Hospital Costs > In Iowa > Great River Medical Center West Burlington, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 174 | 390 / 18 | $40.161,50 | 767 / 18 | $12.821,80 | 1015 / 11 | $11.076,80 | 995 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 159 | 357 / 10 | $30.004,10 | 779 / 14 | $10.784,90 | 705 / 8 | $9.802,67 | 704 / 11 |
| Chronic Obstructive Pulmonary Disease W Mcc | 64 | 138 / 5 | $20.623,50 | 769 / 12 | $7.125,70 | 585 / 15 | $5.855,58 | 584 / 12 |
| G.I. Hemorrhage W Cc | 63 | 155 / 9 | $19.810,50 | 736 / 17 | $5.972,19 | 695 / 12 | $5.086,54 | 694 / 14 |
| Heart Failure & Shock W Cc | 63 | 215 / 10 | $15.019,90 | 582 / 11 | $5.848,48 | 715 / 10 | $5.076,29 | 714 / 13 |
| Heart Failure & Shock W Mcc | 61 | 223 / 13 | $25.188,60 | 750 / 14 | $8.827,16 | 700 / 13 | $7.930,93 | 700 / 12 |
| Chronic Obstructive Pulmonary Disease W Cc | 57 | 122 / 2 | $18.004,20 | 808 / 16 | $5.576,61 | 732 / 11 | $4.747,42 | 730 / 13 |
| Simple Pneumonia & Pleurisy W Mcc | 56 | 149 / 9 | $28.748,40 | 955 / 20 | $8.498,16 | 832 / 10 | $7.692,34 | 832 / 14 |
| Renal Failure W Cc | 55 | 166 / 8 | $19.400,30 | 915 / 20 | $5.786,47 | 715 / 11 | $4.928,07 | 708 / 15 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 50 | 157 / 14 | $16.938,10 | 510 / 12 | $6.789,18 | 498 / 17 | $5.205,26 | 496 / 9 |
| Pulmonary Edema & Respiratory Failure | 47 | 156 / 13 | $22.014,90 | 541 / 13 | $7.273,53 | 749 / 8 | $6.650,79 | 749 / 13 |
| Hip & Femur Procedures Except Major Joint W Cc | 40 | 103 / 10 | $32.657,40 | 316 / 4 | $11.375,10 | 592 / 9 | $10.225,40 | 589 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 39 | 236 / 14 | $15.398,90 | 801 / 12 | $4.555,67 | 743 / 14 | $3.595,15 | 739 / 16 |
| Cellulitis W/O Mcc | 37 | 152 / 12 | $13.149,40 | 608 / 12 | $5.124,97 | 770 / 13 | $4.101,73 | 765 / 16 |
| Psychoses | 37 | 239 / 13 | $25.974,60 | 431 / 14 | $6.339,16 | 25 / 5 | $4.571,95 | 25 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 36 | 89 / 6 | $26.204,30 | 319 / 4 | $9.404,22 | 322 / 5 | $8.594,89 | 322 / 6 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 34 | 148 / 11 | $23.728,50 | 704 / 18 | $6.259,79 | 599 / 8 | $5.330,59 | 598 / 12 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 33 | 91 / 7 | $83.293,50 | 278 / 4 | $32.644,90 | 718 / 10 | $31.659,70 | 712 / 10 |
| Renal Failure W Mcc | 31 | 164 / 12 | $29.013,10 | 700 / 12 | $9.312,45 | 870 / 12 | $8.684,06 | 870 / 14 |
| Respiratory Infections & Inflammations W Mcc | 29 | 107 / 10 | $38.565,20 | 724 / 18 | $11.397,90 | 619 / 10 | $10.722,20 | 611 / 11 |
| Simple Pneumonia & Pleurisy W Cc | 29 | 174 / 19 | $22.415,50 | 1396 / 26 | $7.090,17 | 631 / 29 | $4.760,93 | 628 / 14 |
