Hospital Costs > In Indiana > Good Samaritan Hospital Vincennes, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 171 | 345 / 21 | $27.969,30 | 693 / 17 | $10.227,30 | 529 / 4 | $9.557,98 | 528 / 13 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 153 | 411 / 28 | $41.320,90 | 834 / 13 | $12.351,60 | 632 / 9 | $10.519,20 | 624 / 20 |
| Heart Failure & Shock W Mcc | 100 | 184 / 19 | $22.474,30 | 563 / 13 | $8.256,96 | 478 / 5 | $7.663,60 | 478 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 94 | 111 / 14 | $21.923,40 | 501 / 15 | $8.036,99 | 409 / 5 | $7.199,24 | 409 / 9 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 78 | 197 / 16 | $15.617,00 | 832 / 20 | $4.275,19 | 460 / 3 | $3.368,08 | 458 / 8 |
| Pulmonary Edema & Respiratory Failure | 73 | 130 / 19 | $19.476,00 | 376 / 13 | $6.861,58 | 347 / 5 | $6.151,44 | 347 / 9 |
| Renal Failure W Cc | 66 | 155 / 21 | $15.633,00 | 521 / 14 | $5.237,26 | 302 / 3 | $4.535,32 | 300 / 5 |
| Renal Failure W Mcc | 62 | 133 / 19 | $25.040,60 | 463 / 12 | $8.524,50 | 275 / 3 | $7.684,66 | 275 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 57 | 146 / 19 | $15.614,00 | 633 / 11 | $5.502,28 | 445 / 5 | $4.604,39 | 442 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 56 | 110 / 15 | $13.460,80 | 753 / 22 | $4.057,89 | 570 / 6 | $3.359,32 | 568 / 19 |
| Heart Failure & Shock W Cc | 55 | 223 / 29 | $18.889,70 | 1036 / 30 | $5.575,58 | 393 / 5 | $4.777,44 | 393 / 7 |
| G.I. Hemorrhage W Cc | 54 | 164 / 23 | $18.917,90 | 654 / 18 | $5.590,02 | 480 / 2 | $4.890,17 | 479 / 8 |
| Chronic Obstructive Pulmonary Disease W Cc | 54 | 125 / 22 | $15.304,10 | 539 / 14 | $5.619,63 | 193 / 14 | $4.167,28 | 193 / 4 |
| Chronic Obstructive Pulmonary Disease W Mcc | 52 | 150 / 28 | $16.374,50 | 422 / 7 | $6.385,58 | 243 / 3 | $5.490,33 | 242 / 4 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 49 | 77 / 11 | $20.083,30 | 411 / 9 | $6.559,73 | 540 / 8 | $6.081,78 | 537 / 19 |
| Hip & Femur Procedures Except Major Joint W Cc | 48 | 95 / 10 | $31.986,60 | 294 / 4 | $10.721,00 | 296 / 4 | $9.721,35 | 295 / 5 |
| Cellulitis W/O Mcc | 48 | 141 / 20 | $13.566,60 | 672 / 17 | $5.499,52 | 376 / 37 | $3.777,12 | 373 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 45 | 162 / 24 | $21.913,50 | 962 / 28 | $6.875,64 | 634 / 37 | $5.343,62 | 632 / 22 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 43 | 139 / 23 | $17.533,00 | 320 / 9 | $5.870,53 | 310 / 4 | $4.990,63 | 309 / 8 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 42 | 59 / 6 | $17.814,90 | 78 / 1 | $7.925,62 | 70 / 1 | $7.402,29 | 70 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 40 | 110 / 20 | $10.916,50 | 444 / 16 | $3.482,65 | 192 / 11 | $2.116,48 | 191 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 38 | 64 / 10 | $18.745,40 | 492 / 17 | $4.368,68 | 354 / 3 | $3.437,00 | 351 / 10 |
| Kidney & Urinary Tract Infections W Mcc | 37 | 107 / 19 | $18.849,20 | 494 / 13 | $6.155,73 | 271 / 4 | $5.377,57 | 271 / 9 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 37 | 94 / 17 | $41.819,60 | 375 / 15 | $13.858,00 | 746 / 19 | $13.120,80 | 738 / 28 |
