Hospital Costs > In Minnesota > Healtheast St John's Hospital, 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 | 160 | 404 / 25 | $51.171,50 | 1344 / 46 | $16.956,20 | 1604 / 42 | $12.337,50 | 1567 / 14 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 121 | 395 / 17 | $42.693,60 | 1457 / 36 | $12.975,30 | 1890 / 22 | $12.012,30 | 1855 / 28 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 101 | 174 / 8 | $16.897,40 | 983 / 28 | $5.942,05 | 1606 / 31 | $4.231,54 | 1593 / 11 |
| Pulmonary Edema & Respiratory Failure | 97 | 106 / 7 | $30.820,80 | 1083 / 24 | $9.487,97 | 1413 / 25 | $7.615,09 | 1409 / 17 |
| Heart Failure & Shock W Mcc | 93 | 191 / 11 | $26.680,50 | 876 / 24 | $9.708,46 | 1413 / 10 | $8.894,88 | 1409 / 12 |
| Simple Pneumonia & Pleurisy W Mcc | 80 | 125 / 5 | $29.227,20 | 988 / 25 | $10.049,00 | 1494 / 17 | $8.669,22 | 1494 / 18 |
| Heart Failure & Shock W Cc | 66 | 212 / 14 | $19.342,50 | 1097 / 29 | $6.921,44 | 1487 / 18 | $5.754,11 | 1482 / 10 |
| Kidney & Urinary Tract Infections W/O Mcc | 57 | 176 / 10 | $15.884,20 | 1060 / 25 | $5.474,86 | 1540 / 12 | $4.384,54 | 1529 / 15 |
| G.I. Hemorrhage W Cc | 57 | 161 / 13 | $20.037,90 | 750 / 25 | $7.052,54 | 1373 / 18 | $5.786,68 | 1370 / 14 |
| Renal Failure W Mcc | 51 | 144 / 11 | $25.235,60 | 474 / 6 | $10.028,10 | 1081 / 4 | $9.090,53 | 1081 / 6 |
| Syncope & Collapse | 51 | 118 / 5 | $19.372,70 | 798 / 14 | $5.677,59 | 1143 / 12 | $4.297,10 | 1136 / 11 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 49 | 112 / 12 | $15.569,90 | 578 / 16 | $5.586,55 | 1356 / 11 | $4.740,41 | 1351 / 19 |
| Major Male Pelvic Procedures W/O Cc/Mcc | 49 | 28 / 2 | $46.435,70 | 227 / 11 | $11.554,60 | 217 / 8 | $7.310,98 | 217 / 5 |
| Simple Pneumonia & Pleurisy W Cc | 49 | 154 / 12 | $17.725,10 | 882 / 29 | $7.152,08 | 1596 / 25 | $5.603,51 | 1589 / 14 |
| Cardiac Arrhythmia & Conduction Disorders W Mcc | 48 | 75 / 7 | $20.892,20 | 385 / 8 | $8.451,67 | 1166 / 11 | $7.512,46 | 1163 / 13 |
| Chronic Obstructive Pulmonary Disease W Mcc | 48 | 154 / 8 | $23.750,60 | 1037 / 30 | $8.007,62 | 1596 / 18 | $6.985,62 | 1588 / 23 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc | 47 | 160 / 15 | $20.137,70 | 796 / 26 | $7.451,45 | 1577 / 18 | $6.394,92 | 1570 / 24 |
| Renal Failure W Cc | 47 | 174 / 16 | $18.779,50 | 857 / 24 | $6.790,21 | 1575 / 16 | $5.882,51 | 1566 / 22 |
| Medical Back Problems W/O Mcc | 45 | 76 / 5 | $21.816,40 | 659 / 20 | $5.912,67 | 889 / 9 | $4.954,47 | 886 / 12 |
| Cellulitis W/O Mcc | 44 | 145 / 12 | $17.785,70 | 1217 / 32 | $6.135,14 | 1484 / 14 | $4.703,80 | 1477 / 14 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 44 | 10 / 2 | $156.765,00 | 35 / 5 | $55.870,70 | 57 / 4 | $50.249,00 | 57 / 2 |
| Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 40 | 142 / 14 | $25.420,20 | 824 / 20 | $7.603,48 | 1081 / 17 | $5.964,98 | 1078 / 9 |