| G.I. Hemorrhage W Mcc | 27 | 94 / 5 | $31.517,40 | 376 / 13 | $9.908,81 | 58 / 5 | $8.259,93 | 58 / 1 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 26 | 124 / 9 | $10.343,80 | 379 / 13 | $3.531,88 | 651 / 10 | $2.556,92 | 647 / 13 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 26 | 135 / 13 | $15.115,00 | 537 / 12 | $4.851,38 | 660 / 10 | $3.971,65 | 657 / 9 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 25 | 98 / 9 | $21.248,60 | 406 / 11 | $7.274,76 | 426 / 10 | $6.260,32 | 424 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 25 | 208 / 15 | $13.198,60 | 670 / 16 | $4.754,36 | 957 / 16 | $3.929,16 | 950 / 21 |
| Spinal Fusion Except Cervical W/O Mcc | 23 | 171 / 14 | $50.026,70 | 116 / 3 | $23.020,40 | 502 / 5 | $21.814,10 | 499 / 10 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 23 | 143 / 16 | $11.312,50 | 467 / 12 | $4.213,74 | 594 / 10 | $3.374,70 | 592 / 12 |
| Transient Ischemia | 22 | 103 / 5 | $16.750,00 | 396 / 9 | $4.321,95 | 462 / 7 | $3.330,73 | 461 / 9 |
| Chest Pain | 22 | 129 / 7 | $10.498,30 | 173 / 2 | $3.802,36 | 355 / 4 | $2.754,95 | 354 / 5 |
| Medical Back Problems W/O Mcc | 21 | 100 / 9 | $16.035,30 | 277 / 9 | $5.192,14 | 532 / 9 | $4.264,90 | 530 / 11 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 21 | 44 / 6 | $62.928,70 | 291 / 14 | $18.898,60 | 320 / 6 | $17.740,50 | 318 / 9 |
| Major Small & Large Bowel Procedures W Cc | 21 | 87 / 12 | $44.776,10 | 289 / 7 | $14.785,90 | 556 / 8 | $13.804,50 | 550 / 11 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 21 | 167 / 15 | $22.577,60 | 174 / 3 | $6.594,43 | 239 / 8 | $5.047,62 | 239 / 6 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 21 | 99 / 7 | $16.642,10 | 983 / 16 | $4.524,76 | 692 / 8 | $3.482,29 | 690 / 11 |
| Infectious & Parasitic Diseases W O.R. Procedure W Cc | 20 | 16 / 2 | $43.432,90 | 72 / 2 | $14.371,60 | 70 / 1 | $12.625,50 | 70 / 2 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 20 | 111 / 9 | $50.766,00 | 642 / 8 | $16.640,80 | 202 / 16 | $11.561,50 | 200 / 3 |
| Kidney & Urinary Tract Infections W Mcc | 20 | 124 / 9 | $19.064,20 | 513 / 13 | $6.685,10 | 664 / 8 | $5.892,85 | 663 / 11 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 20 | 176 / 16 | $42.483,70 | 89 / 1 | $11.896,10 | 519 / 6 | $10.687,80 | 517 / 10 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 19 | 83 / 9 | $18.014,00 | 435 / 14 | $4.509,79 | 336 / 7 | $3.419,58 | 333 / 9 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 19 | 72 / 11 | $16.919,10 | 172 / 1 | $6.203,05 | 145 / 5 | $4.825,63 | 145 / 5 |
| Transurethral Prostatectomy W Cc/Mcc | 19 | 5 / 1 | $17.602,80 | 3 / 1 | $8.961,11 | 8 / 1 | $6.929,26 | 8 / 1 |
| Syncope & Collapse | 18 | 151 / 13 | $14.841,70 | 378 / 8 | $4.493,44 | 567 / 9 | $3.618,56 | 564 / 8 |
| Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 18 | 35 / 3 | $17.132,40 | 204 / 4 | $4.810,56 | 187 / 6 | $3.540,11 | 186 / 6 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 17 | 52 / 6 | $58.152,90 | 186 / 6 | $16.153,10 | 256 / 6 | $15.085,60 | 256 / 9 |
| Revision Of Hip Or Knee Replacement W Cc | 17 | 69 / 5 | $78.701,50 | 288 / 8 | $21.097,20 | 345 / 6 | $20.028,00 | 344 / 8 |