| Kidney & Urinary Tract Infections W/O Mcc | 37 | 196 / 35 | $11.421,60 | 444 / 6 | $4.218,57 | 174 / 2 | $3.267,27 | 174 / 5 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 33 | 60 / 7 | $10.952,70 | 307 / 4 | $3.990,91 | 232 / 2 | $2.958,18 | 230 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 15 | $76.390,80 | 226 / 8 | $33.931,80 | 157 / 18 | $26.366,60 | 157 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 32 | 129 / 20 | $15.802,20 | 602 / 14 | $5.009,06 | 229 / 24 | $3.518,22 | 229 / 4 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 31 | 92 / 20 | $23.743,50 | 569 / 20 | $7.299,00 | 750 / 17 | $6.725,84 | 747 / 32 |
| Syncope & Collapse | 30 | 139 / 22 | $18.442,20 | 719 / 25 | $4.184,97 | 264 / 2 | $3.289,57 | 262 / 5 |
| Transient Ischemia | 30 | 95 / 17 | $14.534,90 | 268 / 4 | $4.019,77 | 285 / 2 | $3.133,03 | 285 / 6 |
| Respiratory Infections & Inflammations W Mcc | 28 | 108 / 21 | $28.071,20 | 329 / 10 | $10.525,90 | 243 / 3 | $9.868,57 | 243 / 5 |
| Heart Failure & Shock W/O Cc/Mcc | 25 | 85 / 20 | $14.555,50 | 798 / 26 | $3.911,44 | 255 / 3 | $3.040,72 | 253 / 5 |
| Major Small & Large Bowel Procedures W Cc | 25 | 83 / 15 | $53.004,20 | 487 / 17 | $14.403,00 | 481 / 7 | $13.565,60 | 477 / 15 |
| Diabetes W Cc | 23 | 69 / 14 | $13.512,60 | 234 / 3 | $5.026,96 | 160 / 6 | $3.738,57 | 160 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 23 | 145 / 24 | $28.328,90 | 294 / 8 | $9.764,61 | 196 / 7 | $8.481,00 | 195 / 6 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 23 | 97 / 26 | $10.286,80 | 273 / 7 | $4.182,26 | 189 / 5 | $2.996,52 | 189 / 5 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 22 | 166 / 29 | $31.101,00 | 568 / 23 | $8.131,86 | 332 / 41 | $5.191,00 | 332 / 13 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 21 | 104 / 20 | $29.066,50 | 408 / 11 | $8.013,05 | 38 / 1 | $7.313,24 | 38 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 21 | 75 / 15 | $24.448,90 | 409 / 10 | $6.711,19 | 230 / 2 | $6.068,14 | 229 / 5 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 30 | $54.521,80 | 324 / 10 | $11.588,00 | 416 / 3 | $10.433,20 | 415 / 16 |
| Red Blood Cell Disorders W/O Mcc | 20 | 123 / 24 | $16.549,30 | 588 / 14 | $4.591,90 | 283 / 2 | $3.742,90 | 283 / 5 |
| G.I. Obstruction W Cc | 19 | 73 / 18 | $15.669,20 | 338 / 8 | $4.938,74 | 195 / 2 | $4.042,95 | 194 / 4 |
| Other Circulatory System Diagnoses W Mcc | 19 | 97 / 14 | $27.813,50 | 167 / 5 | $10.447,80 | 165 / 2 | $9.450,58 | 165 / 3 |
| Major Small & Large Bowel Procedures W Mcc | 19 | 66 / 16 | $96.165,10 | 348 / 15 | $32.006,70 | 639 / 16 | $31.339,80 | 637 / 19 |
| Bronchitis & Asthma W Cc/Mcc | 19 | 57 / 8 | $14.640,80 | 176 / 2 | $4.875,53 | 182 / 1 | $4.042,79 | 179 / 5 |
| Extracranial Procedures W/O Cc/Mcc | 18 | 80 / 17 | $34.168,90 | 531 / 18 | $6.044,39 | 307 / 4 | $5.228,50 | 307 / 14 |