| G.I. Obstruction W Cc | 37 | 55 / 9 | $16.240,10 | 380 / 12 | $6.444,27 | 1041 / 14 | $5.186,84 | 1038 / 13 |
| Spinal Fusion Except Cervical W/O Mcc | 36 | 158 / 11 | $81.051,10 | 540 / 18 | $26.768,10 | 944 / 9 | $25.661,50 | 939 / 16 |
| Esophagitis, Gastroent & Misc Digest Disorders W Mcc | 36 | 60 / 5 | $24.779,00 | 427 / 6 | $8.504,17 | 745 / 5 | $7.242,56 | 740 / 7 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 35 | 131 / 13 | $15.468,30 | 1012 / 18 | $5.494,26 | 1375 / 25 | $3.951,37 | 1370 / 12 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc | 35 | 91 / 10 | $22.233,40 | 540 / 8 | $7.613,60 | 859 / 5 | $6.719,51 | 856 / 6 |
| Kidney & Urinary Tract Infections W Mcc | 34 | 110 / 5 | $20.708,00 | 616 / 12 | $8.547,41 | 915 / 14 | $6.240,50 | 912 / 6 |
| Hip & Femur Procedures Except Major Joint W Cc | 32 | 111 / 15 | $48.275,90 | 984 / 29 | $15.830,60 | 1213 / 29 | $11.673,90 | 1199 / 13 |
| Nonspecific Cerebrovascular Disorders W Cc | 31 | 25 / 2 | $23.718,90 | 198 / 6 | $6.927,90 | 270 / 6 | $5.898,61 | 270 / 7 |
| Major Small & Large Bowel Procedures W Cc | 28 | 80 / 14 | $67.332,40 | 806 / 24 | $16.863,50 | 983 / 9 | $15.726,90 | 972 / 16 |
| Back & Neck Proc Exc Spinal Fusion W Cc/Mcc Or Disc Device/Neurostim | 27 | 39 / 6 | $48.395,40 | 257 / 11 | $14.740,10 | 296 / 8 | $11.246,60 | 294 / 6 |
| Dysequilibrium | 27 | 38 / 1 | $17.750,10 | 192 / 6 | $4.675,81 | 293 / 4 | $3.547,44 | 293 / 4 |
| Infectious & Parasitic Diseases W O.R. Procedure W Mcc | 26 | 98 / 12 | $103.437,00 | 532 / 5 | $34.803,10 | 884 / 4 | $33.727,50 | 878 / 7 |
| Intracranial Hemorrhage Or Cerebral Infarction W Mcc | 25 | 143 / 14 | $31.613,80 | 395 / 9 | $11.555,10 | 837 / 7 | $10.346,40 | 835 / 6 |
| Chronic Obstructive Pulmonary Disease W Cc | 24 | 155 / 15 | $20.861,00 | 1092 / 27 | $6.637,79 | 1618 / 18 | $5.712,62 | 1611 / 19 |
| Major Small & Large Bowel Procedures W Mcc | 23 | 62 / 7 | $94.629,20 | 338 / 10 | $33.651,40 | 511 / 4 | $29.692,90 | 509 / 5 |
| Chest Pain | 22 | 129 / 12 | $17.515,10 | 733 / 19 | $4.544,18 | 865 / 10 | $3.355,50 | 860 / 6 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc | 21 | 44 / 8 | $63.333,50 | 295 / 12 | $19.359,70 | 355 / 3 | $18.033,20 | 353 / 3 |
| Other Circulatory System Diagnoses W Mcc | 21 | 95 / 12 | $42.365,70 | 551 / 10 | $12.607,10 | 749 / 4 | $11.844,40 | 746 / 8 |
| Major Joint/Limb Reattachment Procedure Of Upper Extremities | 21 | 48 / 11 | $68.648,20 | 267 / 13 | $20.199,10 | 295 / 8 | $15.629,50 | 295 / 5 |
| G.I. Hemorrhage W Mcc | 21 | 100 / 15 | $36.604,80 | 570 / 8 | $16.087,00 | 516 / 18 | $9.702,76 | 517 / 1 |
| Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 21 | 81 / 11 | $21.659,60 | 693 / 15 | $6.672,29 | 975 / 18 | $4.287,43 | 971 / 12 |
