Hospital Costs > In Colorado > Good Samaritan Medical Center Lafayette, 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 | 89 | 427 / 20 | $58.715,10 | 2054 / 28 | $10.653,90 | 263 / 5 | $9.081,56 | 263 / 2 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 65 | 499 / 29 | $83.309,70 | 2266 / 36 | $14.850,80 | 8 / 21 | $8.188,94 | 8 / 1 |
| Simple Pneumonia & Pleurisy W Mcc | 39 | 166 / 13 | $43.927,80 | 1711 / 23 | $8.060,13 | 265 / 2 | $6.961,44 | 265 / 5 |
| Spinal Fusion Except Cervical W/O Mcc | 39 | 155 / 13 | $174.096,00 | 1210 / 19 | $24.549,80 | 529 / 1 | $21.964,80 | 526 / 5 |
| Renal Failure W Cc | 35 | 186 / 12 | $37.753,90 | 1982 / 21 | $5.304,34 | 118 / 2 | $4.232,91 | 118 / 2 |
| Pulmonary Edema & Respiratory Failure | 26 | 177 / 21 | $45.629,00 | 1658 / 25 | $7.679,19 | 483 / 9 | $6.316,69 | 483 / 8 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 24 | 183 / 20 | $35.725,30 | 1892 / 25 | $6.207,83 | 168 / 6 | $4.798,25 | 168 / 1 |
| Kidney & Urinary Tract Infections W/O Mcc | 24 | 209 / 16 | $26.024,10 | 2027 / 18 | $4.082,96 | 149 / 1 | $3.228,83 | 149 / 3 |
| Heart Failure & Shock W Mcc | 23 | 261 / 19 | $45.381,70 | 1857 / 19 | $8.651,04 | 57 / 4 | $6.794,83 | 57 / 1 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 20 | 255 / 28 | $32.398,90 | 2258 / 24 | $4.233,20 | 397 / 4 | $3.325,10 | 395 / 6 |
| Heart Failure & Shock W Cc | 19 | 259 / 21 | $36.629,60 | 2233 / 25 | $5.489,47 | 234 / 2 | $4.599,68 | 234 / 5 |
| G.I. Hemorrhage W Cc | 19 | 199 / 20 | $38.752,70 | 1915 / 24 | $5.708,84 | 337 / 4 | $4.751,68 | 337 / 6 |
| Renal Failure W Mcc | 18 | 177 / 17 | $41.772,10 | 1336 / 6 | $8.645,94 | 437 / 2 | $7.972,28 | 437 / 2 |
| Cellulitis W/O Mcc | 18 | 171 / 17 | $31.070,80 | 2162 / 19 | $4.950,28 | 119 / 5 | $3.443,39 | 119 / 3 |
| Simple Pneumonia & Pleurisy W Cc | 15 | 188 / 24 | $26.769,60 | 1752 / 17 | $4.925,00 | 41 / 1 | $3.960,47 | 41 / 1 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 15 | 181 / 18 | $113.835,00 | 1280 / 20 | $12.319,60 | 207 / 1 | $9.827,60 | 207 / 3 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 14 | 110 / 16 | $142.361,00 | 952 / 10 | $27.132,40 | 64 / 1 | $24.850,10 | 64 / 2 |
| Major Small & Large Bowel Procedures W Cc | 14 | 94 / 15 | $76.658,60 | 955 / 10 | $14.661,20 | 151 / 2 | $12.209,70 | 151 / 1 |
| Kidney & Urinary Tract Infections W Mcc | 13 | 131 / 15 | $29.287,80 | 1146 / 7 | $6.538,46 | 69 / 4 | $4.935,00 | 69 / 1 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 13 | 52 / 6 | $123.546,00 | 756 / 12 | $20.542,70 | 368 / 10 | $18.158,80 | 366 / 11 |
| Hip & Femur Procedures Except Major Joint W Cc | 13 | 130 / 22 | $58.243,00 | 1310 / 12 | $11.120,00 | 397 / 5 | $9.914,00 | 396 / 4 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 12 | $92.428,20 | 1431 / 12 | $14.941,40 | 780 / 8 | $13.245,50 | 772 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 12 | 156 / 14 | $55.915,10 | 1067 / 10 | $9.494,17 | 267 / 2 | $8.686,25 | 266 / 1 |
| Other Circulatory System Diagnoses W Mcc | 12 | 104 / 12 | $53.755,90 | 825 / 8 | $9.936,17 | 21 / 1 | $8.379,08 | 21 / 1 |
| Respiratory Infections & Inflammations W Mcc | 11 | 125 / 18 | $45.653,60 | 953 / 7 | $11.995,00 | 98 / 9 | $9.379,82 | 98 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 11 | 171 / 18 | $35.010,50 | 1361 / 10 | $6.001,91 | 327 / 3 | $5.011,45 | 326 / 4 |
| G.I. Obstruction W Cc | 11 | 81 / 14 | $26.399,50 | 1057 / 7 | $7.535,91 | 30 / 18 | $3.483,09 | 30 / 1 | Total 27 procedures | 625 | 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.