2066 / 102 |
| Heart Failure & Shock W Mcc | 114 | 170 / 19 | $43.530,30 | 1803 / 90 | $11.993,90 | 1817 / 97 | $9.764,00 | 1812 / 98 |
| Heart Failure & Shock W/O Cc/Mcc | 16 | 94 / 30 | $18.017,20 | 1150 / 66 | $6.118,19 | 1538 / 77 | $4.568,19 | 1525 / 77 |
| Hip & Femur Procedures Except Major Joint W Cc | 29 | 114 / 26 | $54.200,10 | 1185 / 66 | $14.758,20 | 1141 / 79 | $11.420,20 | 1127 / 66 |
| Hip & Femur Procedures Except Major Joint W Mcc | 21 | 41 / 9 | $82.179,20 | 557 / 29 | $22.161,20 | 444 / 35 | $17.715,20 | 441 / 29 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 24 | 100 / 24 | $139.032,00 | 913 / 51 | $41.327,40 | 682 / 57 | $31.374,80 | 676 / 46 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 45 | 137 / 23 | $29.988,00 | 1158 / 62 | $8.603,20 | 1409 / 73 | $6.583,27 | 1406 / 73 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 44 | 124 / 17 | $42.878,80 | 777 / 42 | $13.282,40 | 914 / 51 | $10.689,20 | 911 / 48 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 24 | 78 / 20 | $27.527,40 | 1004 / 54 | $6.831,96 | 1228 / 60 | $4.934,25 | 1224 / 62 |
| Kidney & Ureter Procedures For Non-Neoplasm W Mcc | 12 | 18 / 3 | $71.428,50 | 23 / 1 | $22.535,90 | 3 / 1 | $17.855,10 | 3 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 31 | 113 / 24 | $22.617,00 | 757 / 52 | $9.277,26 | 1360 / 82 | $7.171,48 | 1356 / 81 |
| Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 48 | $17.032,70 | 1228 / 72 | $7.007,33 | 2049 / 104 | $5.108,33 | 2038 / 100 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 12 | 43 / 14 | $58.501,80 | 341 / 17 | $14.414,50 | 437 / 20 | $12.775,50 | 434 / 20 |
| Major Cardiovasc Procedures W Mcc | 14 | 54 / 16 | $152.653,00 | 359 / 17 | $37.540,30 | 357 / 16 | $34.337,10 | 356 / 20 |
| Major Cardiovasc Procedures W/O Mcc | 46 | 55 / 3 | $101.168,00 | 591 / 29 | $24.883,50 | 434 / 32 | $19.740,50 | 434 / 24 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 15 | $29.597,90 | 133 / 9 | $14.448,40 | 128 / 25 | $10.040,30 | 128 / 11 |
| Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc | 28 | 68 / 11 | $62.737,20 | 511 / 23 | $15.917,10 | 574 / 24 | $13.466,50 | 571 / 28 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 15 | 50 / 10 | $127.034,00 | 770 / 29 | $30.023,30 | 795 / 29 | $24.250,70 | 792 / 30 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 316 | 255 / 10 | $61.456,20 | 1747 / 101 | $16.234,50 | 1519 / 104 | $12.094,70 | 1484 / 94 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 26 | 43 / 8 | $68.991,90 | 270 / 16 | $18.204,90 | 285 / 16 | $15.525,80 | 285 / 18 |
| Major Small & Large Bowel Procedures W Cc | 24 | 84 / 18 | $55.097,20 | 530 / 27 | $15.793,60 | 145 / 30 | $12.163,30 | 145 / 16 |
| Major Small & Large Bowel Procedures W Mcc | 31 | 54 / 8 | $133.203,00 | 685 / 38 | $39.419,60 | 293 / 46 | $27.357,00 | 291 / 30 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 16 | 48 / 10 | $50.169,80 | 461 / 14 | $12.364,40 | 479 / 18 | $9.732,62 | 479 / 19 |