| Red Blood Cell Disorders W/O Mcc | 20 | 123 / 12 | $21.094,60 | 996 / 21 | $5.853,10 | 1272 / 15 | $4.942,15 | 1264 / 17 |
| Fractures Of Hip & Pelvis W/O Mcc | 19 | 42 / 5 | $18.423,10 | 458 / 12 | $5.035,47 | 480 / 5 | $3.884,16 | 480 / 2 |
| Respiratory Infections & Inflammations W Mcc | 19 | 117 / 16 | $34.687,00 | 578 / 11 | $12.482,30 | 987 / 8 | $11.647,50 | 976 / 10 |
| Transient Ischemia | 19 | 106 / 11 | $19.385,40 | 613 / 8 | $5.154,37 | 1028 / 5 | $4.094,05 | 1023 / 10 |
| Acute Myocardial Infarction, Discharged Alive W Mcc | 19 | 106 / 15 | $25.553,10 | 304 / 7 | $9.647,21 | 391 / 1 | $8.742,00 | 391 / 2 |
| Red Blood Cell Disorders W Mcc | 18 | 53 / 4 | $25.183,70 | 320 / 5 | $8.740,00 | 627 / 5 | $7.913,28 | 624 / 6 |
| Other Digestive System Diagnoses W Mcc | 18 | 44 / 7 | $24.896,70 | 94 / 2 | $14.530,00 | 169 / 9 | $9.209,28 | 169 / 1 |
| Nonspecific Cerebrovascular Disorders W Mcc | 18 | 33 / 3 | $31.977,60 | 130 / 3 | $10.843,50 | 186 / 2 | $10.033,10 | 186 / 3 |
| Other Digestive System Diagnoses W Cc | 18 | 79 / 13 | $18.916,50 | 343 / 9 | $6.920,61 | 843 / 9 | $5.906,78 | 839 / 12 |
| Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc | 18 | 44 / 6 | $17.522,50 | 280 / 11 | $5.380,33 | 430 / 3 | $4.302,67 | 428 / 11 |
| Signs & Symptoms W/O Mcc | 17 | 74 / 12 | $16.354,90 | 431 / 8 | $4.902,35 | 742 / 7 | $4.126,35 | 739 / 10 |
| Peripheral Vascular Disorders W Cc | 17 | 67 / 10 | $27.935,80 | 743 / 13 | $6.471,29 | 640 / 3 | $5.656,35 | 637 / 3 |
| Acute Myocardial Infarction, Discharged Alive W Cc | 17 | 74 / 12 | $17.743,70 | 208 / 4 | $7.273,65 | 448 / 7 | $5.389,41 | 447 / 1 |
| Combined Anterior/Posterior Spinal Fusion W Mcc | 16 | 6 / 2 | $189.969,00 | 2 / 1 | $75.992,20 | 7 / 1 | $74.783,80 | 7 / 2 |
| Other Kidney & Urinary Tract Diagnoses W Cc | 16 | 87 / 10 | $17.109,40 | 159 / 4 | $6.354,38 | 272 / 1 | $5.390,44 | 272 / 2 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Cc | 16 | 40 / 8 | $45.705,40 | 386 / 14 | $19.433,40 | 225 / 15 | $8.384,81 | 225 / 1 |
| Seizures W/O Mcc | 16 | 92 / 13 | $19.134,60 | 507 / 11 | $5.494,81 | 723 / 7 | $4.535,44 | 720 / 9 |
| Medical Back Problems W Mcc | 15 | 24 / 6 | $26.986,30 | 52 / 2 | $11.135,40 | 33 / 4 | $7.893,33 | 33 / 1 |
| Hip & Femur Procedures Except Major Joint W Mcc | 15 | 47 / 10 | $64.942,90 | 356 / 12 | $21.745,50 | 403 / 16 | $17.325,50 | 400 / 6 |
| Diabetes W Cc | 15 | 77 / 11 | $16.304,00 | 428 / 7 | $5.890,53 | 951 / 5 | $5.019,40 | 947 / 8 |
| Pulmonary Embolism W/O Mcc | 15 | 59 / 12 | $17.762,70 | 277 / 9 | $6.619,60 | 677 / 4 | $5.511,00 | 674 / 9 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 15 | 58 / 10 | $19.065,30 | 251 / 7 | $8.064,00 | 653 / 6 | $7.179,67 | 651 / 9 |
| Diabetes W Mcc | 14 | 43 / 4 | $25.872,60 | 192 / 2 | $9.521,57 | 398 / 2 | $8.650,07 | 398 / 4 |