| Renal Failure W/O Cc/Mcc | 18 | 38 / 7 | $9.434,11 | 95 / 1 | $3.557,72 | 144 / 1 | $2.815,94 | 143 / 5 |
| Red Blood Cell Disorders W Mcc | 17 | 54 / 11 | $20.152,80 | 161 / 6 | $7.022,41 | 182 / 3 | $6.448,18 | 182 / 5 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 17 | 86 / 12 | $12.761,30 | 64 / 2 | $5.530,59 | 91 / 1 | $4.813,88 | 91 / 2 |
| Pulmonary Embolism W/O Mcc | 17 | 57 / 14 | $22.450,40 | 519 / 16 | $5.367,47 | 91 / 2 | $4.290,18 | 91 / 2 |
| Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 16 | 40 / 9 | $27.564,30 | 139 / 2 | $9.094,50 | 184 / 3 | $8.104,00 | 184 / 4 |
| Medical Back Problems W/O Mcc | 16 | 105 / 20 | $13.082,00 | 134 / 2 | $4.297,38 | 75 / 1 | $3.460,62 | 75 / 2 |
| Cellulitis W Mcc | 15 | 43 / 11 | $22.143,40 | 171 / 6 | $7.757,87 | 72 / 3 | $6.856,40 | 72 / 4 |
| G.I. Hemorrhage W Mcc | 15 | 106 / 21 | $27.448,90 | 245 / 8 | $9.094,67 | 47 / 1 | $8.175,33 | 47 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 14 | 51 / 13 | $53.643,60 | 166 / 5 | $17.801,40 | 201 / 6 | $16.821,60 | 200 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 14 | 59 / 12 | $19.813,50 | 287 / 5 | $6.582,29 | 114 / 5 | $5.622,14 | 114 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 14 | 42 / 12 | $45.784,90 | 387 / 9 | $11.793,10 | 192 / 14 | $8.260,86 | 192 / 4 |
| Seizures W/O Mcc | 13 | 95 / 16 | $12.651,30 | 157 / 5 | $4.220,54 | 129 / 1 | $3.386,69 | 128 / 4 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 13 | 78 / 21 | $24.076,70 | 479 / 12 | $5.346,08 | 97 / 1 | $4.689,15 | 97 / 3 |
| Peripheral Vascular Disorders W Cc | 13 | 71 / 15 | $17.701,20 | 297 / 8 | $5.077,62 | 78 / 1 | $4.323,00 | 78 / 2 |
| Major Small & Large Bowel Procedures W/O Cc/Mcc | 13 | 51 / 12 | $38.341,70 | 269 / 7 | $9.507,38 | 261 / 2 | $8.383,08 | 261 / 10 |
| Poisoning & Toxic Effects Of Drugs W Mcc | 12 | 60 / 17 | $18.452,30 | 81 / 2 | $7.550,58 | 32 / 1 | $6.339,25 | 32 / 3 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 10 | $22.404,30 | 373 / 9 | $4.879,25 | 457 / 11 | $4.174,67 | 454 / 16 |
| Chest Pain | 12 | 139 / 25 | $17.484,20 | 730 / 23 | $3.516,42 | 174 / 4 | $2.506,92 | 173 / 5 |
| Respiratory Infections & Inflammations W Cc | 11 | 77 / 21 | $14.517,90 | 87 / 1 | $7.214,00 | 93 / 2 | $6.443,64 | 93 / 2 |
| Pulmonary Embolism W Mcc | 11 | 32 / 10 | $27.090,50 | 119 / 6 | $8.478,91 | 28 / 4 | $6.948,27 | 28 / 4 |
| Other Resp System O.R. Procedures W Mcc | 11 | 52 / 12 | $37.289,30 | 17 / 1 | $17.068,50 | 20 / 1 | $16.840,00 | 20 / 1 |
| Circulatory Disorders Except Ami, W Card Cath W Mcc | 11 | 82 / 18 | $39.991,30 | 154 / 4 | $11.890,40 | 236 / 4 | $11.224,70 | 231 / 13 |
| Cranial & Peripheral Nerve Disorders W/O Mcc | 11 | 57 / 12 | $18.857,90 | 192 / 7 | $5.025,64 | 111 / 1 | $4.247,45 | 111 / 6 |
| Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc | 11 | 52 / 15 | $68.617,50 | 61 / 2 | $28.875,20 | 274 / 6 | $28.412,50 | 274 / 12 | Total 71 procedures | 2.450 | 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.