Hospital Costs > In Iowa > Grinnell Regional Medical Center, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Chronic Obstructive Pulmonary Disease W Cc | 16 | 163 / 19 | $11.298,70 | 170 / 3 | $5.246,44 | 457 / 5 | $4.492,44 | 456 / 11 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 21 | 254 / 21 | $9.819,71 | 194 / 2 | $4.157,71 | 358 / 5 | $3.293,71 | 357 / 11 |
| G.I. Hemorrhage W Cc | 15 | 203 / 25 | $14.928,40 | 303 / 7 | $5.580,53 | 234 / 7 | $4.616,27 | 234 / 7 |
| Kidney & Urinary Tract Infections W/O Mcc | 17 | 216 / 20 | $8.141,35 | 126 / 1 | $4.289,59 | 194 / 6 | $3.295,71 | 194 / 6 |
| O.R. Procedures For Obesity W Cc | 13 | 21 / 1 | $28.614,20 | 8 / 1 | $10.894,20 | 28 / 1 | $9.872,62 | 28 / 1 |
| O.R. Procedures For Obesity W/O Cc/Mcc | 17 | 60 / 2 | $42.170,70 | 197 / 3 | $11.409,20 | 19 / 3 | $6.776,94 | 19 / 1 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 25 | 491 / 25 | $18.582,00 | 204 / 4 | $10.235,30 | 409 / 3 | $9.362,32 | 409 / 5 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 16 | 191 / 23 | $13.976,80 | 275 / 2 | $5.826,06 | 193 / 3 | $4.842,06 | 193 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 34 | 169 / 17 | $12.707,90 | 324 / 3 | $5.464,53 | 310 / 7 | $4.473,47 | 308 / 9 |
| Simple Pneumonia & Pleurisy W Mcc | 11 | 194 / 23 | $14.212,30 | 94 / 1 | $8.117,91 | 520 / 5 | $7.347,00 | 520 / 9 | Total 10 procedures | 185 | 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.