| Spinal Fusion Except Cervical W Mcc | 14 | 11 / 2 | $140.856,00 | 30 / 2 | $40.623,30 | 28 / 1 | $39.459,60 | 28 / 1 |
| Other Vascular Procedures W Cc | 13 | 89 / 10 | $57.538,50 | 318 / 4 | $16.865,60 | 621 / 2 | $15.661,70 | 618 / 4 |
| Major Male Pelvic Procedures W Cc/Mcc | 13 | 17 / 4 | $54.312,50 | 34 / 6 | $14.528,00 | 18 / 4 | $10.288,50 | 18 / 2 |
| Cellulitis W Mcc | 13 | 45 / 8 | $23.498,90 | 199 / 3 | $9.382,46 | 439 / 1 | $8.459,92 | 437 / 2 |
| G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 15 | $11.484,80 | 241 / 5 | $5.343,69 | 548 / 17 | $3.019,54 | 547 / 5 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc | 13 | 42 / 10 | $42.046,80 | 171 / 8 | $12.886,90 | 366 / 1 | $11.907,40 | 363 / 5 |
| Disorders Of Pancreas Except Malignancy W Cc | 12 | 49 / 11 | $19.361,90 | 285 / 3 | $6.612,67 | 510 / 3 | $5.325,42 | 508 / 3 |
| Cervical Spinal Fusion W Cc | 12 | 41 / 6 | $64.001,30 | 148 / 4 | $27.721,10 | 28 / 6 | $13.755,60 | 28 / 1 |
| Other Kidney & Urinary Tract Diagnoses W Mcc | 12 | 89 / 15 | $33.591,40 | 485 / 12 | $9.579,42 | 298 / 3 | $8.367,83 | 298 / 2 |
| Cervical Spinal Fusion W/O Cc/Mcc | 12 | 92 / 8 | $66.140,80 | 541 / 8 | $15.581,00 | 675 / 5 | $14.533,90 | 672 / 5 |
| Endocrine Disorders W Cc | 12 | 26 / 4 | $24.666,10 | 135 / 5 | $7.434,00 | 122 / 3 | $5.856,58 | 122 / 3 |
| Laparoscopic Cholecystectomy W/O C.D.E. W Mcc | 12 | 28 / 6 | $54.333,10 | 133 / 7 | $19.572,20 | 213 / 7 | $14.638,80 | 212 / 1 |
| Degenerative Nervous System Disorders W/O Mcc | 12 | 66 / 9 | $17.752,30 | 151 / 2 | $9.227,33 | 169 / 12 | $4.869,50 | 169 / 2 |
| Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 12 | 138 / 19 | $18.027,10 | 1273 / 26 | $4.234,00 | 1402 / 10 | $3.287,92 | 1396 / 18 |
| Seizures W Mcc | 11 | 55 / 9 | $22.845,70 | 76 / 2 | $9.619,00 | 227 / 1 | $8.494,09 | 227 / 3 |
| Cirrhosis & Alcoholic Hepatitis W Mcc | 11 | 31 / 6 | $28.265,80 | 43 / 2 | $11.750,70 | 127 / 1 | $10.867,50 | 127 / 2 |
| Chemotherapy W/O Acute Leukemia As Secondary Diagnosis W Cc | 11 | 80 / 8 | $23.053,30 | 97 / 3 | $7.819,91 | 216 / 4 | $7.723,00 | 216 / 7 |
| Major Gastrointestinal Disorders & Peritoneal Infections W Mcc | 11 | 45 / 9 | $37.370,90 | 255 / 7 | $11.487,40 | 226 / 1 | $10.776,50 | 225 / 1 |
| Respiratory System Diagnosis W Ventilator Support <96 Hours | 11 | 120 / 15 | $81.624,90 | 1325 / 16 | $20.180,60 | 1631 / 14 | $19.401,60 | 1617 / 16 |
| Tendonitis, Myositis & Bursitis W/O Mcc | 11 | 31 / 4 | $16.659,50 | 91 / 3 | $5.194,91 | 85 / 2 | $4.154,36 | 85 / 2 |
| Lower Extrem & Humer Proc Except Hip,Foot,Femur W Mcc | 11 | 12 / 3 | $80.076,60 | 22 / 2 | $25.039,80 | 37 / 2 | $23.736,20 | 37 / 2 |
| Peritoneal Adhesiolysis W Cc | 11 | 28 / 7 | $50.867,40 | 92 / 5 | $18.824,90 | 95 / 5 | $12.908,30 | 95 / 1 | Total 88 procedures | 2.680 | 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.