Hospital Costs > In Minnesota > Grand Itasca Clinic And Hospital, 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 | 35 | 481 / 29 | $19.926,20 | 264 / 3 | $12.248,20 | 1734 / 15 | $11.559,80 | 1701 / 22 |
| Simple Pneumonia & Pleurisy W Cc | 32 | 171 / 20 | $13.146,80 | 366 / 7 | $6.760,81 | 1749 / 17 | $5.778,81 | 1741 / 23 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 28 | 536 / 46 | $45.768,10 | 1072 / 38 | $14.224,70 | 1852 / 9 | $13.019,00 | 1811 / 24 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 5 | $10.181,30 | 239 / 3 | $5.080,20 | 1116 / 8 | $3.795,68 | 1110 / 8 |
| Heart Failure & Shock W Cc | 21 | 257 / 32 | $12.568,10 | 325 / 3 | $6.705,52 | 1714 / 13 | $6.013,71 | 1709 / 20 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 20 | 187 / 27 | $12.070,80 | 151 / 1 | $7.206,90 | 1408 / 14 | $6.118,90 | 1403 / 16 |
| Heart Failure & Shock W/O Cc/Mcc | 18 | 92 / 14 | $10.806,20 | 347 / 6 | $4.839,22 | 1188 / 7 | $3.962,78 | 1178 / 8 |
| Pulmonary Edema & Respiratory Failure | 17 | 186 / 24 | $20.986,70 | 466 / 9 | $8.258,29 | 1378 / 8 | $7.546,76 | 1374 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 16 | 150 / 23 | $9.633,88 | 277 / 2 | $4.734,75 | 1228 / 5 | $3.828,75 | 1224 / 9 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 15 | 167 / 23 | $14.813,30 | 144 / 3 | $7.287,67 | 1213 / 12 | $6.163,40 | 1210 / 14 |
| Chronic Obstructive Pulmonary Disease W Cc | 15 | 164 / 19 | $11.865,30 | 221 / 4 | $6.448,20 | 1264 / 14 | $5.238,60 | 1259 / 9 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 14 | 106 / 9 | $9.606,79 | 203 / 3 | $5.059,00 | 1187 / 7 | $3.934,43 | 1178 / 7 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 35 | $11.410,50 | 323 / 4 | $5.231,57 | 1723 / 9 | $4.365,29 | 1710 / 18 |
| Chronic Obstructive Pulmonary Disease W Mcc | 14 | 188 / 27 | $14.341,20 | 269 / 3 | $8.173,00 | 1320 / 20 | $6.597,57 | 1314 / 12 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 12 | 149 / 24 | $11.975,50 | 229 / 3 | $5.836,33 | 972 / 18 | $4.261,50 | 969 / 5 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 16 | $14.484,20 | 85 / 2 | $9.408,83 | 958 / 13 | $8.504,83 | 953 / 13 |
| Heart Failure & Shock W Mcc | 12 | 272 / 33 | $17.220,00 | 256 / 4 | $9.878,00 | 1703 / 15 | $9.475,33 | 1698 / 21 | Total 17 procedures | 320 | 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.