| Major Small & Large Bowel Procedures W Mcc | 16 | 69 / 11 | $74.080,90 | 154 / 4 | $27.609,40 | 237 / 5 | $26.763,80 | 235 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 15 | 153 / 11 | $25.541,70 | 220 / 6 | $9.133,13 | 173 / 5 | $8.400,67 | 172 / 8 |
| G.I. Obstruction W/O Cc/Mcc | 15 | 56 / 11 | $10.766,90 | 190 / 3 | $3.833,33 | 362 / 6 | $2.787,33 | 362 / 6 |
| Simple Pneumonia & Pleurisy W/O Cc/Mcc | 15 | 78 / 13 | $12.883,80 | 501 / 13 | $4.457,07 | 367 / 12 | $3.106,13 | 365 / 11 |
| Signs & Symptoms W/O Mcc | 14 | 77 / 9 | $20.488,40 | 679 / 12 | $4.244,64 | 411 / 4 | $3.544,14 | 410 / 9 |
| Extracranial Procedures W Cc | 14 | 32 / 3 | $23.478,70 | 35 / 2 | $9.398,71 | 108 / 2 | $8.270,71 | 108 / 3 |
| Red Blood Cell Disorders W/O Mcc | 14 | 129 / 11 | $13.684,50 | 327 / 6 | $4.919,14 | 567 / 7 | $4.052,71 | 565 / 8 |
| Seizures W/O Mcc | 13 | 95 / 6 | $16.289,80 | 324 / 5 | $4.687,54 | 254 / 3 | $3.666,31 | 253 / 4 |
| Transurethral Prostatectomy W/O Cc/Mcc | 13 | 16 / 1 | $12.978,80 | 7 / 1 | $4.597,31 | 19 / 1 | $3.382,46 | 19 / 1 |
| Pulmonary Embolism W/O Mcc | 12 | 62 / 13 | $20.210,90 | 394 / 13 | $5.992,08 | 440 / 8 | $5.078,00 | 439 / 11 |
| Respiratory Infections & Inflammations W Cc | 12 | 76 / 12 | $21.965,50 | 344 / 8 | $7.988,92 | 410 / 6 | $7.181,08 | 407 / 7 |
| Heart Failure & Shock W/O Cc/Mcc | 12 | 98 / 14 | $12.179,30 | 492 / 8 | $4.208,25 | 619 / 10 | $3.405,67 | 617 / 11 |
| G.I. Obstruction W Cc | 12 | 80 / 15 | $14.383,20 | 246 / 6 | $5.408,42 | 512 / 11 | $4.492,75 | 511 / 12 |
| Renal Failure W/O Cc/Mcc | 12 | 44 / 10 | $12.106,00 | 221 / 5 | $3.923,50 | 287 / 5 | $3.112,58 | 286 / 6 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 11 | 90 / 10 | $20.194,80 | 126 / 2 | $8.707,27 | 134 / 3 | $7.716,27 | 134 / 5 |
| Poisoning & Toxic Effects Of Drugs W/O Mcc | 11 | 50 / 9 | $17.111,50 | 407 / 8 | $4.095,09 | 219 / 2 | $3.163,00 | 218 / 4 |
| Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc | 11 | 113 / 12 | $13.465,00 | 271 / 12 | $4.115,73 | 103 / 4 | $3.234,00 | 103 / 4 |
| Pulmonary Embolism W Mcc | 11 | 32 / 9 | $33.183,10 | 219 / 8 | $8.713,91 | 138 / 4 | $7.942,55 | 138 / 5 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 11 | 115 / 12 | $17.672,70 | 289 / 6 | $6.673,00 | 410 / 5 | $5.895,55 | 407 / 8 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 11 | 44 / 8 | $27.893,30 | 27 / 1 | $11.649,50 | 216 / 4 | $10.662,50 | 216 / 6 |
| Other Vascular Procedures W Cc | 11 | 91 / 9 | $44.001,10 | 133 / 3 | $15.424,80 | 429 / 4 | $14.543,60 | 426 / 6 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 11 | 62 / 8 | $17.439,70 | 194 / 6 | $7.016,55 | 462 / 5 | $6.569,36 | 460 / 7 |
| Transurethral Procedures W Cc | 11 | 30 / 3 | $19.603,30 | 24 / 2 | $7.566,00 | 75 / 3 | $6.353,27 | 75 / 4 | Total 69 procedures | 2.013 | 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.