| Medical Back Problems W/O Mcc | 25 | 96 / 23 | $16.932,90 | 329 / 21 | $7.133,64 | 1044 / 52 | $5.370,68 | 1041 / 56 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 27 | 99 / 23 | $18.593,10 | 335 / 23 | $8.894,78 | 1149 / 65 | $7.500,56 | 1146 / 67 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 30 | 136 / 36 | $17.619,90 | 1283 / 67 | $6.598,13 | 1800 / 96 | $4.476,47 | 1795 / 92 |
| Nonspecific Cerebrovascular Disorders W Cc | 19 | 37 / 7 | $27.185,80 | 262 / 11 | $8.544,00 | 332 / 14 | $6.501,05 | 332 / 14 |
| Nonspecific Cerebrovascular Disorders W Mcc | 31 | 20 / 4 | $38.398,50 | 181 / 12 | $12.159,40 | 196 / 12 | $10.208,50 | 196 / 11 |
| Other Circulatory System Diagnoses W Cc | 13 | 53 / 15 | $24.684,50 | 298 / 29 | $7.788,15 | 448 / 30 | $6.388,85 | 447 / 33 |
| Other Circulatory System Diagnoses W Mcc | 26 | 90 / 22 | $48.514,30 | 707 / 46 | $15.147,20 | 341 / 56 | $10.133,30 | 340 / 35 |
| Other Digestive System Diagnoses W Cc | 12 | 85 / 29 | $20.489,00 | 435 / 31 | $8.983,83 | 424 / 53 | $5.078,25 | 421 / 28 |
| Other Digestive System Diagnoses W Mcc | 11 | 51 / 14 | $46.190,60 | 409 / 19 | $13.072,80 | 447 / 20 | $11.298,20 | 446 / 24 |
| Other Disorders Of Nervous System W Cc | 13 | 43 / 10 | $39.397,30 | 491 / 20 | $8.128,69 | 471 / 17 | $6.520,08 | 471 / 18 |
| Other Vascular Procedures W Mcc | 14 | 83 / 24 | $108.995,00 | 653 / 37 | $28.165,00 | 449 / 38 | $20.198,60 | 447 / 26 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents | 21 | 79 / 20 | $94.129,90 | 430 / 29 | $23.105,40 | 593 / 34 | $20.730,70 | 589 / 34 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 41 | 155 / 29 | $62.754,70 | 515 / 38 | $15.557,00 | 812 / 48 | $11.701,90 | 807 / 46 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W Mcc | 11 | 43 / 8 | $87.429,50 | 100 / 3 | $22.114,70 | 108 / 4 | $19.374,90 | 108 / 4 |
| Perc Cardiovasc Proc W/O Coronary Artery Stent W/O Mcc | 16 | 79 / 12 | $77.946,90 | 315 / 19 | $15.141,80 | 282 / 19 | $11.704,70 | 279 / 16 |
| Peripheral Vascular Disorders W Cc | 19 | 65 / 15 | $25.650,20 | 663 / 44 | $8.332,79 | 866 / 47 | $6.503,26 | 863 / 49 |
| Permanent Cardiac Pacemaker Implant W Cc | 13 | 64 / 18 | $63.993,80 | 399 / 26 | $19.030,70 | 387 / 32 | $15.084,30 | 386 / 22 |
| Permanent Cardiac Pacemaker Implant W Mcc | 18 | 34 / 7 | $89.398,10 | 264 / 20 | $24.241,40 | 255 / 21 | $21.755,20 | 255 / 18 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 19 | $31.288,20 | 380 / 19 | $10.100,10 | 443 / 24 | $8.322,08 | 442 / 23 |
| Pulmonary Edema & Respiratory Failure | 80 | 123 / 17 | $35.734,80 | 1324 / 71 | $10.249,90 | 1648 / 84 | $8.281,08 | 1643 / 86 |
| Pulmonary Embolism W Mcc | 12 | 31 / 9 | $49.183,30 | 410 / 20 | $12.282,50 | 246 / 19 | $8.561,92 | 246 / 16 |
| Pulmonary Embolism W/O Mcc | 32 | 42 / 6 | $37.205,90 | 1006 / 50 | $8.787,47 | 995 / 47 | $6.526,00 | 992 / 48 |
| Red Blood Cell Disorders W Mcc | 27 | 44 / 5 | $37.455,30 | 637 / 42 | $10.226,70 | 716 / 45 | $8.405,89 | 712 / 47 |
| Red Blood Cell Disorders W/O Mcc | 19 | 124 / 35 | $27.145,60 | 1365 / 75 | $7.462,53 | 1436 / 81 | $5.297,79 | 1427 / 81 |
| Renal Failure W Cc | 87 | 134 / 21 | $27.143,00 | 1559 / 85 | $8.468,55 | 1795 / 94 | $6.394,44 | 1785 / 93 |
| Renal Failure W Mcc | 85 | 110 / 14 | $36.919,00 | 1146 / 68 | $11.920,50 | 1400 / 79 | $9.941,96 | 1400 / 80 |
| Respiratory Infections & Inflammations W Cc | 17 | 71 / 24 | $33.525,50 | 806 / 50 | $11.144,80 | 1124 / 56 | $9.194,41 | 1119 / 56 |
| Respiratory Infections & Inflammations W Mcc | 37 | 99 / 23 | $54.776,00 | 1168 / 66 | $16.856,50 | 1245 / 75 | $12.696,60 | 1230 / 70 |
| Respiratory Neoplasms W Mcc | 11 | 41 / 12 | $47.397,90 | 348 / 11 | $13.095,80 | 388 / 19 | $11.047,10 | 387 / 19 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 29 | 102 / 31 | $64.885,70 | 1033 / 55 | $17.314,20 | 1206 / 63 | $15.086,20 | 1193 / 65 |
| Revision Of Hip Or Knee Replacement W Cc | 26 | 60 / 6 | $83.867,80 | 326 / 15 | $24.641,40 | 245 / 20 | $18.583,60 | 244 / 16 |
| Seizures W Mcc | 22 | 44 / 11 | $33.794,40 | 240 / 17 | $10.865,40 | 307 / 21 | $8.958,95 | 307 / 18 |
| Septicemia Or Severe Sepsis W Mv 96+ Hours | 13 | 79 / 22 | $119.106,00 | 306 / 20 | $39.049,60 | 402 / 27 | $35.098,70 | 401 / 30 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 205 | 311 / 24 | $44.030,50 | 1524 / 81 | $14.366,10 | 1595 / 100 | $11.221,50 | 1563 / 88 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 37 | 170 / 31 | $27.253,20 | 1444 / 78 | $8.990,05 | 1800 / 87 | $6.797,30 | 1792 / 88 |
| Signs & Symptoms W/O Mcc | 16 | 75 / 19 | $24.235,60 | 864 / 51 | $6.577,81 | 826 / 52 | $4.359,44 | 823 / 47 |
| Simple Pneumonia & Pleurisy W Cc | 43 | 160 / 37 | $25.919,90 | 1688 / 96 | $8.549,88 | 1642 / 107 | $5.662,95 | 1635 / 92 |
| Simple Pneumonia & Pleurisy W Mcc | 97 | 108 / 9 | $38.411,60 | 1501 / 87 | $11.745,50 | 1680 / 96 | $9.102,97 | 1680 / 93 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 22 | 71 / 19 | $20.499,40 | 1231 / 67 | $6.828,00 | 1324 / 73 | $4.091,64 | 1316 / 66 |
| Spinal Fusion Except Cervical W/O Mcc | 60 | 134 / 17 | $86.266,80 | 596 / 34 | $30.160,90 | 402 / 47 | $21.265,30 | 401 / 29 |
| Syncope & Collapse | 27 | 142 / 31 | $26.420,60 | 1291 / 79 | $6.751,78 | 1387 / 81 | $4.817,19 | 1380 / 79 |
| Transient Ischemia | 29 | 96 / 23 | $22.695,20 | 839 / 48 | $6.404,90 | 1274 / 63 | $4.750,55 | 1268 / 65 |
| Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc | 11 | 43 / 10 | $23.611,10 | 215 / 10 | $6.828,91 | 266 / 12 | $4.953,45 | 266 / 12 |
| Uterine & Adnexa Proc For Non-Malignancy W/O Cc/Mcc | 20 | 26 / 2 | $37.490,40 | 170 / 4 | $8.003,10 | 134 / 5 | $5.792,75 | 134 / 7 |
| Vagina, Cervix & Vulva Procedures W/O Cc/Mcc | 14 | 8 / 1 | $32.606,10 | 12 / 1 | $7.538,93 | 10 / 2 | $5.007,07 | 10 / 2 |
| Vaginal Delivery W/O Complicating Diagnoses | 12 | 13 / 4 | $12.791,30 | 37 / 2 | $5.533,08 | 36 / 3 | $3.800,42 | 36 / 3 | Total 104 procedures | 3.425 | 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.